ABSTRACT. Objective. Eliminating health disparities, including those that are a result of socioeconomic status (SES), is one of the overarching goals of Healthy People 2010. This article reports on the development of a new, adolescent-specific measure of subjective social status (SSS) and on initial exploratory analyses of the relationship of SSS to adolescents' physical and psychological health.Methods. A cross-sectional study of 10 843 adolescents and a subsample of 166 paired adolescent/mother dyads who participated in the Growing Up Today Study was conducted. The newly developed MacArthur Scale of Subjective Social Status (10-point scale) was used to measure SSS. Paternal education was the measure of SES. Indicators of psychological and physical health included depressive symptoms and obesity, respectively. Linear regression analyses determined the association of SSS to depressive symptoms, and logistic regression determined the association of SSS to overweight and obesity, controlling for sociodemographic factors and SES.Results. Mean society ladder ranking, a subjective measure of SES, was 7.2 ؎ 1.3. Mean community ladder ranking, a measure of perceived placement in the school community, was 7.6 ؎ 1.7. Reliability of the instrument was excellent: the intraclass correlation coefficient was 0.73 for the society ladder and 0.79 for the community ladder. Adolescents had higher society ladder rankings than their mothers ( teen ؍ 7.2 ؎ 1.3 vs mom ؍ 6.8 ؎ 1.2; P ؍ .002). Older adolescents' perceptions of familial placement in society were more closely correlated with maternal subjective perceptions of placement than those of younger adolescents (Spearman's rho teens <15 years ؍ 0.31 vs Spearman's rho teens >15 years ؍ 0.45; P < .001 for both). SSS explained 9.9% of the variance in depressive symptoms and was independently associated with obesity (odds ratio society ؍ 0.89, 95% confidence interval ؍ 0.83, 0.95; odds ratio community ؍ 0.91, 95% confidence interval ؍ 0.87, 0.97). For both depressive symptoms and obesity, community ladder rankings were more strongly associated with health than were society ladder rankings in models that controlled for both domains of SSS. T he elimination of health disparities among different population segments, including differences related to socioeconomic status (SES), is the second overarching goal of Healthy People 2010. Recently, the American Academy of Pediatrics also recognized and highlighted the importance of addressing SES as an causative agent in the creation of health differentials and called for additional research to understand the impact of SES across the life course. 1 The inverse, graded relationship between SES and infant, child, and adult health is well established. [2][3][4][5][6][7][8][9][10][11] However, among adolescents, the SES gradient in health is present inconsistently. 12-15 A number of models have been proposed to explain the different patterning of SES effects on adolescent health. 2,16 Choosing the most appropriate model(s) has been...