Publication

Socioeconomic position and mental health problems in pre- and early-adolescents: The TRAILS study

Amone-P'olak, K., Burger, H., Ormel, J., Huisman, M., Verhulst, F. C. & Oldehinkel, A. J., Mar-2009, In : Social Psychiatry and Psychiatric Epidemiology. 44, 3, p. 231-238 8 p.

Research output: Contribution to journalArticleAcademicpeer-review

Family socioeconomic position (SEP) is known to be associated with adolescent mental health. Whether the relationship is different for different mental health dimensions is unknown.

Using a cross-sectional design, we investigated the differential effects of family SEP on multiple mental health dimensions in preadolescents (N = 2230, baseline age 10-12, 49% boys) using reports from multiple informants (parent, self, and teachers). A score equal to or higher than the 85th percentile (averaged across informants) defined mental health problems.

SEP was inversely associated with all dimensions. Compared to high SEP, the odds ratios (OR) for externalizing problems were 3.88 (95% confidence interval (CI): 2.56, 5.90) and 2.05 (CI: 1.34, 3.14) for low and intermediate SEP, respectively. For internalizing problems, they were 1.86 (CI: 1.28, 2.70) and 1.37 (CI: 0.94, 2.00), respectively. When adjusted for externalizing problems, SEP effects on internalizing problems materially attenuated (OR: 1.47, CI: 0.78, 1.68 and OR: 1.34, CI: 0.91, 1.96) while the converse was less pronounced (OR: 3.39, CI: 2.24, 5.15) and (OR: 1.91, CI: 1.25, 2.94).

In early adolescence, the risk of mental health problems increases with decreasing SEP, particularly for externalizing problems. Further, the SEP-internalizing problems relationship is partly explained by shared aspects with externalizing problems.

Original languageEnglish
Pages (from-to)231-238
Number of pages8
JournalSocial Psychiatry and Psychiatric Epidemiology
Volume44
Issue number3
Publication statusPublished - Mar-2009

    Keywords

  • socioeconomic position, adolescents, gender, mental health problems, BEHAVIORAL EMOTIONAL-PROBLEMS, EPIDEMIOLOGIC COMPARISONS, ECONOMIC HARDSHIP, DUTCH CHILDREN, RISK-FACTORS, PSYCHOPATHOLOGY, DISORDERS, ADJUSTMENT, DEPRESSION, CHILDHOOD

ID: 1998270