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Why do young people
experience high stress levels?
    Nordic Public Health conference Turku 2011

   Pia Vedel Ankersen, S. Poulsen & F. Breinholt
      Larsen, Center for Public Health, Central
                 Denmark Region
Agenda
•   Aim & Background
•   Data and methods
•   Results
•   Conclusions
Aim & Background
Describe and explain why young people
experience high stress levels
Studies of young people’s wellbeing show
that young people experience high stress
levels
Study based on the health survey “How are
you?”, conducted in Central Denmark
Region, shows the same result
Data and methods I
Survey data                             Qualitative data based on
                                        interviews
Questionnaire                           Open interview (structured by themes)
• 16 years and older                    • Personal interviews: 17
• Random sample of 52.400 (2,500        • Group interviews: 36 interviews with
  respondents from 17 municipalities,     4 resp. and 2 interviews with 3 resp.
  Aarhus 8,500 and Samsoe 1,400)
• Response rate of 65 pct. (34,584      • Background: Liable for military
  respondents).                           service/draftee, High school
• From 16 years to 24 years sample        students, educational institution
  of 3902 response rate of 56 pct         specializing in technical studies,
                                          young mothers, Health and social
                                          education …
Data and methods II
Cohen’s Perceived Stress Scale
                     Quantitative questions
                     survey data
Data and methods III –
         Qualitative data
Interview questions
  – How are you?
  – How is your day?
  – Look at the questions (PSS)
  – Are there anything you find hard or difficult?
Results
•   Self-evaluated health
•   Stress by age and gender
•   Stress by educational level and occupation
•   Experimenting for a path in life – a
    stressful experience?
Figure 1. Proportion with bad self-evaluated
          health – age and gender

      Pct

       30

       25

       20

       15

       10
                                                      Male
        5
                                                      Female
        0
            16-24   25-34   35-44   45-54   55-64   65-74    75-79
                                    Age
Figure 2. Proportion with high stress levels
       (PSS>16) – age and gender

      Pct
                                                       Male
       45
                                                       Femal
       40
       35
       30
       25
       20
       15
       10
        5
        0
            16-24   25-34   35-44   45-54   55-64   65-74   75-79
                                    Age
Figure 3. Proportion with high stress level
       (PSS>16) age and gender

       Pct
                              Male
       45
                              Female
       40
       35
       30
       25
       20
       15
       10
         5
         0
             16-18   19-21           22-24
                     Age
I. Experimenting for a path in life
    – a stressful experience?
I: So you learned something?
G: Yes – you learn a lot about yourself when
you are being pushed. Especially if you are
being pushed in areas where you don’t
expect to be challenged (Female, liable for
military service/draftee, PI).
II. Experimenting for a path in
   life – a stressful experience?
• Relations and (new) situations
  – Friends, parents
• Expectations
• Everyday life
• The wrong path in life
  – Crime and drugs
III. Experimenting for a path in
                life
Relationships and situations
  S: Well, she's schizophrenic. And have a split personality. So
  it's a little difficult just to find out what the hell is actually
  happening here? And so my father is an alcoholic. So he's
  been a little….. (Male, liable for military service/draftee, PI).

  C: Everything has been hard for me.
  I: How?
  C: Well, first of all coming out as a lesbian, all the people I
  lost, and then figuring out how to behave with people.
  Suddenly I liked girls, right? People looked at me in a
  different way. People also noticed me more than before,
  because "Hey, that’s the girl that digs girls.” (Lesbian girl, PI).
IV. Experimenting for a path in
              life
Expectations
  A: There was no room for being a little ignorant
  pupil at all .. and after six months I just started to
  cry every night, I was completely finished when I
  came home from work. I could not, well, I did not
  have anything left in me (Female, 19 years, jobs
  Practice).
V. Experimenting for a path in
               life
Everyday life – finding time for everything

N: It’s stressful, when there’s several things we must do at the same
time, that we must submit.. Well, it’s working late, I haven’t any time for
myself, I don’t feel like I have (Female, 17 years SOSU, GI).

Jo: Yes, well, if it’s like big tasks, then you know that you have a lot of
time before the task must be submitted. Then you don’t get started, and
then you end up feeling stressed at the end (Male, 17 years, High
School, GI)

M: Well, I really want to plan every day. Because I do a lot of sports.
And then when something just piles up, and I can’t seem to fit it i, then
it quickly gets…then it bothers me. And it influences everything, when I
play or practice. Because it’s always in the back of my head, and
irritates me. (Female 17 years, High School, GI).
VI. Experimenting for a path in
               life
The wrong path in life
   M. I had some problems, when I was younger, because of some drugs and
   stuff. And then I got away from it. It’s therefore that I have… half has been
   sorted away (friends), and now I only have the ones left that I feel are my
   good friends… Yes.. I don’t know, if you can call it a gang, but it was an
   entire group controlling the area, where we lived. With drugs and all that
   happened there.
   I: And that was in XXX or what?
   M: Yes. And also because of that, that I left it a little. That I could see for
   myself, how friends became enemies, and stuff like that... All because of
   money and drugs and... Yeah, well, I’m all right now, I don’t feel like there’s
   any problems with my life. But I can see that many think, that when you do
   hash and stuff like that, that’s not too smart, but I’m all right with it. (Male 24
   years, Aarhus Tech, PI).
Conclusion
• Young people have a higher stress level
• Why?
• Finding a way in life
  – Experiments
  – Learning is when you are pushed
Figure 5. Self-evaluated life-quality


 Pct

        Good 83 %           Fair/ bad 17 %
  60
               50
  50

  40
        33
  30

  20
                     14

  10
                                  2
                                              1
   0
       Very   Good   Fair       Bad          Very
       good                                  bad

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Why young people experience high stress levels

  • 1. Why do young people experience high stress levels? Nordic Public Health conference Turku 2011 Pia Vedel Ankersen, S. Poulsen & F. Breinholt Larsen, Center for Public Health, Central Denmark Region
  • 2. Agenda • Aim & Background • Data and methods • Results • Conclusions
  • 3. Aim & Background Describe and explain why young people experience high stress levels Studies of young people’s wellbeing show that young people experience high stress levels Study based on the health survey “How are you?”, conducted in Central Denmark Region, shows the same result
  • 4. Data and methods I Survey data Qualitative data based on interviews Questionnaire Open interview (structured by themes) • 16 years and older • Personal interviews: 17 • Random sample of 52.400 (2,500 • Group interviews: 36 interviews with respondents from 17 municipalities, 4 resp. and 2 interviews with 3 resp. Aarhus 8,500 and Samsoe 1,400) • Response rate of 65 pct. (34,584 • Background: Liable for military respondents). service/draftee, High school • From 16 years to 24 years sample students, educational institution of 3902 response rate of 56 pct specializing in technical studies, young mothers, Health and social education …
  • 5. Data and methods II Cohen’s Perceived Stress Scale Quantitative questions survey data
  • 6. Data and methods III – Qualitative data Interview questions – How are you? – How is your day? – Look at the questions (PSS) – Are there anything you find hard or difficult?
  • 7. Results • Self-evaluated health • Stress by age and gender • Stress by educational level and occupation • Experimenting for a path in life – a stressful experience?
  • 8. Figure 1. Proportion with bad self-evaluated health – age and gender Pct 30 25 20 15 10 Male 5 Female 0 16-24 25-34 35-44 45-54 55-64 65-74 75-79 Age
  • 9. Figure 2. Proportion with high stress levels (PSS>16) – age and gender Pct Male 45 Femal 40 35 30 25 20 15 10 5 0 16-24 25-34 35-44 45-54 55-64 65-74 75-79 Age
  • 10. Figure 3. Proportion with high stress level (PSS>16) age and gender Pct Male 45 Female 40 35 30 25 20 15 10 5 0 16-18 19-21 22-24 Age
  • 11. I. Experimenting for a path in life – a stressful experience? I: So you learned something? G: Yes – you learn a lot about yourself when you are being pushed. Especially if you are being pushed in areas where you don’t expect to be challenged (Female, liable for military service/draftee, PI).
  • 12. II. Experimenting for a path in life – a stressful experience? • Relations and (new) situations – Friends, parents • Expectations • Everyday life • The wrong path in life – Crime and drugs
  • 13. III. Experimenting for a path in life Relationships and situations S: Well, she's schizophrenic. And have a split personality. So it's a little difficult just to find out what the hell is actually happening here? And so my father is an alcoholic. So he's been a little….. (Male, liable for military service/draftee, PI). C: Everything has been hard for me. I: How? C: Well, first of all coming out as a lesbian, all the people I lost, and then figuring out how to behave with people. Suddenly I liked girls, right? People looked at me in a different way. People also noticed me more than before, because "Hey, that’s the girl that digs girls.” (Lesbian girl, PI).
  • 14. IV. Experimenting for a path in life Expectations A: There was no room for being a little ignorant pupil at all .. and after six months I just started to cry every night, I was completely finished when I came home from work. I could not, well, I did not have anything left in me (Female, 19 years, jobs Practice).
  • 15. V. Experimenting for a path in life Everyday life – finding time for everything N: It’s stressful, when there’s several things we must do at the same time, that we must submit.. Well, it’s working late, I haven’t any time for myself, I don’t feel like I have (Female, 17 years SOSU, GI). Jo: Yes, well, if it’s like big tasks, then you know that you have a lot of time before the task must be submitted. Then you don’t get started, and then you end up feeling stressed at the end (Male, 17 years, High School, GI) M: Well, I really want to plan every day. Because I do a lot of sports. And then when something just piles up, and I can’t seem to fit it i, then it quickly gets…then it bothers me. And it influences everything, when I play or practice. Because it’s always in the back of my head, and irritates me. (Female 17 years, High School, GI).
  • 16. VI. Experimenting for a path in life The wrong path in life M. I had some problems, when I was younger, because of some drugs and stuff. And then I got away from it. It’s therefore that I have… half has been sorted away (friends), and now I only have the ones left that I feel are my good friends… Yes.. I don’t know, if you can call it a gang, but it was an entire group controlling the area, where we lived. With drugs and all that happened there. I: And that was in XXX or what? M: Yes. And also because of that, that I left it a little. That I could see for myself, how friends became enemies, and stuff like that... All because of money and drugs and... Yeah, well, I’m all right now, I don’t feel like there’s any problems with my life. But I can see that many think, that when you do hash and stuff like that, that’s not too smart, but I’m all right with it. (Male 24 years, Aarhus Tech, PI).
  • 17. Conclusion • Young people have a higher stress level • Why? • Finding a way in life – Experiments – Learning is when you are pushed
  • 18. Figure 5. Self-evaluated life-quality Pct Good 83 % Fair/ bad 17 % 60 50 50 40 33 30 20 14 10 2 1 0 Very Good Fair Bad Very good bad