Aims:In 2010, the English Department of Health launched a radical new public health
strategy, which sees individual factors, such as self-esteem, as the key to improving
all aspects of young people’s health. This article compares the strength of association
between key adolescent health outcomes and a range of individual and social factorsMethods:All participants aged 12–15 in the nationally representative 2008 Healthy Foundations
survey were included. Six individual factors related to self-esteem, confidence and
personal responsibility, and seven social factors related to family, peers, school and
local area were investigated. Single-factor and multivariable logistic regression models
were used to calculate the association between these factors and seven health outcomes
(self-reported general health, physical activity, healthy eating, weight, smoking,
alcohol intake, illicit drug use). Odds ratios were adjusted for gender, age and
deprivation.Results:Individual factors such as self-esteem were associated with general health, physical
activity and healthy eating. However, the influence of family, peers, school and local
community appear to be equally important for these outcomes and more important for
smoking, drug use and healthy weight.Conclusion:Self-esteem interventions alone are unlikely to be successful in improving adolescent
health, particularly in tackling obesity and reducing substance misuse.