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Health Behaviour in School-Aged Children (HBSC)

The Health Behaviour in School-Age Children (HBSC) Study is a longitudinal, cross-national research project conducted in collaboration with the World Health Organization, and supported in Canada by the Public Health Agency of Canada. The key goals of the HBSC Project are to inform health promotion and education policy, influence programs and interventions at national and international levels, and increase understanding of young people’s health and well-being. This study collects self-report data every 4 years from youth across Canada aged 11-15 through anonymous surveys. In collaboration with Co-Primary Investigator Dr. Pickett and his team at Brock University, we collect information on a variety of health indicators including nutrition, physical activity, mental wellbeing, healthy relationships, risk-taking behaviours and social determinants of health. This large-scale data collection allows us to compare the health of Canada’s youth both across the country and around the world to inform targeted policies and interventions that both promote healthy behaviours and prevent harmful ones. We also facilitate the production of school-based, provincial, and national reports from the data that can be used to inform future directions in policy and education. Data collection has wrapped up for the most recent period, and will begin again in 2026.

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The HBSC team has recently released the Canadian National 2022 Report with a focus on youth mental health. A total of 26,360 Canadian youth were surveyed, and the report produced six key findings:​

1. Transgender and gender-diverse youth face greater barriers to wellbeing.

  • Findings are concerning, as TGD youth report more negative health for almost all of the available indicators in the survey.

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2. Older youth are reporting poorer health.

  • Youth of all genders in grades 9 and 10 report higher levels for almost all negative health indicators, especially those pertaining to their mental health.

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3. The health of cisgender girls remains a concern.

  • They reported experiencing significant health problems in many domains.

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4. Positive relationships benefit youth wellbeing.

  • Students who report strong relationships with their parents, families, friends and within their schools are much more likely to report better mental health and higher levels of well-being.

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5. Young people who face adversity can be empowered by positive environments.

  • Among students who report the lowest levels of affluence, the number of health resources they have in their lives has a strong relationship with many positive health outcomes, including physical, social, emotional, and spiritual health.

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6. Youth were resilient through the COVID-19 pandemic.

  • The COVID-19 pandemic had a negative impact on the lives of most young people, but the extent of this impact was modest among most survey participants.

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For more information about HBSC in Canada, as well as to read previous reports, please click here!

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