Author/Authors :
Mirmoghtadaee, Parisa Child Growth and Development Research Center - Research Institute for Primordial Prevention of Noncommunicable Disease - Isfahan University of Medical Sciences, Isfahan, Iran , Heshmat, Ramin Chronic Diseases Research Center - Endocrinology and Metabolism Population Sciences Institute - Tehran University of Medical Sciences, Tehran, Iran , Djalalinia, Shirin Non-communicable Diseases Research Center - Endocrinology and Metabolism Population Sciences Institute - Tehran University of Medical Sciences, Tehran, Iran , Motamed-Gorji, Nazgol Chronic Diseases Research Center - Endocrinology and Metabolism Population Sciences Institute - Tehran University of Medical Sciences, Tehran, Iran , Motlagh, Mohammad Esmaeil Department of Pediatrics - Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran , Ardalan, Gelayol Department of School Health - Bureau of Population - Family and School Health - Ministry of Health and Medical Education, Tehran, Iran , Safiri, Saeid Managerial Epidemiology Research Center - Department of Public Health - School of Nursing and Midwifery - Maragheh University of Medical Sciences, Maragheh, Iran , Ahadi, Zeinab Chronic Diseases Research Center - Endocrinology and Metabolism Population Sciences Institute - Tehran University of Medical Sciences, Tehran, Iran , Shafiee, Gita Chronic Diseases Research Center - Endocrinology and Metabolism Population Sciences Institute - Tehran University of Medical Sciences, Tehran, Iran , Asayesh, Hamid Department of Medical Emergency - Qom University of Medical Sciences, Qom, Iran , Qorbani, Mostafa Department of Community Medicine - School of Medicine - Alborz University of Medical Sciences, Karaj, Iran , Yaghini, Omid Department of Pediatrics - Child Growth and Development Research Center - Research Institute for Primordial Prevention of Non-communicable Disease - Isfahan University of Medical Sciences, Isfahan, Iran , Kelishadi, Roya Child Growth and Development Research Center - Research Institute for Primordial Prevention of Noncommunicable Disease - Isfahan University of Medical Sciences, Isfahan, Iran
Abstract :
Background: 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.
Methods: 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.
Results: 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.
Conclusion: 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.
