TY - JOUR
T1 - Poverty and the prediction of health status in adolescents from low-income families in Taiwan
AU - Liang, Ya Lun
AU - Tsai, Meng Che
AU - Lin, Yi Ching
AU - Strong, Carol
AU - Lin, Chung Ying
N1 - Funding Information:
Data analyzed in this paper were collected by the research project ‘Taiwan Database of Children and Youth in Poverty: Taiwan Panel Study of Children and Youth’ sponsored by the Taiwan Fund for Children and Families in Taiwan. The Survey Research Data Archive, Academia Sinica, was responsible for data distribution. The authors appreciate their assistance in providing data. The views expressed herein are the authors’ own. This work was conducted with the support of the Ministry of Science and Technology, Taiwan (MOST) (funding number: MOST 105-2629-B-006-004). The authors declare no conflict of interest. The protocol was approved by the Institutional Review Board (IRB approval number: A-ER-105-065) at the National Cheng Kung University in Taiwan.
Funding Information:
This work was conducted with the support of the Ministry of Science and Technology, Taiwan (MOST) (funding number: MOST 105-2629-B-006-004).
Publisher Copyright:
© 2019 The Author(s) 2019. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved.
PY - 2020/3/1
Y1 - 2020/3/1
N2 - A comparison of the performance between monetary and an asset-based socioeconomic position (SEP) index in predicting adolescents' health outcomes was conducted only in low-income countries. Our study aims to compare these two indices among adolescents from low-income families in a high-income country. Methods: Data of adolescents aged 12-18 years was used from the Taiwan Database of Children and Youth in Poverty (n = 2529). The asset-based index was based on a set of weighted self-reported household conditions using principal components analysis. Multivariable logistic regression was conducted to examine the association between these two indices and the mental and physical health outcomes among adolescents. Results: Health outcomes were significantly associated with the asset-based SEP index but not with the monetary index. An increased trend was shown in mental illness symptoms, infections, injuries, allergies and dental problems when the regression was performed in the asset-based SEP index (P < 0.05) but not in the monetary SEP index. Conclusions: An asset-based SEP index serves as a better index associated with a social gradient in health inequality. To prioritize giving care to people in need, healthcare policymakers should consider including an assessment of household assets and resources, supplementary to the conventional monetary index.
AB - A comparison of the performance between monetary and an asset-based socioeconomic position (SEP) index in predicting adolescents' health outcomes was conducted only in low-income countries. Our study aims to compare these two indices among adolescents from low-income families in a high-income country. Methods: Data of adolescents aged 12-18 years was used from the Taiwan Database of Children and Youth in Poverty (n = 2529). The asset-based index was based on a set of weighted self-reported household conditions using principal components analysis. Multivariable logistic regression was conducted to examine the association between these two indices and the mental and physical health outcomes among adolescents. Results: Health outcomes were significantly associated with the asset-based SEP index but not with the monetary index. An increased trend was shown in mental illness symptoms, infections, injuries, allergies and dental problems when the regression was performed in the asset-based SEP index (P < 0.05) but not in the monetary SEP index. Conclusions: An asset-based SEP index serves as a better index associated with a social gradient in health inequality. To prioritize giving care to people in need, healthcare policymakers should consider including an assessment of household assets and resources, supplementary to the conventional monetary index.
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U2 - 10.1093/pubmed/fdy220
DO - 10.1093/pubmed/fdy220
M3 - Article
C2 - 30977812
AN - SCOPUS:85081158758
SN - 1741-3842
VL - 42
SP - 44
EP - 52
JO - Journal of Public Health (United Kingdom)
JF - Journal of Public Health (United Kingdom)
IS - 1
ER -