The European Journal of Public Health Advance Access originally published online on November 27, 2006
The European Journal of Public Health 2007 17(4):353-360; doi:10.1093/eurpub/ckl257
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Health Inequalities |
Socioeconomic Status, Psychosocial Health and Health Behaviours among Hungarian Adolescents
Bettina F. Piko1 and Kevin M. Fitzpatrick2
1 University of Szeged, Department of Psychiatry, Division of Behavioral Science 6722 Szeged, Hungary
2 University of Arkansas, Department of Sociology and Criminal Justice Fayetteville, AR, USA
Correspondence: Bettina F. Piko, M.D., Ph.D. Department of Psychiatry, Division of Behavioral Science, University of Szeged, 6722 Szeged, Szentharomsag street 5, Hungary, tel./fax: +36 62 420 530, e-mail: pikobettina{at}yahoo.com
Received July 7, 2006 , accepted October 19, 2006
Background: While socioeconomic differences in health, morbidity, and disability are highest among middle-aged persons, there is a certain level of ‘equalization’ during adolescence and young adulthood. Despite this equalization, however, there still are differences in psychosocial variables or health-related behaviours, often very subtle and sometimes difficult to measure. Methods: Using data (n = 1114) on high school students (aged between 14 and 21 years) from the Southern Plain Region, Hungary, the present study looks at the role of multiple SES indicators (objective and subjective; occupation and education; family structure) in adolescents' psychosocial health (self-perceived health, psychosomatic, and depressive symptomatology) and health behaviour (substance use and sports activity). Results: Based on the results of multivariate logistic regression analyses, findings suggest the following: (i) SES self-assessment proved to be a significant predictor of adolescents' psychosocial health and health behaviours; (ii) family structure (that is, living in a non-intact family) also significantly influenced adolescents' psychosocial health and health behaviours; (iii) parents' employment status and schooling had a limited influence on their children's health outcomes; (iv) in a word, SES gradients in adolescents' psychosocial health and health behaviour were inconsistent and sometimes irregular (that is, inverse). The subjective SES measurement plays an important role (positive association), whereas certain types of parents' inactive status (in terms of labour market, that is, unemployment or retirement) seem to act in a predictable way (negative association). Conclusions: Our results indicate that despite certain level of equalization during adolescence, some important relationships between SES variables and health outcomes may occur.
Keywords: adolescents, health behaviour, health inequalities, psychosocial health