Researching health inequalities in adolescents: The development of the Health Behaviour in School-Aged Children (HBSC) Family Affluence Scale
Researching health inequalities in adolescents: The development of the Health Behaviour in School-Aged Children (HBSC) Family Affluence Scale
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DOI：
10.1016/j.socscimed.2007.11.024
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发表时间：
2008-03-01
影响因子：
5.4
通讯作者：
Richter, Matthias
中科院分区：
文献类型：
--
作者：
Currie, Candace;Molcho, Michal;Richter, Matthias
青少年健康方面的社会经济不平等直到最近才得到很少的研究，部分原因是缺乏针对这一年龄段的适当和商定的措施。衡量青少年社会经济地位(SES)的困难既有概念上的，也有方法上的。从概念上讲，还不清楚父母的SES是否应该被用作代理，如果应该的话，SES的哪个方面最相关。在方法上，父母的SES信息很难从青少年那里获得，导致大量数据缺失。这些问题导致在一项关于青少年健康的国际研究--学龄儿童健康行为研究--的背景下，制定了一项新的衡量标准--家庭富裕量表。本文回顾了该指标在过去10年中的演变，以及它在欧洲和北美30多个国家的国家和跨国水平上检验和解释与健康相关的不平等的效用。我们使用HBSC研究的数据，概述了迄今为止发表的HBSC论文，这些论文考察了与Fas相关的健康和健康行为方面的社会经济不平等。研究结果表明，在个人和国家层面上，在自我报告的健康状况、心身症状、体力活动和饮食习惯方面都存在一致的不平等。最近，其他研究和政策相关研究采用并在某些情况下采用了Fas，并对这项工作进行了回顾。最后，描述了正在进行的I-AS验证工作，以及对该措施未来发展的想法。(C)2007爱思唯尔有限公司。保留所有权利。
Socioeconomic inequalities in adolescent health have been little studied until recently, partly due to the lack of appropriate and agreed upon measures for this age group. The difficulties of measuring adolescent socioeconomic status (SES) are both conceptual and methodological. Conceptually, it is unclear whether parental SES should be used as a proxy, and if so, which aspect of SES is most relevant. Methodologically, parental SES information is difficult to obtain from adolescents resulting in high levels of missing data. These issues led to the devlopment of a new measure, the Family Affluence Scale (FAS), in the context of an international study on adolescent health, the Health Behaviour in School-Aged Children (HBSC) Study. The paper reviews the evolution of the measure over the past 10 years and its utility in examining and explaining health related inequalities at national and cross-national levels in over 30 countries in Europe and North America. We present an overview of HBSC papers published to date that examine FAS-related socioeconomic inequalities in health and health behaviour, using data from the HBSC study. Findings suggest consistent inequalities in self-reported health, psychosomatic symptoms, physical activity and aspects of eating habits at both the individual and Country level. FAS has recently been adopted, and in some cases adapted, by other research and policy related studies and this work is also reviewed. Finally, ongoing I-AS validation work is described together with ideas for future development of the measure. (c) 2007 Elsevier Ltd. All rights reserved.