Socioeconomic inequalities in adolescent health behaviours across 32 different countries – The role of country-level social mobility

Schmengler, Heiko; Peeters, Margot; Stevens, Gonneke W. J. M.; Kunst, Anton E.; Delaruelle, Katrijn; Dierckens, Maxim; Charrier, Lorena; Weinberg, Dominic; Oldehinkel, Albertine J.; Vollebergh, Wilma

doi:10.1016/j.socscimed.2022.115289

Cited by 8 publications

(9 citation statements)

References 63 publications

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“…Some earlier studies have indicated that a migration background can be a risk factor for health problems and low HRQoL [18,28]. However, results have varied in the literature, with some studies indicating more similarities, and even higher mental health scores and HRQoL, among immigrant children compared with their nonimmigrant peers [29][30][31][32]. This variation has also been documented across ethnic groups [32].…”

Section: Discussionmentioning

confidence: 98%

Health-related quality of life of children from low-income families,The New Patterns study

Haraldstad

Abildsnes

Bøe

et al. 2023

Preprint

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Background Child poverty has been gradually rising, so that about 12% of all Norwegian children are living in a state of relative poverty. This study was part of the New Patterns project, which recruits low-income families requiring long-term welfare services. Included families receive integrated welfare services, with the help of a family coordinator. The current study objectives were to describe health-related quality of life (HRQoL) in a sample of children and adolescents participating in the New Patterns project (baseline) and to explore the relations among age, background, participation in leisure activities, and HRQoL. Methods Participating families had children (N=214) aged 0–18 years, a three-year averaged household income below 60% of the equivalized median population income and needed long-term welfare services. HRQoL was measured using the KIDSCREEN-27 self-report instrument. Descriptive statistics, including means, standard deviations, and proportions, were calculated, and ordinary least squares regressions were performed, clustering standard errors at the family level. Results Compared with boys, girls reported lower HRQoL on all dimensions, and older children reported significantly lower HRQoL levels on the physical well-being and school environment dimensions than younger children. Children with immigrant backgrounds reported higher HRQoL than did children without immigrant backgrounds, even when controlling for gender, age, and participation in leisure activities. Conclusions Overall, the participating children reported good HRQoL. However, substantial variations within HRQoL dimensions were observed, indicating that some participants had lower HRQoL scores, especially on the physical and social support dimensions. Children with immigrant backgrounds reported significantly higher HRQoL than children without an immigrant background.

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Section: Discussionmentioning

confidence: 98%

Health-related quality of life of children from low-income families,The New Patterns study

Haraldstad

Abildsnes

Bøe

et al. 2023

Preprint

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show abstract

“…After adjusting for insurance type and disease severity, asthma controller use was the main mechanism through which SES affects asthma control ( 31 ). Adherence can be associated with the beliefs that parents have about medications, perceived requirements for treatment, understanding about medications or environmental factors, all of which may be related to SES ( 32 ). This may contribute to underutilization of asthma controllers in low-income segments of the population.…”

Section: Discussionmentioning

confidence: 99%

“…SES can directly affect access to medical services ( 38 ). Familial factors can also have various relevant effects; for example, whether both parents are employed, whether the family is a single-parent household, and whether the parents have illnesses or disabilities that may affect childrearing ( 11 , 32 ). Meanwhile higher family affluence has been strongly associated with higher levels of adolescent physical activity ( 32 ).…”

Section: Discussionmentioning

confidence: 99%

“…Familial factors can also have various relevant effects; for example, whether both parents are employed, whether the family is a single-parent household, and whether the parents have illnesses or disabilities that may affect childrearing ( 11 , 32 ). Meanwhile higher family affluence has been strongly associated with higher levels of adolescent physical activity ( 32 ). Adolescents with lower cardiorespiratory fitness have been shown to have poorer lung function and a higher risk of asthma ( 39 ).…”

Section: Discussionmentioning

confidence: 99%

“…Adolescents with lower cardiorespiratory fitness have been shown to have poorer lung function and a higher risk of asthma ( 39 ). Bronchial asthma is a chronic disease that requires life-long control measures and regular monitoring; it can be expected that the control and management of asthma is more likely to be poorly supported among children from lower-income families ( 11 , 32 ).…”

Section: Discussionmentioning

confidence: 99%

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The relationship between childhood asthma and socioeconomic status: a Korean nationwide population-based study

Lee

Hwang

Ryu

et al. 2023

Front. Public Health

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PurposeThis study aimed to investigate associations of socioeconomic status (SES) with asthma exacerbation and asthma-related hospital utilization factors among children with asthma in the Republic of Korea.MethodsThis study retrospectively analyzed population-level data from the Korean National Health Insurance Service, collected from 2013 through 2019. SES was classified into five categories according to the national health insurance premiums quantiles (0 [lowest] to 4 [highest]). The hazard ratios (HRs) for asthma exacerbation, emergency department (ED) visits, hospital admission, and intensive care unit (ICU) admission were analyzed with respect to SES.ResultsAmong the five SES groups, SES group 0 (medical aid), had the highest tallies and proportions of children who experienced asthma exacerbations (n = 1,682, 4.8%), ED visits (n = 932, 2.6%), hospital admission (n = 2,734, 7.7%) and ICU admission (n = 14, 0.04%). Compared with SES group 4, SES group 0 had adjusted HRs of 3.73 (p = 0.0113) and 1.04 (p < 0.0001) for ventilator support/tracheal intubation and administration of systemic corticosteroids, respectively. Relative to group 4, the adjusted HRs for ED visits, hospital admission, and ICU admission in group 0 were 1.88 (p < 0.0001), 2.20 (p < 0.0001), and 7.12 (p < 0.0001), respectively. In the survival analysis, group 0 had a significantly higher risk of ED presentation, hospital admission, and ICU admission than the other groups (log-rank p < 0.001).ConclusionCompared with children of higher SES, those in the lowest SES group had increased risk of asthma exacerbation, hospital admission, and receiving treatment for severe asthma symptoms.

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Using geospatial trajectories to explore how the COVID-19 pandemic affects the associations between environmental attributes and runnability of park trails

Huang,

He,

Liu

2023

Health & Place

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Socioeconomic inequalities in adolescent health behaviours across 32 different countries – The role of country-level social mobility

Cited by 8 publications

References 63 publications

Health-related quality of life of children from low-income families,The New Patterns study

Health-related quality of life of children from low-income families,The New Patterns study

The relationship between childhood asthma and socioeconomic status: a Korean nationwide population-based study

Using geospatial trajectories to explore how the COVID-19 pandemic affects the associations between environmental attributes and runnability of park trails

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