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Psychosocial school environment and health risk behaviours of adolescents in Bulgaria: results from multilevel analysis

Author

Listed:
  • Elitsa Dimitrova

    (Institute for Population and Human Studies at the Bulgarian Academy of Sciences
    Plovdiv University Paisii Hilendarski)

  • Tatyana Kotzeva

    (Institute for Population and Human Studies at the Bulgarian Academy of Sciences
    Burgas Free University)

  • Anna Alexandrova-Karamanova

    (Institute for Population and Human Studies at the Bulgarian Academy of Sciences)

Abstract

Objectives The paper aims to study the relationships between psychosocial school environment and health risk behaviours (cigarette smoking, alcohol consumption, drunkenness, bullying perpetration and early start of sexual life) in a representative sample of Bulgarian adolescents. Methods We apply multilevel analysis, using data from the Bulgarian 2017/2018 “Health Behaviour in School-aged Children (HBSC)” Study. Results There is a significant variation between schools in Bulgaria in the proportions of students who smoke cigarettes, drink alcohol, get drunk and have an early start of sexual life. Lower school satisfaction is significantly associated with higher odds of smoking and drunkenness. The effect of school pressure differs for smoking and bullying perpetration. The effect of student support also differs for certain types of health risk behaviours. Higher student support is positively associated with frequent alcohol consumption and drunkenness. The relationship between teacher support and alcohol abuse is negative. Conclusions There is a significant association between characteristics of psychosocial school environment and Bulgarian adolescents’ risk health behaviours (cigarette smoking, alcohol consumption, drunkenness, bullying perpetration). Comprehensive and effective health promotion policies in Bulgarian schools are needed in order to facilitate healthy lifestyles.

Suggested Citation

  • Elitsa Dimitrova & Tatyana Kotzeva & Anna Alexandrova-Karamanova, 2020. "Psychosocial school environment and health risk behaviours of adolescents in Bulgaria: results from multilevel analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(8), pages 1331-1344, November.
    • Handle: RePEc:spr:ijphth:v:65:y:2020:i:8:d:10.1007_s00038-020-01482-4
    DOI: 10.1007/s00038-020-01482-4
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    References listed on IDEAS

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    1. Lundborg, Petter, 2006. "Having the wrong friends? Peer effects in adolescent substance use," Journal of Health Economics, Elsevier, vol. 25(2), pages 214-233, March.
    2. Torbjørn Torsheim & Franco Cavallo & Kate Ann Levin & Christina Schnohr & Joanna Mazur & Birgit Niclasen & Candace Currie, 2016. "Psychometric Validation of the Revised Family Affluence Scale: a Latent Variable Approach," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 9(3), pages 771-784, September.
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    Cited by:

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    2. Sezgin Bekir & Ergyul Tair, 2023. "Functional Ego States, Behavior Patterns, and Social Interaction of Bulgarian Adolescents and Their Parents," Societies, MDPI, vol. 13(7), pages 1-15, June.
    3. Timothy A. Brusseau & Ryan D. Burns, 2021. "Associations of Physical Activity, School Safety, and Non-Prescription Steroid Use in Adolescents: A Structural Equation Modeling Approach," IJERPH, MDPI, vol. 19(1), pages 1-10, December.
    4. Dorota Kleszczewska & Joanna Mazur & Katarzyna Porwit & Anna Kowalewska, 2022. "Who Is Able to Resist What Is Forbidden?—The Relationship between Health Literacy and Risk Behaviours in Secondary School Students in the Broader Social and Educational Context," IJERPH, MDPI, vol. 19(15), pages 1-16, July.
    5. Orit Shapiro & Riki Tesler & Sharon Barak & Lilach Ben-Meir & Ariela Giladi & Rachel Nissanholtz-Gannot & Gizell Green & Moti Zwilling & Avi Zigdon & Yossi Harel-Fisch, 2022. "A Biopsychosocial Approach to Examining Alcohol Consumption among Youth during the COVID-19 Pandemic," Sustainability, MDPI, vol. 14(22), pages 1-15, November.

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