„„Changes in Health Behaviour of School-Changes in Health Behaviour of School-Aged Children between 1986-2002Aged Children between 1986-2002

(A comparative analysis of the risk behaviour)(A comparative analysis of the risk behaviour)

Németh Á., Aszmann A.,Páll G., Kökönyei Gy.,

Várnai D.,Szabadi I., Balogh Á.

National Institute of Child Health

hbsHealth Behaviourin School-aged Children

A WORLD HEALTH ORGANIZATION CROSS-NATIONAL STUDYc

ICBM MAGATARTÁSTUDOMÁNYI KONFERENCIA

HEALTH BEHAVIOUR IN SCHOOL-AGED HEALTH BEHAVIOUR IN SCHOOL-AGED CHILDREN SURVEY (HBSC)CHILDREN SURVEY (HBSC)

•5 nationally representative data collections between 1985 and 2002

• 11,13,15,17-year-old

•1990 6498

•1993 5775

•1986 4461

•1997 5763

•2002 5958 pupils

• One of main goals: monitoring and anlysing self reported health, life satisfaction and health behaviours

35 countries, 162.306 respondents

1.Latvia2.Lithuania3.Macedonia, tfyr 4.Malta5.Netherlands6.Norway7.Poland8.Portugal9.Russia10.Scotland11.Slovenia12.Spain13.Sweden14.Switzerland15.USA16.Ukraine17.Wales

1.Latvia2.Lithuania3.Macedonia, tfyr 4.Malta5.Netherlands6.Norway7.Poland8.Portugal9.Russia10.Scotland11.Slovenia12.Spain13.Sweden14.Switzerland15.USA16.Ukraine17.Wales

1.Latvia2.Lithuania3.Macedonia, tfyr 4.Malta5.Netherlands6.Norway7.Poland8.Portugal9.Russia10.Scotland11.Slovenia12.Spain13.Sweden14.Switzerland15.USA16.Ukraine17.Wales

LatviaLithuaniaMacedonia, tfyr MaltaNetherlandsNorwayPolandPortugalRussiaScotlandSloveniaSpainSwedenSwitzerlandUSAUkraineWales(35 countries/regions)

AustriaBelgium (Flemish)Belgium (French)CanadaCroatiaCzech RepublicDenmarkEnglandEstoniaFinlandFranceGermanyGreeceGreenlandHungaryIrelandIsraelItaly

standardized methods( questionnaire, sampling, coding, processing)

CHANGES IN SMOKING BEHAVIOUR CHANGES IN SMOKING BEHAVIOUR

1986-20021986-2002

Significant changes

Between 1986 and 2002 only among 13-14 year-old girls (33 <45%)

Proportion of girls and boys having

tried smoking

(1986-2002)

0,0%

20,0%

40,0%

60,0%

80,0%

1986 1990 1993 1997 2002

13-14 yrs boys

15-16 yrs boys

13-14 yrs girls

15-16 yrs girls

Proportion of weekly smokers (1986-2002)

boys girls

13-14yr

15-16yr

3,4 <4,4% 1,2 <3,5%*

5,9 <8,3%* 6,8 <9,4%*

The proportion of occasionally smokers

Sign. Change among girls

Proportion of daily smokers

among 15-16 year olds

0%

10%

20%

30%

1986 1990 1993 1997 2002

boys

girls

ChangeBetween 1986 and 2002significant in both age-groups and genders exceptfor 15-16 year-old boys

CHANGES IN SMOKING HABITS

1986-2002

13-14 yr boys 6,8 < 11%

13-14 yr girls 2,1 < 8,5%

Number of cigarettes/ week

1986-200213-14yr

15-16yr

boys girls

16,5 <27,2%* 6,9 <18,5%*

36,6 <42,3* 25,5 <32,2*

20,6 22,1

14,119,4

CHANGES IN ALCOHOL USECHANGES IN ALCOHOL USE1990-20021990-2002

INDICATORS USED FOR MONITORING

Frequency of beer, wine consumption

Frequency of drunkeness

Drinking beer at least weekly

boys girls

15-16 yr 14,4 <29,5%* 2,7 <9%*

Drinking wine at least weekly 15-16 yr

boys girls

6,5 <25,7%* 1,3 <10,4%*

CHANGES IN THE PROPORTION OF CHANGES IN THE PROPORTION OF PUPILS REPORTING HAVING BEEN PUPILS REPORTING HAVING BEEN

DRUNKENDRUNKEN

1986-20021986-2002

0%

20%

40%

60%

80%

100%

1986 1990 1993 1997 2002

15-16 year-old boys

more than once

once

never

0%

20%

40%

60%

80%

100%

1986 1990 1993 1997 2002

15-16 year-old girls

more than once

once

never

Changes

Once : non-significant

Never

More than once

Significant

1986-2002

Never, once, more than once

Significant 1986-2002

Changes

SUMMARYSUMMARY

• BETWEEN 1986-2002 UNFAVOURABLE TENDENCY IN

TOBACCO USE Having already tried smoking (increase among

13-14 yr girls) Weekly smokers (increase among 15-16 yr old

boys and girls of the two age groups) Daily smoking (increase in both genders and age

groups except for 15-16 yr old boys Number of cigarettes smoked weekly (increase in

both genders and age groups)

ALCOHOL USE Rate of pupils who drink beer and wine regularly

increased among boys and girls Rate of pupils who have never been drunk

decreased Rate of pupils who have been drunk once or more

increased

www. hbsc.org

Basic data of 2002 survey

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