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Socioeconomic status and children’s mental health: results from the Bergen Child Study

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Abstract

Purpose

It is generally accepted that mental health problems are unequally distributed across population strata defined by socioeconomic status (SES), with more problems for those with lower SES. However, studies of this association in children and adolescents are often restricted by the use of global measures of mental health problems and aggregation of SES-indicators. We aim to further elucidate the relationship between childhood mental health problems and SES by including more detailed information about mental health and individual SES-indicators.

Methods

The participants (N = 5,781, age 11–13) were part of the Bergen Child Study (BCS). Mental health was assessed using the teacher, parent and self-report versions of the Strengths and Difficulties Questionnaire (SDQ), including an impact section, used to measure symptom dimensions and probability of psychiatric disorders. Parent reports of family economy and parental education were used as SES measures.

Results

For each SES indicator we confirmed an inverse relationship across all the symptom dimensions. Poor family economy consistently predicted mental health problems, while parental education level predicted externalizing disorders stronger than internalizing disorders.

Conclusion

In this Norwegian sample of children, family economy was a significant predictor of mental health problems as measured across a wide range of symptom dimensions and poor economy predicted a high probability of a psychiatric disorder. Longitudinal studies of the impact of low family income as well as other SES factors on externalizing and internalizing symptom dimensions and disorders are called for.

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References

  1. Heiervang E, Stormark KM, Lundervold AJ, Heimann M, Goodman R, Posserud M-B, Ullebø AK, Plessen KJ, Bjelland I, Lie SA, Gillberg C (2007) Psychiatric disorders in Norwegian 8- to 10-year-olds: an epidemiological survey of prevalence, risk factors, and service use. J Am Acad Child Adolesc Psychiatry 46(4):438–447. doi:10.1097/chi.0b013e31803062bf

    Article  PubMed  Google Scholar 

  2. Kessler RC, Amminger GP, Aguilar-Gaxiola S, Alonso J, Lee S, Ustun TB (2007) Age of onset of mental disorders: a review of recent literature. Curr Opin Psychiatry 20(4):359–364. doi:10.1097/YCO.0b013e32816ebc8c

    Article  PubMed  Google Scholar 

  3. Rutter M, Sroufe LA (2000) Developmental psychopathology: concepts and challenges. Dev Psychopathol 12(3):265–296. doi:10.1017/S0954579400003023

    Article  PubMed  CAS  Google Scholar 

  4. Velez CN, Johnson J, Cohen P (1989) A longitudinal analysis of selected risk factors for childhood psychopathology. J Am Acad Child Adolesc Psychiatry 28(6):861–864. doi:S0890-8567(09)60209-4

    Article  PubMed  CAS  Google Scholar 

  5. van Oort F, van der Ende J, Wadsworth M, Verhulst F, Achenbach T (2011) Cross-national comparison of the link between socioeconomic status and emotional and behavioral problems in youths. Soc Psychiatry Psychiatr Epidemiol 46(2):167–172. doi:10.1007/s00127-010-0191-5

    Article  PubMed  Google Scholar 

  6. West P (1997) Health inequalities in the early years: is there equalisation in youth? Soc Sci Med 44(6):833–858. doi:10.1016/S0277-9536(96)00188-8

    Article  PubMed  CAS  Google Scholar 

  7. Sacker A, Schoon I, Bartley M (2002) Social inequality in educational achievement and psychosocial adjustment throughout childhood: magnitude and mechanisms. Soc Sci Med 55(5):863–880. doi:10.1016/S0277-9536(01)00228-3

    Article  PubMed  Google Scholar 

  8. Stansfeld S, Clark C, Rodgers B, Caldwell T, Power C (2011) Repeated exposure to socioeconomic disadvantage and health selection as life course pathways to mid-life depressive and anxiety disorders. Soc Psychiatry Psychiatr Epidemiol 46(7):549–558. doi:10.1007/s00127-010-0221-3

    Article  PubMed  Google Scholar 

  9. Starfield B, Robertson J, Riley AW (2002) Social class gradients and health in childhood. Ambul Pediatr 2(4):238–246. doi:10.1367/1539-4409(2002)002<0238:SCGAHI>2.0.CO;2

    Article  PubMed  Google Scholar 

  10. Riley AW, Forrest CB, Rebok GW, Starfield B, Green BF, Robertson JA, Friello P (2004) The child report form of the CHIP-Child Edition—reliability and validity. Med Care 42(3):221–231. doi:10.1097/01.mlr.0000114910.46921.73

    Article  PubMed  Google Scholar 

  11. Riley AW, Forrest CB, Starfield B, Rebok GW, Robertson JA, Green BF (2004) The parent report form of the CHIP-Child Edition—reliability and validity. Med Care 42(3):210–220. doi:10.1097/01.mlr.0000114909.33878.ca

    Article  PubMed  Google Scholar 

  12. Starfield B, Riley AW, Witt WP, Robertson J (2002) Social class gradients in health during adolescence. J Epidemiol Community Health 56(5):354–361. doi:10.1136/jech.56.5.354

    Article  PubMed  CAS  Google Scholar 

  13. Amone-P’Olak K, Burger H, Ormel J, Huisman M, Verhulst FC, Oldehinkel AJ (2009) Socioeconomic position and mental health problems in pre- and early-adolescents: the TRAILS study. Soc Psychiatry Psychiatr Epidemiol 44(3):231–238. doi:10.1007/s00127-008-0424-z

    Article  PubMed  Google Scholar 

  14. Achenbach TM (1991) Manual for the child behaviour checklist/4-18 and 1991 profile. Dept. of Psychiatry, University of Vermont, Burlington, VT

  15. Achenbach TM (1991) Manual for the youth self-report and 1991 profile. Dept. of Psychiatry, University of Vermont, Burlington, VT

  16. Achenbach TM (1991) Manual for the teacher’s report form and 1991 profile. Dept. of Psychiatry, University of Vermont, Burlington, VT

  17. von Rueden U, Gosch A, Rajmil L, Bisegger C, Ravens-Sieberer U, European Kg (2006) Socioeconomic determinants of health related quality of life in childhood and adolescence: results from a European study. J Epidemiol Community Health 60(2):130–135. doi:10.1136/jech.2005.039792

    Article  Google Scholar 

  18. Huisman M, Araya R, Lawlor DA, Ormel J, Verhulst FC, Oldehinkel AJ (2010) Cognitive ability, parental socioeconomic position and internalising and externalising problems in adolescence: findings from two European cohort studies. Eur J Epidemiol 25(8):569–580. doi:10.1007/s10654-010-9473-1

    Article  PubMed  Google Scholar 

  19. Bradley RH, Corwyn RF (2002) Socioeconomic status and child development. Annu Rev Psychol 53:371–399. doi:10.1146/annurev.psych.53.100901.135233

    Article  PubMed  Google Scholar 

  20. Ford T, Goodman R, Meltzer H (2004) The relative importance of child, family, school and neighbourhood correlates of childhood psychiatric disorder. Soc Psychiatry Psychiatr Epidemiol 39(6):487–496. doi:10.1007/s00127-004-0782-0

    Article  PubMed  Google Scholar 

  21. Goodman R, Renfrew D, Mullick M (2000) Predicting type of psychiatric disorder from Strengths and Difficulties Questionnaire (SDQ) scores in child mental health clinics in London and Dhaka. Eur Child Adolesc Psychiatry 9(2):129–134. doi:10.1007/s007870050008

    Article  PubMed  CAS  Google Scholar 

  22. Hysing M, Elgen I, Gillberg C, Lie SA, Lundervold AJ (2007) Chronic physical illness and mental health in children. Results from a large-scale population study. J Child Psychol Psychiatry 48(8):785–792. doi:10.1111/j.1469-7610.2007.01755.x

    Article  PubMed  Google Scholar 

  23. Verhulst FC, Koot HM, Van der Ende J (1994) Differential predictive value of parents’ and teachers’ reports of children’s problem behaviors: a longitudinal study. J Abnorm Child Psychol 22(5):531–546. doi:10.1007/BF02168936

    Article  PubMed  CAS  Google Scholar 

  24. Stormark KM, Heiervang E, Heimann M, Lundervold AJ, Gillberg C (2008) Predicting nonresponse bias from teacher ratings of mental health problems in primary school children. J Abnorm Child Psych 3:411–419. doi:10.1007/s10802-007-9187-3

    Article  Google Scholar 

  25. Statistics Norway (2009) Immigration and immigrants 2008. Statistical Analyses. Statistics Norway, Olso

  26. Goodman R (1997) The strengths and difficulties questionnaire: a research note. J Child Psychol Psychiatry 38(5):581–586. doi:10.1111/j.1469-7610.1997.tb01545.x

    Article  PubMed  CAS  Google Scholar 

  27. Muris P, Meesters C, van den Berg F (2003) The Strengths and Difficulties Questionnaire (SDQ)—further evidence for its reliability and validity in a community sample of Dutch children and adolescents. Eur Child Adolesc Psychiatry 12(1):1–8. doi:10.1007/s00787-003-0298-2

    Article  PubMed  Google Scholar 

  28. Smedje H, Broman JE, Hetta J, von Knorring AL (1999) Psychometric properties of a Swedish version of the “Strengths and Difficulties Questionnaire”. Eur Child Adolesc Psychiatry 8(2):63–70. doi:10.1007/s007870050086

    Article  PubMed  CAS  Google Scholar 

  29. Stone LL, Otten R, Engels RC, Vermulst AA, Janssens JM (2010) Psychometric properties of the parent and teacher versions of the strengths and difficulties questionnaire for 4- to 12-year-olds: a review. Clin Child Fam Psychol Rev 13(3):254–274. doi:10.1007/s10567-010-0071-2

    Article  PubMed  Google Scholar 

  30. Goodman R (1999) The extended version of the strengths and difficulties questionnaire as a guide to child psychiatric caseness and consequent burden. J Child Psychol Psychiatry 40(5):791–799. doi:10.1111/1469-7610.00494

    Article  PubMed  CAS  Google Scholar 

  31. World Health Organisation (1996) Multiaxial classification of child and adolescent psychiatric disorders—the icd-10 classification of mental and behavioural disorders in children and adolescents. Cambridge University Press, London

  32. Goodman R, Ford T, Simmons H, Gatward R, Meltzer H (2000) Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. Br J Psychiatry 177:534–539. doi:10.1192/bjp.177.6.534

    Article  PubMed  CAS  Google Scholar 

  33. R Development Core Team (2008) R: A Language and Environment for Statistical Computing. R Foundation for Statistical Computing, Vienna, Austria

    Google Scholar 

  34. Cohen J, Cohen P, West SG, Aiken LS (2003) Applied multiple regression/correlation analysis for the behavioral sciences, 3rd edn edn. Lawrence Erlbaum Associates, New Jersey

    Google Scholar 

  35. Chen E, Berdan LE (2006) Socioeconomic status and patterns of parent–adolescent interactions. J Res Adolesc 16(1):19–27. doi:10.1111/j.1532-7795.2006.00117.x

    Article  Google Scholar 

  36. Marmot M (2005) Social determinants of health inequalities. Lancet 365(9464):1099–1104. doi:10.1016/S0140-6736(05)71146-6

    PubMed  Google Scholar 

  37. World Health Organisation (2003) Investing in mental health. WHO, Geneva

    Google Scholar 

  38. West P (1988) Inequalities? Social class differentials in health in British youth. Soc Sci Med 27(4):291–296. doi:10.1016/0277-9536(88)90262-6

    Article  PubMed  CAS  Google Scholar 

  39. Bolger KE, Patterson CJ, Thompson WW, Kupersmidt JB (1995) Psychosocial adjustment among children experiencing persistent and intermittent family economic hardship. Child Dev 66:1107–1129. doi:10.2307/1131802

    Article  Google Scholar 

  40. Merikangas KR, He JP, Burstein M, Swanson SA, Avenevoli S, Cui L, Benjet C, Georgiades K, Swendsen J (2010) Lifetime prevalence of mental disorders in US adolescents: results from the National Comorbidity Survey Replication—Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry 49(10):980–989. doi:10.1016/j.jaac.2010.05.017

    Article  PubMed  Google Scholar 

  41. Kapi A, Veltsista A, Kavadias G, Lekea V, Bakoula C (2007) Social determinants of self-reported emotional and behavioral problems in Greek adolescents. Soc Psychiatry Psychiatr Epidemiol 42(7):594–598. doi:10.1007/s00127-007-0201-4

    Article  PubMed  Google Scholar 

  42. Mcleod JD, Shanahan MJ (1993) Poverty, parenting and children’s mental health. Am Sociol Rev 58(3):351–366. doi:10.2307/2095905

    Article  Google Scholar 

  43. Lahelma E, Laaksonen M, Martikainen P, Rahkonen O, Sarlio-Lahteenkorva S (2006) Multiple measures of socioeconomic circumstances and common mental disorders. Soc Sci Med 63(5):1383–1399. doi:10.1016/j.socscimed.2006.03.027

    Article  PubMed  Google Scholar 

  44. Goodman R, Scott S (2005) Child psychiatry. In: 2nd edn. Wiley-Blackwell, New York

  45. Kessler RC (2007) Psychiatric epidemiology: challenges and opportunities. Int rev psychiatry 19(5):509–521. doi:782454736

    Article  PubMed  Google Scholar 

  46. Mogstad M, Langørgen A, Aaberge R (2007) Region-specific versus country-specific poverty lines in analysis of poverty. J Econ Inequal 5(1):115–122. doi:10.1007/s10888-006-9024-x

    Article  Google Scholar 

  47. Lundberg I, Damström Thakker K, Hällström T, Forsell Y (2005) Determinants of non-participation, and the effects of non-participation on potential cause–effect relationships, in the PART study on mental disorders. Soc Psychiatry Psychiatr Epidemiol 40(6):475–483. doi:10.1007/s00127-005-0911-4

    Article  PubMed  Google Scholar 

  48. Stang A (2003) Nonresponse research—an underdeveloped field in epidemiology. Eur J Epidemiol 18(10):929–931. doi:10.1023/A:1025877501423

    Article  PubMed  Google Scholar 

  49. Wadsworth ME, Achenbach TM (2005) Explaining the link between low socioeconomic status and psychopathology: testing two mechanisms of the social causation hypothesis. J Consult Clin Psychol 73(6):1146–1153. doi:10.1037/0022-006X.73.6.1146

    Article  PubMed  Google Scholar 

  50. Costello EJ, Compton SN, Keeler G, Angold A (2003) Relationships between poverty and psychopathology: a natural experiment. Jama 290(15):2023–2029. doi:10.1001/jama.290.15.2023

    Article  PubMed  CAS  Google Scholar 

  51. Bornstein MH, Chun-Sin H, Suwalsky JTD, Haynes OM (2003) Socioeconomic status, parenting and child development: the Hollingshead four-factor index of social status and the socioeconomic index of occupation. In: Bornstein MH, Bradley RH (eds) Socioeconomic status, parenting, and child development, monographs in parenting. Lawrence Erlbaum Associates, New Jersey

    Google Scholar 

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Bøe, T., Øverland, S., Lundervold, A.J. et al. Socioeconomic status and children’s mental health: results from the Bergen Child Study. Soc Psychiatry Psychiatr Epidemiol 47, 1557–1566 (2012). https://doi.org/10.1007/s00127-011-0462-9

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  • DOI: https://doi.org/10.1007/s00127-011-0462-9

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