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Psychological distress in late adolescence: The role of inequalities in family affluence and municipal socioeconomic characteristics in Norway

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  • Tommy Haugan
  • Sally Muggleton
  • Arnhild Myhr

Abstract

The present study aims to explore, in the national context of Norway, how municipal socioeconomic indicators affect anxiety and depressive symptom scores among senior high school students and whether this potential municipal effect is dependent on the adolescents’ family affluence levels. This cross-sectional study is based on questionnaire data collected in five waves (2014–2018) of the Ungdata survey. The study sample consisted of 97,460 adolescents aged 16–18 years attending high school in 156 municipalities in Norway. Measures of psychological distress, depression, and anxiety symptoms were based on the screening instrument, Hopkins Symptom Checklist-10. Two-level random intercept models were fitted to distinguish the individual and municipality sources of variation in adolescents’ mental health. In general, the results indicate substantial psychological symptom load among the study sample. Inequalities in adolescents’ psychological distress between family affluence groups were evident, with the lowest symptom loads in the most affluent families. The predicted depressive and anxiety symptoms among the students increased slightly along with the percentage of municipal residents with tertiary educations and with increasing income inequalities in their residential municipality. However, the interaction models suggest that the adverse effects of higher municipal education level and greater income inequality are, to a certain extent, steepest for adolescents with medium family affluence. This study highlights two key findings. Both municipality effects and family affluence account for a relatively small proportion of the total variance in the students’ psychological symptoms loads; however, the mental health inequalities we explored between socioeconomic strata on both the individual and municipal levels are not insignificant in a public health perspective. Results are discussed in the context of psychosocial mechanisms related to social comparison and perceptions of social status that may be applicable in egalitarian welfare states such as Norway.

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  • 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.
    • Handle: RePEc:plo:pone00:0254033
    DOI: 10.1371/journal.pone.0254033
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    1. Adler, Nancy & Singh-Manoux, Archana & Schwartz, Joseph & Stewart, Judith & Matthews, Karen & Marmot, Michael G., 2008. "Social status and health: A comparison of British civil servants in Whitehall-II with European- and African-Americans in CARDIA," Social Science & Medicine, Elsevier, vol. 66(5), pages 1034-1045, March.
    2. Kravdal, Øystein, 2008. "A broader perspective on education and mortality: Are we influenced by other people's education?," Social Science & Medicine, Elsevier, vol. 66(3), pages 620-636, February.
    3. Lynch, J. W. & Kaplan, G. A. & Salonen, J. T., 1997. "Why do poor people behave poorly? Variation in adult health behaviours and psychosocial characteristics by stages of the socioeconomic lifecourse," Social Science & Medicine, Elsevier, vol. 44(6), pages 809-819, March.
    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. Singh-Manoux, Archana & Adler, Nancy E. & Marmot, Michael G., 2003. "Subjective social status: its determinants and its association with measures of ill-health in the Whitehall II study," Social Science & Medicine, Elsevier, vol. 56(6), pages 1321-1333, March.
    6. Satvinder Dhingra & Tara Strine & James Holt & Joyce Berry & Ali Mokdad, 2009. "Rural-urban variations in psychological distress: findings from the Behavioral Risk Factor Surveillance System, 2007," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 54(1), pages 16-22, June.
    7. Torsheim, Torbjorn & Currie, Candace & Boyce, William & Kalnins, Ilze & Overpeck, Mary & Haugland, Siren, 2004. "Material deprivation and self-rated health: a multilevel study of adolescents from 22 European and North American countries," Social Science & Medicine, Elsevier, vol. 59(1), pages 1-12, July.
    8. Currie, Candace & Molcho, Michal & Boyce, William & Holstein, Bjørn & Torsheim, Torbjørn & Richter, Matthias, 2008. "Researching health inequalities in adolescents: The development of the Health Behaviour in School-Aged Children (HBSC) Family Affluence Scale," Social Science & Medicine, Elsevier, vol. 66(6), pages 1429-1436, March.
    9. Macintyre, Sally & West, Patrick, 1991. "Lack of class variation in health in adolescence: An artefact of an occupational measure of social class?," Social Science & Medicine, Elsevier, vol. 32(4), pages 395-402, January.
    10. Mishra, Sandeep & Carleton, R. Nicholas, 2015. "Subjective relative deprivation is associated with poorer physical and mental health," Social Science & Medicine, Elsevier, vol. 147(C), pages 144-149.
    11. Santiago, Catherine DeCarlo & Wadsworth, Martha E. & Stump, Jessica, 2011. "Socioeconomic status, neighborhood disadvantage, and poverty-related stress: Prospective effects on psychological syndromes among diverse low-income families," Journal of Economic Psychology, Elsevier, vol. 32(2), pages 218-230, March.
    12. Lubhana Malik Mental, 2019. "Mental Health in Adolescents," Global Journal of Intellectual & Developmental Disabilities, Juniper Publishers Inc., vol. 6(3), pages 45-46, March.
    13. Diez Roux, A.V., 2001. "Investigating neighborhood and area effects on health," American Journal of Public Health, American Public Health Association, vol. 91(11), pages 1783-1789.
    14. Thomas Potrebny & Nora Wiium & Anne Haugstvedt & Ragnhild Sollesnes & Torbjørn Torsheim & Bente Wold & Frode Thuen, 2019. "Health complaints among adolescents in Norway: A twenty-year perspective on trends," PLOS ONE, Public Library of Science, vol. 14(1), pages 1-10, January.
    15. Pickett, Kate E. & Wilkinson, Richard G., 2015. "Income inequality and health: A causal review," Social Science & Medicine, Elsevier, vol. 128(C), pages 316-326.
    16. 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.
    17. 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.
    18. Högberg, Björn & Strandh, Mattias & Hagquist, Curt, 2020. "Gender and secular trends in adolescent mental health over 24 years – The role of school-related stress," Social Science & Medicine, Elsevier, vol. 250(C).
    19. Milligan, Kevin & Moretti, Enrico & Oreopoulos, Philip, 2004. "Does education improve citizenship? Evidence from the United States and the United Kingdom," Journal of Public Economics, Elsevier, vol. 88(9-10), pages 1667-1695, August.
    20. Boyle, Paul & Norman, Paul & Rees, Philip, 2004. "Changing places. Do changes in the relative deprivation of areas influence limiting long-term illness and mortality among non-migrant people living in non-deprived households?," Social Science & Medicine, Elsevier, vol. 58(12), pages 2459-2471, June.
    21. Kawachi, I. & Kennedy, B.P. & Lochner, K. & Prothrow-Stith, D., 1997. "Social capital, income inequality, and mortality," American Journal of Public Health, American Public Health Association, vol. 87(9), pages 1491-1498.
    22. Chen, Edith & Martin, Andrew D. & Matthews, Karen A., 2006. "Socioeconomic status and health: Do gradients differ within childhood and adolescence?," Social Science & Medicine, Elsevier, vol. 62(9), pages 2161-2170, May.
    23. Adjaye-Gbewonyo, Kafui & Kawachi, Ichiro, 2012. "Use of the Yitzhaki Index as a test of relative deprivation for health outcomes: A review of recent literature," Social Science & Medicine, Elsevier, vol. 75(1), pages 129-137.
    24. West, Patrick & Sweeting, Helen, 2004. "Evidence on equalisation in health in youth from the West of Scotland," Social Science & Medicine, Elsevier, vol. 59(1), pages 13-27, July.
    25. Chen, Zhuo & Gotway Crawford, Carol A., 2012. "The role of geographic scale in testing the income inequality hypothesis as an explanation of health disparities," Social Science & Medicine, Elsevier, vol. 75(6), pages 1022-1031.
    26. Almog, Michael & Curtis, Sarah & Copeland, Alison & Congdon, Peter, 2004. "Geographical variation in acute psychiatric admissions within New York City 1990-2000: growing inequalities in service use?," Social Science & Medicine, Elsevier, vol. 59(2), pages 361-376, July.
    27. 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.
    28. 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.
    29. Sweet, E., 2011. "Symbolic capital, consumption, and health inequality," American Journal of Public Health, American Public Health Association, vol. 101(2), pages 260-264.
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