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

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

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

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) Q 4 I I

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

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

GIRLS

BOYS

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

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

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

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?”

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

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