HBSC Ireland 2010: Health and risk behavior among children in Kilkenny compared to the Irish children in other parts of the country. Jakub Gajewski and Saoirse Nic Gabhainn HBSC Ireland, Health Promotion Research Centre National University of Ireland, Galway September 2013 Introduction: The Health Behaviour in School-aged Children (HBSC) study is a cross-national research study conducted in collaboration with the WHO Regional Office for Europe and runs on a 4 year cycle. In 2010 Ireland participated for the fourth time in the HBSC study (www.nuigalway.ie/hbsc). The overall aims of the HBSC study are to gain new insight into, and increase our understanding of young people’s health and well-being, health behaviors and their social context. HBSC collects data on key indicators of health, health attitudes and health behaviors, as well as the context of health for young people. The study is a school-based survey with information collected from students through self-completion questionnaires in classrooms. HBSC Ireland is funded by the Department of Health. Further information on the International HBSC study can be found at www.hbsc.org. The most recent HBSC Ireland dataset comprises of 16,060 schoolchildren from 3rd class in primary school to 5th year in post-primary school. In total 256 schools across Ireland participated in the HBSC 2010 study. The methods employed comply with the International HBSC protocol and are detailed in the national report from the 2010 survey. Focus of this report: This short report provides a descriptive analysis of the 2010 HBSC survey data comparing children from Waterford to the rest of the sample regarding several aspects of young people’s lives, such as: general health, risk behaviors, injury and violence, leisure activities, local area, family and peer relationships, physical activity, eating behaviors and school environment. The questions used for this report were as follows: General health: Would you say your health is…? With response options: ‘excellent’, ‘good’, ‘fair’, ‘poor’ Young people were asked to rate their life satisfaction using a visual scale, so called ‘Cantril ladder’. This scale has 11 steps (0-10), the top of the ladder indicates the best possible life and the bottom, the worst. This index was recoded for the purpose of this report: 0-6 indicates low life satisfaction; 6-10 indicates high life satisfaction. Risk behaviors: On how many occasions (if any) have you done the following things in the last 30 days? a) Smoked a cigarette and b) Drunk alcohol, c) take cannabis. With response options for each: ‘Never’, ‘Once or twice’, ‘3 to 5 times’, ‘6 to 9 times’, ‘10 to 19 times’, ‘20 to 39 times’, ‘40 times or more’. Injury and violence: During the past 12 months, how many times were you in physical fight? With response options: ‘I have not been in a physical fight in the past 12 months’, ‘1 time’, ‘2 times’, ‘3 times’, ‘4 times or more’. During the past 12 months, how many times were you injured and had to be treated by a doctor or nurse? With response options: ‘I was not injured in the past 12 months’, ‘1 time’, ‘2 times’, ‘3 times’, ‘4 times or more’. Leisure activities: About how many hours a day do you usually watch television (including videos and DVDs) in your free time? (weekdays and weekends separately) With response options: ‘none at all, ‘about half an hour a day’, ‘about 1 hour a day’, ‘about 2 hours a day’, ‘about 3 hours a day’, ‘about 4 hours a day’, ‘about 5 hours a day’, ‘about 6 hours a day’, ‘about 7 hours or more a day’ About how many hours a day do you usually play games on a computer or games console (Playstation, Xbox, GameCube etc.) in your free time? (weekdays and weekends separately) With response options: ‘none at all, ‘about half an hour a day’, ‘about 1 hour a day’, ‘about 2 hours a day’, ‘about 3 hours a day’, ‘about 4 hours a day’, ‘about 5 hours a day’, ‘about 6 hours a day’, ‘about 7 hours or more a day About how many hours a day do you usually use a computer for chatting on-line, internet, emailing, homework etc. in your free time? (weekdays and weekends separately) With response options: ‘none at all, ‘about half an hour a day’, ‘about 1 hour a day’, ‘about 2 hours a day’, ‘about 3 hours a day’, ‘about 4 hours a day’, ‘about 5 hours a day’, ‘about 6 hours a day’, ‘about 7 hours or more a day. Neighborhood: Generally speaking, I feel safe in the area where I live…With response options: ‘Always’, ‘Most of the time’, ‘Sometimes’, ‘Rarely or never’ There are good places to spend your free time (eg. Leisure centre, parks, shops) With response options: ‘Strongly agree’, ‘Agree’, ‘Neither agree nor disagree’, ‘Disagree’, ‘Strongly disagree’. Family: How easy is it for you to talk to the following person about things that really bother you? (Father, Mother) With response options: ‘Very ease’, ‘Easy’, ‘Difficult’, ‘Very difficult’, ‘Don’t have or see this person’. Physical activity: How often do you usually exercise in your free time so much that you get out of breath or sweat? With response options: ‘Every day’, ‘4 to 6 times a week’, ‘2 to 3 times a week’, ‘Once a week’, ‘Once a month’, ‘Less than once a month’, ‘Never’. Eating and dieting: How often do you usually have breakfast (more than a glass of milk or fruit juice) weekdays? With response options: ‘I never have breakfast during weekdays’, ‘One day’, ‘Two days’, ‘Three days’, ‘Four days’, ‘Five days’ How often do you usually have breakfast (more than a glass of milk or fruit juice) weekend? With response options: ‘I never have breakfast during the weekend’, ‘I usually have breakfast on only one of the weekend (Saturday OR Sunday)’, ‘I usually have breakfast on both weekend days (Saturday AND Sunday) How many days a week do you usually eat or drink...?A)Fruits, B) Vegetables, C) Sweets (candy or chocolate), D) coke or other soft drinks that contain sugar? With response options for each one: ‘Never’, ‘Less than once a week’, ‘Once a week’, ‘ 2-4 days a week’, ‘5-6 days a week’, ‘Once a day, every day’, ‘Every day, more than once’ At present are you on a diet or doing something else to lose weight? With response options: ‘No, my weight is fine’, ‘No, but I should lose some weight’, ‘No, but I should out on weight’, ‘Yes’. Bullying: How often have you been bullied at school in the past couple of months? With response options: ‘I have never been bullied at school in the past couple of months’, ‘it has only happened once or twice’, ‘2 or three times a month’, ‘About once a week’, ‘Several times a week’. School: In your opinion, what does your class teacher(s) think about your school performance compared to your classmates? With response options: ‘Very good’, ‘Good’, ‘Average’, ‘Below average’ How do you feel about school at present? With response options: ‘I like it a lot’, ‘I like it a bit’, ‘I don’t like it very much’, ‘I don’t like it at all’. Friends: At present, how many close male and female friends do you have? (Male and Female friends separately) With response options: ‘None’, ‘One’, ‘Two’, ‘Three or more’. Findings: The findings are presented below in a series of tables. In each table participating children from County Kilkenny are presented alongside those from the rest of the country. Findings are broken down by age-group. Eating behaviours Table 1. How often do you usually have breakfast (more than a glass of milk or fruit juice) weekdays, by age Kilkenny school children Zero days One day Two days Rest of the sample 10-11 12-14 10-11 12-14 10.7% 0.0% 6.1% 6.1% 12.1% 3.0% 0.0% 3.8% 2.8% 2.8% 3.3% 6.1% 3.2% 5.3% Three days 3.6% 0.0% Four days 3.6% 3.0% 3.9% 4.6% Five days 82.1% 81.8% 80.3% 71.7% Table 2. How often do you usually have breakfast (more than a glass of milk or fruit juice) weekend, by age Kilkenny school children I never have breakfast during weekend Rest of the sample 10-11 12-14 10-11 12-14 6.9% 3.1% 4.6% 6.2% 3.4% 0.0% 9.8% 13.3% 89.7% 96.9% 85.6% 80.5% I usually have breakfast on only one day of the weekend I usually have breakfast on both weekend days Table 3. How many days a week do you usually eat fruits, by age Kilkenny school children Rest of the sample 10-11 12-14 10-11 12-14 Never 7.1% 3.0% 3.8% 4.4% Less than once a week 7.1% 3.0% 4.0% 6.5% Once a week 14.3% 12.1% 7.9% 10.1% 2-4 days a week 32.1% 24.2% 22.9% 29.4% 5-6 days a week 17.9% 21.2% 14.7% 13.6% Once a day, every day 7.1% 18.2% 22.7% 16.2% Every day, more than once 14.3% 18.2% 24.1% 19.8% Table 4. How many days a week do you usually eat vegetables, by age Kilkenny school children Rest of the sample 10-11 12-14 10-11 12-14 3.1% 5.4% 6.1% Less than once a week 6.9% 0.0% 6.2% 3.3% 4.4% Once a week 20.7% 6.2% 6.1% 6.1% 2-4 days a week 27.6% 9.4% 21.1% 22.1% 5-6 days a week 17.2% 21.9% 18.7% 19.4% Once a day, every day 10.3% 34.4% 24.5% 21.1% Every day, more than once 17.2% 18.8% 21.0% 20.7% Never Table 5. How many days a week do you usually eat sweets, by age Kilkenny school children Rest of the sample 10-11 12-14 10-11 12-14 Never 3.4% 3.4% 1.8% 1.1% Less than once a week 10.3% 6.9% 7.1% 4.6% Once a week 44.8% 44.8% 18.3% 10.5% 2-4 days a week 6.9% 10.3% 30.0% 30.6% 5-6 days a week 20.7% 20.7% 12.4% 18.0% Once a day, every day 13.8% 13.8% 17.9% 17.8% Every day, more than once 3.4% 3.4% 12.5% 17.4% Table 6. How many days a week do you usually drink coke or other soft drinks containing sugar, by age Kilkenny school children Rest of the sample 10-11 12-14 10-11 12-14 Never 3.6% 13.3% 9.9% 7.0% Less than once a week 21.4% 20.0% 23.8% 18.8% Once a week 32.1% 16.7% 23.4% 18.1% 2-4 days a week 10.7% 20.0% 21.5% 24.3% 5-6 days a week 14.3% 10.0% 6.8% 11.1% Once a day, every day 7.1% 6.7% 6.0% 7.8% Every day, more than once 10.7% 13.3% 8.6% 13.0% Table 7. At present are you on a diet or doing something else to lose weight, by age Kilkenny school children No, my weight is fine No, but I should lose some weight No, because I need to put on weight Yes Rest of the sample 10-11 12-14 10-11 12-14 78.6% 84.8% 71.3% 62.9% 14.3% 6.1% 14.3% 18.7% 3.6% 6.1% 4.5% 5.9% 3.6% 3.0% 10.0% 12.5% General Health Table 8. Would you say your health is…, by age Kilkenny school children Rest of the sample 10-11 12-14 10-11 12-14 Excellent 14.3% 42.4% 39.4% 34.4% Good 71.4% 51.5% 53.9% 54.5% Fair 10.7% 5.4% 9.5% Poor 3.6% 6.1% 0.0% 1.2% 1.6% Table 9. Life satisfaction, by age Kilkenny school children Rest of the sample 10-11 12-14 10-11 12-14 Low 7.1% 3.0% 9.0% 12.1% High 92.9% 97.0% 91.0% 87.9% Risk Behaviors Table 9. On how many occasions (if any) have you done the following things in the last 30 days? Smoked a cigarette, by age Kilkenny school children Rest of the sample 10-11 12-14 10-11 12-14 Never 96.4% 98.2% 90.9% Once or twice 1.1% 4.1% 3 to 5 times 3.6% 0.0% 100.0% 0.0% 0.0% 0.1% 1.3% 6 to 9 times 0.0% 0.0% 0.1% 0.8% 10 to 19 times 0.0% 0.0% 0.1% 0.7% 20 to 39 times 0.0% 0.0% 0.1% 0.5% 40 times or more 0.0% 0.0% 0.3% 1.7% Table 10. On how many occasions (if any) have you done the following things in the last 30 days? Drunk alcohol, by age Kilkenny school children Rest of the sample 10-11 12-14 10-11 12-14 Never 92.9% 96.9% 93.5% 79.2% Once or twice 3.6% 5.1% 13.4% 3 to 5 times 0.5% 4.0% 6 to 9 times 3.6% 0.0% 3.1% 0.0% 0.0% 0.3% 1.4% 10 to 19 times 0.0% 0.0% 0.2% 1.0% 20 to 39 times 0.0% 0.0% 0.1% 0.3% 40 times or more 0.0% 0.0% 0.4% 0.7% Table 11. On how many occasions (if any) have you done the following things in the last 30 days? Take cannabis, by age Kilkenny school children Rest of the sample 10-11 12-14 10-11 12-14 100.0% 0.0% 100.0% 0.0% 99.2% 97.5% 1.0% 3 to 5 times 0.0% 0.0% 0.1% 0.0% 6 to 9 times 0.0% 0.0% 10 to 19 times 0.0% 0.1% 0.0% 0.2% 0.0% 20 to 39 times 0.0% 0.0% 0.1% 0.1% 40 times or more 0.0% 0.0% 0.4% 0.7% Never Once or twice 0.2% 0.2% Violence and Injury Table 12. During the past 12 months, how many times were you injured and had to be treated by a doctor or nurse, by age Kilkenny school children Rest of the sample 10-11 12-14 10-11 12-14 55.6% 60.6% 66.4% 62.0% 1 time 18.5% 27.3% 20.2% 22.9% 2 times 22.2% 9.1% 7.7% 9.0% 3 times 3.7% 3.0% 2.6% 3.2% 100.0% 100.0% 2.9% 2.8% I was not injured in the past 12 months 4 times or more Table 13. During the past 12 months, how many times were you in physical fight, by age Kilkenny school children Rest of the sample 10-11 12-14 10-11 12-14 76.9% 69.7% 66.4% 65.2% 15.2% 15.1% 17.6% 2 times 19.2% 0.0% 3.0% 7.8% 7.7% 3 times 0.0% 6.1% 3.9% 3.5% 4 times or more 3.8% 6.1% 6.7% 6.0% I have not been in a physical fight 1 time Leisure activities Table 14. About how many hours a day do you usually watch television (including videos and DVDs) in your free time (Weekdays), by age Kilkenny school children Rest of the sample 12-14 10-11 12-14 None at all 10-11 0.0% 3.2% 6.7% 6.4% About half an hour a day 25.0% 22.6% 18.4% 14.8% About 1 hour a day 32.1% 9.7% 26.7% 24.8% About 2 hours a day 10.7% 22.6% 22.4% 25.5% About 3 hours a day 17.9% 19.4% 13.4% 14.5% About 4 hours a day 3.6% 9.7% 5.6% 6.7% About 5 hours a day 3.6% 0.0% 9.7% 0.0% 2.3% 3.3% 1.1% 1.1% 7.1% 3.2% 3.3% 2.9% About 6 hours a day About 7 or more hours a day Table 15. About how many hours a day do you usually watch television (including videos and DVDs) in your free time (Weekends), by age Kilkenny school children Rest of the sample 12-14 10-11 12-14 None at all 10-11 0.0% 0.0% 4.0% 4.2% About half an hour a day 24.0% 25.8% 14.5% 10.0% About 1 hour a day 28.0% 19.4% 20.2% 16.1% About 2 hours a day 16.0% 6.5% 21.2% 23.3% About 3 hours a day 12.0% 12.9% 17.8% 19.2% About 4 hours a day 12.0% 12.9% 8.6% 12.0% About 5 hours a day 4.0% 6.5% 5.6% 7.2% About 6 hours a day 4.0% 3.2% 2.9% 3.2% 0.0% 12.9% 5.2% 4.7% About 7 or more hours a day Table 16. About how many hours a day do you usually play games on a computer or games console (Playstation, Xbox, GameCube etc.) in your free time (Weekdays), by age Kilkenny school children Rest of the sample 10-11 12-14 10-11 12-14 None at all 25.9% 25.8% 27.9% 35.7% About half an hour a day 37.0% 16.1% 29.7% 20.3% About 1 hour a day 14.8% 32.3% 20.3% 19.5% About 2 hours a day 11.1% 11.4% 12.1% About 3 hours a day 5.0% 5.9% About 4 hours a day 7.4% 0.0% 22.6% 0.0% 0.0% 2.2% 2.6% About 5 hours a day 0.0% 1.3% About 6 hours a day 3.2% 0.0% 1.0% 0.0% 0.3% 0.7% 3.7% 0.0% 2.3% 2.0% About 7 or more hours a day Table 17. About how many hours a day do you usually play games on a computer or games console (Playstation, Xbox, GameCube etc.) in your free time (Weekends), by age Kilkenny school children Rest of the sample 10-11 12-14 10-11 12-14 None at all 12.5% 21.9% 17.9% 24.9% About half an hour a day 37.5% 15.6% 26.3% 18.4% About 1 hour a day 29.2% 18.8% 21.0% 18.1% About 2 hours a day 8.3% 21.9% 15.5% 15.4% About 3 hours a day 8.3% 0.0% 15.6% 8.1% 9.6% 3.1% 4.3% 5.6% 4.2% 0.0% 3.1% 0.0% 1.8% 3.0% 1.1% 1.5% 0.0% 0.0% 4.0% 3.4% About 4 hours a day About 5 hours a day About 6 hours a day About 7 or more hours a day Table 18. About how many hours a day do you usually use a computer for chatting on-line, internet, emailing, homework etc. in your free time (Weekdays), by age Kilkenny school children Rest of the sample 10-11 12-14 10-11 12-14 None at all 44.8% 48.5% 41.9% 25.8% About half an hour a day 24.1% 27.3% 25.2% 25.0% About 1 hour a day 20.7% 12.1% 17.6% 22.7% About 2 hours a day 6.1% 7.1% 12.0% About 3 hours a day 3.4% 0.0% 3.0% 3.5% 6.4% About 4 hours a day 3.4% 1.5% 3.5% About 5 hours a day 3.4% 0.0% 3.0% 0.0% 0.5% 1.3% 0.0% 0.5% 0.7% 0.0% 2.1% 2.7% About 6 hours a day About 7 or more hours a day 0.0% Table 19. About how many hours a day do you usually use a computer for chatting on-line, internet, emailing, homework etc. in your free time (Weekends), by age Kilkenny school children Rest of the sample 10-11 12-14 10-11 12-14 None at all 50.0% 45.2% 38.9% 21.9% About half an hour a day 12.5% 19.4% 24.3% 19.6% About 1 hour a day 29.2% 19.4% 16.9% 21.4% About 2 hours a day 3.2% 9.2% 15.6% About 3 hours a day 8.3% 0.0% 6.5% 4.2% 8.4% About 4 hours a day 0.0% 0.0% 2.0% 5.2% About 5 hours a day 0.0% 3.2% 1.6% 2.9% About 6 hours a day 0.0% 3.2% 0.4% 1.5% 0.0% 0.0% 2.4% 3.5% About 7 or more hours a day Local area Table 20. Generally speaking, I feel safe in the area where I live, by age Kilkenny school children Rest of the sample 10-11 12-14 10-11 12-14 Always 64.3% 60.6% 59.2% 55.4% Most of the time 36.4% 31.5% 35.6% Sometimes 35.7% 0.0% 7.0% 7.4% Rarely or never 0.0% 3.0% 0.0% 2.4% 1.6% Table 21. There are good places to spend your free time (eg. Leisure centre, parks, shops) With response options, by age Kilkenny school children Rest of the sample 10-11 12-14 10-11 12-14 Strongly agree 40.7% 21.2% 29.4% 24.1% Agree 22.2% 48.5% 35.8% 32.1% Neither agree nor disagree 29.6% 24.2% 17.1% 18.1% Disagree 7.4% 0.0% 3.0% 12.2% 17.8% 3.0% 5.5% 7.9% Strongly disagree Family Table 22. How easy is it for you to talk to the following person about things that really bother you (Father), by age Kilkenny school children Rest of the sample 10-11 12-14 10-11 12-14 Very easy 40.7% 21.2% 40.6% 27.5% Easy 22.2% 48.5% 30.7% 37.3% Difficult 29.6% 24.2% 17.3% 20.2% Very difficult 7.4% 3.0% 5.7% 8.8% 0.0% 3.0% 5.7% 6.2% Don`t have or see this person Table 23. How easy is it for you to talk to the following person about things that really bother you? (Mother), by age Kilkenny school children Rest of the sample 10-11 12-14 10-11 12-14 Very easy 64.3% 37.5% 56.4% 46.2% Easy 25.0% 50.0% 29.0% 35.1% Difficult 10.7% 0.0% 9.4% 8.2% 11.6% 0.0% 2.2% 4.1% 0.0% 3.1% 4.2% 3.1% Very difficult Don`t have or see this person Physical activity Table 24. How often do you usually exercise in your free time so much that you get out of breath or sweat, by age Kilkenny school children Rest of the sample 10-11 12-14 10-11 12-14 Every day 31.0% 40.6% 36.1% 28.5% 4 to 6 times a week 27.6% 25.0% 25.6% 25.7% 2 to 3 times a week 31.0% 25.0% 23.0% 27.2% Once a week 6.9% 0.0% 3.1% 9.0% 11.3% 3.1% 0.0% 1.0% 2.0% 2.0% 2.6% 3.1% 3.3% 2.7% Once a month Less than once a month Never 3.4% 0.0% Bullying Table 25. How often have you been bullied at school in the past couple of months, by age Kilkenny school children Rest of the sample 10-11 12-14 10-11 12-14 77.8% 71.9% 70.2% 74.8% 11.1% 21.9% 19.5% 16.9% 2 or 3 times a month 0.0% 3.1% 4.5% 3.7% About once a week 3.7% 2.7% 2.1% Several times a week 7.4% 3.1% 0.0% 3.1% 2.4% I haven`t been bullied at school the last couple of months It has only happened once or twice School Table 26. In your opinion, what does your class teacher(s) think about your school performance compared to your classmates, by age Kilkenny school children Rest of the sample 10-11 12-14 10-11 12-14 Very good 35.7% 12.1% 31.6% 28.4% Good 39.3% 51.5% 47.2% 46.2% Average 21.4% 30.3% 18.2% 21.7% Below average 3.6% 6.1% 3.0% 3.7% Table 27. How do you feel about school at present, by age Kilkenny school children Rest of the sample 10-11 12-14 10-11 12-14 I like it a lot 21.4% 27.3% 28.9% 28.1% I like it a bit 42.9% 51.5% 47.4% 45.3% I don`t like it very much 21.4% 15.2% 14.8% 15.9% I don`t like it at all 14.3% 6.1% 8.9% 10.7% Friends Table 28. At present, how many close male and female friends do you have (Male), by age Kilkenny school children Rest of the sample 10-11 12-14 10-11 12-14 None 14.3% 15.2% 13.2% 8.2% One 10.7% 3.0% 6.8% 4.8% Two 14.3% 12.1% 10.6% 10.4% Three or more 60.7% 69.7% 69.5% 76.5% Table 29. At present, how many close male and female friends do you have (Female), by age Kilkenny school children Rest of the sample 10-11 12-14 10-11 12-14 None 17.2% 9.1% 11.4% 6.7% One 6.9% 3.0% 7.0% 5.4% Two 6.9% 15.2% 10.0% 8.4% Three or more 69.0% 72.7% 71.6% 79.5%