Youth and Health

The Youth and Health programme aimed to increase our understanding of young people's current and future health, and reduce later health inequalities.  In order to do this, it used three studies of young people in the West of Scotland, spanning two decades, together with related in-depth research. 

This programme formally ceased at the end of March 2010 with the retirement of Patrick West, Programme Leader, but team members have continued to analyse data and prepare publications based on the studies of young people.

Youth and Health Team
Patrick West, Helen Sweeting and Robert Young (l-r)

The programme's objectives were to describe and explain:

  • health (particularly mental health) and health risk behaviours (particularly smoking) from childhood through adolescence to adulthood;
  • the relationship of health and health behaviours with social class over this period, with particular reference to health in adolescence and health inequalities in adulthood;
  • the gender patterning of health and health behaviours from childhood to adulthood, with particular reference to changes in adolescence;
  • the role of the family in relation to health, lifestyles and life chances, and the extent to which family influences cut across class;
  • the influence of the school, peer group and youth culture on health, health behaviours and lifestyles, and the extent to which these are separate from class, gender and the family;
  • variation in levels of stress between social classes, schools and peer group positions;
  • changes in young people's health and health behaviours, and their social patterning, over time.

The programme's principal sources of data were:

  • the youngest cohort of the Twenty-07 Study, first surveyed at age 15 in 1987 (n=1,009) and followed up at ages 16, 18, 21, 23 and 30.
  • the West of Scotland 11 to 16/16+ Study, first surveyed at age 11 in 1994 (n=2,586) in the last year of primary school, and followed up in secondary school to age 15 (1999), and then again (as the 16+ Study) at age 18. At 15 and 18, psychiatric data were collected via a computerised (Voice) version of the Diagnostic Interview Schedule for Children.
  • the Peers and Levels of Stress (PaLS) study, surveyed at age 15 in 2006 (n=3,204). This study includes measures of peer group, stress, and mental health and disorder.

 

Feedback of results to schools, parents and respondents was a continuous feature of this programme, reflecting a policy of disseminating to a wide range of audiences.

Publications

Young R. Can Neds (or Chavs) be non-delinquent, educated or even middle class? Contrasting empirical findings with cultural stereotypes. Sociology (in press).

Jackson CA, Sweeting H, Haw S. Clustering of substance use and sexual risk behaviour in adolescence: analysis of two cohort studies. BMJ Open 2012;2:e000661.

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Markham W, Young R, Sweeting H, West P, Aveyard P. Are the relationships between value-added education and teenage substance use explained by school-level and pupil-level school ethos indicators? a cohort study [epub ahead of print]. Social Science & Medicine 2012.

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Young R, Sweeting H, West P. Associations between DSM-IV diagnosis, psychiatric symptoms and morning cortisol levels in a community sample of adolescents. Social Psychiatry and Psychiatric Epidemiology 2012;47:723-33.

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Kasengele KM. Do social comparisons matter in relation to health and wellbeing? [PhD]. MRC/CSO Social and Public Health Sciences Unit. Glasgow: Law, Business & Social Sciences, University of Glasgow, 2011.

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Sweeting H, Jackson C, Haw S. Changes in the socio-demographic patterning of late adolescent health risk behaviours during the 1990s: analysis of two West of Scotland cohort studies. BMC Public Health 2011; 11:829.

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Sweeting H, West P, Young R, Kelly S. Dimensions of adolescent subjective social status within the school community: description and correlates. Journal of Adolescence 2011; 34:493-504.

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Young R, McCafferty E, Metcalfe J, van Beinum MA. Evaluating the Glasgow adolescent self-harm service: a seven-year retrospective investigation. Final project report. Glasgow: Chief Scientist Office, 2011.

Young R, Sweeting H, Ellaway A. Do schools differ in suicide risk? The influence of school and neighbourhood on attempted suicide, suicidal ideation and self-harm among secondary school pupils. BMC Public Health 2011; 11:874.

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Parkes A, Wight D, Henderson M, West P. Does early sexual debut reduce teenagers' participation in tertiary education? Evidence from the SHARE longitudinal study. Journal of Adolescence 2010; 33:741-54 .

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Sweeting H, West P, Young R, Der G. Can we explain increases in young people's psychological distress over time? Social Science & Medicine 2010; 71:1819-30.

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West P, Sweeting H, Young R, Kelly S. The relative importance of family socioeconomic status and school-based peer hierachies for morning cortisol in youth: an exploratory study. Social Science & Medicine 2010; 79:1246-53.

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West P, Sweeting H, Young R. Transition matters: pupils' experiences of the primary-secondary school transition in the West of Scotland and consequences for well-being and attainment. Research Papers in Education 2010; 25:21-50.

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Young R, West P. Do good values lead to good health-behaviours?: Longitudinal associations between young people's values and later substance-use. BMC Public Health 2010; 10:165.

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Young R. Trauma, attempted suicide and morning cortisol in a community sample of adolescents. Journal of Traumatic Stress 2010; 23:288–91.

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Hunt K, Sweeting H, Sargent J, Lewars H, Dal Cin S, Worth K. An examination of the association between seeing smoking in films and tobacco use in young adults in the West of Scotland: cross-sectional study. Health Education Research: Theory and Practice 2009; 24:22-31.

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Lonie D. Musical identities and health over the youth-adult transition [PhD]. MRC Social and Public Health Sciences Unit. Glasgow: University of Glasgow, 2009.

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Sweeting H, West P. Drug use over the youth-adult transition in a West of Scotland cohort: Prevalence, pathways and socio-demographic correlates. Addiction Research & Theory 2009; 16:474-94.


Sweeting H, Young R, West P. GHQ increases among Scottish 15 year olds 1987-2006. Social Psychiatry and Psychiatric Epidemiology 2009; 44:579-86.

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West P. The changing evidence base: further challenges for smoking prevention (Commentary). Addiction 2009; 104:651-2.

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Williamson LM, Buston K, Sweeting H. Young women’s continued use of oral contraceptives over other hormonal methods: findings from a qualitative study. Journal of Family Planning & Reproductive Health Care 2009; 35:167-72.

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Williamson LM, Buston K, Sweeting H. Young women’s perceptions of pregnancy risk and use of emergency contraception: findings from a qualitative study – Authors’ Reply. Contraception 2009; 80:591-2.

Williamson LM, Buston K, Sweeting H. Young women’s perceptions of pregnancy risk and use of emergency contraception: findings from a qualitative study. Contraception 2009; 79:310-5.

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Dorrer Nika, West Patrick, Young Robert, Sweeting Helen. Exploring the relationship between peer crowd, popularity and health in a Scottish secondary school: a qualitative study. MRC Social and Public Health Sciences Unit Working Paper no. 25, Glasgow, February 2009.
West P. Health in youth: changing times, changing influences. In: Furlong A, ed. Handbook of Youth and Young Adulthood: Routledge, 2009:pp.331-43.
West P. Health related behaviours in context. In: Furlong A, ed. Handbook of Youth and Young Adulthood: Routledge, 2009:pp.361-71.

Sweeting H, West P, Young R. Obesity among Scottish 15 year olds 1987-2006: prevalence and associations with socio-economic status, well-being and worries about weight. BMC Public Health 2008; 8:404.

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Sweeting H. Gendered dimensions of obesity in childhood and adolescence. Nutrition Journal 2008; 7:1.
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Kelly S, Young R, Sweeting H, Fischer J, West P. Levels and confounders of morning cortisol collected from adolescents in a naturalistic (school) setting. Psychoneuroendocrinology 2008; 33:1257-68.
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Glendinning A, West P, Popkov IV. Young people's mental health in context: comparing life in the city and small communities in Siberia. Social Science & Medicine 2007; 65:1180-1191.
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Sweeting H, West P, Der G. Explanations for female excess morbidity in adolescence: evidence from a school-based cohort in the West of Scotland. BMC Public Health 2007; 7:298.
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Sweeting H. Measurement and definitions of obesity in childhood and adolescence: a field guide for the uninitiated. Nutrition Journal 2007; 6:32.
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West P, Sweeting H, Young R. Smoking in Scottish youths: personal income, parental social class and the cost of smoking. Tobacco Control 2007; 16:329-335.

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Young R, Sweeting H, West P. A longitudinal study of alcohol use and antisocial behaviour in young people. Alcohol and Alcoholism 2007; 43:204-14.
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Young R, Van Beinum M, Sweeting H, West P. Young people who self-harm. British Journal of Psychiatry 2007; 191:44-49.
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Pearson M, Sweeting H, West P, Young R, Gordon J, Turner J. Adolescent substance use in different social and peer contexts: a social network analysis. Drugs, Education, Prevention and Policy 2006; 13:519-536.

Steglich C, Snijders T, West P. Applying SIENA: An illustrative analysis of the co-evolution of adolescents' friendship networks, taste in music, and alcohol consumption. Methodology: Journal of Research Methods for the Behavioral and Social Sciences 2006; 2:48-56.

Sweeting H, Young R, West P, Der G. Peer victimization and depression in early-mid adolescence: A longitudinal study. British Journal of Educational Psychology 2006; 76:577-594.

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Sweeting H. Alcohol units at pocket money prices (e-letter). British Medical Journal 2006; 333:825-b.
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Turner K, West P, Young R, Gordon J, Sweeting H. Could the peer group explain school differences in pupil smoking rates? Social Science & Medicine 2006; 62:2513-2525.

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Young R, Sweeting H, West P. Prevalence of deliberate self harm and attempted suicide within contemporary Goth youth subculture: longitudinal cohort study. British Medical Journal 2006; 332:1058-1061.

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Harvey D. Behaving badly: Psychiatric and sociological perspectives on young people with " conduct disorder" [PhD]. MRC Social and Public Health Sciences Unit. Glasgow: University of Glasgow, 2006.
Henderson M. School effects on adolescent pupils' health behaviours and school processes associated with these effects [PhD]. MRC Social and Public Health Sciences Unit. Glasgow: University of Glasgow, 2006.
West P, Sweeting H, Young R, Robins M. A material paradox: Socioeconomic status, young people's disposable income and consumer culture. Journal of Youth Studies 2006; 9:437-462.
West P. School effects research provides new and stronger evidence in support of the health promoting school (editorial). Health Education, 2006; 106:421-424.

Henderson M, West P, Raab G. School effects on health behaviours. Education and Health 2005; 23:57-60.

Ross N, Hill M, Sweeting H, Cunningham-Burley S, Morton S. Relationships between grandparents and teenage grandchildren. CRFR Briefing 23 2005.
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Ross N, Hill M, Sweeting H, Cunningham-Burley S. Grandparents and teen grandchildren: exploring intergenerational relationships. Edinburgh: ESRC, Centre for Research on Families and Relationships, 2005.
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Barbour R, Bryce G, Connelly G, Furnivall J, Lewins A, Lockhart E, Phin L, Stallard A, van Beinum M, Wilson P. Only Connect: Addressing the emotional needs of Scotland's children and young people. Edinburgh, 2005.
Sweeting H, Seaman P. Family within and beyond the household boundary: children's constructions of who they live with. In: McKie L, Cunningham-Burley S, eds. Families in society: Boundaries and relationships: Bristol Policy Press, 2005:95-110.
Sweeting H, West P. Dietary habits and children's family lives. Journal of Human Nutrition & Dietetics 2005; 18:93-97.
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Sweeting H, Wright C, Minnis H. Psychosocial correlates of obesity, 'slimming down' and 'becoming obese' in adolescence. Journal of Adolescent Health 2005; 37:409.e409 - 409.e417.
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Turner K, Gordon J, Young R. Cigarette access and pupil smoking rates: a circular relationship. Health Promotion International 2004; 19:428-436.

Young R, Sweeting H. Adolescent bullying, relationships, mental health and gender atypical behaviour: a gender diagnosticity approach. Sex Roles 2004; 50:525-537.

Gordon J, Turner K. The empowerment principle: casualties of two schools' failure to grasp the nettle. Health Education 2004; 104:226-240.
Seaman P, Sweeting H. Assisting young people's access to social capital in contemporary families: a qualitative study. Journal of Youth Studies 2004; 7:173-190.
Turner K, Gordon J. A fresh perspective on a rank issue: pupils' accounts of staff enforcement of smoking restrictions. Health Education Research: Theory and Practice 2004; 19:148-158.
Turner K, Gordon J. Butt in, butt out: pupils' views on the extent to which staff could and should enforce smoking restrictions. Health Education Research Theory and Practice 2004; 19:40-50.
West P, Sweeting H, Leyland AH. School effects on pupils' health behaviours: evidence in support of the health promoting school. Research Papers in Education 2004; 19:261-291.
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West P, Sweeting H. Evidence on equalisation in health in youth from the West of Scotland. Social Science & Medicine 2004; 59:13-27.
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West P. National Health Demonstration Projects - Evaluation Task Group Review October - December 2003 : Final Report. Edinburgh: Scottish Executive, 2004.

Pearson M, West P. Drifting smoke rings: social network analysis and Markov processes in a longitudinal study of friendship groups and risk taking. Connections: bulletin of the International Network for Social Network Analysis 2003; 25:59-76.

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Gordon J, Turner K. Ifs, maybes and butts: factors influencing staff enforcement of smoking restrictions. Health Education Research Theory and Practice 2003; 18:329-340.
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Gordon J, Turner K. School differences in pupil smoking: a consequence of a trade-off between health and education agendas? Health Education Research: Theory and Practice 2003; 18:580-591.
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Seaman P. Connecting Experiences: People's Family Life as a Unifying Entity [PhD]. MRC Social and Public Health Sciences Unit. Glasgow: University of Glasgow, 2003.
Sweeting H, West P. Sex differences in health at ages 11, 13 and 15. Social Science & Medicine 2003; 56:31-39.
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Sweeting H, West P. Young people's leisure and risk-taking behaviours: changes in gender patterning in the West of Scotland during the 1990s. Journal of Youth Studies 2003; 6:391-412.
Sweeting H. Girls...can be boys. Counselling in Education 2003:9-15.
van Beinum M. Teenage user perspectives of adolescent psychiatry outpatient services. Medical Faculty. Glasgow: University of Glasgow, 2003.
West P, Sweeting H, Der G, Barton J, Lucas C. Voice-DISC identified DSM-IV disorders among 15 year olds in the West of Scotland. Journal of the American Academy of Child & Adolescent Psychiatry 2003; 42:941-949.
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West P, Sweeting H. Fifteen, female and stressed: Changing patterns of psychological distress over time. Journal of Child Psychology & Psychiatry 2003; 44:399-411.
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Sweeting H, West P. Gender differences in weight-related concerns in early to mid adolescence. Journal of Epidemiology & Community Health 2002; 56:700-701.
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Gordon J, Turner K. School staff as exemplars - where is the potential? Health Education 2001; 101:283-291.
Karvonen S, West P, Sweeting H, Rahkonen O, Young R. Lifestyle, social class and health related behaviours - a cross cultural comparison of 15 year olds in Glasgow and Helsinki. Journal of Youth Studies 2001; 4:393-413.
Sweeting H, West P. Being different: correlates of the experience of teasing and bullying at age 11. Research Papers in Education 2001; 16:225-246.
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Sweeting H, West P. Social class and smoking at age 15: the effect of different definitions of smoking. Addiction 2001; 96:1357-1359.
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Sweeting H. Our family, whose perspective? Journal of Adolescence 2001; 24:229-250.
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Pearson M, Michell L. Smoke rings: social network analysis of friendship groups, smoking and drug-taking. Drugs Education, Prevention & Policy 2000; 7:21-37.

Ely M, West P, Sweeting H, Richards M. Teenage family life, life chances, lifestyles, and health: a comparison of two contemporary cohorts. International Journal of Law, Policy & the Family 2000; 14:1-30.
West P, Sweeting H, Der G. The Voice DISC: a method for ascertaining psychiatric diagnoses in young people in the community. Glasgow: MRC Social and Public Health Science Unit, Occasional Paper 4, 2000.
West P, Sweeting H, Ecob R. Family and friends' influences on the uptake of regular smoking from mid-adolescence to early adulthood. Addiction 1999; 94:1397-1412.
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Sweeting H, West P, Richards M. Teenage family life, lifestyles, and life chances: associations with family structure, conflict with parents and joint family activity. International Journal of Law, Policy & the Family 1998; 12:15-46.
West P. Health inequalities in the early years: is there equalisation in youth? Social Science and Medicine 1997; 44:833-858.
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Michell L, West P. Peer pressure to smoke: the meaning depends on the method. Health Education Research: Theory and Practice 1996; 11:39-49.
West P, Sweeting H. Health inequalities: what's going on in youth? Health Education 1996; 5:14-20.
West P, Sweeting H. Nae job, nae future: young people and health in a context of unemployment. Health & Social Care in the Community 1996; 4:50-62.
Sweeting H, West P. Family life and health in adolescence: a role for culture in the health inequalities debate? Social Science and Medicine 1995; 40:163-175.
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Sweeting H. Reversals of fortune? Sex differences in health in childhood and adolescence. Social Science and Medicine 1995; 40:77-90.
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Anderson AS, Macintyre S, West P. Dietary patterns amongst adolescents in the West of Scotland. British Journal of Nutrition 1994; 71:111-122.
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Ford G, Ecob R, Hunt K, Macintyre S, West P. Patterns of class inequality in health through the lifespan: class gradients at 15, 35 and 55 years in the West of Scotland. Social Science and Medicine 1994; 39:1037-1050.
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Sweeting H, Anderson AS, West P. Socio-demographic correlates of dietary habits in mid to late adolescence. European Journal of Clinical Nutrition 1994; 48:736-748.
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Anderson AS, Macintyre S, West P. Adolescent meal patterns: Grazing habits in the West of Scotland. Health Bulletin 1993; 51:158-165.
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Green G, Macintyre S, West P, Ecob R. Like parent like child? Associations between drinking and smoking behaviour of parents and their children. British Journal of Addiction 1991; 86:745-758.
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Macintyre S, West P. Lack of class variation in health in adolescence: an artefact of an occupational measure of social class? Social Science and Medicine 1991; 32:395-402.
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West P. Rethinking the health selection explanation for health inequalities. Social Science and Medicine 1991; 32:373-384.
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West P, Macintyre S, Annandale E, Hunt K. Social class and health in youth: findings from the West of Scotland Twenty-07 Study. Social Science and Medicine 1990; 30:665-673.
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West P. Inequalities? Social class differentials in health in British youth. Social Science and Medicine 1988; 27:291-296.
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Programme Leader

Programme Staff