Parental Objective, Subjective, and Contextual Socioeconomic Status and Children's Mental Health in Iran: The Mediating Effect of the Subjective Measure

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Mohammad Aghaei Ardavan; Wissow Lawrence; Mojtabai Ramin; ZARAFSHAN HADI; SHAHRIVAR ZAHRA; Nikzad Amir Hossein; SHARIFI VANDAD

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Journal: Iranian Journal of Psychiatry and Behavioral Sciences Year:2023 | Volume:17 | Issue:2 Page(s): 0-0

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Title

Parental Objective, Subjective, and Contextual Socioeconomic Status and Children's Mental Health in Iran: The Mediating Effect of the Subjective Measure

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Keywords

Health inequalities

Social Class

Mental Disorders

Child Psychiatry

Adolescent Psychiatry

Abstract

Background: Children from lower socioeconomic status (SES) households are at greater risk for mental illnesses. Socioeconomic status has diﬀ, erent dimensions: Objective SES, subjective SES, and contextual SES. Evidence suggests that subjective SES partially mediates the impact of objective SES on mental health. However, these hypotheses have not been tested in Middle Eastern cultures, including Iran. Objectives: We aimed to investigate: (1) if there is an association between parental objective, subjective, and contextual SES measures and their children’, s mental health in a network of general practitioners’,clients, (2) if such an association exists for objective or contextual indicators, is it partially or fully mediated through subjective measure? and (3) if such an association exists, is it aﬀ, ected by children’, s age? Methods: We assessed 1, 103 parent-child pairs in the general practitioners’,network of clients. The child’, s mental health was assessed by the Strengths and Diﬃ, culties Questionnaire (SDQ) and parental objective SES by education level, subjective SES by the MacArthur scale, and contextual SES by the household neighborhood. Linear regression models were used to investigate the impact of diﬀ, erent SES measures on the SDQ score both bivariately and adjusted for each other. A mediation analysis was performed for objective SES’,indirect eﬀ, ect on SDQ score through subjective SES. Results: We found a signiﬁ, cant association between objective and subjective SES and the SDQ score, which remained signiﬁ, cant after adjusting for each other. Both objective and subjective measures had a small eﬀ, ect size (Cohen’, s f-squared = 0. 03). There was no association between contextual SES and SDQ scores in our sample. Conclusions: Socioeconomic status impacts children and adolescents’,mental health. However, SES is a multi-dimensional concept. Further research considering diﬀ, erent dimensions is needed to understand the interplay of these dimensions in diﬀ, erent cultures and contexts. Addressing such exploratory questions may help pave the way for detecting and addressing these social determinants in primary care settings.

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APA: Copy

Mohammad Aghaei, Ardavan, Wissow, Lawrence, Mojtabai, Ramin, ZARAFSHAN, HADI, SHAHRIVAR, ZAHRA, Nikzad, Amir Hossein, & SHARIFI, VANDAD. (2023). Parental Objective, Subjective, and Contextual Socioeconomic Status and Children's Mental Health in Iran: The Mediating Effect of the Subjective Measure. IRANIAN JOURNAL OF PSYCHIATRY AND BEHAVIORAL SCIENCES (IJPBS), 17(2), 0-0. SID. https://sid.ir/paper/1113069/en

Vancouver: Copy

Mohammad Aghaei Ardavan, Wissow Lawrence, Mojtabai Ramin, ZARAFSHAN HADI, SHAHRIVAR ZAHRA, Nikzad Amir Hossein, SHARIFI VANDAD. Parental Objective, Subjective, and Contextual Socioeconomic Status and Children's Mental Health in Iran: The Mediating Effect of the Subjective Measure. IRANIAN JOURNAL OF PSYCHIATRY AND BEHAVIORAL SCIENCES (IJPBS)[Internet]. 2023;17(2):0-0. Available from: https://sid.ir/paper/1113069/en

IEEE: Copy

Ardavan Mohammad Aghaei, Lawrence Wissow, Ramin Mojtabai, HADI ZARAFSHAN, ZAHRA SHAHRIVAR, Amir Hossein Nikzad, and VANDAD SHARIFI, “Parental Objective, Subjective, and Contextual Socioeconomic Status and Children's Mental Health in Iran: The Mediating Effect of the Subjective Measure,” IRANIAN JOURNAL OF PSYCHIATRY AND BEHAVIORAL SCIENCES (IJPBS), vol. 17, no. 2, pp. 0–0, 2023, [Online]. Available: https://sid.ir/paper/1113069/en

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