Aim: To determine the prevalence of hip pain (HP) in adolescents in East Germany and to evaluate the potential factors associated with HP. Design: Cross-sectional epidemiological study of a total of 2368 pupils (1137 males, 1231 females; age 14.5 ± 0.65, range 13-18 y). Demographic data and information on sports activity and consumption of soft legal drugs were obtained using a questionnaire. Physical examination was carried out by school doctors. Odds ratio (OR 95% confidence interval ) was calculated for common factors associated with HP. Results: The prevalence of adolescents suffering from HP was 6.5% (M= 151). Pain episodes were reported as occasional in 3.0% . A total of 69 subjects (2.9% ) suffered from permanent pain during physical activity. Permanent pain when at rest was reported in 0.5% (n = 12). Female subjects, students attending high school, smoking adolescents and adolescents with a consumption of alcoholic beverages had a significantly higher prevalence of HP. HP was associated with a significantly higher prevalence of low back pain and knee pain. The prevalence of pathological findings of the hip was 2.5% (n = 60). Factors significantly associated with HP were: female gender (1.9-fold), attending high school (2.1-fold) and consumption of tobacco (1.6-fold). Conclusions: HP in adolescents seems to be mostly caused by functional disorders. There is a possible association between HP and psychological stress or consumption of legal drugs. Prophylactic measures are necessary in this age group in future. Aim: To determine the prevalence of hip pain (HP) in adolescents in East Germany and to evaluate the potential factors associated with HP. Design: Cross-sectional epidemiological study of a total of 2368 pupils (1137 males, 1231 females; age 14.5 ± 0.65, range 13-18 y). Demographic data and information on sports activity and consumption of soft legal drugs were obtained using a questionnaire. Physical examination was carried out by school doctor. Odds ratio (OR 95% confidence interval) was calculated for common Factors associated with HP. Results: The prevalence of adolescents suffering from HP was 6.5% (M = 151). Pain episodes were reported as occasional in 3.0%. A total of 69 subjects (2.9%) suffered from permanent pain during physical activity. Permanent pain when at rest was reported in 0.5% (n = 12). Female subjects, students attending high school, smoking adolescents and adolescents with a consumption of alcoholic beverages had a significantly higher prevalence of HP. HP was associated with a significant higher prevalence of low back pain and knee pain. The prevalence of pathological findings of the hip was 2.5% (n = 60). Factors significantly associated with HP were: female gender (1.9-fold), attending high school ( 2.1-fold) and consumption of tobacco (1.6-fold). Conclusions: HP in adolescents seems to be mostly caused by functional disorders. There is a potential association between HP and psychological stress or consumption of legal drugs. Prophylactic measures are necessary in this age group in future.