Socioeconomic determinants of health related quality of life in childhood and adolescence: results from a European study

Rueden, Ursula von; Gosch, Angela; Rajmil, Luís; Bisegger, Corinna; Ravens‐Sieberer, Ulrike

doi:10.1136/jech.2005.039792

Cited by 384 publications

(320 citation statements)

References 33 publications

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“…We can also examine the extent to which well-being is affected by gender, health status, age and the presence of children. Many studies have found that socio-demographic factors play an important role in explaining inter-individual variability in well-being 14,15,16 and depressive symptoms 17,18 , as well as in physical morbidity 19,20,21,22 .…”

Section: Socio-demographic Factors and Labour Market Characteristicsmentioning

confidence: 99%

The distribution of wellbeing in Ireland

Delaney

Doyle

McKenzie

et al. 2009

Ir. j. psychol. Med.

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Objectives: There is a substantial knowledge gap about the distribution of mental heath in community populations. The European Social Survey is particularly useful as it contains information on over 40,000 individuals, including 2,286 Irish adults. The objective of this study is to conduct a large scale statistical analysis to examine the distribution and determinants of mental well-being in a large representative sample of the Irish population.Method: Analysis of the European Social Survey using robust multiple linear and non-linear regression techniques. The data-set contains WHO-5 scores and subjective well-being for a sample of 2,286 Irish people interviewed in their homes in 2005.Results: Ireland has the second highest average WHO-5 score among the 22 countries in the European Social Survey. Multiple linear regression analysis across the distribution of WHO-5 reveals a well-being gradient largely related to education and social capital variables. A probit model examining the determinants of vulnerability to psychiatric morbidity reveals that a similar set of factors predict scores below the threshold point on the WHO-5 scale. Conclusions:The results are consistent with marked differences in mental well-being across education levels and variables relating to social capital factors. Such indicators provide a useful index for policy-makers and researchers. However, much further work is needed to identify causal mechanisms generating observed differences in mental health across different socioeconomic groups.

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Section: Socio-demographic Factors and Labour Market Characteristicsmentioning

confidence: 99%

The distribution of wellbeing in Ireland

Delaney

Doyle

McKenzie

et al. 2009

Ir. j. psychol. Med.

View full text Add to dashboard Cite

show abstract

“…Although it may be assumed that public social security systems, as they exist in Germany, ensure universal access to health care services, inequalities have been described in countries with well-developed social security systems [1,5,8,10,11,18,19]. For example, the participation rate in regular health check-up examinations during childhood which are nationally recommended in Germany and covered by the health insurance has shown to be up to 20 % lower in families with a low socio-economic status compared to families with a high socio-economic status [5,10].…”

Section: Introductionmentioning

confidence: 99%

The influence of migratory background and parental education on health care utilisation of children

Rosenkötter

Dongen

Hellmeier³

et al. 2012

Eur J Pediatr

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School-entry screening data from North RhineWestphalia (NRW), Germany from 2007 were used to investigate child health care utilisation. We focussed on the influence of migratory background and parental education on children's (1) participation in regularly scheduled early recognition examinations, (2) immunisation uptake and (3) referrals due to a school-entry screen-detected complaint. The study sample consisted of 52,171 children out of 17 NRW districts. Bivariable, stratified and multivariable analyses were performed to identify relevant associations between social determinants and health care utilisation outcome parameters. Multivariable logistic regression showed that children belonging to families with a migratory background or low parental education were more likely to have an incomplete documentation of early recognition examinations and to be referred due to a new diagnosis. Children with migratory background were more likely to be sufficiently immunised than children with parents of German ethnicity. For all studied health care utilisation outcomes, kindergarten visit had a supportive effect. Conclusion: In general, the results of our regional study were in line with the results from national populationbased studies. Additionally, a larger likelihood of referrals due to school-screen-detected deficits in children with migratory background or low parental education was detected.

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“…More specifically, the educational level of the parents and family wealth (material factors such as computers, leisure, books, etc.) are relevant to predict well-being in adolescence (Von Rueden et al, 2006). This is an important aspect that deserves attention from policy makers and social entrepreneurs, since low socioeconomic status among parents can contribute to poor childhood health outcomes (Perreira and Ornelas, 2011).…”

Section: Discussionmentioning

confidence: 99%

A comparative study on the health and well-being of adolescent immigrants in Spain and Portugal

et al. 2013

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The terms on which the integration of new generations of immigrants into Portuguese and Spanish societies happens will have a decisive influence in the future of both countries. Therefore, promoting their health, well-being, and psychosocial adaptation is a matter of strategic interest. This paper analyses psychosocial factors associated with well--being and psychological adjustment on a sample of 108 adolescents (55 males and 53 females), children of immigrants from Huelva (Spain) and Algarve (Portugal), aged between 10 and 17 years. Adolescents were assessed for demographic characteristics and perceived well-being. We used the "KIDSCREEN-5", a self-report questionnaire that yields detailed profile information for children aged 8 to 18 years for the following ten dimensions: Physical well-being, Psychological well-being, Moods and emotions, Self--perception, Autonomy, Parental relationships and home life, Financial resources, Social support and peers, School environment, and Social acceptance (Bullying). Overall, significant differences were found between the Spanish and Portuguese samples on physical well-being, psychological well-being, mood, financial resources and social acceptance (bullying). Boys perceived themselves as having a better physical well-being than girls. Mothers' educational level was associated with psychological well-being and mood. Also, results suggested that residence location and other socio-demographical variables were not associated with the adolescents' well-being and psychological adjustment.

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Socioeconomic determinants of health related quality of life in childhood and adolescence: results from a European study

Abstract: There is evidence to suggest that exposure to low parental educational status may result in a decreased HRQoL in childhood, whereas reduced access to material (and thereby social) resources may lead to a lower HRQoL especially in adolescence.

Cited by 384 publications

References 33 publications

The distribution of wellbeing in Ireland

The distribution of wellbeing in Ireland

The influence of migratory background and parental education on health care utilisation of children

A comparative study on the health and well-being of adolescent immigrants in Spain and Portugal

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