{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T03:29:36Z","timestamp":1791948576431,"version":"4.3.4"},"reference-count":41,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2013,11,7]],"date-time":"2013-11-07T00:00:00Z","timestamp":1383782400000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2013,11]]},"abstract":"Aim<\/jats:title>To describe indicators of health and well\u2010being for N<\/jats:styled-content>ew Z<\/jats:styled-content>ealand secondary school students; explore changes between 2001, 2007 and 2012; and compare these findings to international estimates.<\/jats:p><\/jats:sec>Methods<\/jats:title>Three national health and well\u2010being surveys of randomly selected N<\/jats:styled-content>ew Z<\/jats:styled-content>ealand secondary school students were conducted. Data are presented as prevalence and variation over time (adjusted odds ratio (aOR<\/jats:styled-content>)). Comparisons with international estimates were made with subsets of the data.<\/jats:p><\/jats:sec>Results<\/jats:title>Between 2001 and 2012, students reported reductions in cigarette use (aOR<\/jats:styled-content> 0.27, 95% confidence interval (CI<\/jats:styled-content>) 0.23\u20130.32), alcohol use (aOR<\/jats:styled-content> 0.39, 95% CI<\/jats:styled-content> 0.33\u20130.46), marijuana use (aOR<\/jats:styled-content> 0.37, 95% CI<\/jats:styled-content> 0.31\u20130.43), sexual abuse (aOR<\/jats:styled-content> 0.52, 95% CI<\/jats:styled-content> 0.46\u20130.58), fighting (aOR<\/jats:styled-content> 0.63, 95% CI<\/jats:styled-content> 0.55\u20130.73), seatbelt use (aOR<\/jats:styled-content> 1.47, 95% CI<\/jats:styled-content> 1.31\u20131.65) and risky driving behaviours (aOR<\/jats:styled-content> 0.39, 95% CI<\/jats:styled-content> 0.33\u20130.45). Positive connections to school (perception that the school cares, aOR<\/jats:styled-content> 1.22, 95% CI<\/jats:styled-content> 1.10\u20131.35; liking school, aOR<\/jats:styled-content> 1.55, 95% CI<\/jats:styled-content> 1.33\u20131.82) and family (good family relationship, aOR<\/jats:styled-content> 1.83, 95% CI<\/jats:styled-content> 1.70\u20131.97) also improved. Indicators that did not improve and compared poorly with international estimates were protected sex (condom use at last sexual intercourse, aOR<\/jats:styled-content> 0.77, 95% CI<\/jats:styled-content> 0.68\u20130.87) and healthy life\u2010style (daily physical activity, aOR<\/jats:styled-content> 0.88, 95% CI<\/jats:styled-content> 0.78\u20130.99; overweight\/obese, aOR<\/jats:styled-content> 1.09, 95% CI<\/jats:styled-content> 0.92\u20131.31). Exposure to family violence (aOR<\/jats:styled-content> 1.37, 95% CI<\/jats:styled-content> 1.11\u20131.68) and depressive symptoms (aOR<\/jats:styled-content> 1.03, 95% CI<\/jats:styled-content> 0.91\u20131.17) also did not improve.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>There have been important improvements in the health and well\u2010being of N<\/jats:styled-content>ew Z<\/jats:styled-content>ealand adolescents over a relatively short period. These findings demonstrate that population rates of adolescent risk behaviours are amenable to change. Current policy efforts should not lose momentum, while identified priority areas must be adequately resourced to ensure young people have opportunities to thrive now and in the future.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.12427","type":"journal-article","created":{"date-parts":[[2013,11,7]],"date-time":"2013-11-07T12:52:47Z","timestamp":1383828767000},"page":"925-934","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":80,"title":["Health and well\u2010being of secondary school students in N<\/scp>ew Z<\/scp>ealand: Trends between 2001, 2007 and 2012"],"prefix":"10.1111","volume":"49","author":[{"given":"Terryann","family":"Clark","sequence":"first","affiliation":[{"name":"School of Nursing Faculty of Medical and Health Sciences University of Auckland Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa","family":"Fleming","sequence":"additional","affiliation":[{"name":"Department of Paediatrics: Child and Youth Health Faculty of Medical and Health Sciences University of Auckland Auckland New Zealand"},{"name":"Department of Psychological Medicine Faculty of Medical and Health Sciences University of Auckland Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pat","family":"Bullen","sequence":"additional","affiliation":[{"name":"Faculty of Education The University of Auckland Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sue","family":"Crengle","sequence":"additional","affiliation":[{"name":"Te Kupenga Hauora M\u0101ori Faculty of Medical and Health Sciences University of Auckland Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Denny","sequence":"additional","affiliation":[{"name":"Department of Paediatrics: Child and Youth Health Faculty of Medical and Health Sciences University of Auckland Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ben","family":"Dyson","sequence":"additional","affiliation":[{"name":"Faculty of Education The University of Auckland Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roshini","family":"Peiris\u2010John","sequence":"additional","affiliation":[{"name":"Section of Epidemiology and Biostatistics Faculty of Medical and Health Sciences University of Auckland Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Robinson","sequence":"additional","affiliation":[{"name":"Auckland UniServices Limited Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"Rossen","sequence":"additional","affiliation":[{"name":"Social and Community Health Faculty of Medical and Health Sciences University of Auckland Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janie","family":"Sheridan","sequence":"additional","affiliation":[{"name":"Centre for Addiction Research and School of Pharmacy Faculty of Medical and Health Sciences University of Auckland Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tasileta","family":"Teevale","sequence":"additional","affiliation":[{"name":"Pacific Health Faculty of Medical and Health Sciences University of Auckland Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Utter","sequence":"additional","affiliation":[{"name":"Section of Epidemiology and Biostatistics Faculty of Medical and Health Sciences University of Auckland Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonia","family":"Lewycka","sequence":"additional","affiliation":[{"name":"School of Nursing Faculty of Medical and Health Sciences University of Auckland Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,11,7]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60072-5"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1054-139X(03)00537-8"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60149-4"},{"key":"e_1_2_8_5_1","unstructured":"Organisation for Economic Co\u2010operation and Development.OECD Child Well\u2010Being Module. 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