Socioeconomic inequalities in mental health and health-related quality of life (HRQOL) in children and adolescents from 11 European countries
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Socioeconomic inequalities in mental health and health-related quality of life (HRQOL) in children and adolescents from 11 European countries. / Rajmil, Luis; Herdman, Michael; Ravens-Sieberer, Ulrike; Erhart, Michael; Alonso, Jordi; European KIDSCREEN group.
in: INT J PUBLIC HEALTH, Jahrgang 59, Nr. 1, 01.02.2014, S. 95-105.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Socioeconomic inequalities in mental health and health-related quality of life (HRQOL) in children and adolescents from 11 European countries
AU - Rajmil, Luis
AU - Herdman, Michael
AU - Ravens-Sieberer, Ulrike
AU - Erhart, Michael
AU - Alonso, Jordi
AU - European KIDSCREEN group
PY - 2014/2/1
Y1 - 2014/2/1
N2 - OBJECTIVES: To assess the presence and magnitude of social inequalities in mental health and health-related quality of life (HRQOL) in the population aged 8-18 years in 11 European countries.METHODS: Cross-sectional surveys were carried out in representative samples of children/adolescents (8-18 years) from the participating countries of the KIDSCREEN project. Mental health was assessed using the Strengths and Difficulties Questionnaire (SDQ), and HRQOL by means of the KIDSCREEN-10. Socioeconomic status (SES) was assessed using the Family Affluence Scale and parental level of education. The association between health outcomes and SES was analyzed with the regression-based relative index of inequalities (RII) and population attributable risk.RESULTS: A total of 16,210 parent-child pairs were included. The SDQ showed inequalities in mental health according to family level of education in all countries (RII = 1.45; 1.37-1.53). The RII for HRQOL was 2.15 (1.79-2.59) in the whole sample, with less consistent results by age and country.CONCLUSIONS: Socioeconomic inequalities in mental health were consistently found across Europe. Future research should clarify the causes of these inequalities and define initiatives which prevent them continuing into adulthood.
AB - OBJECTIVES: To assess the presence and magnitude of social inequalities in mental health and health-related quality of life (HRQOL) in the population aged 8-18 years in 11 European countries.METHODS: Cross-sectional surveys were carried out in representative samples of children/adolescents (8-18 years) from the participating countries of the KIDSCREEN project. Mental health was assessed using the Strengths and Difficulties Questionnaire (SDQ), and HRQOL by means of the KIDSCREEN-10. Socioeconomic status (SES) was assessed using the Family Affluence Scale and parental level of education. The association between health outcomes and SES was analyzed with the regression-based relative index of inequalities (RII) and population attributable risk.RESULTS: A total of 16,210 parent-child pairs were included. The SDQ showed inequalities in mental health according to family level of education in all countries (RII = 1.45; 1.37-1.53). The RII for HRQOL was 2.15 (1.79-2.59) in the whole sample, with less consistent results by age and country.CONCLUSIONS: Socioeconomic inequalities in mental health were consistently found across Europe. Future research should clarify the causes of these inequalities and define initiatives which prevent them continuing into adulthood.
KW - Adolescent
KW - Child
KW - Cross-Sectional Studies
KW - Europe
KW - Female
KW - Health Status Disparities
KW - Humans
KW - Male
KW - Mental Health
KW - Quality of Life
KW - Questionnaires
KW - Social Class
U2 - 10.1007/s00038-013-0479-9
DO - 10.1007/s00038-013-0479-9
M3 - SCORING: Journal article
C2 - 23793782
VL - 59
SP - 95
EP - 105
JO - INT J PUBLIC HEALTH
JF - INT J PUBLIC HEALTH
SN - 1661-8556
IS - 1
ER -
