Contact: yasminebenrejeb@hotmail.com Background and aims: The levels of use of some psychoactive substances, especially alcohol, tobacco and cannabis, remain high among adoles- cents, despite progress in regulatory efforts to limit access to these products. Our objective is to determine the prevalence of addictive behavior among middle school students in the Kairouan region and to specify the risk factors. Methods: We conducted a cross-sectional study in public schools of Kairouan (Tunisia) during one month (May 2016). Students aged 13 to 16 were included in the study. The statistical analysis was performed using the SPSS software version 18. Results: A total of 2020 students participated in this study with mean age of 13.9  1.2 years. A male predominance was noted (44.1%, n = 890). The prevalence of addictive behavior was 7.1% (95% CI = [6% - 8.2%]). Multivariate analysis showed that the probability of addictive behavior decreased in young women (OR = 0.05, 95% CI = [0.02 - 0.09]) from rural origin (OR = 0.51, 95% CI = [0.32 - 0.83]). Independent risk factors associated with addictive behavior were: Age (OR = 1.39, 95% CI = [1.16 - 1.66]), family history of suicide (OR = 4.42, 95% CI = [ 2.56 - 7.62]), repeating the school year (OR = 2.91, 95% CI = [1.84 - 4.60]), physical aggression (OR = 1.78; 95% CI = [1.06 - 2.98]) and depression (OR = 1.56, 95% CI = [1 - 2.43]). Conclusions: The entourage and caregivers are important actors to help adolescent to verbalize his suffering and find other ways to fight against the depressive affects. Key messages:  Prevalence of psychoactive substance use is very high in middle school students.  Identification of risk factors is important for prevention program planning at an early stage. Age-appropriate healthy living - research examples from German and Italy Sigrid Mairhofer S Mairhofer 1 , A Teti 2 1 Free University of Bozen - Bolzano, Bolzano, Italy 2 University of Vechta, Vechta, Germany Contact: sigrid.mairhofer@outlook.com Housing and social participation have a significant influence on the quality of life and independence of elderly people. The importance of the living situation increases with age, because spend more time in the immediate living environment. Age- appropriate housing and life situations are therefore a prerequisite for reducing social and health inequalities in older life. Two research projects in the field of healthy ageing will be presented and some of the joint results will be discussed. The project HOME Housing Opportunities & Mobility in the Elderly (North Germany) examines willingness to move in favor of age-appropriate living environments versus Aging in Place. The majority of the respondents were stayers. Age, gender, education and income are predictors for the will- ingness to move. In data analisis movers show a lower health- related quality of life than stayers. As a second project a participative research project with elderly people, the ’young old’, in South Tyrol (North Italy) will be presented. Elderly people are often associated with need for help, which does not correspond to the current diversity, especially for the ’young old’. The research results show the necessity of sensitization for health promotion and health (in)equity and the importance of professional community work for healthy ageing. Participatory research with elderly people seems to be a promising approach to ensure sustainability, to increase the quality of research and to stimulate transformation in science, politics, practice and the population. Key messages:  Housing and social participation have a significant influence on healthy aging.  Health promotion with the young old in rural areas should become more attention. Men’s health promotion in waiting rooms: an observational study Michael Whitehead M Whitehead 1 , H Ng Chok 2 , C Whitehead 3 , L Luck 3,2 1 South Eastern Sydney Local Health District, Sydney, Australia 2 Western Sydney University, Sydney, Australia 3 Nepean Blue Mountains Local Health District, Sydney, Australia Contact: michael.whitehead@health.nsw.gov.au Thesis Statement: Men experience poorer health outcomes than females and gender specific targeted health promotion needs to adequately address this gender bias. Methodology: This prospective observational study audited all printed health promotional materials in all health facility waiting rooms within a defined geographic region. A total of 24 sites were surveyed which included general practice centres, community health centres and hospitals. The surveyed health literature included posters, brochures, and booklets. Results: There were 1143 health materials audited across the sites. Of these, 3.15% (n = 36) were male-specific literature, 15.31% (n = 175) were female specific health literature and 81.54% (n = 932) were gender neutral. Literature which had a gendered focus was overwhelmingly female to male with a ratio of approximately 5:1. Conclusions and Implications: This research highlighted that despite the known outcomes of lower male life expectancy and higher burden of disease, male specific literature is significantly under-represented within health facility waiting spaces. There remains potential for health clinicians to provide targeted male health education and thereby improve male health literacy. Key messages:  Men’s health both within Australia and globally remains under-represented despite lower health expectancy and higher burden of disease.  Health facilities ought to actively control the health promotion messaging to vulnerable population groups. Health literacy levels and related factors of patients admitted to an outpatient clinic in Malatya Erkan Pehlivan E Pehlivan 1 , K Ozdemir 2 1 Public Health Department, Inonu University, Battalgazi, Malatya, Turkey 2 Outpatient clinic, health directorate, Battalgazi, Malatya, Turkey Contact: erkan.pehlivan@inonu.edu.tr Background: This study was conducted to determine the health literacy levels and related factors of the patients who applied to a health unit. Methods: The population of this cross-sectional study was the patients who applied to a district outpatient clinic in the center of Malatya. Power 80% and in the 95% confidence interval based on the mean of health literacy scale of Turkey (29.5  5.7) the sample size was determined as 317. In the first three months of 2019 outpatients and 384 randomized patients who agreed to participate in the study, developed by the Ministry of Health Literacy Turkey Health Questionnaire-32 (THLQ) was applied. The score obtained from the scale is considered to be insufficient of 25 and below, limited to > 25-33 points and a score of < 33 and above is sufficient. In the analysis of the data, Kolmogorov Smirnov, Mann Whitney U, Kruskal Wallis and v662 European Journal of Public Health, Volume 30 Supplement 5, 2020 Downloaded from https://academic.oup.com/eurpub/article/30/Supplement_5/ckaa166.360/5915744 by guest on 25 April 2023