[How healthy are German schools? Trends from the years 2002 to 2010]

This study aims to analyse the time trends of several conditions of the school environment (satisfaction with school, school demands, quality of instruction, classmate support) in Germany that are known to affect the health of pupils.We used the national German data of the Health-Behaviour in School-aged Children (HBSC) studies conducted in the years 2002, 2006 und 2010. The time trends of these four var-iables are described by using linear and logistic regression analyses considering survey year, age group (11, 13, 15 years), gender, and school track as independent variables.We found an increase of the perceived quality of instruction and of the student's satisfaction with school from the year 2002 to the year 2010. Furthermore, pupils report slightly less support from their classmates in the present survey compared to 2002. There are no changes in the reported demands.These trend results are discussed in the light of the impact of the PISA study and the efforts to implement settings-based health promoting schools in Germany.