Mirmoghtadaee Parisa, Heshmat Ramin, Djalalinia Shirin, Motamed-Gorji Nazgol, Motlagh Mohammad Esmaeil, Ardalan Gelayol, Safiri Saeid, Ahadi Zeinab, Shafiee Gita, Asayesh Hamid, Qorbani Mostafa, Yaghini Omid, Kelishadi Roya
D, Specialist in Community Medicine, Child Growth and Development Research Center, Research Institute for Primordial Prevention of Noncommunicable Disease, Isfahan University of Medical Sciences, Isfahan, Iran.
PhD, Associate Professor, Chronic Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Med J Islam Repub Iran. 2016 Oct 15;30:423. eCollection 2016.
Socioeconomic status (SES) is a major determinant of health inequality in children and adolescents. The aim of this study was to evaluate the association of SES of family and living region with self-rated health (SRH) and life satisfaction (LS) among children and adolescents. This study was a part of the fourth survey of a national surveillance program, which was conducted in 30 provinces of Iran in 2011-2012. LS and SRH were assessed by a questionnaire based on the World Health Organization-Global School-based student Health Survey (WHO-GSHS). Family SES was estimated using principal component analysis (PCA) and based on family assets, parental education and occupation, and type of school. Region SES was calculated using PCA and some variables including literacy rate, family assets and employment rate. Out of 14,880 invited students, 13,486 (participation rate: 90.6%) completed the survey; of whom, 49.2% were girls, and 75.6% were from urban areas with the mean ± SD age of 12.47±3.36 years. In the multivariate model, SES of family and living region was associated with LS and good SRH. In the full models, in addition to all potential confounders, family and living region SES were included simultaneously. However, only the association of family SES with LS, and good SRH remained statistically significant. The effect of families' SES on SRH and LS is more important than regional SES. The presented patterns of SRH and LS may be useful in developing better health policies and conducting complementary studies in this field.
社会经济地位（SES）是儿童和青少年健康不平等的主要决定因素。本研究的目的是评估家庭和居住地区的社会经济地位与儿童和青少年的自评健康（SRH）及生活满意度（LS）之间的关联。本研究是一项全国监测计划第四次调查的一部分，该调查于2011 - 2012年在伊朗的30个省份进行。生活满意度和自评健康通过基于世界卫生组织全球学校学生健康调查（WHO - GSHS）的问卷进行评估。家庭社会经济地位采用主成分分析（PCA）进行估计，基于家庭资产、父母教育程度和职业以及学校类型。地区社会经济地位通过主成分分析和一些变量计算得出，包括识字率、家庭资产和就业率。在14880名受邀学生中，13486名（参与率：90.6%）完成了调查；其中，49.2%为女孩，75.6%来自城市地区，平均年龄±标准差为12.47±3.36岁。在多变量模型中，家庭和居住地区的社会经济地位与生活满意度和良好的自评健康相关。在完整模型中，除了所有潜在的混杂因素外，还同时纳入了家庭和居住地区的社会经济地位。然而，只有家庭社会经济地位与生活满意度以及良好的自评健康之间的关联在统计学上仍然显著。家庭社会经济地位对自评健康和生活满意度的影响比地区社会经济地位更重要。所呈现的自评健康和生活满意度模式可能有助于制定更好的健康政策以及开展该领域的补充研究。
