The authors analyze the association between psychosocial factors in the sch
ool environment and pupils' health and self-worth in a sample of 538 pupils
(264 girls and 274 boys) in the third and the sixth grades. High control i
n combination with low demand at school was associated with the best health
status in relation to somatic problems, stress, tiredness, and feelings of
self-worth. In a multiple regression analysis, problems in relations with
classmates were the most recurrent psychosocial factor associated with ill-
health. Some gender differences were found in school-related health. Lack o
f control at school affected self-worth among girls only. In the third grad
e and among boys in the sixth grade, high demands were an explanatory facto
r for the health outcome. Foreign background, divorced parents, high achiev
ement, and low relational orientation, as well as disorderly and rowdy clas
ses, were also of importance for somatic ill-health and stress among girls.
Older girls became more relationally oriented, while boys became more achi
evement-oriented. The authors conclude that the pupils' somatic health and
self-worth were affected by psychosocial factors at school, even when adjus
tment was made for social background.