What do we mean when we talk about socioeconomic status? Implications for measurement, mechanisms and interventions from a critical review on adolescent mental health
Low socioeconomic status (SES) is a well-established risk factor for general and mental health problems. However, there is no widely accepted definition or operationalisation for SES, leading to varied interpretations in research. In a critical review of the child and adolescent mental health litera...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2024-11-01
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| Series: | General Psychiatry |
| Online Access: | https://gpsych.bmj.com/content/37/6/e101455.full |
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| author | Aaron Reeves Lucy Bowes Mirela Zaneva Tsvetomira Dumbalska |
| author_facet | Aaron Reeves Lucy Bowes Mirela Zaneva Tsvetomira Dumbalska |
| author_sort | Aaron Reeves |
| collection | DOAJ |
| description | Low socioeconomic status (SES) is a well-established risk factor for general and mental health problems. However, there is no widely accepted definition or operationalisation for SES, leading to varied interpretations in research. In a critical review of the child and adolescent mental health literature, we map how SES is defined and measured. We examined 334 relevant papers from 2013 to 2024 and found significant variability in the operationalisation of SES. Our analysis revealed fundamental problems such as the lack of clear definitions, insufficient detail on variables used and limited measures directly reported by adolescents. We discuss issues related to measurement techniques and their impact on reproducibility, policy development and intervention design. Based on our findings, we recommend using SES measures that directly assess the socioeconomic position of children and adolescents. Additionally, we recommend researchers improve transparency and specificity in reporting the measures used and the rationale behind their selection. The wide range of distinct measures used to represent SES, coupled with insufficient reporting, likely hampers our understanding of which underlying factors truly drive observed effects and impedes the establishment of causal relationships. This, in turn, makes the path to effective health interventions more challenging. |
| format | Article |
| id | doaj-art-0d7df2e57a334309b96fea2a47e4ab02 |
| institution | Kabale University |
| issn | 2517-729X |
| language | English |
| publishDate | 2024-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | General Psychiatry |
| spelling | doaj-art-0d7df2e57a334309b96fea2a47e4ab022025-01-29T14:45:12ZengBMJ Publishing GroupGeneral Psychiatry2517-729X2024-11-0137610.1136/gpsych-2023-101455What do we mean when we talk about socioeconomic status? Implications for measurement, mechanisms and interventions from a critical review on adolescent mental healthAaron Reeves0Lucy Bowes1Mirela Zaneva2Tsvetomira Dumbalska33 Department of Social Policy, University of Oxford, Oxford, UK2 Department of Experimental Psychology, University of Oxford, Oxford, UK1 Christ Church College, University of Oxford, Oxford, UK2 Department of Experimental Psychology, University of Oxford, Oxford, UKLow socioeconomic status (SES) is a well-established risk factor for general and mental health problems. However, there is no widely accepted definition or operationalisation for SES, leading to varied interpretations in research. In a critical review of the child and adolescent mental health literature, we map how SES is defined and measured. We examined 334 relevant papers from 2013 to 2024 and found significant variability in the operationalisation of SES. Our analysis revealed fundamental problems such as the lack of clear definitions, insufficient detail on variables used and limited measures directly reported by adolescents. We discuss issues related to measurement techniques and their impact on reproducibility, policy development and intervention design. Based on our findings, we recommend using SES measures that directly assess the socioeconomic position of children and adolescents. Additionally, we recommend researchers improve transparency and specificity in reporting the measures used and the rationale behind their selection. The wide range of distinct measures used to represent SES, coupled with insufficient reporting, likely hampers our understanding of which underlying factors truly drive observed effects and impedes the establishment of causal relationships. This, in turn, makes the path to effective health interventions more challenging.https://gpsych.bmj.com/content/37/6/e101455.full |
| spellingShingle | Aaron Reeves Lucy Bowes Mirela Zaneva Tsvetomira Dumbalska What do we mean when we talk about socioeconomic status? Implications for measurement, mechanisms and interventions from a critical review on adolescent mental health General Psychiatry |
| title | What do we mean when we talk about socioeconomic status? Implications for measurement, mechanisms and interventions from a critical review on adolescent mental health |
| title_full | What do we mean when we talk about socioeconomic status? Implications for measurement, mechanisms and interventions from a critical review on adolescent mental health |
| title_fullStr | What do we mean when we talk about socioeconomic status? Implications for measurement, mechanisms and interventions from a critical review on adolescent mental health |
| title_full_unstemmed | What do we mean when we talk about socioeconomic status? Implications for measurement, mechanisms and interventions from a critical review on adolescent mental health |
| title_short | What do we mean when we talk about socioeconomic status? Implications for measurement, mechanisms and interventions from a critical review on adolescent mental health |
| title_sort | what do we mean when we talk about socioeconomic status implications for measurement mechanisms and interventions from a critical review on adolescent mental health |
| url | https://gpsych.bmj.com/content/37/6/e101455.full |
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