1. Health-related empowerment predicts self-rated health among adolescent girls in Sweden Lars Jerdén 6th Nordic Health Promotion Research Conference 2009-08-21

2. Lars Jerdén Family physician, Jakobsgårdarna, Borlänge Centre for Clinical Research Dalarna Public Health Sciences, Umeå University Swedish National Institute of Public Health

3. 2002 QyQy QxQx Q1Q1 Pilot study N=150 Q3Q3 Q2Q2 Q1Q1 Intervention N=339 Control N=707 Q3Q3 Q2Q2 Q1Q1 VIP project (Very Interesting Person) 2003200720062004200820092005 Q 4 I I

4. Self-rated health Three problems during adolescence: Gets worse A gender difference evolves Declining since mid-1980s

5. Self-rated health ”How do you consider your well-being most of the time? High:Very good Medium:Rather good Low:Nor good nor bad + rather bad + very bad

6. GIRLS

7. BOYS

8. Empowerment: our choices A state, measured longitudinally Individual level Three dimensions: self-efficacy, competence, and social interaction Self-efficacy and competence measured in the domain of health

11. Association between variables 7th grade and self-rated health 9th grade. Ordinal multivariate regression

12. Association between variables 7th grade and self-rated health 9th grade. Ordinal multivariate regression

13. Self-esteem: ”Do you like yourself?” School experience: ”How do you like school?” Mood in family: ”How do you consider the mood in your family?”

14. Association between variables 7th grade and self-rated health 9th grade. Ordinal multivariate regression

15. Association between variables 7th grade and self-rated health 9th grade. Ordinal multivariate regression