The role of socioeconomic status gradients in explaining differences in US adolescents' health
The role of socioeconomic status gradients in explaining differences in US adolescents' health
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DOI：
10.2105/ajph.89.10.1522
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发表时间：
1999-10-01
影响因子：
12.7
通讯作者：
Goodman, E
中科院分区：
文献类型：
--
作者：
Goodman, E
Objective.本研究旨在确定是否存在社会经济地位（SES）梯度之间的美国青少年自我评价的健康和5种疾病，导致严重的青少年和持续的成人发病率。基线数据来自国家青少年健康纵向研究的15483项青少年和家长调查。社会经济地位指标包括父母教育和职业以及家庭收入。因变量包括自评健康和过去一年中是否存在抑郁、肥胖、哮喘、自杀企图。和既往性传播疾病。SES梯度被发现为自评健康，抑郁和肥胖（P <0.01）。自杀未遂与收入呈线性相关（P <0.01）。在调整其他社会经济地位和社会人口因素后，教育和收入仍然是抑郁和肥胖的独立相关因素;收入仍然是自杀未遂的独立相关因素。不同的易感性社会介导的病因机制的疾病可能存在于青春期。了解青少年生活的社会结构竞争和模式对于清楚地了解整个生命过程中的健康和疾病病因至关重要。
Objective. This study sought to determine whether socioeconomic status (SES) gradients exist among US adolescents for self-rated health and for 5 diseases that cause serious adolescent and continuing adult morbidity.Methods. Baseline data from 15483 adolescent and parental surveys from the National Longitudinal Study of Adolescent Health were used. SES indicators included parental education and occupation, and household income. Dependent variables included self-rated health and the presence of depression, obesity asthma, suicide attempt in the past year. and prior sexually transmitted disease.Results. SES gradients were found for self-rated health, depression, and obesity (P < .01). Suicide attempt was linearly associated with income (P < .01). After adjustment for other SES and sociodemographic factors, education and income remained independent correlates of both depression and obesity; income remained an independent correlate of attempted suicide.Conclusions. Differences in susceptibility to socially mediated etiologic mechanisms of disease may exist during adolescence. Understanding the sociostructural contest and patterning of adolescents' lives is crucial to clearly understanding health and disease etiology throughout the course of life.