TY - JOUR
T1 - Girls growing through adolescence have a higher risk of poor health
AU - Cavallo, Franco
AU - Zambon, Alessio
AU - Borraccino, Alberto
AU - Raven-Sieberer, Ulrike
AU - Torsheim, Torbjørn
AU - Lemma, Patrizia
AU - Fürth, Kristina
AU - Lepp, Kädi
AU - Välimäa, Raili
AU - Vignes, Céline
AU - Thomas, Christiane
AU - Haehne, Cornelia
AU - Kökönyei, Gyöngyi
AU - Jece, Inese
AU - Naumova, Katerina
AU - Vollebergh, Wilma
AU - Van Dorsselaer, Saskia
AU - Hetland, Jørn
AU - Gaspar De Matos, Margarida
AU - Gaspar, Tania
AU - Stergar, Eva
AU - Pucelj, Vesna
AU - Queija, Inmaculada
AU - Pérez Moreno, Pedro J.
AU - Muñoz Tinoco, Victoria
AU - Leal, Eva
AU - Danielson, Mia
AU - Overpeck, Mary
AU - Kiaer, Tina
PY - 2006/12
Y1 - 2006/12
N2 - Introduction: Self rated health, in adult population, is strongly associated with mortality and life expectancy. In younger people this association is less evident, but it may anticipate a similar risk in adult life. Our research, based on the HBSC (Health Behaviour in School-Aged Children) International collaboration, contributes to deepen the knowledge in this field by monitoring adolescents' health through a multi-national survey involving 29 European countries, plus North America (Canada and USA) and Israel. Methods: Following an established methodology, the HBSC survey has elaborated a questionnaire on health and health behaviour, filled in by a representative national sample of 11-, 13- and 15-year-old boys and girls. The sample is constituted of more than 160,000 subjects interviewed during the 2001/2002 survey. Reported symptoms and self-rated health have been analysed by sex and age and through the different countries. Results: Girls resulted to have a poorer perception of their health, with respect to males, at all ages and in all countries (Overall OR = 1.70, 95% CI: 1.66-1.76). Age increases this risk both for males and females, with an average increase of 32% (95% CI: 29-34%) per year in the age-range 11-15. The situation is similar for reported symptoms, with an overall OR of 1.81 (95% CI: 1.77-1.85) for females of reporting three or more symptoms at least once a week; also this risk increases of 26% (95% CI: 24-27%) per year during the pre-adolescence phase. In both cases it could be shown a significant interaction effect between age and gender: OR = 1.19 (CI: 1.15-1.23) for perceived health and OR = 1.26 (CI: 1.23-1.29) for reported symptoms in females with respect to males. Conclusions: Even if adolescence is described as the healthiest period of life, a consistent minority of young people perceive and report a poor health and a high number of symptoms. Females are constantly in a worse position than males and older age groups are worse than younger ones.
AB - Introduction: Self rated health, in adult population, is strongly associated with mortality and life expectancy. In younger people this association is less evident, but it may anticipate a similar risk in adult life. Our research, based on the HBSC (Health Behaviour in School-Aged Children) International collaboration, contributes to deepen the knowledge in this field by monitoring adolescents' health through a multi-national survey involving 29 European countries, plus North America (Canada and USA) and Israel. Methods: Following an established methodology, the HBSC survey has elaborated a questionnaire on health and health behaviour, filled in by a representative national sample of 11-, 13- and 15-year-old boys and girls. The sample is constituted of more than 160,000 subjects interviewed during the 2001/2002 survey. Reported symptoms and self-rated health have been analysed by sex and age and through the different countries. Results: Girls resulted to have a poorer perception of their health, with respect to males, at all ages and in all countries (Overall OR = 1.70, 95% CI: 1.66-1.76). Age increases this risk both for males and females, with an average increase of 32% (95% CI: 29-34%) per year in the age-range 11-15. The situation is similar for reported symptoms, with an overall OR of 1.81 (95% CI: 1.77-1.85) for females of reporting three or more symptoms at least once a week; also this risk increases of 26% (95% CI: 24-27%) per year during the pre-adolescence phase. In both cases it could be shown a significant interaction effect between age and gender: OR = 1.19 (CI: 1.15-1.23) for perceived health and OR = 1.26 (CI: 1.23-1.29) for reported symptoms in females with respect to males. Conclusions: Even if adolescence is described as the healthiest period of life, a consistent minority of young people perceive and report a poor health and a high number of symptoms. Females are constantly in a worse position than males and older age groups are worse than younger ones.
KW - Adolescence
KW - Cross-national comparisons
KW - Gender
KW - Self-rated health
KW - Symptoms load
UR - http://www.scopus.com/inward/record.url?scp=33751398721&partnerID=8YFLogxK
U2 - 10.1007/s11136-006-0037-5
DO - 10.1007/s11136-006-0037-5
M3 - Article
C2 - 17033911
AN - SCOPUS:33751398721
SN - 0962-9343
VL - 15
SP - 1577
EP - 1585
JO - Quality of Life Research
JF - Quality of Life Research
IS - 10
ER -