@article{ref1,
title="Adolescent socioeconomic and school-based social status, smoking, and drinking",
journal="Journal of Adolescent Health",
year="2015",
author="Sweeting, Helen and Hunt, Kate",
volume="57",
number="1",
pages="37-45",
abstract="PURPOSE: Relationships between subjective social status (SSS) and health-risk behaviors have received less attention than those between SSS and health. Inconsistent associations between school-based SSS and smoking or drinking might be because it is a single measure reflecting several status dimensions. We investigated how adolescent smoking and drinking are associated with &quot;objective&quot; socioeconomic status (SES), subjective SES, and three dimensions of school-based SSS. <br><br>METHODS: Scottish 13-15 years-olds (N = 2,503) completed questionnaires in school-based surveys, providing information on: &quot;objective&quot; SES (residential deprivation, family affluence); subjective SES (MacArthur Scale youth version); and three school-based SSS dimensions (&quot;SSS-peer&quot;, &quot;SSS-scholastic&quot; and &quot;SSS-sports&quot;). We examined associations between each status measure and smoking (ever and weekly) and drinking (ever and usually five or more drinks) and investigated variations according to gender and age. <br><br>RESULTS: Smoking and heavier drinking were positively associated with residential deprivation; associations with family affluence and subjective SES were weak or nonexistent. Both substances were related to each school-based SSS measure, and these associations were equally strong or stronger than those with deprivation. Although SSS-peer was positively associated with both smoking and (especially heavier) drinking, SSS-scholastic and SSS-sports were negatively associated with both substances. There were no gender differences in the associations and few according to age. <br><br>CONCLUSIONS: Subjective school-based status has stronger associations with adolescent smoking and drinking than &quot;objective&quot; or subjective SES. However, different dimensions of school-based status relate to adolescent smoking and drinking in opposing directions, meaning one measure based on several dimensions might show inconsistent relationships with adolescent substance use.<p /> <p>Language: en</p>",
language="en",
issn="1054-139X",
doi="10.1016/j.jadohealth.2015.03.020",
url="http://dx.doi.org/10.1016/j.jadohealth.2015.03.020"
}