Adolescents' perceptions of social status: Development and evaluation of a new indicator
Adolescents' perceptions of social status: Development and evaluation of a new indicator
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DOI：
10.1542/peds.108.2.e31
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发表时间：
2001-08-01
期刊：
影响因子：
8
通讯作者：
Colditz, GA
中科院分区：
文献类型：
--
作者：
Goodman, E;Adler, NE;Colditz, GA
Objective.消除健康差距，包括社会经济地位造成的差距，是《2010年健康人》的总体目标之一。本文报道了一种新的、针对青少年的主观社会地位（SSS）测量方法的发展，以及SSS与青少年身心健康关系的初步探索性分析。10 843名青少年和166对青少年/母亲的二人组谁参加了今天的成长研究的子样本进行了横断面研究。采用新编制的麦克阿瑟主观社会地位量表（10分量表）测量SSS。父亲的教育程度是衡量社会经济地位的重要指标。心理和身体健康的指标分别包括抑郁症状和肥胖。线性回归分析确定了SSS与抑郁症状的相关性，Logistic回归确定了SSS与超重和肥胖的相关性，控制了社会人口学因素和SES。平均社会阶梯排名，社会经济地位的主观衡量标准，是7.2 +/-1.3。平均社区阶梯排名，一个衡量学校社区安置的指标，为7.6 +/-1.7。该工具的可靠性是优秀的：组内相关系数为0.73的社会阶梯和0.79的社区阶梯。青少年的社会阶梯排名高于其母亲（mu（青少年）= 7.2 +/-1.3 vs mu（母亲）= 6.8 +/-1.2; P = 0.002）。大龄青少年对家庭社会安置的看法与母亲对家庭安置的主观看法比低龄青少年更密切相关（斯皮尔曼的rho（青少年），
Objective. Eliminating health disparities, including those that are a result of socioeconomic status (SES), is one of the overarching goals of Healthy People 2010. This article reports on the development of a new, adolescent-specific measure of subjective social status (SSS) and on initial exploratory analyses of the relationship of SSS to adolescents' physical and psychological health.Methods. A cross-sectional study of 10 843 adolescents and a subsample of 166 paired adolescent/mother dyads who participated in the Growing Up Today Study was conducted. The newly developed MacArthur Scale of Subjective Social Status (10-point scale) was used to measure SSS. Paternal education was the measure of SES. Indicators of psychological and physical health included depressive symptoms and obesity, respectively. Linear regression analyses determined the association of SSS to depressive symptoms, and logistic regression determined the association of SSS to overweight and obesity, controlling for sociodemographic factors and SES.Results. Mean society ladder ranking, a subjective measure of SES, was 7.2 +/-1.3. Mean community ladder ranking, a measure of perceived placement in the school community, was 7.6 +/-1.7. Reliability of the instrument was excellent: the intraclass correlation coefficient was 0.73 for the society ladder and 0.79 for the community ladder. Adolescents had higher society ladder rankings than their mothers ( mu (teen) = 7.2 +/-1.3 vs mu (mom) = 6.8 +/-1.2; P = .002). Older adolescents' perceptions of familial placement in society were more closely correlated with maternal subjective perceptions of placement than those of younger adolescents (Spearman's rho(teens) (