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- Gillander Gådin, Katja
(författare)
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Barns och ungdomars hälsa
- 2004
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Ingår i: Kropp och genus i medicinen. - Lund : Studentlitteratur. - 914403217X ; , s. 363-370
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Innehåll: Flickors och pojkars ohälsomönster, Självrapporterad ohälsa, Skolan som arena för hälsa och ohälsa, Sexualiserat våld, Levnadsvanor och risktagande
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| 2. |
- Gillander Gådin, Katja, et al.
(författare)
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Can school-related factors predict future health behaviour among young adolescents?
- 2002
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Ingår i: Public Health. - 0033-3506 .- 1476-5616. ; 116:1, s. 22-29
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Tidskriftsartikel (refereegranskat)abstract
- Although the prevention of unfavourable health behaviour among young people has high priority in public health, the possibility of finding risk factors at school has not been sufficiently studied. The objective of this study was to find predictors among young pupils for later unfavourable health behaviour, with special focus on school-related factors.A three-year prospective study was started in 1994 including 279 pupils (141 girls and 138 boys) from different socioeconomic areas. The pupils answered a comprehensive questionnaire in grade six and grade nine. The non-response rate was negligible. The best predictors for health behaviour among boys and girls in grade nine were factors related to earlier health/health behaviour. The results also indicated that school-related factors could predict future health behaviour, especially in relation to low physical activity among girls.The school has an important role to play in identification of future unfavourable health behaviour among pupils at the school, both directly through recognising school-related risk factors and also indirectly through paying special attention to pupils with unfavourable health/health behaviour. Our findings indicate the need for more research in younger ages, as negative health behaviour already seems to be established at 12 y of age.
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| 3. |
- Gillander Gådin, Katja, et al.
(författare)
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Do changes in the psychosocial school environment influence pupils' health development? Results from a three-year follow-up study
- 2003
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Ingår i: Scandinavian Journal of Public Health. - : SAGE Publications. - 1403-4948 .- 1651-1905. ; 31:3, s. 169-177
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Tidskriftsartikel (refereegranskat)abstract
- Aims: This study analysed the effects of psychosocial factors at school on pupils' health and self-worth from a longitudinal perspective. Methods: A three-year prospective study was started in 1994, including 533 pupils (261 girls, 272 boys) from 25 different classes in grades 3 and 6. With age-adjusted questionnaires the changes in self-perceived health were compared with changes in psychosocial school environmental factors. Results: The girls in the older cohort reported a negative health development with decreased self-worth and increased somatic and psychological symptoms. Significant gender differences in ill health, but not in self-worth, developed, especially in the older cohort. A multiple regression analysis showed that a negative development of psychosocial factors at school, measured as control, demand, and classmate problems, was associated with poorer health and self-worth among the pupils. A trichotomization of the psychosocial variables at school indicated a possible causal relationship between psychosocial factors and ill health and self-worth. Conclusions: The negative development in pupils' health and self-worth could partly be explained by the more unfavourable psychosocial environment that prevails at school at the senior level. The public health implications of our study can be summarized as the need for schools to improve pupils' social situation at school in relation to their work situation as well as to pay special attention to the school situation of girls at senior level.
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| 4. |
- Gillander Gådin, Katja, 1960-
(författare)
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Does the psychosocial school environment matter for health? : a study of pupils in Swedish compulsory school from a gender perspective
- 2002
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Despite the fast-growing evidence of the importance of the psychosocial work environment for the health of adults there is a lack of research about the possible health effects of the work environment among pupils, that is, their school environment. This is especially true for the psychosocial aspects of the pupils' school situation.The overall aim of this thesis was to analyse the importance of the psychosocial school environment for the health of pupils in Swedish compulsory school from a gender perspective.Both quantitative and qualitative methods were used. A cluster sampling technique was used in order to select six different schools in three medium- sized industrial towns in the north of Sweden. The schools were chosen to represent different socio-economic areas. A three-year prospective study was started in 1994, including a cohort of 533 pupils (261 girls, 272 boys) in grade three and grade six. With age-adjusted questionnaires self-perceived health and psychosocial school environmental factors were measured at the baseline study as well as three years later. The total non-response rate was 0.9%.For the qualitative study, two classes (one from grade 2 and one from 5) were selected and followed with focus group interviews once a year for five years. Twenty-nine single-sex focus group interviews were conducted with themes such as: What they feel good and bad about at school; Strategies for enhanced well-being; What it means to have influence at school.High control in combination with low demands in the school situation was associated with the best health and feelings of self-worth. Multiple regression analyses showed that problems in relations with classmates was the most recurrent psychosocial factor at school pardy explaining ill healthdevelopment and decreased self-worth. Girls had a more negative ill health development than boys between grades six and nine. A study of factors associated with ill health in grade nine showed that sexual harassment among girls and lack of classmate support among both boys and girls were significant risk factors for a high degree of psychological symptoms. Generally, social background factors were less important for pupils' health in this study than the psychosocial environment at school.The best predictors for health behaviour among boys and girls in grade nine were factors related to earlier health/health behaviour. The results also indicated that school-related factors could predict future health behaviour, especially in relation to low physical activity among girls.The qualitative study showed that the girls used 'alliance-building' and 'resistance', in order to increase their power, while 'responsibility-taking' and 'withdrawal' could mean maintained subordination. The boys used mastering techniques (various types of abuse, claiming to be the norm, acting-out behavior, blaming the girls, choosing boys only) to maintain their dominance. The girls' active actions for increased power could be of significant importance for their health. An interpretation of the boys' mastering techniques was that the boys' health would benefit if they gave up striving for power over others.Thus, the psychosocial school environment in regard of demand, control, classmate relations and sexual harassment seemed to matter for pupil's health. School health promotion need to be more gender sensitive, through increasing the awareness of the gender regimes at school and addressing the asymmetric and gendered distribution of power between pupils. Democratic strategies for increased power among pupils in subordinate positions should be encouraged and methods need to be developed in order to encourage health promoting femininities and masculinities at school.
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