ArticlePloS one2022
Socioeconomic position and self-rated health among female and male adolescents: The role of familial determinants in explaining health inequalities. Results of the German KiGGS study.
Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Parental socioeconomic status and other sociodemographic determinants of health disparities among children and adolescents in Austria.Public health in practice (Oxford, England) · 2026Article
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- Health literacy as the most important covariate of self-rated health in adolescents.Scientific reports · 2025Article
- Health behaviors, health, sociodemographic factors, and school success in adolescence as risk factors for injury deaths: a longitudinal study.BMC public health · 2025Article
- The influence of socioeconomic status on intelligence in school-age children in Xuyong County: a mediation analysis of nutrition literacy and dietary diversity.European journal of nutrition · 2025Article
- Association of breakfast, total diet quality, and mental health in adolescents: a cross-sectional study of HBSC in Greece.European journal of pediatrics · 2023Article
- Parental resources and heritability as factors shaping children's health. An analysis of twins' self-rated health using TwinLife.Frontiers in sociology · 2023Article
- Socio-economic inequalities in body mass index among preschool children: do sports programs in early childhood education and care centers make a difference?Frontiers in public health · 2023Article
- Self-rated health of university students in Germany-The importance of material, psychosocial, and behavioral factors and the parental socio-economic status.Frontiers in public health · 2023Article
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12 authors.
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Abstract
objectiveAlthough health inequalities in adolescence are well documented, the underlying mechanisms remain unclear. Few studies have examined the role of the family in explaining the association between the family's socioeconomic position and adolescents' self-rated health. The current study aimed to explore whether the association between socioeconomic position and self-rated health was mediated by familial determinants.
methodsUsing data from wave 2 of the"German Health Interview and Examination Survey for Children and Adolescents" (KiGGS) (1,838 female and 1,718 male 11- to 17-year-olds), linear regression analyses were conducted to decompose the total effects of income, education, occupational status, socioeconomic position index and adolescents' subjective social status on self-rated health into direct effects and indirect effects through familial determinants (family cohesion, parental well-being, parental stress, parenting styles, parental obesity, smoking and sporting activity).
resultsA significant total effect of all socioeconomic position indicators on self-rated health was found, except for income in male adolescents. In female adolescents, more than 70% of the total effects of each socioeconomic position indicator were explained by familial mediators, whereas no significant direct effects remained. The most important mediator was parental well-being, followed by family cohesion, parental smoking and sporting activity. In male adolescents, the associations between income, parental education, the socioeconomic position index and subjective social status were also mediated by familial determinants (family cohesion, parental smoking, obesity and living in a single-mother family). However, a significant direct effect of subjective social status remained.
conclusionThe analysis revealed how a family's position of socioeconomic disadvantage can lead to poorer health in adolescents through different family practices. The family appears to play an important role in explaining health inequalities, particularly in female adolescents. Reducing health inequalities in adolescence requires policy interventions (macro-level), community-based strategies (meso-level) and programs to improve parenting and family functioning (micro-level).
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