ERIC Number: EJ1053188
Record Type: Journal
Publication Date: 2015-Apr
Pages: 9
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-0022-4391
EISSN: N/A
School- and Family-Level Socioeconomic Status and Health Behaviors: Multilevel Analysis of a National Survey in Wales, United Kingdom
Moore, Graham F.; Littlecott, Hannah J.
Journal of School Health, v85 n4 p267-275 Apr 2015
Background: Interventions to address inequalities in adolescent health behaviors often target children from less affluent families, or schools in poorer areas. Few studies have examined whether school- or family-level affluence predicts health behaviors independently, or in combination. Methods: This article reports secondary analysis of the Welsh Health Behavior in School-aged Children (HBSC) survey. Mixed-effects logistic regression models test associations of school and family socioeconomic status (SES) with smoking, fruit and vegetable consumption, alcohol consumption, and physical activity. Results: Higher family SES was associated with healthier behaviors, except in relation to alcohol consumption. For all behaviors except physical activity, school-level SES was independently associated with healthier behaviors. In higher SES schools, a stronger association of family SES with health behavior was observed, particularly in relation to smoking and physical activity. Conclusions: School and family SES may exert independent and combined influences upon adolescent health behaviors. Targeting interventions toward deprived schools may fail to address substantial inequalities within more affluent schools. Targeting deprived families may fail to address behaviors of children from affluent families, attending more deprived schools. Identifying universal health improvement interventions which have greater effects among children from poorer backgrounds may be a more effective means of reducing inequalities.
Descriptors: National Surveys, Socioeconomic Status, Regression (Statistics), Foreign Countries, Intervention, Adolescents, Health Behavior, Drinking, Smoking, Physical Activity Level, Correlation, Prediction, Eating Habits, Disadvantaged
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Location: United Kingdom; United Kingdom (Wales)
Grant or Contract Numbers: N/A