ArticleThe Journal of school health2015
School- and family-level socioeconomic status and health behaviors: multilevel analysis of a national survey in wales, United Kingdom.
Article in The Journal of school health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 4 of them syntheses that pooled it.
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Who cites it
49 citing papers in PubMed, 4 syntheses or guidelines pooled it, 93 citations in OpenAlex.
- Perceptions of friendship, peers and influence on adolescent smoking according to tobacco control context: a systematic review and meta-ethnography of qualitative research.BMC public health · 2023Pooled it
- Socioeconomic status and health behavior in children and adolescents: a systematic literature review.Frontiers in public health · 2023Pooled it
- Socio-economic and cultural disparities in diet among adolescents and young adults: a systematic review.Public health nutrition · 2020Pooled it
- Socioeconomic gradients in the effects of universal school-based health behaviour interventions: a systematic review of intervention studies.BMC public health · 2015Pooled it
- Health Implications of Colorism: A Narrative Review of the Literature.Journal of racial and ethnic health disparities · 2026Review
- Development of a school program for vaping and smoking prevention and protocol for a cluster randomized controlled trial in fifth grade students.Scientific reports · 2026Article
- Socio-ecological influences on adolescent dietary typologies.Nutrition and health · 2026Article
- Article
- Lower Child Opportunity Index is Associated with Lower Exercise Capacity Post-Fontan Palliation.Pediatric cardiology · 2026Article
- Socioeconomic differences in adolescent health behaviors and their effect on inequalities in adult depressed mood: findings from a 27-year longitudinal study.BMC psychiatry · 2025Article
- Moderators of peer influence effects for adolescents' smoking and vaping norms and outcomes in high and middle-income settings.Frontiers in psychology · 2025Article
- Enhancing Rangatahi Wellbeing in Secondary Education Through Implementation of the Meke Meter™.New Zealand journal of educational studies · 2025Article
- School health promotion and fruit and vegetable consumption in secondary schools: a repeated cross-sectional multilevel study.BMC public health · 2024Article
- Effectiveness of Health Promotion Interventions in Primary Schools-A Mixed Methods Literature Review.Healthcare (Basel, Switzerland) · 2023Review
- Modification of TSH-related genetic effects by indicators of socioeconomic position.Endocrine connections · 2023Article
- Social Differences in Health Behaviours among Jordanian Adolescents.European journal of investigation in health, psychology and education · 2022Article
- [The role of health promoting schools for increasing health equity].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2022Review
- Associations between socioeconomic position and young people's physical activity and sedentary behaviour in the UK: a scoping review.BMJ open · 2022Article
- Family Support as Smoking Prevention during Transition from Early to Late Adolescence: A Study in 42 Countries.International journal of environmental research and public health · 2021Article
- Using Latent Class Analysis to Explore Complex Associations Between Socioeconomic Status and Adolescent Health and Well-Being.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2021Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
Abstract
backgroundInterventions 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.
methodsThis 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.
resultsHigher 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.
conclusionsSchool 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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.