Locating economic risks for adolescent mental and behavioral health: poverty and affluence in families, neighborhoods, and schools
Open accessAbstract
Research has identified risks of both poverty and affluence for adolescents. This study sought to clarify associations between income and youth mental and behavioral health by delineating economic risks derived from family, neighborhood, and school contexts within a nationally representative sample of high school students (N = 13,179, average age 16). Attending schools with more affluent schoolmates was associated with heightened likelihoods of intoxication, drug use, and property crime, but youth at poorer schools reported greater depressive and anxiety symptoms, engagement in violence, and for male adolescents, more frequent violence and intoxication. Neighborhood and family income were far less predictive. Results suggest that adolescent health risks derive from both ends of the economic spectrum, and may be largely driven by school contexts.
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Adolescents from families in higher socioeconomic classes have significantly higher levels of positive affect, life satisfaction, and mental health than those in lower economic classes.
“Studies from psychology show that adolescents from families in higher socioeconomic classes have significantly higher levels of positive affect, life satisfaction, and mental health than those in lower economic classes (McLaughlin et al., 2012; Coley et al., 2018).”
From COVID-19 pandemic and adolescent mental health in China: Micro evidence and socioeconomic mechanisms (2022) · cites this paper as Coley et al., 2018
The Results (Multilevel Regression Results; page unavailable) report lower depressive and anxiety symptoms among adolescents at higher-income schools, which supports a narrower mental-health comparison. But the Discussion says family income had relatively few links with outcomes; the paper does not establish significantly higher positive affect or life satisfaction for adolescents from higher-income families. (LLM, conf=0.88)
Experimental — accuracy not yet measuredFamily income is closely related to adolescent mental health.
“There is no doubt that family income is closely related to adolescent mental health.”
From COVID-19 pandemic and adolescent mental health in China: Micro evidence and socioeconomic mechanisms (2022) · cites this paper as Coley et al., 2018
The paper’s background reports small but persistent associations between family income and adolescent mental-health outcomes. But its Discussion says family income showed relatively few links with youth outcomes, while school income was the more consistent correlate. The claim overstates the strength of the family-income relationship. (LLM, conf=0.86)
Experimental — accuracy not yet measured
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- Authors
- Coley, R. L., Sims, J., Dearing, E., & Spielvogel, B.
- Affiliations
- Boston College (US)
- Corresponding author
- Coley, Rebekah Levine
- Venue
- Child Development
- Publisher
- Oxford University Press (OUP)
- Published
- 2018-03-01
- Volume
- 89
- Issue
- 2
- Pages
- 360-369
- ISSN
- 0009-3920 (ISSN-L)
- 1467-8624
- PMC
- PMC5573665
- OpenAlex
- W2591843703
- Cited by
- 104
- References
- 34
- Citations by year
- 2026: 7 · 2025: 6 · 2024: 10 · 2023: 12 · 2022: 15 · 2021: 10 · 2020: 10 · 2019: 16 · 2018: 11 · 2017: 6 · 2016: 1
- FWCI
- 14.59
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Child Development (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Boston College through an Ignite Grant
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (P01-HD31921, P01‐HD31921)
- Boston College
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Health › Health disparities and outcomes
- Health Sciences › Health Professions › General Health Professions › Adolescent Health and Behaviors
- Keywords
- adolescent mental health, adolescent behavioral health, economic risk, poverty, prosperity, household income, neighborhood income, substance use, poisoning, drug use, property crime, violence, depressive symptoms, anxiety symptoms, high school students
- MeSH terms
- Underage Drinking, Adolescent, Adolescent Behavior, Anxiety, Depression, Family, Female, Humans, Income, Juvenile Delinquency, Male, Poverty, Residence Characteristics, Risk, Schools, United States, Violence
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