Inequalities in adolescent self-rated health and smoking in Europe: comparing different indicators of socioeconomic status
| Autor: | Irene Moor, Pierre-Olivier Robert, Mirte A G Kuipers, Timo-Kolja Pförtner, Matthias Richter, Vincent Lorant, Jaana M. Kinnunen, Joana Alves, Julian Perelman, Arja Rimpelä, Katharina Rathmann, Anton E. Kunst |
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| Přispěvatelé: | UCL - SSS/IRSS - Institut de recherche santé et société, Public and occupational health, APH - Global Health, APH - Health Behaviors & Chronic Diseases, APH - Methodology |
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Inequality Epidemiology media_common.quotation_subject Adolescent Health Logistic regression 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Humans Medicine Socioeconomic status Self-rated health media_common 030505 public health business.industry 4. Education Public health Smoking Public Health Environmental and Occupational Health Health Status Disparities Europe Social Class Scale (social sciences) Female Self Report 0305 other medical science business Demography Social status Adolescent health |
| Zdroj: | Journal of Epidemiology & Community Health, Vol. xxx, no.xxx, p. 8p. (2019) Journal of epidemiology and community health, 73(10), 963-970. BMJ Publishing Group |
| ISSN: | 1470-2738 0143-005X |
| DOI: | 10.1136/jech-2018-211794 |
| Popis: | BackgroundAlthough there is evidence for socioeconomic inequalities in health and health behaviour in adolescents, different indicators of socioeconomic status (SES) have rarely been compared within one data sample. We examined associations of five SES indicators with self-rated health (SRH) and smoking (ie, a leading cause of health inequalities) in Europe.MethodsData of adolescents aged 14–17 years old were obtained from the 2013 SILNE survey (smoking inequalities: learning from natural experiments), carried out in 50 schools in 6 European cities (N=10 900). Capturing subjective perceptions of relative SES and objective measures of education and wealth, we measured adolescents’ own SES (academic performance, pocket money), parental SES (parental educational level) and family SES (Family Affluence Scale, subjective social status (SSS)). Logistic regression models with SRH and smoking as dependent variables included all SES indicators, age and gender.ResultsCorrelations between SES indicators were weak to moderate. Low academic performance (OR=1.96, 95% CI 1.53 to 2.51) and low SSS (OR=2.75, 95% CI 2.12 to 3.55) were the strongest indicators of poor SRH after adjusting for other SES-indicators. Results for SSS were consistent across countries, while associations with academic performance varied. Low academic performance (OR=5.71, 95% CI 4.63 to 7.06) and more pocket money (OR=0.21, 95% CI 0.18 to 0.26) were most strongly associated with smoking in all countries.ConclusionsSocioeconomic inequalities in adolescent health were largest according to SES indicators more closely related to the adolescent’s education as well as the adolescent’s perception of relative family SES, rather than objective indicators of parental education and material family affluence. For future studies on adolescent health inequalities, consideration of adolescent-related SES indicators was recommended. |
| Databáze: | OpenAIRE |
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