IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v16y2019i9p1637-d230102.html
   My bibliography  Save this article

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

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/16/9/1637/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/16/9/1637/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. 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.
    2. 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.
    3. Thrane, Christer, 2006. "Explaining educational-related inequalities in health: Mediation and moderator models," Social Science & Medicine, Elsevier, vol. 62(2), pages 467-478, January.
    4. 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.
    5. 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.
    6. 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.
    7. 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.
    8. 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.
    9. 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.
    10. 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.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Tommy Haugan & Sally Muggleton & Arnhild Myhr, 2021. "Psychological distress in late adolescence: The role of inequalities in family affluence and municipal socioeconomic characteristics in Norway," PLOS ONE, Public Library of Science, vol. 16(7), pages 1-25, July.
    2. Nielsen, Line & Koushede, Vibeke & Vinther-Larsen, Mathilde & Bendtsen, Pernille & Ersbøll, Annette Kjær & Due, Pernille & Holstein, Bjørn E., 2015. "Does school social capital modify socioeconomic inequality in mental health? A multi-level analysis in Danish schools," Social Science & Medicine, Elsevier, vol. 140(C), pages 35-43.
    3. Concepción Moreno-Maldonado & Antonia Jiménez-Iglesias & Francisco Rivera & Carmen Moreno, 2020. "Characterization of Resilient Adolescents in the Context of Parental Unemployment," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 13(2), pages 681-702, April.
    4. Bíró, Éva & Dezső, Dóra & Sándor, János & Ádány, Róza, 2018. "Inequalities in Hungarian adolescents' health, health behaviour and well-being, based upon the results of a cross-sectional survey at settlement level, using the Health Behaviour in School-aged Childr," Children and Youth Services Review, Elsevier, vol. 90(C), pages 15-20.
    5. Yu-Chen Lin, 2011. "Assessing the Use of the Family Affluence Scale as Socioeconomic Indicators for Researching Health Inequalities in Taiwan Adolescents," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 102(3), pages 463-475, July.
    6. 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.
    7. Jon Erik Finnvold, 2019. "How Income Inequality and Immigrant Background Affect children’s Use of Mental Healthcare Services in Oslo, Norway," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 12(6), pages 1881-1896, December.
    8. Zilanawala, Afshin & Sacker, Amanda & Nazroo, James & Kelly, Yvonne, 2015. "Ethnic differences in children's socioemotional difficulties: Findings from the Millennium Cohort Study," Social Science & Medicine, Elsevier, vol. 134(C), pages 95-106.
    9. Mogens Damsgaard & Bjørn Holstein & Vibeke Koushede & Katrine Madsen & Charlotte Meilstrup & Malene Nelausen & Line Nielsen & Signe Rayce, 2014. "Close relations to parents and emotional symptoms among adolescents: beyond socio-economic impact?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(5), pages 721-726, October.
    10. Apolinaras Zaborskis & Monika Grincaite & Michela Lenzi & Riki Tesler & Concepción Moreno-Maldonado & Joanna Mazur, 2019. "Social Inequality in Adolescent Life Satisfaction: Comparison of Measure Approaches and Correlation with Macro-level Indices in 41 Countries," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 141(3), pages 1055-1079, February.
    11. Irene Moor & Thomas Lampert & Katharina Rathmann & Benjamin Kuntz & Petra Kolip & Jacob Spallek & Matthias Richter, 2014. "Explaining educational inequalities in adolescent life satisfaction: do health behaviour and gender matter?," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(2), pages 309-317, April.
    12. Hugh Gravelle & Matt Sutton, 2009. "Income, relative income, and self‐reported health in Britain 1979–2000," Health Economics, John Wiley & Sons, Ltd., vol. 18(2), pages 125-145, February.
    13. Aarestrup, Anne Kristine & Jørgensen, Thea Suldrup & Due, Pernille & Krølner, Rikke, 2014. "A six-step protocol to systematic process evaluation of multicomponent cluster-randomised health promoting interventions illustrated by the Boost study," Evaluation and Program Planning, Elsevier, vol. 46(C), pages 58-71.
    14. Rey, Sergio, 2015. "Bells in Space: The Spatial Dynamics of US Interpersonal and Interregional Income Inequality," MPRA Paper 69482, University Library of Munich, Germany.
    15. Oshio, Takashi & Urakawa, Kunio, 2013. "The association between perceived income inequality and subjective well-being: Evidence from a social survey in Japan," CIS Discussion paper series 579, Center for Intergenerational Studies, Institute of Economic Research, Hitotsubashi University.
    16. Tadadjeu, Sosson & Njangang, Henri & Asongu, Simplice A. & Kamguia, Brice, 2023. "Natural resources, child mortality and governance quality in African countries," Resources Policy, Elsevier, vol. 83(C).
    17. Wong, Irene O.L. & Cowling, Benjamin J. & Lo, Su-Vui & Leung, Gabriel M., 2009. "A multilevel analysis of the effects of neighbourhood income inequality on individual self-rated health in Hong Kong," Social Science & Medicine, Elsevier, vol. 68(1), pages 124-132, January.
    18. Farrokhi, Farid & Jinkins, David, 2019. "Wage inequality and the location of cities," Journal of Urban Economics, Elsevier, vol. 111(C), pages 76-92.
    19. Scott Alan Carson & Scott A. Carson, 2022. "Nineteenth and Early 20th Century Physical Activity and Calories by Gender and Race," CESifo Working Paper Series 10140, CESifo.
    20. Liat Ayalon & Klaus Rothermund, 2018. "Examining the utility of national indicators of relative age disadvantage in Europe," European Journal of Ageing, Springer, vol. 15(2), pages 189-197, June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:16:y:2019:i:9:p:1637-:d:230102. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.