*Article* **Self-Rated Health Status of Upper Secondary School Pupils and Its Associations with Multiple Health-Related Factors**

**Armando Cocca 1,\* , Martin Niedermeier <sup>1</sup> , Vera Prünster <sup>1</sup> , Katharina Wirnitzer 1,2,3 , Clemens Drenowatz <sup>4</sup> , Klaus Greier 1,5 , Karin Labek <sup>6</sup> and Gerhard Ruedl <sup>1</sup>**


**Abstract:** Health is an essential part of any individual, and gains particular importance in youth, as a good health at this age is more likely to reduce health risks both in the short and long term. The aim of this study was to assess the impact of physical and contextual parameters on youths' perceived health. A total of 919 adolescents completed questionnaires on self-rated health status, electronic media use, leisure time and club physical activity, alcohol and tobacco consumption, and back pain, as well as performed the German Motor Performance Test. Participants with very good health had significantly higher physical fitness, leisure time exercise, and participated in sports clubs more often than those with poorer health. Electronic media use was significantly higher for those with poor/very poor health. Future intervention programs to improve youth health status should not only focus on active lifestyle but might also consider the impact of socioenvironmental factors, such as daily media use.

**Keywords:** youth; perceived health; physical fitness; structured sport activities; screen time
