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Health Behavior Branch (HBB)

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HBB Research - Adolescent Health Behavior

Health Behavior in School-aged Children (HBSC)

The HBSC project, a World Health Organization cross-national study, is a unique quadrennial research study of adolescent health, health behaviors, and the family, school, and social-environmental contexts for these health behaviors. The international HBSC survey is conducted with national and regional samples of students ages 11, 13, and 15 years in more than 40 countries.

The HBSC survey instrument is an international standard questionnaire used by all participating countries. Researchers in the United States administered the instrument in 1997-1998, 2001-2002, 2005-2006, and 2009-2010. The NICHD project includes an extended national instrument, which includes a larger national sample of youth in grades 6 through 10, and an over-sampling of minority youth to permit more accurate population estimates.

The goal of the HBSC survey is to obtain data about adolescent health behavior and to make this information available so as to enable the improvement of health services and programs for youth. The international standard questionnaire facilitates the collection of common data across all participating countries and, thus, enables the quantification of patterns of key health behaviors, health indicators, and contextual variables. These data allow cross-national comparisons and, with successive surveys, trend analyses at both the national and cross-national level.

The HBSC 2005-2006 Survey: School Report (PDF - 1.66 MB) is available.

Principal Investigator

Bruce Simons-Morton, Ed.D., M.P.H.

DIPHR Collaborators

Selected Publications

  • Kuntsche, E, Rossow, I, Simons-Morton, B, ter Bogt, T, Kokkevi, A, & Godeau, E. (2012). Not early drinking but early drunkenness is a risk factor for problem behaviors among adolescents from 38 European and North American countries. Alcoholism: Clinical and Experimental Research, 37(2): 308-314, 2013. doi: 10.1111 /j.1530-0277.2012.01895.x. PMID:23240610
  • Farhat, T, Simons-Morton, BG, Kokkevi, A, van der Sluijset, W, Fotiou, A, Kuntsche, E. Early adolescent and peer drinking homogeneity: Similarities and differences among European and North American countries. Journal of Early Adolescence, 32(1): 81-103, 2012. doi: 10.1177/0272431611419511
  • Bogt, TF, Gabhainn, SN, Simons-Morton, BG, Ferreira, M, Hublet, A, Godeau, E, Kuntsche, E, Richter M. Dance is the new metal: Adolescent music preferences and substance use across Europe. Substance Use & Misuse 47(2): 130-42, 2012. doi: 10.3109/10826084.2012.637438 PMID:22217067
  • Iannotti, RJ, Chen, R, Kololo, H, Petronyte, G, Haug, E, Roberts, C. Motivations for adolescent participation in leisure time physical activity: International differences. Journal of Physical Activity and Health 9: 106-112, 2013. PMID:23324482
  • Iannotti, RJ, Wang, J. Patterns of physical activity, sedentary behavior, and diet in US adolescents. Journal of Adolescent Health 53: 280-286, 2013. doi: 10.1016/j.jadohealth.2013.03.007 PMID:23642973
  • Caccavale, LJ, Farhat, T, Iannotti, RJ. Social engagement in adolescence moderates the association between weight status and body image. Body Image 9: 221-226, 2012. doi: 10.1016/j.bodyim.2012.01.001 PMID:22325852
  • Lipsky, LM, Iannotti, RJ. Associations of television viewing with eating behaviors in the 2009 Health Behavior in School Aged Children study (HBSC). Archives of Pediatrics & Adolescent Medicine 166: 465-472, 2012. doi: 10.1001/archpediatrics.2011.1407 PMID:22566548
  • Ogbagaber, S, Albert, PS, Lewin, D, Iannotti, RJ. Summer activity patterns among teenage girls: harmonic shape invariant modeling to estimate circadian cycles. Journal of Circadian Rhythms 10(1):2, 2012. doi: 10.1186/1740-3391-10-2 PMID:22559328
  • Wang, J, Iannotti, RJ. (2012). Bullying among US adolescents. The Prevention Researcher 19(3): 3-6, 2012.
  • Wang, J, Iannotti, RJ, Luk, JW. Patterns of adolescent bullying behaviors: Physical, verbal, exclusion, rumor, and cyber. Journal of School Psychology 50: 521-534, 2012. doi: 10.1016/j.jsp.2012.03.004, PMID:22710019
    Last Reviewed: 09/09/2014

    Contact Information

    Name: Dr Stephen Gilman
    Acting Branch Chief
    Health Behavior Branch
    Phone: 301-435-8395

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