Indicators Of Social Position Research Articles

Triple Jeopardy in Oral Health: Additive Effects of Immigrant Status, Education, and Neighborhood.

To estimate the additive effects of parent's nativity status/language spoken at country of birth, education, and area-level socioeconomic status (SES) on untreated dental caries among children aged 5 to 9 y in Australia. Cross-sectional population-based data were obtained from the 2014 National Child Oral Health Study (N = 12,140). Indicators of social position used to explore additive effects on dental caries included nativity status, language, university degree, and neighborhood socioeconomic level. Multiple-way interactions were examined, and departure from additivity resulting from 2- and 3-way interactions were estimated as relative excess risk due to interaction (RERI). Children marginalized across multiple layers of disadvantage had substantially higher frequencies of dental caries compared with children in the most advantaged category. RERI for the 3-way interaction between immigrant status, education, and neighborhood SES was negative (RERI3: -0.14; 95% confidence interval [CI]: -1.68, 1.40). When operationalizing language, education, and neighborhood SES, the joint effect of the 3 marginalized positions was additive (RERI3: 0.43; 95% CI: -2.08, 2.95). Children marginalized across multiple intersecting axes of disadvantage bear the greatest burden of dental caries, with frequencies surpassing the cumulative effect of each social position alone. Findings emphasize the need to account for intersecting inequities and their oral health effects among children with immigrant backgrounds. Our analysis underscores the necessity for policies and public health strategies targeting dental caries-related inequities to comprehensively account for various indicators of social disadvantage, particularly encompassing language proficiency, educational attainment, and neighborhood socioeconomic status. Within the intricate interplay of these factors, we identify a vulnerable subgroup comprising children with the highest prevalence of dental decay. Therefore, prioritizing this specific demographic should be the focal point of policies and public health initiatives aimed at fostering equitable oral health outcomes.

Depressive symptomatology from a network perspective: Differences in the experience of symptoms involved in the self-recognition of depression and the diagnosis process by social position.

While social disparities in depression are well-documented, the symptom experience across social positions remains less studied. This study examines the connections between depressive symptoms and self-recognizing a depressive episode, on the one hand, and clinical diagnosis, on the other hand, by three social position indicators. We analyzed baseline data from a population-based cohort of adults living in France, grouping participants by three indicators: education, financial difficulties, and occupation, and stratifying by sex. Utilizing a psychometric network approach, we estimated 24 networks. Nodes corresponded to the 20 CES-D items and 1 external variable, either 'Limitations due to depression' or 'Clinical depression'. Comparisons between socially disadvantaged and advantaged groups across the three social indicators were made in terms of network structures, global strength, and edge weights involving symptoms and both external nodes. The study included data from 201,952 participants. Individuals in lower social positions exhibited higher rates of depressive-related variables. Four depressive symptoms emerged as crucial, being linked both to 'Clinical depression' and 'Limitations' across all social positions. Socially disadvantaged groups had denser networks. Some of the tests comparing network structures according to social position were significant, suggesting differences in the symptom activation chains. Connections between each external node and 'Felt depressed' and 'Could not get going' were non-invariant in educational and financial-based networks. Findings highlight four depressive symptoms, likely to play a key role in the experience of depression across all social positions. Other insights from specific symptoms could be used for improving depression care among disadvantaged populations.

The socioeconomic consequences of loneliness: Evidence from a nationally representative longitudinal study of young adults

The negative health consequences of loneliness have led to increasing concern about the economic cost of loneliness in recent years. Loneliness may also incur an economic burden more directly, by impacting socioeconomic position. Much of the research to date has focused on employment status which may not fully capture socioeconomic position and has relied on cross-sectional data, leaving questions around the robustness of the association and reverse causation. The present study used longitudinal data to test prospective associations between loneliness and multiple indicators of social position in young adulthood, specifically, whether participants who were lonelier at age 12 were more likely to be out of employment, education and training (NEET) and lower on employability and subjective social status as young adults. The data were drawn from the Environmental Risk (E-Risk) Longitudinal Twin Study, a birth cohort of 2,232 individuals born in England and Wales during 1994–1995. Loneliness and subjective social status were measured at ages 12, 18 and 26. Employability and NEET status were assessed at age 18. Findings indicate that greater loneliness at age 12 was prospectively associated with reduced employability and lower social status in young adulthood. The association between loneliness and lower social status in young adulthood was robust when controlling for a range of confounders using a sibling-control design. Results also indicate that loneliness is unidirectionally associated with reduced subjective social status across adolescence and young adulthood. Overall, our findings suggest that loneliness may have direct costs to the economy resulting from reduced employability and social position, underlining the importance of addressing loneliness early in life.

CO97 Risk Factors, Presentation and Outcome in Acute Ischemic Stroke According to Social Position Indicators in Patients Hospitalized in a Referral Center in Bogotá 2011-2019

As stroke treatment is time-dependent, it challenges the social and demographic context of patients for timely consultation and effective access to reperfusion therapies. The aim of this study was to relate indicators of social position to cardiovascular risk factors, time of arrival, access to reperfusion therapy and mortality in the setting of acute ischemic stroke.

Risk Factors, Presentation, and Outcome in Acute Stroke according to Social Position Indicators in Patients Hospitalised in a Referral Centre in Bogotá 2011–2019

Introduction: Treatment of stroke is time-dependent and it challenges patients’ social and demographic context for timely consultation and effective access to reperfusion therapies. Objective: The objective of this study was to relate indicators of social position to cardiovascular risk factors, time of arrival, access to reperfusion therapy, and mortality in the setting of acute stroke. Methods: A retrospective analysis of patients with a diagnosis of ischaemic stroke in a referral hospital in Bogotá was performed. A simple random sample with a 5% margin of error and 95% confidence interval was selected. Patients were characterised according to educational level, place of origin, marital status, occupation, duration of symptoms before consultation, cardiovascular risk factors, access to reperfusion therapy, and mortality during hospitalisation. Results: 558 patients were included with a slight predominance of women. Diagnosis of diabetes was more common in women and smoking in men (n = 68, 28.4% vs. n = 51, 15.9%; p = 0.0004). Rural origin was associated with higher prevalence of hypertension, diabetes, and dyslipidaemia (hypertension n = 45, 73.8% vs. n = 282, 57.4%; p = 0.007; diabetes n = 20, 33.3% vs. 109, 19.5%; p = 0.02; dyslipidaemia n = 19, 32.7% vs. n = 93, 18.9%; p = 0.02). Mortality was higher in rural patients (n = 8, 14.2% vs. n = 30, 6.1%; p = 0.03). Lower schooling was associated with higher frequency of hypertension and dyslipidaemia (hypertension n = 152, 76.0% vs. n = 94, 46.3%; p ≤ 0.0001; dyslipidaemia n = 56, 28% vs. n = 35, 17.0%; p = 0.009) as well as with late consultation (n = 30, 15% vs. n = 59, 28.7%; p = 0.0011) and lower probability of accessing reperfusion therapy (n = 12, 6% vs. n = 45, 22%; p ≤ 0.0001). Formal employment was associated with a visit to the emergency department in less than 3 h (n = 50, 25.2% vs. n = 58, 18%, p = 0.04 and a higher probability of accessing reperfusion therapy (n = 35, 17.6% vs. n = 33, 10.2%; p = 0.01). Finally, living in a household with a stratum higher than 3 was associated with a consultation before 3 h (n = 77, 25.5% vs. n = 39, 15.6%; p = 0.004) and a higher probability of reperfusion therapy (n = 57, 18.9% vs. n = 13, 5.2%; p ≤ 0.0001). Conclusion: Indicators of socio-economic status are related to mortality, consultation time, and access to reperfusion therapy. Mortality and reperfusion therapy are inequitably distributed and, therefore, more attention needs to be directed to the cause of these disparities in order to reduce the access gap in the context of acute stroke in Bogotá.

The Role of Values as Mediator in Relationships Between Social Position and Cultural Omnivorousness in Germany

Research on cultural omnivorousness—the concept conceptualized originally as the ability to expand one’s cultural preferences—continues to grow in prominence in studies of the cultural dimension of social stratification. Given recent inconsistent empirical findings, this study returned to the origins of the concept and examined the role of values in developing omnivorous cultural taste. Based on the example of Germany and relying on data from the German General Social Survey (ALLBUS/GGSS) in 2014, this study empirically examined the indirect effect of social position on cultural omnivorousness via postmaterialistic values using structural equation modeling. The findings suggest that postmaterialist values could be mediators; a higher position in the social structure implied a higher likelihood to hold postmaterialist values, which led to higher cultural omnivorousness. The indicators of social position were also analyzed separately, given that the explanatory power of educational attainment in predicting cultural omnivorousness was approximately the same as that of occupational characteristics. The proportion of the relationship mediated by values did not differ significantly in models with education or occupational characteristics as predictors of cultural omnivorousness.

Changing associations of coronary heart disease incidence with current partnership status and marital history over three decades

Married men and women have better health than non-married, but little is known about how cohabitation and marital history are associated with coronary heart disease (CHD) incidence and how these associations have changed over time. We analyzed these associations by fitting Cox regression models to register data covering the whole Finnish population aged 35 years or older (N = 4,415,590), who experienced 530,560 first time non-fatal or fatal CHD events during the years 1990–2018. Further, we used stratified Cox regression models to analyze CHD incidence within same-sex sibling pairs (N = 377,730 pairs). Married men and women without previous divorce had the lowest CHD incidence whereas cohabitation and a history of divorce were associated with higher CHD incidence. The associations were stronger in younger (35–64 years old) than older participants (65 years or older). These associations remained after adjusting for several indicators of social position, and the lower CHD incidence among those married without previous divorce was also observed within sibling pairs with a shared family background. The differences in CHD incidence between the categories generally widened over time; the largest and most systematic widening was observed among women in the younger age category. The long standing negative effect of divorce suggests that selection may partly explain the association between partnership status and CHD incidence. Partnership status is an increasingly important factor contributing to social inequalities in health.

Depicting socioeconomic disadvantage and social gradient in quality of life in Limassol, Cyprus

Abstract Background The lack of validated and accepted area-level indices of socioeconomic disadvantage at national or regional level in Cyprus poses a barrier to “spatial thinking” among Public Health policy-makers and researchers. Methods A composite index of socioeconomic disadvantage was constructed by exploring the factor structure of 28 commonly used census indicators at city quarter (N = 38, median population 3894, IQR 2570-6169) and postcode level (N = 124, median 1320, IQR 798-2014). Predictive validity was explored in mixed random-effect regression models in term of associations with SF-36 health-related quality of life among a stratified random sample aged 45-64 (N = 450, 45 neighbourhoods). Results There was wide variability across communities in all indicators, for instance, 0.4%-25.9% unemployment, 41.1%-90.7% at most secondary level education, 3.6%-95.9% residences built prior to 1980. Two factors were identified: “socioeconomic disadvantage” (SED), with the same set of 11-12 indicators at the two levels of geographical aggregation, and “built environment”, reflecting proximity to the city centre, with nevertheless no meaningful associations with the outcome of interest. The SED index captured a stepwise decrease in physical (-1.39 95%CI -2.06, -0.72) and mental health (-1.26 95% -1.98, -0.54) scores across quartiles of postcodes with increasing disadvantage, of similar clinically significant effect size by gender. Associations attenuated slightly but remained significant after adjusting for person-based indicators of social position, with some weak evidence of cross-level interactions for physical, but not mental, health. Conclusions The composite index, tapping on educational, economic, material, occupational and social disadvantage, allowed the exploration of socioeconomic disadvantage patterning at a small-area level in the city of Limassol and documented the social gradient in health-related quality of life among a late working-life sample of residents. Key messages First-time depiction of the geographical patterning of socioeconomic disadvantage across the small geographical level of postcodes in the city of Limassol, Cyprus. Social gradient in physical and mental health in men and women across the continuum of socioeconomic disadvantage over and above person-based indicators of social position.

112Neighbourhood environment and health-related quality of life, Limassol, Cyprus

Abstract Background The extent and magnitude of socio-geographical inequalities in health in Cyprus is not clear as neither “place” nor “health inequalities” feature on the public health agenda. Methods In the context of a wider Neighbourhood Environment and Health programme, the magnitude of inequality in health-related quality of life (HRQoL) among Limassol citizens was explored in a door-to-door SF-36 survey of residents aged 45-64 (N = 450, 50:50 gender quota) across 45 randomly selected neighbourhoods stratified by socio-economic disadvantage and profiled using a culturally-adapted Systematic Social Observation neighbourhood audit tool. Results The social gradient was steeper for physical than mental component scores of HRQoL irrespective of the indicator of social position. Education and income captured the gradient better in women, and occupational-based social class in men, with large effect (0.7-1 SD) on the SF-36 scale at opposite ends of the continuum. Lower HRQoL and more adverse health behaviours observed in disadvantaged neighborhoods according to census area-level measures and neighbourhood audit profiles, with generally larger differences in women. Conclusions This study profiled the variability in the urban neighbourhood environment,and documented the magnitude of social gradient in health and health-related quality of life in a representative sample of late working-life population in Cyprus. Key messages Social gradient in health behaviours and quality of life in late working-life Cypriot population. Gradient apparent in both men and women across individual and neighborhood measures of social position.

The structure of food taste in 21st century Britain

This paper draws on the concepts and tools of Pierre Bourdieu to construct a comprehensive model of the contemporary British "food space." It uses multiple correspondence analysis to unearth a space structured in two key dimensions revolving around the lean and the rich. A host of supplementary variables are available to examine the relationship, or homology, between food tastes and broader alimentary dispositions, including orientations toward shopping, ethics and cooking. Indicators of social position reveal the structuring of the space by economic and cultural capital as well as gender, but also, updating and nuancing Bourdieu's own model for 1970s' France, by age, region, ethnicity and religion. Finally, the paper examines the relationship between position in the food space and physical, mental and existential wellbeing, demonstrating that orientation toward the less healthy and the less rich, corresponding with few resources, is, in some cases, accompanied by not only hunger and deprivation but profound worry and misery.

Sociodemographic Indicators of Social Position and Self-care Maintenance in Adults with Heart Failure.

Social determinants of health (SDH) are known to influence health. Adequate self-care maintenance improves heart failure (HF) outcomes. However, the relationship between self-care maintenance and SDH remains unclear. Explore the relationship between sociodemographic indicators of social position and self-care maintenance in adults with HF. This was a secondary analysis of data from a cross-sectional descriptive study of 543 adults with HF. Participants completed the Self-Care of HF Index and a sociodemographic survey. We used multiple regression with backward elimination to determine which SDH variables were determinants of self-care maintenance. Marital status (p = .02) and race (p = .02) were significant determinants of self-care maintenance. Education (p = .06) was highest in Whites (35.6%). These variables explained only 3.8% of the variance in self-care maintenance. Race, education, and marital status were associated with HF self-care maintenance. SDH is complex and cannot be explained with simple sociodemographic characteristics.

Adolescent college expectation and nutritional health in adulthood: The hidden power of social position.

Few studies investigated whether expected college attendance in adolescence may generate comparable health benefits in early adulthood for the disadvantaged and the privileged. Using data from the National Longitudinal Study of Adolescent to Adult Health, this study examined the contingent associations of college attendance expectation with weekly fast food consumption (FFC), sugar-sweetened beverage consumption (SBC), physical activity (PA), and obesity in early adulthood based on four social position indicators: family poverty, neighborhood poverty, parental education, and race. Results suggested that family poverty, neighborhood poverty, and low parental education significantly compromised college expectation's associations with all outcomes except for PA. Further, college expectation's negative associations with FFC and SBC were lower for Blacks than for Whites; and college expectation's negative association with SBC and positive association with PA were lower for Hispanics than for Whites. These findings imply that the "ambition inflation" among American youth, often celebrated by the American culture for its acclaimed life changing power, may be not equally benefiting the disadvantaged and the privileged. Future behavioral interventions focusing on fostering a positive outlook in youth should consider possible effect heterogeneity based on social background.

The role of intraspecific competition in the dispersal of an invasive fish

Abstract Ponto‐Caspian gobies are among the most successful fish invaders in inland waters of Europe and in the Great Lakes of North America. Their invasions appear to comprise a combination of passive and active dispersal mechanisms, both natural and human‐mediated. Despite the significance of Ponto‐Caspian gobies as invasive species, there is little information about the mechanisms underpinning their dispersal. They are relatively small benthic fish, with high site affinity. Thus, actively dispersing individuals must express a behavioural motivation to engage in persistent directional movement. Several recent studies have suggested that inter‐individual behavioural differences in boldness, activity level and tendency to explore might underpin dispersal. In addition, because males are highly territorial, intraspecific competition may lead to density‐dependent dispersal of subordinate individuals. To date, studies on this subject have focused mainly on comparisons between individuals from the core of established populations with those at the margins and, thus, address the outcome of dispersal rather than the mechanism itself. We conducted a series of experiments on the racer goby Babka gymnotrachelus to address the question of what behavioural and physiological traits predict the tendency of an individual to perform dispersal behaviour, specifically considering the role of conspecifics in influencing the tendency to disperse. We used an artificial channel to measure dispersal tendency in this species in combination with behavioural trials. Our results showed that fish with a greater tendency to disperse in an experimental channel grew more slowly and were bolder; that is displayed a greater propensity to emerge from a cryptic background onto a white background and performed worse in prey capture trials. As predicted, intraspecific competition played a primary role in the dispersal of the racer goby. Dominant males showed a tendency to monopolise limited shelters with an outcome that subordinates were forced to disperse upstream. The specific growth rate of individuals appeared to be a good indicator of social position. Subordinate males expressed the lowest rates of growth, probably as a result of long‐term deprivation of food in the presence of dominant conspecifics. They were also quicker to explore novel environments, possibly to search for food. Contrary to expectations, subordinate individuals performed relatively poorly in feeding trials when tested individually. Our findings suggest that intraspecific competition in racer goby males is an important mechanism for active dispersal. It can also influence inter‐individual variation in traits such as boldness and tendency to explore novel environments. Similar responses to competitive interactions may have encouraged the invasive expansion of other Ponto‐Caspian gobies following establishment in new environments, as well as other fish species that exhibit territorial behaviour.

Schooling, Income and Social Position in Different Countries

This article consists of the exposition of part of the research results focused on the examination of the relations between economic valorization of formal education and social position. The objective of this research is to take the set of social position indicators with information available in official statistics with compatible variables between different countries. Besides the compatibility of the pertinent variables, another inclusion criterion is the existence of information available in continuous values for the amount of income and the number of years of study. Based on this, a set of 13 countries were included (under central and peripheral conditions). Differences in the economic valuation of the amount of education are measured particularly by comparing the average income and years of education for each category of variables under consideration. Of the set of indicators retained with information available from sources, a first block refers more directly to variables linked to occupational categories, status in employment and educational level, in addition to the amount of income. A second block of indicators is more directly linked to the position in center / periphery relations and the conditions of social integration. Finally, a third block of indicators focuses on what is generally considered as social capital. In the present article, due to the lack of space for the total results to be exposed, the focus is on the first set of indicators, relative amount of income, occupational categories, status in employment and educational level Despite the impossibility of exposing the totality of the results in a single article, regarding the included indicators, they are very strong and systematic. The “plus” in valuing formal education is extremely differentiated, with the respective positions of the always analogous or similar categories. This covers either occupational categories or groupings or status in employment and educational attainment. Despite the inclusion of countries in central and peripheral conditions and differences in outcomes, the relative positions of the categories with the highest “plus” in.

Measuring social inequality in health amongst indigenous peoples in the Arctic. A comparison of different indicators of social disparity among the Inuit in Greenland

The purpose of the article is to compare different indicators of social position as measures of social inequality in health in a population sample from an indigenous arctic people, the Inuit in Greenland. Data was collected during 2005–2015 and consisted of information from 3967 adult Inuit from towns and villages in all parts of Greenland. Social inequalities for smoking and central obesity were analysed in relation to seven indicators of social disparity in four dimensions, i.e. education and employment, economic status, sociocultural position, and place of residence. For each indicator we calculated age-adjusted prevalence by social group, rate ratio and the concentration index. The indicators were correlated with Pearson’s r ranging from 0.24 to 0.82. Concentration indices ranged from 0.01 to 0.17. We could not conclude that one indicator was superior to others. Most of the indicators were traditional socioeconomic indicators used extensively in research in western countries and these seemed to be useful among the Inuit too, in particular household assets and job. Two sociocultural indicators developed for use among the Inuit and which included parameters specific to the indigenous peoples in the transition from a traditional to a modern life style proved to be equally useful but not superior to the traditional socioeconomic indicators. The choice of indicator must depend on what it is realistic to collect in the actual research setting and the use of more than one indicator is recommended. It is suggested to further develop culture specific indicators of social position for indigenous peoples.

Accumulation of unhealthy behaviors: Marked social inequalities in men and women.

The objective of this study was to compare the accumulation of unhealthy behaviors at the bottom of the social scale in men and women and, secondarily, to compare social and gender-based inequalities.Fifty-two general practitioners from the Paris area volunteered to participate. A sample of 70 patients (stratified by gender) aged 40–74 years was randomly chosen from each physician's patient panel and asked to complete a questionnaire about their social position and health behaviors: tobacco and alcohol use, unhealthy diet, and physical inactivity. Mixed Poisson models were used to describe, with relative risks (RRs) and relative inequality indexes (RIIs), the social inequalities in the accumulation of these four unhealthy behaviors.In 2008–2009, 71% of the 3640 patients returned their questionnaires. Men had an average of 1.59 of the 4 unhealthy behaviors we studied, and women 1.35 (RR = 1.18; 95% CI [1.11–1.25]). The mean number of unhealthy behaviors increased significantly for both genders from the top to the bottom of the social scale. The order of magnitude of RIIs was similar among men and women, ranging from 1.33 (occupational RII among women, 95% CI [1.11–1.60]) through 1.69 (financial RII among women, 95% CI [1.43–1.99]). None of the interaction tests between gender and social position was significant. The social inequalities had significantly wider amplitudes than those between genders for two of the three indicators of social position. The amplitude of social gradients related to unhealthy behaviors was similar between men and women and exceeded the gender inequality between them.

Looking for capacities rather than vulnerabilities: The moderating effect of health assets on the associations between adverse social position and health

To increase capacities and control over health, it is necessary to foster assets (i.e. factors enhancing abilities of individuals or communities). Acting as a buffer, assets build foundations for overcoming adverse conditions and improving health. However, little is known about the distribution of assets and their associations with social position and health. In this study, we documented the distribution of health assets and examined whether these assets moderate associations between adverse social position and self-reported health.A representative population-based cross-sectional survey of adults in the Eastern Townships, Quebec, Canada (n = 8737) was conducted in 2014. Measures included assets (i.e. resilience, sense of community belonging, positive mental health, social participation), self-reported health (i.e. perceived health, psychological distress), and indicators of social position. Distribution of assets was studied in relation to gender and social position. Logistic regressions examined whether each asset moderated associations between adverse social position and self-reported health.Different distributions of assets were observed with different social positions. Women were more likely to participate in social activities while men were more resilient. Resilience and social participation were moderators of associations between adverse social position (i.e. living alone, lower household income) and self-reported health.Having assets contributes to better health by increasing capacities. Interventions that foster assets and complement current public health services are needed, especially for people in unfavorable situations. Health and social services decision-makers and practitioners could use these findings to increase capacities and resources rather than focusing primarily on preventing diseases and reducing risk factors.

Life course, sociocultural factors and disordered eating in adult Mexican women

Disordered eating (DE) can appear in women of all ages and in diverse sociocultural contexts, however most research focuses on younger women in higher income countries. The purpose of this article was to explore the association of life course markers with DE, considering the effects of sociocultural factors, in a sample of adult women in Tijuana, Mexico. We employed data from a household survey (n = 2322) conducted in 2014, to evaluate the associations of DE with age, occupation, marital status and having children (life course markers), and indicators of social position and exposure to modernization (sociocultural factors). The prevalence of weight preoccupation was 69.2% (CI95% 67.3,71.1), the prevalence of dieting 24.8% (CI95% 22.4,27.3), and 2.0% (CI95% 1.4,3.0) had a probable eating disorder according to the questionnaire cutoff score. In the adjusted model, younger age, being employed, higher social position and indicators of exposure to modernization had positive associations with DE. There were interactions between marital status and body mass index, and between age and region of birth. The interaction terms showed that overweight was positively associated with DE among single and cohabiting participants, but not among the married ones; and that the negative association between DE and age was apparent from younger age groups in women born in less developed regions of Mexico. Our results replicate others in showing DE to be present in women through the life course, and point to at-risk groups in the confluences of life course, social position and modernization.

Young people’s leisure patterns: testing social age, social gender, and linguistic capital hypotheses

ABSTRACTWe analysed young people’s leisure activities in order to identify their leisure habitus, discover how they combined activities into leisure patterns, and examine how leisure patterns were socially structured. We argue that the effects of age, gender, and language on how young people’s leisure patterns are structured are mediated by social class. We found that leisure practices could be classified in terms of three habitus: the frequent leisure habitus, the cultural activity habitus, and the social vs. entertainment habitus. The different combinations of these three leisure habitus by young people resulted in four patterns which we refer to as social, omnivorous, entertainment, and religious leisure patterns. The association of leisure patterns with indicators of social position suggests that, as predicted by our theoretical framework, age, gender, and language effects are diminished once we take into account the mediating role of social class. Young people’s leisure practices are therefore socially differentiated, with young immigrants forming a vulnerable group that should be the particular focus of youth leisure policies.

Obesity-Related Behaviors among Poor Adolescents and Young Adults: Is Social Position Associated with Risk Behaviors?

HighlightsDifferent measures of social position capture unique dimensions of relative rank among youth.Youth-specific measures of social position may be important in identifying the most at-risk for obesity.Lower social status youth are more likely to be at-risk for obesity-related behaviors compared to those with a higher rank.This cross-sectional study examines multiple dimensions of social position in relation to obesity-related behaviors in an adolescent and young adult population. In addition to using conventional measures of social position, including parental education and household expenditures, we explore the usefulness of three youth-specific measures of social position – community and society subjective social status and school dropout status. Data are taken from a 2004 house-to-house survey of urban households within the bottom 20th percentile of income distribution within seven states in Mexico. A total of 5,321 Mexican adolescents, aged 12–22 years, provided information on obesity-related behaviors (e.g., diet, physical activity, sedentary behavior) and indicators of subjective and objective social position. A parent in each household provided information on socioeconomic status of the parent and household. Ordinal logistic regressions are used to estimate the associations of parental, household and adolescent indicators of social position and obesity-related risk behaviors. Those adolescents with the highest odds of adopting obesity risk behaviors were the ones who perceived themselves as lower in social status in reference to their peer community and those who had dropped out of school. We found no significant associations between parental education or household expenditures and obesity-related risk behaviors. Immediate social factors in adolescents’ lives may have a strong influence on their health-related behaviors. This study provides evidence for the usefulness of two particular measures, both of which are youth-specific. Adolescents and young adults who have dropped out of school and those with lower perceived relative social position within their community are more likely to be at-risk for obesity-related behaviors than those with higher relative social position. We conclude that youth-specific measures may be important in identifying the most at-risk among relatively homogeneous populations of youth.