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Direct and Indirect Influences of Objective Socioeconomic Position on Adolescent Health: The Mediating Roles of Subjective Socioeconomic Status and Lifestyles

Author

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  • Concepción Moreno-Maldonado

    (Department of Developmental and Educational Psychology, University of Seville, 41018 Seville, Spain)

  • Pilar Ramos

    (Department of Developmental and Educational Psychology, University of Seville, 41018 Seville, Spain)

  • Carmen Moreno

    (Department of Developmental and Educational Psychology, University of Seville, 41018 Seville, Spain)

  • Francisco Rivera

    (Department of Experimental Psychology, University of Seville, 41018 Seville, Spain)

Abstract

The use of composite indices and subjective measures to evaluate socioeconomic position, taking into account the effect of inequalities on adolescent health-related behaviors, can contribute to understanding the effect of inequalities on health during adolescence. The aim of this study was to examine the direct and indirect contribution of objective and subjective socioeconomic factors in a broad range of health and lifestyles outcomes. The data come from a representative sample of adolescents ( N = 15,340; M age = 13.69) of the Health Behavior in School-aged Children study in Spain. Structural equation modeling was used for data analysis. A global index for evaluating objective socioeconomic position predicted both health and healthy lifestyles. Subjective socioeconomic status mediated the relationship between objective socioeconomic position and health but did not have a significant effect on healthy lifestyles when objective indicators were considered. Lastly, fit indices of the multiple-mediator model—including the direct effect of objective socioeconomic position on health and its indirect effects through the subjective perception of wealth and lifestyles—explained 28.7% of global health variance. Interventions aimed at reducing the impact of health inequalities should address, in addition to material deprivation, the psychological and behavioral consequences of feeling poor.

Suggested Citation

  • Concepción Moreno-Maldonado & Pilar Ramos & Carmen Moreno & Francisco Rivera, 2019. "Direct and Indirect Influences of Objective Socioeconomic Position on Adolescent Health: The Mediating Roles of Subjective Socioeconomic Status and Lifestyles," IJERPH, MDPI, vol. 16(9), pages 1-21, May.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:9:p:1637-:d:230102
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    References listed on IDEAS

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    1. Richter, Matthias & Erhart, Michael & Vereecken, Carine A. & Zambon, Alessio & Boyce, William & Gabhainn, Saoirse Nic, 2009. "The role of behavioural factors in explaining socio-economic differences in adolescent health: A multilevel study in 33 countries," Social Science & Medicine, Elsevier, vol. 69(3), pages 396-403, August.
    2. Borg, Vilhelm & Kristensen, Tage S., 2000. "Social class and self-rated health: can the gradient be explained by differences in life style or work environment?," Social Science & Medicine, Elsevier, vol. 51(7), pages 1019-1030, October.
    3. Concepción Moreno-Maldonado & Francisco Rivera & Pilar Ramos & Carmen Moreno, 2018. "Measuring the Socioeconomic Position of Adolescents: A Proposal for a Composite Index," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 136(2), pages 517-538, April.
    4. Wilkinson, Richard G & Pickett, Kate E., 2006. "Income inequality and population health: A review and explanation of the evidence," Social Science & Medicine, Elsevier, vol. 62(7), pages 1768-1784, April.
    5. West, Patrick, 1997. "Health inequalities in the early years: Is there equalisation in youth?," Social Science & Medicine, Elsevier, vol. 44(6), pages 833-858, March.
    6. Thrane, Christer, 2006. "Explaining educational-related inequalities in health: Mediation and moderator models," Social Science & Medicine, Elsevier, vol. 62(2), pages 467-478, January.
    7. Sweeting, Helen & Hunt, Kate, 2014. "Adolescent socio-economic and school-based social status, health and well-being," Social Science & Medicine, Elsevier, vol. 121(C), pages 39-47.
    8. Chris Roberts & J. Freeman & O. Samdal & C. Schnohr & M. Looze & S. Nic Gabhainn & R. Iannotti & M. Rasmussen, 2009. "The Health Behaviour in School-aged Children (HBSC) study: methodological developments and current tensions," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 54(2), pages 140-150, September.
    9. Reiss, Franziska, 2013. "Socioeconomic inequalities and mental health problems in children and adolescents: A systematic review," Social Science & Medicine, Elsevier, vol. 90(C), pages 24-31.
    10. Frank J. Elgar & Britt McKinnon & Torbjørn Torsheim & Christina Warrer Schnohr & Joanna Mazur & Franco Cavallo & Candace Currie, 2016. "Patterns of Socioeconomic Inequality in Adolescent Health Differ According to the Measure of Socioeconomic Position," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 127(3), pages 1169-1180, July.
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