Richter Matthias, Vereecken Carine A, Boyce William, Maes Lea, Gabhainn Saoirse Nic, Currie Candace E
Department of Prevention and Health Promotion, School of Public Health, University of Bielefeld, Universitätsstr. 25, 33615 Bielefeld, Germany.
Int J Public Health. 2009;54(4):203-12. doi: 10.1007/s00038-009-8018-4.
We explored the association between socioeconomic position and four different aspects of adolescent health behavior in a wide range of European countries, the US, Canada and Israel.
Data were collected from the Health Behaviour in School-aged Children (HBSC) study in 2002. Representative samples of 13 and 15 year olds completed a standardised questionnaire during school hours in each country. Logistic regression analyses were used to investigate the independent effect of parental occupation and family affluence on tobacco and alcohol use, vegetable consumption and TV viewing.
Family affluence showed no significant association with regular smoking in most countries, whereas an increase in smoking with decreasing occupational status was found in half of the countries. For alcohol consumption a positive association was found with family affluence in half of the countries, while no relationship with parental occupation was observed. Both measures of socioeconomic position were strong independent predictors for vegetable consumption and television viewing in almost all countries.
The findings suggest that health behaviours that begin to develop in adolescence are less strongly influenced by parental socioeconomic position. Preventive intervention strategies should take the different socioeconomic patterns of health behaviour into account.
我们在众多欧洲国家、美国、加拿大和以色列探究了社会经济地位与青少年健康行为四个不同方面之间的关联。
数据收集自2002年的学龄儿童健康行为（HBSC）研究。在每个国家，13岁和15岁青少年的代表性样本在上学时间完成了一份标准化问卷。采用逻辑回归分析来研究父母职业和家庭富裕程度对烟草和酒精使用、蔬菜消费及看电视的独立影响。
在大多数国家，家庭富裕程度与经常吸烟无显著关联，而在半数国家中发现吸烟率随职业地位降低而上升。对于酒精消费，半数国家发现其与家庭富裕程度呈正相关，而未观察到与父母职业的关系。在几乎所有国家，社会经济地位的这两个指标都是蔬菜消费和看电视的有力独立预测因素。
研究结果表明，在青少年时期开始形成的健康行为受父母社会经济地位的影响较小。预防性干预策略应考虑到健康行为的不同社会经济模式。
