Social Science & Medicine
Volume 59, Issue 1 , July 2004, Pages 1-12

 Material deprivation and self-rated health: a multilevel study of
adolescents from 22 European and North American countries

Torbjorn Torsheim , , a, Candace Currie b, William Boyce c, Ilze Kalnins d,
Mary Overpeck e and Siren Haugland a

a Research Centre for Health Promotion, University of Bergen, Christiesgt
13, Bergen N-5015, Norway
b Child and Adolescent Health Research Unit (CAHRU), The Moray House School
of Education, University of Edinburgh, St. Leonard's Land, Holyrood Road,
Edinburgh EH8 8AQ, Scotland, United Kingdom
c Social Program Evaluation Group, McArthur Hall, Queen's University
Kingston, Ontario, Canada K7L 3N6
d Deparment of Public Health Sciences, McMurrich Building, University of
Toronto, Toronto, Ont., Canada M5S 1A8
e Health Resources and Services Administration, Maternal and Child Health
Bureau, 5600 Fishers Lane, Room 18-41, Rockville, MD 20857, USA

Available online 19 November 2003.




Abstract
This cross-sectional study examined the combined and interactive effects of
material deprivation and area deprivation on adolescent self-rated health,
using data from the World Health Organization collaborative study `Health
Behaviour in School-aged Children 1997/1998'. Included in the present study
were 94,915 11?15-year-old students from a total of 22 European and North
American countries. Multilevel logistic regression analyses revealed
significant additive main effects of individual material deprivation and
area deprivation, but not interactive effects. The most deprived students
had an odds ratio for self-rated poor health almost three times higher than
the least deprived students. Area deprivation effects were stronger at the
country level than at the school level, and stronger among 11-year-olds
than among 13- and 15-year-olds. A combined `individual and area
deprivation' model predicted that the most disadvantaged 11-year-old
students were eight times more likely to have poor self-rated health compar
ed to the least disadvantaged student (OR (95% CI)=7.96 (3.38, 18.75)). The
findings highlight the multilevel effects of deprivation at the individual,
local, and national level.

Author Keywords: Author Keywords: Inequality; SES; Self-rated health;
Cross-national; Area deprivation; Multilevel


Corresponding author. Tel.: +47-55-58-33-01; fax: +47-55-58-98-87


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The impact of job strain on social isolation: a longitudinal analysis
of French workers
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Pushing the boundaries of outreach work: the case of needle exchange
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Erratum to ''Health behaviours and health in adolescence as
predictors of educational level in adulthood: a follow up study from
Finland''[Social Science & Medicine 57 (4) (2003) 577-593]
L. Koivusilta, A. Rimpela, A. Vikat
pp 221
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_ob=GatewayURL&_origin=CONTENTS&_method=citationSearch&_piikey=S0277953603005380&_version=1&md5=8588a4e07a0801ffcf5d0a5f861a6056

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