RESUMO
BACKGROUND: Adolescents in Sweden experience more mental health problems and lower mental well-being than adolescents in other Nordic countries. According to the literature, one possible explanation may be differences in income inequality. The at-risk-of-poverty rate varies significantly across the Nordic countries, and the highest rate is found in Sweden. The aims of the study were to examine socioeconomic inequalities in subjective health complaints and life satisfaction among adolescents in the Nordic countries during 2002 - 2018 and to explore whether subjective health complaints and life satisfaction were related to income inequality in terms of the at-risk-of-poverty rate at the country level. METHODS: Data regarding 15-year-olds from the Health Behaviour in School-aged Children study from five survey rounds (2002 - 2018) were used (n = 41,148). The HBSC Symptoms Checklist and Cantril's ladder were used as measures of subjective health complaints and life satisfaction, respectively. The Family Affluence Scale, the Perceived Family Wealth item and the at-risk-of-poverty rate in each country were used as measures of individual-level socioeconomic conditions and country-level income inequality. Statistical methods involved ANOVA, multiple linear regressions and multilevel regression analyses. RESULTS: Absolute and relative socioeconomic inequalities in both subjective health complaints and life satisfaction were found in all countries. Sweden showed average socioeconomic inequalities, Iceland the largest and Denmark the smallest. Country-level income inequality in terms of the at-risk-of-poverty rate was associated with a higher prevalence of subjective health complaints and lower levels of life satisfaction in all countries. CONCLUSION: Socioeconomic inequalities in adolescent mental health and well-being persisted in Nordic countries in the 2000s. Increasing income inequality may have contributed to higher levels of SHC and lower LS in Sweden compared to the other Nordic countries. Policies improving families' socioeconomic conditions and reducing income inequality at the country level are needed to improve and reduce inequalities in mental health and well-being among adolescents.
RESUMO
The aim of the paper is to assess the impact of socio-economic and socio-demographic factors on the risk of poverty or social exclusion. The paper focuses on the analysis of the probability of social exclusion of the Slovak population from 4 perspectives, from being at risk of poverty or social exclusion, at risk of poverty, severely materially deprived, and living in a (quasi-)jobless household. The least-square means analysis and contrast analysis linked to logit models were used to identify risk groups, and to estimate the social exclusion probabilities. Based on the EU-SILC 2020 database, unemployed persons with low education and persons from single-parent and multi-child households had the greatest risk of social exclusion in Slovakia. Under ceteris paribus conditions, the risk decreased with increasing age and improving health status. The riskiest marital status was divorced. Analyses revealed regional disparities from the point of view of all 4 perspectives, with people living in South-Center and Eastern Slovakia and people living in sparsely and moderately populated areas having the greatest risk. Since economic activity status, household type, and educational attainment level showed as the most relevant factors, the article pays special attention to the assessment of the mutual influence of these factors. Although the pattern of the risk of social exclusion of persons broken down by household type and education for the unemployed and employed is similar, the riskiness of the most vulnerable groups of people is more pronounced for employed persons.