Cited by 361Health disparities and outcomesMental Health Treatment and AccessChild and Adolescent Psychosocial and Emotional Development

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Socioeconomic Status and Adolescent Mental Disorders

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McLaughlin, Katie A., Costello, E. Jane, Leblanc, William, Sampson, Nancy A., Kessler, Ronald C.·2012·American Journal of Public Health

DOI 10.2105/ajph.2011.300477PMC PMC3482020

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Abstract

Objectives. Although previous research has shown that low socioeconomic status (SES) is associated with mental illness, it is unclear which aspects of SES are most important. We investigated this issue by examining associations between 5 aspects of SES and adolescent mental disorders. Methods. Data came from a national survey of US adolescents (n = 6483). Associations among absolute SES (parental income and education), relative SES (relative deprivation, subjective social status), and community level income variation (Gini coefficient) with past-year mental disorders were examined. Results. Subjective social status (mean 0, variance 1) was most consistently associated with mental disorder. Odds ratios with mood, anxiety, substance, and behavior disorders after controlling for other SES indicators were all statistically significant and in the range of 0.7 to 0.8. Associations were strongest for White adolescents. Parent education was associated with low risk for anxiety disorder, relative deprivation with high risk for mood disorder, and the other 2 indicators were associated with none of the disorders considered. Conclusions. Associations between SES and adolescent mental disorders are most directly the result of perceived social status, an aspect of SES that might be more amenable to interventions than objective aspects of SES.

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Authors: McLaughlin, K. A., Costello, E. J., Leblanc, W., Sampson, N. A., & Kessler, R. C.
Affiliations: Boston Children's Hospital (US)
ORCID: McLaughlin, Katie A.
Costello, E. Jane
Sampson, Nancy A.
Kessler, Ronald C.
Venue: American Journal of Public Health
Publisher: American Public Health Association
Published: 2012-09
Volume: 102
Issue: 9
Pages: 1742-1750
ISSN: 0090-0036 (ISSN-L)
1541-0048
DOI: 10.2105/ajph.2011.300477
PMC: PMC3482020
OpenAlex: W2129549412
Cited by: 360
References: 45
Citations by year: 2026: 21 · 2025: 41 · 2024: 47 · 2023: 28 · 2022: 31 · 2021: 35 · 2020: 29 · 2019: 31 · 2018: 18 · 2017: 19 · 2016: 22 · 2015: 18 · 2014: 12 · 2013: 6 · 2012: 1
FWCI: 13.55
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: American Journal of Public Health (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Europe PMC (PubMed Central) (acceptedVersion)
RePEc: Research Papers in Economics (submittedVersion)
Funders: Robert Wood Johnson Foundation
John W. Alden Trust
National Institutes of Health (5r13mh066849-04, 5r01mh069864-04, 5r01mh070884-05)
National Institute of Mental Health (R13-MH-066849, R01-MH66627, R01MH066627, R01‐MH070884, R01MH077883, U01-MH-60220, K01MH092526, U01MH060220, R01‐MH069864)
National Institute on Drug Abuse (K05DA015799, R01DA016558)
Fogarty International Center (R03TW006481)
Topics: Social Sciences › Health › Health disparities and outcomes
Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords: socioeconomic status, adolescent mental disorders, subjective social status, relative deprivation, parental income, parental education, Gini coefficient, mood disorders, anxiety disorders, substance use disorders, behavior disorders, racial differences
MeSH terms: Adolescent, Mental Disorders, Black or African American, Cross-Sectional Studies, Data Collection, Educational Status, Hispanic or Latino, Humans, Income, Social Class, United States, Logistic Models, Black People, White People

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