Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
권호 표지
DOI QR코드

DOI QR Code

Objective and Subjective Socioeconomic Position and Current Smoking Among Korean Adolescents

  • Ko, Min Jung (Division for Healthcare Technology Assessment Research, National Evidence-based Healthcare Collaborating Agency) ;
  • Lee, Eun Young (Institute for Health and Society, Hanyang University) ;
  • Kim, Kirang (Department of Food Science and Nutrition, Dankook University)
  • Published : 2014.11.06
Download PDF
⟨ Previous Next ⟩

Abstract

Background: Despite social gradients in adult smoking, the effects of socioeconomic position (SEP) on adolescent smoking is not well understood. This study examined effects of subjective SEP as well as the objective SEP on smoking among Korean adolescents. Materials and Methods: Data were obtained from the 2012 Korea Youth Risk Behavior Web-based Survey, a nationally representative sample of middle and high school students (38,221 boys; 35,965 girls). SEP was assessed by the Family Affluence Scale (FAS) and the self-rated household economic status. Relationships between SEP and smoking were analyzed by multivariate logistic regression. Results: The low perceived SEP for either the high or low FAS grade was related to an elevated likelihood of smoking in both genders. A significantly higher risk of smoking was found in boys of low perceived SEP in middle school (odds ratio [OR] 1.50; 95% confidence interval [CI] 1.28-1.77 for high FAS, OR 1.55; 95% CI 1.21-1.98 for low FAS), and of low perceived SEP and high FAS in high school (OR 1.13; 95% CI 1.02-1.26). Among girls, an elevated risk of smoking was observed in middle school group with low perceived SEP and low FAS (OR 2.01; 95% CI 1.44-2.79) and in the high school group of low perceived SEP, regardless of FAS level (OR 1.34; 95% CI 1.14-1.57 for high FAS, OR 1.31; 95% CI 1.04-1.65 for low FAS). Conclusions: The relationship of subjectively perceived SEP with smoking is as important as objective SEP and more significant in Korean high school adolescents.

Keywords

References

  1. Adler NE, Epel ES, Castellazzo G, et al (2000). Relationship of subjective and objective social status with psychological and physiological functioning: preliminary data in healthy white women. Health Psychol, 19, 586-92. https://doi.org/10.1037/0278-6133.19.6.586
  2. Adler NE, Rehkopf DH (2008). U.S. disparities in health: descriptions, causes, and mechanisms. Annu Rev Public Health, 29, 235-52. https://doi.org/10.1146/annurev.publhealth.29.020907.090852
  3. Bae J, Joung H, Kim JY, et al (2010). Test-retest reliability of a questionnaire for the Korea Youth Risk Behavior Web-based Survey. J Prev Med Public Health, 43, 403-10. https://doi.org/10.3961/jpmph.2010.43.5.403
  4. Boudreau B, Poulin C (2009). An examination of the validity of the Family Affluence Scale II (FAS II) in a general adolescent population of Canada. Soc Indic Res, 94, 29-42. https://doi.org/10.1007/s11205-008-9334-4
  5. Boyce W, Torsheim T, Currie C, et al (2006). The family affluence scale as a measure of national wealth: validation of an adolescent self-report measure. Soc Indic Res, 78, 473-87. https://doi.org/10.1007/s11205-005-1607-6
  6. Cheah YK, Naidu BM (2012). Exploring factors influencing smoking behaviour in Malaysia. Asian Pac J Cancer Prev, 13, 1125-30. https://doi.org/10.7314/APJCP.2012.13.4.1125
  7. Cho H, Khang Y (2010). Family Affluence Scale, other socioeconomic position indicators, and self-rated health among South Korean adolescents: findings from the Korea Youth Risk Behavior Web-based Survey (KYRBWS). J Public Health, 18, 169-78. https://doi.org/10.1007/s10389-009-0299-9
  8. Currie C, Molcho M, Boyce W, et al (2008). Researching health inequalities in adolescents: the development of the Health Behaviour in School-Aged Children (HBSC) family affluence scale. Soc Sci Med, 66, 1429-36. https://doi.org/10.1016/j.socscimed.2007.11.024
  9. Emerson E, Graham H, Hatton C (2006). Household income and health status in children and adolescents in Britain. Eur J Public Health, 16, 354-60. https://doi.org/10.1093/eurpub/cki200
  10. Finkelstein DM, Kubzansky LD, Goodman E (2006). Social status, stress, and adolescent smoking. J Adolesc Health, 39, 678-85. https://doi.org/10.1016/j.jadohealth.2006.04.011
  11. Gilman SE, Abrams DB, Buka SL (2003). Socioeconomic status over the life course and stages of cigarette use: initiation, regular use, and cessation. J Epidemiol Community Health, 57, 802-8. https://doi.org/10.1136/jech.57.10.802
  12. Glendinning A, Hendry L, Shucksmith J (1995). Lifestyle, health and social class in adolescence. Soc Sci Med, 41, 235-48. https://doi.org/10.1016/0277-9536(94)00316-L
  13. Golbasi Z, Kaya D, Cetindag A, et al (2011). Smoking prevalence and associated attitudes among high school students in Turkey. Asian Pac J Cancer Prev, 12, 1313-6.
  14. Goodman E, Adler NE, Daniels SR, et al (2003). Impact of objective and subjective social status on obesity in a biracial cohort of adolescents. Obes Res, 11, 1018-26. https://doi.org/10.1038/oby.2003.140
  15. Goodman E, Huang B, Schafer-Kalkhoff T, et al (2007). Perceived socioeconomic status: a new type of identity that influences adolescents' self-reated health. J Adolesc Health, 41, 479-87. https://doi.org/10.1016/j.jadohealth.2007.05.020
  16. Hanson M, Chen E (2007). Socioeconomic status and health behaviors in adolescence: a review of the literature. J Behav Med, 30, 263-85. https://doi.org/10.1007/s10865-007-9098-3
  17. Hanson MD, Chen E (2007). Socioeconomic status and substance use behaviors in adolescents: the role of family resources versus family social status. J Health Psychol, 12, 32-5. https://doi.org/10.1177/1359105306069073
  18. Judge K, Benzeval M (1993). Health inequalities: new concerns about the children of single mothers. BMJ, 306, 677-80. https://doi.org/10.1136/bmj.306.6879.677
  19. Karvonen S, Rahkonen O (2011). Subjective social status and health in young people. Sociol Health Illn, 33, 372-83. https://doi.org/10.1111/j.1467-9566.2010.01285.x
  20. Kokkevi A, Rotsika V, Arapaki A, et al (2012). Adolescents' self-reported suicide attempts, self-harm thoughts and their correlates across 17 European countries. J Child Psychol Psychiatry, 53, 381-9. https://doi.org/10.1111/j.1469-7610.2011.02457.x
  21. Korea Centers for Disease Control and Prevention (2009). Reliability and validity of the Korean Youth Risk Behavior Web-based Survey questionnaire. Ministry of Education, Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention, Seoul, Korea
  22. Korea Centers for Disease Control and Prevention (2012). The eighth Korea Youth Risk Behavior Web-based Survey. Ministry of Education, Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention, Seoul, Korea
  23. Reitzel LR, Mazas CA, Cofta-Woerpel L, et al (2010). Subjective social status affects smoking abstinence during acute withdrawal through affective mediators. Addiction, 105, 928-36. https://doi.org/10.1111/j.1360-0443.2009.02875.x
  24. Ritterman ML, Fernald LC, Ozer EJ, et al (2009). Objective and subjective social class gradients for substance use among Mexican adolescents. Soc Sci Med, 68, 1843-51. https://doi.org/10.1016/j.socscimed.2009.02.048
  25. Sarkar BK, Arora M, Gupta VK, et al (2013). Determinants of tobacco cessation behavior among smokers and smokeless tobacco users in the states of Gujarat and Andhra Pradesh, India. Asian Pac J Cancer Prev, 14, 11931-5.
  26. Spencer NJ (2006). Social equalization in youth: evidence from a cross-sectional British survey. Eur J Public Health, 16, 368-75. https://doi.org/10.1093/eurpub/cki222
  27. Thakur JS, Prinja S, Bhatnagar N, et al (2013). Socioeconomic inequality in the prevalence of smoking and smokeless tobacco use in India. Asian Pac J Cancer Prev, 14, 6965-9. https://doi.org/10.7314/APJCP.2013.14.11.6965

Cited by

  1. Socioeconomic inequalities in health among Swedish adolescents - adding the subjective perspective vol.17, pp.1, 2017, https://doi.org/10.1186/s12889-017-4863-x
  2. Gender-Specific Analyses of the Prevalence and Factors Associated with Substance Use and Misuse among Bosniak Adolescents vol.12, pp.6, 2015, https://doi.org/10.3390/ijerph120606626