期刊论文详细信息
International Journal for Equity in Health
Socioeconomic inequalities in mental well-being among Hungarian adolescents: a cross-sectional study
Kevin M Fitzpatrick2  Bettina F Piko3  Szabolcs Varga1 
[1] Institute of Behavioral Sciences, Semmelweis University, 1089 Nagyvarad sqr. 4, Budapest, Hungary;Department of Sociology and Criminal Justice, University of Arkansas, Fayetteville, 72701, AR, USA;Department of Behavioral Sciences, University of Szeged, 6722 Szentharomsag str. 5, Szeged, Hungary
关键词: Mental well-being;    Mental health;    Adolescents;    Socioeconomic status;   
Others  :  1137593
DOI  :  10.1186/s12939-014-0100-8
 received in 2014-05-17, accepted in 2014-10-13,  发布年份 2014
PDF
【 摘 要 】

Introduction

According to several empirical studies, mental well-being is significant in adolescence; adolescent’s social network is undergoing radical changes while at the same time depression is increasing. The primary goal of our study is to determine whether socioeconomic status (SES) is associated with mental health status of Hungarian adolescents and the strength and nature of this association.

Methods

Our sample was comprised of three high schools of Debrecen (the second largest city of Hungary). Data were collected in January 2013. In all, 471 students filled out the questionnaire from 22 classes (14–18 years old). ‘Absolute’ (education and occupational status of the parents, assessed by the adolescent) and ‘subjective’ (self-assessment of family’s social class) SES measures and five mental health indicators (shyness, loneliness, need to belong, psychosomatic symptoms, self-esteem) were involved. Descriptive statistics and binary logistic regression analyses were used to examine the relationships between family SES and mental health indicators.

Results

Our results indicate that association between adolescents’ ‘subjective’ SES and mental well-being is not gradient-like. Manual employment and unemployment status of both parents also proved to be significant determinants of mental health status.

Conclusions

According to our results, professionals of school-based mental health programs should consider students whose parents are unemployed or have manual occupational status as a high risk group in terms of mental well-being.

【 授权许可】

   
2014 Varga et al.; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150317103756997.pdf 246KB PDF download
【 参考文献 】
  • [1]Chen E, Martin AD, Matthews KA: Socioeconomic status and health: do gradients differ within childhood and adolescence? Soc Sci Med 2006, 62:2161-2170.
  • [2]von Rueden U, Gosch A, Rajmil L, Bisegger C, Ravens-Sieberer U: Socioeconomic determinants of health related quality of life in childhood and adolescence: results from a European study. J Epidemiol Community Health 2006, 60:130-135.
  • [3]Bradley RH, Corwyn RF: Socioeconomic status and child development. Annu Rev Psychol 2002, 53:371-399.
  • [4]Buckley NJ, Denton FT, Robb AL, Spencer BG: Healthy aging at older ages: are income and education important? Can J Aging 2004, 23(Suppl 1):S155-169.
  • [5]Lobmayer P, Wilkinson R: Income, inequality and mortality in 14 developed countries. Sociol Health Ill 2000, 22:401-414.
  • [6]Piko BF, Fitzpatrick KM: Socioeconomic status, psychosocial health and health behaviours among Hungarian adolescents. Eur J Public Health 2007, 17:353-360.
  • [7]Dalgard OS: Social inequalities in mental health in Norway: possible explanatory factors. Int J Equity Health 2008, 7:27. BioMed Central Full Text
  • [8]Piko BF, Luszczynska A, Fitzpatrick KM: Social inequalities in adolescent depression: the role of parental social support and optimism. Int J Soc Psychiatr 2013, 59:474-481.
  • [9]Sekine M, Tatsuse T, Kagamimori S, Chandola T, Cable N, Marmot M, Martikainen P, Lallukka T, Rahkonen O, Lahelma E: Sex inequalities in physical and mental functioning of British, Finnish, and Japanese civil servants: role of job demand, control and work hours. Soc Sci Med 2011, 73:595-603.
  • [10]Piko B, Fitzpatrick KM: Does class matter? SES and psychosocial health among Hungarian adolescents. Soc Sci Med 2001, 53:817-830.
  • [11]Eminson DM: Medically unexplained symptoms in children and adolescents. Clin Psychol Rev 2007, 27:855-871.
  • [12]Henningsen P, Jacobsen T, Schiltenwolf M, Weiss MG: Somatization revisited: diagnosis and perceived causes and common mental disorders. J Nerv Ment Dis 2005, 193:85-92.
  • [13]Promoting Mental Health: Concepts, Emerging Evidence, Practice: Summary Report / a Report from the World. World Health Organization, Geneva; 2004.
  • [14]Klanscek HJ, Ziberna J, Korosec A, Zurc J, Albreht T: Mental health inequalities in Slovenian 15-year-old adolescents explained by personal social position and family socioeconomic status. Int J Equity Health 2014, 13:26. BioMed Central Full Text
  • [15]Kovess-Masfety V, Murray M, Gureje O: Positive mental health. In Promoting Mental Health: Concepts, Emerging Evidence, Practice: Summary Report / A Report from the World. Edited by Herrman H, Saxena S, Moodie R. World Health Organization, Geneva; 2004:19-21.
  • [16]Siess J, Blechert J, Schmitz J: Psychophysiological arousal and biased perception of bodily anxiety symptoms in socially anxious children and adolescents: a systematic review. Eur Child Adolesc Psychiatry 2014, 23:127-142.
  • [17]Piko BF: Self-perceived health among adolescents: the role of gender and psychosocial factors. Eur J Pediatr 2007, 166:701-708.
  • [18]Cockerham WC: Health and Social Change in Russia and Eastern Europe. Routledge, New York; 1999.
  • [19]Amone-P'Olak K, Burger H, Ormel J, Huisman M, Verhulst FC, Oldehinkel AJ: Socioeconomic position and mental health problems in pre- and early-adolescents: the TRAILS study. Soc Psychiatry Psychiatr Epidemiol 2009, 44:231-238.
  • [20]Hudson CG: Socioeconomic status and mental illness: tests of the social causation and selection hypotheses. Am J Orthopsychiatry 2005, 75:3-18.
  • [21]Lawrence B, Bennett S: Shyness and education: the relationship between shyness, social class and personality variables in adolescents. Br J Educ Psychol 1992, 62(Pt 2):257-263.
  • [22]Leary MR, Kelly KM, Cottrell CA, Schreindorfer LS: Construct validity of the need to belong scale: mapping the nomological network. J Pers Assess 2013, 95:610-624.
  • [23]Veselska Z, Madarasova Geckova A, Gajdosova B, Orosova O, van Dijk JP, Reijneveld SA: Socio-economic differences in self-esteem of adolescents influenced by personality, mental health and social support. Eur J Public Health 2010, 20:647-652.
  • [24]Reiss F: Socioeconomic inequalities and mental health problems in children and adolescents: a systematic review. Soc Sci Med 2013, 90:24-31.
  • [25]Shevlin M, Murphy S, Murphy J: The latent structure of loneliness: testing competing factor models of the UCLA loneliness scale in a large adolescent sample.Assessment. in press.
  • [26]Wadman R, Durkin K, Conti-Ramsden G: Self-esteem, shyness, and sociability in adolescents with specific language impairment (SLI). J Speech Lang Hear Res 2008, 51:938-952.
  • [27]Page RM, Suwanteerangkul J: Self-rated health, psychosocial functioning, and health-related behavior among Thai adolescents. Pediatr Int 2009, 51:120-125.
  • [28]Burstein M, Ameli-Grillon L, Merikangas KR: Shyness versus social phobia in US youth. Pediatrics 2011, 128:917-925.
  • [29]Mellor D, Stokes M, Firth L, Hayashi Y, Cummins R: Need to belonging, relationship satisfaction, loneliness, and life satisfaction. Pers Indiv Differ 2008, 45:213-218.
  • [30]Agbaria Q, Ronen T, Hamama L: The link between developmental components (age and gender), need to belong and resources of self-control and feelings of happiness, and frequency of symptoms among Arab adolescents in Israel. Child Youth Serv Rev 2012, 34:2018-2027.
  • [31]Reichl C, Schneider JF, Spinath FM: Relation of self-talk frequency to loneliness, need to belong, and health in German adults. Pers Indiv Differ 2013, 54:241-245.
  • [32]Boe T, Overland S, Lundervold AJ, Hysing M: Socioeconomic status and children's mental health: results from the Bergen Child Study. Soc Psychiatry Psychiatr Epidemiol 2012, 47:1557-1566.
  • [33]Erginoz E, Alikasifoglu M, Ercan O, Uysal O, Ercan G, Albayrak Kaymak D, Ilter O: Perceived health status in a Turkish adolescent sample: risk and protective factors. Eur J Pediatr 2004, 163:485-494.
  • [34]Park AL, Fuhrer R, Quesnel-Vallee A: Parents' education and the risk of major depression in early adulthood. Soc Psychiatry Psychiatr Epidemiol 2013, 48:1829-1839.
  • [35]Dooley M, Stewart J: Family income, parenting styles and child behavioural-emotional outcomes. Health Econ 2007, 16:145-162.
  • [36]Emerson E, Graham H, Hatton C: Household income and health status in children and adolescents in Britain. Eur J Public Health 2006, 16:354-360.
  • [37]Chau K, Baumann M, Chau N: Socioeconomic inequities patterns of multi-morbidity in early adolescence. Int J Equity Health 2013, 12:65. BioMed Central Full Text
  • [38]Pueyo MJ, Serra-Sutton V, Alonso J, Starfield B, Rajmil L: Self-reported social class in adolescents: validity and relationship with gradients in self-reported health. BMC Health Serv Res 2007, 7:151. BioMed Central Full Text
  • [39]Starfield B, Riley AW, Witt WP, Robertson J: Social class gradients in health during adolescence. J Epidemiol Community Health 2002, 56:354-361.
  • [40]Shanmugasegaram S, Oh P, Reid RD, McCumber T, Grace SL: Cardiac rehabilitation barriers by rurality and socioeconomic status: a cross-sectional study. Int J Equity Health 2013, 12:72. BioMed Central Full Text
  • [41]McLaughlin KA, Costello EJ, Leblanc W, Sampson NA, Kessler RC: Socioeconomic status and adolescent mental disorders. Am J Public Health 2012, 102:1742-1750.
  • [42]Health Behaviour in School-aged Children (HBSC): A WHO-collaborative Cross-National Study National Report 2010. National Institute of Child Health, Budapest; 2012.
  • [43]Santesso DL, Schmidt LA, Fox NA: Are shyness and sociability still a dangerous combination for substance use? Evidence from a US and Canadian sample. Pers Indiv Differ 2004, 37:5-17.
  • [44]Russell D, Peplau LA, Cutrona CE: The revised UCLA Loneliness Scale: concurrent and discriminant validity evidence. J Pers Soc Psychol 1980, 39:472-480.
  • [45]Rosenberg M: Conceiving the Self. Basic Book, New York; 1979.
  • [46]Pikó B, Barabás K, Boda K: Frequency of common psychosomatic symptoms and its influence on self- perceived health in a Hungarian student population. Eur J Public Health 1997, 7:243-247.
  • [47][http://www.ksh.hu/stadat_annual_2_6] webcite Hungarian Central Statistical Office: STADAT Tables - Education. []
  • [48]McLaughlin KA, Breslau J, Green JG, Lakoma MD, Sampson NA, Zaslavsky AM, Kessler RC: Childhood socio-economic status and the onset, persistence, and severity of DSM-IV mental disorders in a US national sample. Soc Sci Med 2011, 73:1088-1096.
  • [49]Bowden MP, Doughney J: Socio-economic status, cultural diversity and the aspirations of secondary students in the Western Suburbs of Melbourne, Australia. High Educ 2009, 59:115-129.
  • [50]Madarasova Geckova A, Tavel P, van Dijk JP, Abel T, Reijneveld SA: Factors associated with educational aspirations among adolescents: cues to counteract socioeconomic differences? BMC Public Health 2010, 10:154. BioMed Central Full Text
  • [51]Harrison F: Aspirations as related to school performance and Socioeconomic Status. Sociometry 1969, 32:70-79.
  • [52]Mörk E, Sjörgen A, Svaleryd H: Parental unempployment and child health. Cesifo Econ Stud 2014, 60:366-401.
  • [53]Byck GR, Bolland J, Dick D, Ashbeck AW, Mustanski BS: Prevalence of mental health disorders among low-income African American adolescents. Soc Psychiatry Psychiatr Epidemiol 2013, 48:1555-1567.
  • [54]Mackenbach JP, Stirbu I, Roskam AJ, Schaap MM, Menvielle G, Leinsalu M, Kunst AE: Socioeconomic inequalities in health in 22 European countries. N Engl J Med 2008, 358:2468-2481.
  • [55]Marmot M, Allen J, Bell R, Bloomer E, Goldblatt P: WHO European review of social determinants of health and the health divide. Lancet 2012, 380:1011-1029.
  • [56]Pinto-Meza A, Moneta MV, Alonso J, Angermeyer MC, Bruffaerts R, de Almeida JM C, de Girolamo G, de Graaf R, Florescu S, Kovess Masfety V, O'Neill S, Vassilev S, Haro JM: Social inequalities in mental health: results from the EU contribution to the World Mental Health Surveys Initiative. Soc Psychiatry Psychiatr Epidemiol 2013, 48:173-181.
  • [57]Rajmil L, Herdman M, Ravens-Sieberer U, Erhart M, Alonso J: Socioeconomic inequalities in mental health and health-related quality of life (HRQOL) in children and adolescents from 11 European countries. Int J Public Health 2014, 59:95-105.
  • [58]Zambon A, Boyce W, Cois E, Currie C, Lemma P, Dalmasso P, Borraccino A, Cavallo F: Do welfare regimes mediate the effect of socioeconomic position on health in adolescence? A Cross-national comparison in Europe, North America, and Israel. Int J Health Serv 2006, 36:309-329.
  • [59]Mental Health Promotion. Case Studies from Countries. A Joint Publication of the World Federation for Mental Health and the World Health Organization. World Health Organization, Geneva; 2004.
  • [60]Mittelmark M, Puska P, O’Byrne D, Tang K: Health and health promotion. In Promoting Mental Health: Concepts, Emerging Evidence, Practice: Summary Report/A Report from the World. Edited by Herrman H, Saxena S, Moodie R. World Health Organization, Geneva; 2004:16-19.
  • [61]Raphael B, Schmolke M, Wooding S: Links between mental and physical health and illness. In Promoting Mental Health: Concepts, Emerging Evidence, Practice: A Report of the World Health Organization, Department of Mental Health and Substance Abuse in Collaboration with the Victorian Health Promotion Foundation and the University of Melbourne. Edited by Herrman H, Saxena S, Moodie R. World Health Organization, Geneva; 2005:132-148.
  • [62]Danese A, Moffitt TE, Harrington H, Milne BJ, Polanczyk G, Pariante CM, Poulton R, Caspi A: Adverse childhood experiences and adult risk factors for age-related disease: depression, inflammation, and clustering of metabolic risk markers. Arch Pediatr Adolesc Med 2009, 163:1135-1143.
  文献评价指标  
  下载次数:12次 浏览次数:11次