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Self-rated health, subjective social status in school and socioeconomic status in adolescents: a cross-sectional study
Department of Epidemiology and Global Health, Umeå University. Center for Clinical Research Dalarna-Uppsala University, Falun.
Dalarna University, School of Education, Health and Social Studies, Caring Science/Nursing.ORCID iD: 0000-0002-4013-1553
Department of Clinical Sciences, Pediatrics, Umeå University.
Dalarna University, School of Education, Health and Social Studies, Social Work.ORCID iD: 0000-0003-0106-2839
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2019 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 19, article id 785Article in journal (Refereed) Published
Abstract [en]

Background: Social position, traditionally measured by objective data on socioeconomic status (SES), is linked to health status in adults. In adolescents, the association is more uncertain and there are some studies suggesting that subjective social status (SSS) might be more adequate in relation to health. This study aimed to examine associations between SSS in school, SES and self-rated health (SRH) in adolescent boys and girls.

Methods: A descriptive cross-sectional research design with quantitative survey data was used. The study involved 705 Swedish adolescents in upper secondary school (17–18-year-olds). SRH was measured with a single-item question and SSS by a question where adolescents were asked to assess their social position within their school. Formal education level of the parents was used as a proxy for objective SES. Univariable and multivariable ordinal regression analyses were conducted to assess the associations between SRH and SSS in school and SES.

Results: In the multivariable analysis, SSS in school was positively associated with SRH, whereas no significant association between SES and SRH was found. The proportion of adolescents with high SRH increased with higher steps on the SSS ladder. Significant gender differences were found in that boys rated their SRH and SSS in school higher than girls did.

Conclusions: The study shows that self-rated health in adolescents is related to perceived social position in school. Subjective social status in school seems to be a useful health-related measure of social position in adolescents.

Place, publisher, year, edition, pages
2019. Vol. 19, article id 785
Keywords [en]
Adolescents, Gender Health status, Self-rated health, Socioeconomic status, Subjective social status
National Category
Health Sciences
Research subject
Health and Welfare
Identifiers
URN: urn:nbn:se:du-30374DOI: 10.1186/s12889-019-7140-3ISI: 000472845800005PubMedID: 31221114Scopus ID: 2-s2.0-85067561580OAI: oai:DiVA.org:du-30374DiVA, id: diva2:1329104
Available from: 2019-06-24 Created: 2019-06-24 Last updated: 2019-07-23Bibliographically approved

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