Subjective Socioeconomic Status and Adolescent Health: A Meta-Analysis
Subjective Socioeconomic Status and Adolescent Health: A Meta-Analysis
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DOI：
10.1037/a0033716
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发表时间：
2014-05-01
影响因子：
4.2
通讯作者：
McGrath, Jennifer J.
中科院分区：
文献类型：
--
作者：
Quon, Elizabeth C.;McGrath, Jennifer J.
目的：全面、定量地研究青少年主观社会经济地位（SES）与健康结果之间的关系。方法：44项研究符合纳入荟萃分析的标准。从每项研究中提取研究质量、人口统计学、主观SES、健康结局和协变量的信息。Fisher's Z被选为研究间的共同效应量指标。采用随机效应荟萃分析模型，并生成故障安全数字以解决发表偏倚。结果：总体而言，主观SES与青春期健康相关（Fisher's Z = 0.10）。影响的程度因健康结果的类型而异，对心理健康结果，自我评定的健康和一般健康症状观察到较大的影响;对健康和物质使用相关健康行为的生物标志物观察到非显著影响。在回顾的研究中采用的主观SES的措施，财政限制的看法，是最强烈的青少年健康的结果。协变量的分析表明，客观SES协变量的纳入并不影响主观SES和健康之间的关联。结论：这项荟萃分析对青少年主观SES的测量，主观和客观SES的概念化，以及SES与青少年健康之间的途径有影响。
Objective: To comprehensively and quantitatively examine the association between subjective socioeconomic status (SES) and health outcomes during adolescence. Methods: Forty-four studies met criteria for inclusion in the meta-analysis. Information on study quality, demographics, subjective SES, health outcomes, and covariates were extracted from each study. Fisher's Z was selected as the common effect size metric across studies. Random-effect meta-analytic models were employed and fail-safe numbers were generated to address publication bias. Results: Overall, subjective SES was associated with health during adolescence (Fisher's Z = .10). The magnitude of the effect varied by type of health outcome, with larger effects observed for mental health outcomes, self-rated health, and general health symptoms; and nonsignificant effects observed for biomarkers of health and substance-use-related health behaviors. Of the measures of subjective SES employed in the reviewed studies, perception of financial constraints, was most strongly associated with adolescent health outcomes. Analysis of covariates indicated that inclusion of objective SES covariates did not affect the association between subjective SES and health. Conclusions: This meta-analysis has implications for the measurement of subjective SES in adolescents, for the conceptualization of subjective and objective SES, and for the pathways between SES and health in adolescents.