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Absolute and relative family affluence and psychosomatic symptoms in adolescents
Institution:1. Institute for Health and Social Policy, McGill University, 1130 Pine Avenue West, Montreal, Canada;2. Douglas Mental Health University Institute, Montreal, Canada;3. Department of Public Health, Ghent University, Ghent, Belgium;4. Institute of Public Health, University of Copenhagen, Copenhagen, Denmark;5. Department of Health Sciences, University of York, York, England;6. Department of Psychosocial Science, University of Bergen, Bergen, Norway;7. Ludwig Boltzmann Institute Health Promotion Research, Vienna, Austria;8. School of Medicine, University of St. Andrews, St Andrews, Scotland;1. UCL Institute of Cognitive Neuroscience, London WC1N 3AZ, UK;2. University of Cambridge, Department of Psychology, Downing Street, Cambridge CB2 3EB, UK;1. Carolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27516, USA;2. Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27516, USA;3. Research Center for Child Mental Development, University of Fukui, Yoshida-gun, Fukui, 910-1193, Japan;4. Department of Health and Social Behavior, School of Public Health, The University of Tokyo, Bunkyo-ku, Tokyo, 113-0033, Japan;5. Department of Health Education and Health Sociology, School of Public Health, The University of Tokyo, Bunkyo-ku, Tokyo, 113-0033, Japan;6. Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27516, USA;1. Department of Sociology, Sun Yat-sen University, Guangzhou, China;2. Department of Political Science and Sociology, Murray State University, KY, USA;3. Department of Sociology, Fudan University, Shanghai, China;4. Department of Sociology, University of Toronto, Toronto, Canada;1. Department of Sociology, Trinity College Dublin, Dublin, Ireland;2. Department of Developmental and Social Psychology, University of Padova, Padova, Italy;3. Sts Cyril and Methodius Faculty of Theology, Olomouc University Social Health Institute, Palacky University in Olomouc, Olomouc, Czech Republic;4. School of Population and Global Health, McGill University, Montreal, Canada;5. Department of Interdisciplinary Social Science, Utrecht University, Utrecht, the Netherlands;6. MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, Glasgow, United Kingdom;1. Department of Psychology, Harvard University, United States;2. Department of Psychology, Stanford University, United States;3. Department of Psychology and Neuroscience, University of North Carolina, Chapel Hill, United States;4. Department of Psychology and Institute for Learning and Brain Sciences, University of Washington, United States;1. Department of History, Society and Human Studies, University of Salento, Italy;2. Department of Medicine, Surgery and Dentistry \"Scuola Medica Salernitana\", University of Salerno, Italy;3. Department of Physic \"E.R. Caianiello\", University of Salerno, Italy
Abstract:Previous research on the links between income inequality and health and socioeconomic differences in health suggests that relative differences in affluence impact health and well-being more than absolute affluence. This study explored whether self-reported psychosomatic symptoms in adolescents relate more closely to relative affluence (i.e., relative deprivation or rank affluence within regions or schools) than to absolute affluence. Data on family material assets and psychosomatic symptoms were collected from 48,523 adolescents in eight countries (Austria, Belgium, Canada, Norway, Scotland, Poland, Turkey, and Ukraine) as part of the 2009/10 Health Behaviour in School-aged Children study. Multilevel regression analyses of the data showed that relative deprivation (Yitzhaki Index, calculated in regions and in schools) and rank affluence (in regions) (1) related more closely to symptoms than absolute affluence, and (2) related to symptoms after differences in absolute affluence were held constant. However, differences in family material assets, whether they are measured in absolute or relative terms, account for a significant variation in adolescent psychosomatic symptoms. Conceptual and empirical issues relating to the use of material affluence indices to estimate socioeconomic position are discussed.
Keywords:Adolecence  Relative deprivation  Yitzhaki index  Health inequalities  Social rank  Psychosomatic symptoms  Health Behaviour in School-aged Children
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