WORLD HEALTH ORGANIZATION STUDY OF HEALTH BEHAVIOR IN SCHOOL CHILDREN

NICHD正在通过参与世界卫生组织学龄儿童健康行为研究（WHO- HBSC）评估青少年伤害原因、暴力和相关行为。这项研究提出了一个假设，即美国年轻人可能采取了使他们比其他国家的年轻人面临更大风险的生活方式。世卫组织健康行为准则用于监测和调查与健康有关的行为的模式、决定因素和影响。国际比较测试这种行为在多大程度上是当前青少年发展的自然和不可避免的一部分。通过对差异和相似性的分析，找出家庭、学校和同伴等因素对学习成绩的影响。流行病学分支与母亲和儿童研究中心以及药物滥用和精神卫生服务管理局合作，根据参与卫生组织合作的需要进行了初步和全面调查。世卫组织协调了一项四年一次的调查，比较了30个国家青少年的健康行为。1996年初步调查的数据已在国际会议上提出，目前正在进行分析。NICHD和其他国家于1998年6月完成了全面调查。对30个国家的各种健康行为进行的国际比较显示，美国在医疗伤害方面排名第14位，但在家庭和学校发生的伤害方面分别排名第一和第二。美国学生在头痛、胃痛和背痛的患病率和药物使用方面都高于大多数国家。女孩报告的问题频率高于男孩。- 青少年健康行为，国际，伤害，症状

NICHD is evaluating adolescent injury causes, violence, and related behaviors through participation with the World Health Organization Study of Health Behavior in School Children (WHO- HBSC). The study addresses the hypothesis that U.S. youth may have adopted lifestyles that place them at greater risk for certain health problems than their counterparts in other nations. The WHO-HBSC is used to monitor and investigate patterns, determinants and effects of health related behaviors. International comparisons test the degree to which such behavior is a natural and inevitable part of current adolescent development. Analysis of differences and similarities will be conducted to help identify influential factors included family, school and peers. The Epidemiology Branch collaborated with the Center for Research on Mothers and Children (NICHD) and Substance Abuse and Mental Health Services Administration (SAMHSA)to perform both preliminary and full surveys as required for participation in the WHO collaboration. The WHO coordinates a quadrennial survey that compares health behavior in adolescents in 30 countries. Data from the 1996 preliminary survey have been presented in international conferences and are under analysis. NICHD and other countries completed the full survey by June 1998. International comparisons of various health behaviors in 30 countries show that the U.S. ranks 14th in medically attended injuries but in first and second place for injuries occurring in homes and schools respectively. The U.S. students rank higher than most countries in both prevalence and use of medications for headaches, stomach aches, and backaches. Girls report a higher frequency of problems than boys. - adolescent health behaviors, international, injuries, symptoms