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Wiener Medizinische Wochenschrift

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13.08.2019 | original article

Health concepts of elementary school pupils in Austria

An explorative study using the draw and write technique

verfasst von: PD Mag. Dr. Nathalie Burkert, MA, Dr. Karin Unterleitner, Univ.-Prof. Dr. Éva Rásky, Dr. Martin Sprenger

Erschienen in: Wiener Medizinische Wochenschrift | Ausgabe 9-10/2020

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Summary

Studies analysing health concepts of children are scarce. Thus, the aim of this study was to analyse health concepts of elementary school children in Austria. In all, 240 pupils in grades 2 (7 or 8 years old) and 4 (9 or 10 years old) of three rural and three urban elementary schools in Styria took part in this explorative study. Differences were analysed using multivariate analyses. Girls associated health more often with nature than did boys, and pupils in grade 2 drew illness-related symbols more often than those in grade 4. Children attending an urban elementary school signalled preventive behaviour more often than children in rural areas. Our results showed that children in Austria, overall, have a positive concept of health, but they also reveal differing health concepts between the groups. Public health programs should take into account the differences in health concepts to implement more effective preventive intervention programs in schools.

Vorheriger Artikel Kommentar zu Brief von Theodor Billroth an Leopold Wittelshöfer vom 22.02.1871

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World Health Organization (WHO). Preventing chronic diseases: A vital investment: WHO global report. Geneva: WHO; 2005. http://apps.who.int/iris/bitstream/handle/10665/43314/9241563001_eng.pdf;jsessionid=5A5EE33350A5D7141742C31A33DCBD36?sequence=1.

Tinsley BJ. Multiple influences on the acquisition and socialization of children’s health attitudes and behaviour: An integrative review. Child Dev. 1992;63(5):1043–69. https://doi.org/10.2307/1131518.CrossRefPubMed

Carlson EA, Sroufe LA, Egeland B. The construction of experience: A longitudinal study of representation and behaviour. Child Dev. 2004;75(1):66–83. https://doi.org/10.1111/j.1467-8624.2004.00654.x.CrossRefPubMed

Backett-Milburn K, Cunningham-Burley S, Davis J. Contrasting lives, contrasting views? Understandings of health inequalities from children in differing social circumstances. Soc Sci Med. 2003;57(4):613–23. https://doi.org/10.1016/S0277-9536(02)00413-6.CrossRefPubMed

Wetton N, McWhirter J. Health for life. A guide for health promoting schools. London: Forbes; 1995.

Franks AJ, Kelder SH, Dino GA, et al. School-based programmes: Lessons learned from CATCH, planet health, and not-on-tobacco. Prev Chronic Dis. 2007;4(2):A33. PMID: 17362624.PubMedPubMedCentral

Froeschl B, Wirl C, Haas S. Prävention von Adipositas bei Kindern und Jugendlichen (Verhaltens- und Verhältnisprävention). GMS Health Technol Assess. 2009;5:1–10. https://portal.dimdi.de/de/hta/hta_berichte/hta242_bericht_de.pdf.

Jerusalem M, Klein-Heßling J, Mittag W. Gesundheitsförderung und Prävention im Kindes- und Jugendalter. Z Gesundheitswiss. 2003;11:248–62. https://doi.org/10.1007/BF02956414.CrossRef

Bengel J, Bucherer G, Strittmatter R, Buggle F. Die Entwicklung von subjektiven Gesundheitskonzepten – Ein Überblick über die Forschungslage bei Kindern und Jugendlichen. Z Gesundheitspsychol. 1995;3:241–54.

10.

Boruchovitch E, Mednick BR. Cross-cultural differences in children’s concepts of health and illness. J Public Health. 1997;31(5):448–56. PMID: 9629721.

11.

Piko BF, Bak J. Children’s perceptions of health and illness: Images and lay concepts in preadolescence. Health Educ Res. 2006;21(5):643–53. https://doi.org/10.1093/her/cyl034.CrossRefPubMed

12.

Natapoff JN. Children’s view of health: A developmental study. Am J Public Health. 1978;68:995–1000. https://doi.org/10.2105/AJPH.68.10.995. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1654064/pdf/amjph00473-0061.pdf.CrossRefPubMedPubMedCentral

13.

Nordlohne E, Kolip P. Gesundheits- und Krankheitskonzepte 14- bis 17-jähriger Jugendlicher. Ergebnisse einer repräsentativen Jugendbefragung. In: Kolip P, editor. Lebenslust und Wohlbefinden. Beiträge zur geschlechtsspezifischen Jugendgesundheitsforschung. Weinheim: Juventa; 1994. pp. 121–39.

14.

Schmidt LR, Benz-Thiele S, Goekbas-Balzer A, et al. Krankheitskonzepte von Kindern. Z Gesundheitspsychol. 1994;2:292–308.

15.

Bir J, Podmore VN. Children’s understandings of health and illness. Psychol Health. 1990;4:175–85. https://doi.org/10.1080/08870449008408151.CrossRef

16.

Eiser C, Patterson D, Tripp JH. Illness experience and children’s concepts of health and illness. Child Care Health Dev. 1984;10:157–62. https://doi.org/10.1111/j.1365-2214.1984.tb00174.x.CrossRefPubMed

17.

Marik PK, Hoag JA. Self-concept in youth with congenital facial differences: development and recommendations for medical providers. Pediatr Dermatol. 2012;29(5):549–54. https://doi.org/10.1111/j.1525-1470.2012.01758.x.CrossRefPubMed

18.

Beelmann G, Kieselbach T. Subjektive Theorien von Gesundheit und Krankheit bei Jugendlichen im Stadt-Land-Vergleich. Z Gesundheitspsychol. 1997;5:258–71.

19.

Olvera-Ezzell N, Power TG, Cousins JH, Guerra AM, Trujillo M. The development of health knowledge in low-income Mexican-American Children. Child Dev. 1994;65(2):416–27. PMID: 8013231.CrossRef

20.

Almqvist L, Hellnäs P, Stefansson M, Granlund M. ‘I can play’ young children’s perceptions of health. Pediatr Rehabil. 2006;9(3):275–84. https://doi.org/10.1080/13638490500521303.CrossRefPubMed

21.

Burkert NT, Freidl W. Pronounced social inequality in health-related factors and quality of life in women and men from Austria who are overweight or obese. PeerJ. 2019;7:e6773. https://doi.org/10.7717/peerj.6773.CrossRefPubMedPubMedCentral

22.

Högberg B, Strandh M, Petersen S, Johansson K. Education system stratification and health complaints among school-aged children. Soc Sci Med. 2019;220:159–66. https://doi.org/10.1016/j.socscimed.2018.11.007.CrossRefPubMed

23.

Rasmus P, Stetkiewicz-Lewandowicz A, Talarowska M, Sobów T. Health education from the perspective of contemporary challenges and threats. Pol Merkus Lek. 2013;34(204):636–7.

24.

Shah HS, Leifheit K, Polk S, Sloand E, Cheng TL, DeCamp L. Are parent activation and health literacy distinct concepts? A study in low income urban populations. J Health Dispar Res Pract. 2018;11(1):1–15.PubMedCentral

25.

Wills W, Danesi G, Kapetanakin AB, Hamilton L. Soci-economic factors, the food environment and lunchtime food purchasing by young people at secondary school. Int J Environ Res Public Health. 2019;16:1605. https://doi.org/10.3390/ijerph16091605.CrossRefPubMedCentral

26.

Ball J. Untersuchung und Erfassung von kindlichen Krankheitskonzepten im Grundschulalter. 2004. http://archiv.ub.uni-marburg.de/diss/z2004/0629/pdf/djb.pdf?origin=publication_dFahr. Accessed 19 July 2018, Marburg: Philipps-Universität.

27.

Onyango-Ouma W, Aagaard-Hansen J, Jensen BB. Changing concepts of health and illness among children of primary school age in Western Kenya. Health Educ Res. 2004;19(3):326–39. https://doi.org/10.1093/her/cyg034.CrossRefPubMed

28.

Felder-Puig R, Baumgartner M, Topf R, et al. Health-related quality of life in Austrian elementary school children. Med Care. 2008;46(4):432–9. https://doi.org/10.1097/MLR.0b013e3181648e95.CrossRefPubMed

29.

Unterleitner K. Subjektive Gesundheitskonzepte von steirischen VolksschülerInnen. Graz: Medizinische Universität Graz, Diplomarbeit; 2013.

30.

Winkler-Ebner C. Subjektive Gesundheitskonzepte und Gesundheitsverhalten von Schülerinnen und Schülern. Salzburg: Universität, Naturwissenschaftliche Fakultät; 2012.

31.

Thomas G, Silk A. An introduction to the psychology of children’s drawings. London: Harvester Wheatsheaf; 1990.

32.

Schuster M. Psychologie der Kinderzeichnung. Göttingen: Hogrefe; 2000.

33.

Lange-Kultner C, Thomas G, editors. Drawing and looking. Theoretical approaches to pictorial representation in children. London: Harvester Wheatsheaf; 1995.

34.

Knighting K, Rowa-Dewar N, Malcolm C, et al. Children’s understanding of cancer and views on health-related behaviour: A ‘draw and write’ study. Child Care Health Dev. 2011;37(2):289–99. https://doi.org/10.1111/j.1365-2214.2010.01138.x.CrossRefPubMed

35.

MacGregor AST, Currie CE, Wetton N. Eliciting the views of children about health in schools through the use of the draw and write technique. Health Promot Int. 1998;13(4):307–18. https://doi.org/10.1093/heapro/13.4.307.CrossRef

36.

Pridmore P, Bendelow G. Images of health: Exploring beliefs of children using the ‘draw-and-write’ technique. Health Educ J. 1995;54:473–88. https://doi.org/10.1177/001789699505400410.CrossRef

37.

Horstman M, Aldiss S, Richardson A, Gibson F. Methodological issues when using the draw and write technique with children aged 6 to 12 years. Qual Health Res. 2008;18(7):1001–11. https://doi.org/10.1177/1049732308318230.CrossRefPubMed

38.

Gabhainn SN, Kelleher C. The sensitivity of the draw and write technique. Health Educ. 2002;102(2):6–75. https://doi.org/10.1108/09654280210418992.CrossRef

39.

Backett-Milburn K, McKie L. A critical appraisal of the draw and write technique. Health Educ Res. 1999;14(3):387–98. https://doi.org/10.1016/S0277-9536(02)00413-6.CrossRefPubMed

40.

Sewell K. Researching sensitive issues: A critical appraisal of ‘draw and write’ as a data collection technique in eliciting children’s perceptions. Int J Res Method Educ. 2011;34(2):175–91. https://doi.org/10.1080/1743727X.2011.578820.CrossRef

41.

Paakkari LT, Torppa MP, Paakkari OP, Välimaa RS, Ojala KSA, Tynjälä JA. Does health literacy explain the link between structural stratifiers and adolescent health? Eur J Public Health. 2019; https://doi.org/10.1093/eurpub/ckz011.CrossRefPubMed

42.

Czajka K, Fiszer K, Kolodziej M. The relation between selected helath behaviour and body mass index amongst adolescents living in urban and rural areas in south-western Poland. Rocz Panstw Zakl Hig. 2013;64(2):135–41.PubMed

43.

Nguyen SP, McCullough MB, Noble A. A theory-based approach to teaching young children about health: A recipe for understanding. J Educ Psychol. 2011;103(3):594–606. https://doi.org/10.1037/a0023392.CrossRefPubMedPubMedCentral

44.

Crouch SR, Waters E, McNair R, Power J. The health perspectives of Australian adolescents from same-sex parent families: A mixed methods study. Child Care Health Dev. 2015;41(3):356–64. https://doi.org/10.1111/cch.12180.CrossRefPubMed

Titel: Health concepts of elementary school pupils in Austria
An explorative study using the draw and write technique
verfasst von: PD Mag. Dr. Nathalie Burkert, MA
Dr. Karin Unterleitner
Univ.-Prof. Dr. Éva Rásky
Dr. Martin Sprenger
Publikationsdatum: 13.08.2019
Verlag: Springer Vienna
Erschienen in: Wiener Medizinische Wochenschrift / Ausgabe 9-10/2020
Print ISSN: 0043-5341
Elektronische ISSN: 1563-258X
DOI: https://doi.org/10.1007/s10354-019-0702-2

Springer Medizin Österreich

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