Self-esteem trajectories over three decades predict opposition to social equality in midlife.

Although life trajectories are frequently theorized to explain people's attitudes toward different social groups, few studies have been able to directly assess their importance with suitable data. Addressing this gap and focusing on the development of general and domain-specific self-esteem, we report results from a population-based sample of Norwegians (N = 2,215) followed over 28 years and five time points from adolescence to midlife. Growth curve models demonstrated that irrespective of self-esteem domain, low levels of self-esteem in adolescence as well as a depressed self-esteem development over the next three decades were related to more overall opposition to social equality as well as more opposition to gender equality and immigration in midlife. The results held when controlling for participants' baseline political orientations and other key covariates in adolescence. Our findings indicate that low self-esteem and a lack of positive self-esteem development can be detrimental to harmonious intergroup relations in ever-diversifying societies. We discuss how future psychological interventions aimed at enhancing self-esteem may promote support for a more inclusive society.

Parental socioeconomic status is linked to cortical microstructure and language abilities in children and adolescents.

Gradients in parental socioeconomic status (SES) are closely linked to important life outcomes in children and adolescents, such as cognitive abilities, school achievement, and mental health. Parental SES may also influence brain development, with several magnetic resonance imaging (MRI) studies reporting associations with youth brain morphometry. However, MRI signal intensity metrics have not been assessed, but could offer a microstructural correlate, thereby increasing our understanding of SES influences on neurobiology. We computed a parental SES score from family income, parental education and parental occupation, and assessed relations with cortical microstructure as measured by T1w/T2w ratio (n = 504, age = 3-21 years). We found negative age-stabile relations between parental SES and T1w/T2w ratio, indicating that youths from lower SES families have higher ratio in widespread frontal, temporal, medial parietal and occipital regions, possibly indicating a more developed cortex. Effect sizes were small, but larger than for conventional morphometric properties i.e. cortical surface area and thickness, which were not significantly associated with parental SES. Youths from lower SES families had poorer language related abilities, but microstructural differences did not mediate these relations. T1w/T2w ratio appears to be a sensitive imaging marker for further exploring the association between parental SES and child brain development.

Development of loneliness in midlife and old age: Its nature and correlates.

Research has long demonstrated that loneliness is a key risk factor for poor health. However, less is known about the development and predictors of loneliness across later adulthood. We examined these questions using two-wave data obtained 5 years apart in the population-based Norwegian NorLAG study (N = 5,555; age 40-80 years; 51% women). We considered direct measures of loneliness (asking directly about feeling lonely) and indirect measures (avoiding the term loneliness) and linked them to self-report data on personality and contact with friends, and to register data on socioeconomic (education, income, unemployment), physical health (sick leave, lifetime history of disability), and social factors (children, marriage/cohabitation, lifetime history of divorce and widowhood). Results indicated that levels of loneliness increased steadily for women, whereas men's levels followed a U-shaped curve, with highest loneliness at ages 40 and 80. At age 40, loneliness declined between the two data waves, but with increasing age the decrease abated and turned into increases when loneliness was measured indirectly. Disability, no spouse/cohabiting partner, widowhood, and little contact with friends were each associated with more loneliness. Similarly, people high in emotional stability and extraversion reported less loneliness and experienced steeper loneliness declines on one or both loneliness measures. We take our results to illustrate the utility of combining self-report and register data and conclude that the development of loneliness across the second half of life is associated with both individual difference characteristics and aspects of social embedding. We discuss possible mechanisms underlying our findings and consider practical implications. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

Gender equality in sickness absence tolerance: Attitudes and norms of sickness absence are not different for men and women.

Previous research offers limited understanding as to why sickness absence is higher among women than among men, but attitudes and norms have been suggested as plausible explanations of this gender gap. The purpose of the present study is to examine whether the gender gap in sickness absence reflects gender differences in sickness absence attitudes or gendered norms of sickness absence in society. The analyses are based on data from a factorial survey experiment covering 1,800 male and female employed respondents in Norway in 2016. Each participant was asked to evaluate whether sick leave would be reasonable in six unique, hypothetical sickness absence scenarios (i.e. vignettes) in which occupation, gender and reason for sick leave varied. Sick leave judgments were regressed on respondent gender and vignette gender using binary logistic regressions across three cut points. Overall, we did not find a substantial gender difference in either attitudes towards sickness absence or sickness absence norms. However, further analyses indicated more tolerant social norms of sickness absence for employees in gender-dominated occupations than for employees in gender-integrated occupations. This pattern could be a result of the type of work attributed to these occupations rather than their gender composition. Contrary to popular belief, we conclude that widely held attitudes and norms of sickness absence are unlikely to be drivers of the gender gap in sickness absence. The results can be useful for policies and interventions aimed at safeguarding gender equality in the labour market.

Self-esteem across the second half of life: The role of socioeconomic status, physical health, social relationships, and personality factors.

Self-esteem development across adulthood has been in the center of interest for some time now. However, not much is known about factors that shape self-esteem and its development in the second half of life and whether the factors differ with age and gender. To examine these questions, this study uses 2-wave data from the population-based NorLAG study in Norway (N = 5,555; Mage = 58 years; 51% women) and combines self-report data on self-esteem and personality with registry-based information on socioeconomic status (education, income, unemployment), health problems (sick leave, lifetime history of disability), and social relationships (cohabiting partner, lifetime history of divorce and widowhood). Results from latent change score models revealed that self-esteem peaked at around age 50 and declined thereafter. More importantly, lower socioeconomic status, not having a cohabiting partner, unemployment, and disability were each uniquely associated with lower levels of self-esteem and/or steeper declines in self-esteem over the 5-year study period. Over and above registry-based information, personality characteristics were relevant, with a more mature personality being associated with higher self-esteem level. Emotionally stable participants also showed less pronounced declines in self-esteem. Moreover, associations of disability and of emotional stability with self-esteem level were weaker with advancing age. Among women, self-esteem level was more strongly associated with emotional stability and less strongly with openness, compared to men. Our findings demonstrate the utility of registry-based information and suggest that physical health, social relationships, and personality factors are in manifold ways uniquely associated with self-esteem and its development later in life. (PsycINFO Database Record

Municipal-level differences in depressive symptoms among adolescents in Norway: Results from the cross-national Ungdata study.

AIM: This study aimed to investigate municipal-level variations and individual- and municipal-level predictors of high levels of depressive symptoms among Norwegian adolescents. METHODS: We used data from the Norwegian cross-national Ungdata study. We included 77,424 adolescents from 171 municipalities attending junior high school (Grades 8-10; age 13-16 years) from 2011 to 2013. Multilevel (two-level) logistic regression models were applied for the data analyses. RESULTS: The study revealed that 11% of adolescents reported high levels of depressive symptoms. The median odds ratio without adjusting for any individual- or municipal-level predictors was 1.24, indicating a small between-municipalities variability for high levels of depressive symptoms. All individual-level factors, such as gender, school grade, family income, substance use behaviours, bullying and dissatisfaction with different aspects of life, were significantly associated with high levels of depressive symptoms (p < 0.05). As to municipal-level factors, a low annual budgets for municipal health services was the sole significant predictor of high levels of depressive symptoms between municipalities. Municipal-level factors and variables related to survey characteristics explained a moderate proportion of the variation in high levels of depressive symptoms between municipalities. CONCLUSIONS: The cluster heterogeneity in high levels of depressive symptoms was small between municipalities in Norway. Further research should examine the geographic clustering of mental health problems at the school and neighbourhood level.

Adolescents from affluent city districts drink more alcohol than others.

AIMS: To estimate the level of alcohol consumption and problems among adolescents in city districts in Oslo, Norway with different socio-economic composition; to test whether differences in alcohol consumption are related to district differences in socio-demographic characteristics; and to analyse whether such associations remain significant after controlling for individual-level variables. DESIGN: Cross-sectional survey using multi-level linear regression analyses with individual responses at the lowest level and city-district data at the highest level. SETTING: Oslo, Norway. PARTICIPANTS: A total of 6635 secondary school students, in 62 schools, living in 15 different city districts. MEASUREMENTS: Frequency of alcohol consumption and alcohol intoxication; alcohol problems; and individual characteristics such as immigrant status, religious involvement and parental norms with regard to alcohol. Socio-economic indicators in city districts, such as education, income and unemployment, were combined into a district-level socio-economic index (DLSI). FINDINGS: DLSI scores were related positively to alcohol use (r = 0.31, P < 0.01) and alcohol intoxication (r = 0.25, P < 0.01) but negatively to alcohol problems among alcohol users (r = -0.18, P < 0.01). DLSI scores remained significant for alcohol consumption and alcohol intoxication, after controlling for individual-level variables (P < 0.01), but this was not the case for alcohol problems. CONCLUSION: Adolescents in affluent areas of Oslo, Norway report the highest levels of alcohol consumption and alcohol intoxication of all areas; neighbourhood characteristics such as education, income and unemployment levels seem to play a role in such drinking behaviour. Alcohol users in poorer districts reported more alcohol problems than those in other districts; however, here neighbourhood effects do not seem to play a role.

Hardcore adolescent smokers? An examination of the hardening hypothesis by using survey data from two Norwegian samples collected eight years apart.

INTRODUCTION: The hardening hypothesis states that with the declining prevalence and growing social disapproval of smoking, remaining smokers are more unwilling and unable to quit as well as increasingly characterized by low socioeconomic status and psychiatric comorbidity. However, few studies have examined whether such characteristics do in fact change in tandem with substantially decreased smoking prevalence. METHODS: Two nationwide population-based surveys of 16- to 17-year-old Norwegian adolescents were conducted according to identical procedures in 2002 and 2010. In 2002, 3,438 students participated while 2,813 did so in 2010, yielding response rates of 91.0% and 83.2%, respectively. Data on smoking behavior and a variety of psychosocial variables were obtained. RESULTS: The prevalence of daily smoking dropped from 23.7% in 2002 to 7.0% in 2010. The association between smoking and parental characteristics, adjustment to school, and social integration also shifted, indicating smokers to be more socially disadvantaged in 2010 than 2002. However, no changes in the relationship between smoking and mental health or use of substances such as alcohol and cannabis were found, nor did the number of cigarettes smoked by daily smokers differ between 2002 and 2010. CONCLUSIONS: The results support the hardening hypothesis, as smokers became increasingly socially disadvantaged with decreasing smoking prevalence. However, despite reduced prevalence of smoking and growing stigmatization, neither greater psychological distress nor increased substance use among adolescent daily smokers was observed.

Tobacco use among Norwegian adolescents: from cigarettes to snus.

AIMS: To: (i) investigate the development of smoking and snus use among Norwegian adolescents, and (ii) describe the users in each group. DESIGN: Two population-based surveys with identical procedures in 2002 (response rate 91.0%) and 2010 (response rate 84.3%). SETTING: Norway. PARTICIPANTS: A total of 6217 respondents, aged 16-17 years. MEASUREMENTS: Data were collected on smoking and snus use, socio-demographic factors, school adjustment, social network, sport activities, alcohol and cannabis use and depression symptoms. FINDINGS: Prevalence of daily smoking fell from 23.6% in 2002 to 6.8% in 2010 (P < 0.001), while the prevalence of daily snus use increased from 4.3 to 11.9% (P < 0.001). Dual daily use of cigarettes and snus remained at 1%. The relative proportion of non-daily smokers using snus increased steeply. Both snus users and smokers reported more adverse socio-economic backgrounds, less favourable school adjustment and higher levels of alcohol intoxication and cannabis use than non-users of tobacco. However, snus users were better adjusted to school and used cannabis less often than smokers. CONCLUSIONS: Adolescent smoking prevalence has fallen dramatically in Norway, accompanied by a smaller increase in snus use. Young snus users in Norway have many of the same risk factors as smokers, but to a lesser degree.

Attrition and generalizability in longitudinal studies: findings from a 15-year population-based study and a Monte Carlo simulation study.

BACKGROUND: Attrition is one of the major methodological problems in longitudinal studies. It can deteriorate generalizability of findings if participants who stay in a study differ from those who drop out. The aim of this study was to examine the degree to which attrition leads to biased estimates of means of variables and associations between them. METHODS: Mothers of 18-month-old children were enrolled in a population-based study in 1993 (N=913) that aimed to examine development in children and their families in the general population. Fifteen years later, 56% of the sample had dropped out. The present study examined predictors of attrition as well as baseline associations between variables among those who stayed and those who dropped out of that study. A Monte Carlo simulation study was also performed. RESULTS: Those who had dropped out of the study over 15 years had lower educational level at baseline than those who stayed, but they did not differ regarding baseline psychological and relationship variables. Baseline correlations were the same among those who stayed and those who later dropped out. The simulation study showed that estimates of means became biased even at low attrition rates and only weak dependency between attrition and follow-up variables. Estimates of associations between variables became biased only when attrition was dependent on both baseline and follow-up variables. Attrition rate did not affect estimates of associations between variables. CONCLUSIONS: Long-term longitudinal studies are valuable for studying associations between risk/protective factors and health outcomes even considering substantial attrition rates.

[Use of benzodiazepines and cannabis in young adults]. / Bruk av benzodiazepiner og cannabis blant unge voksne.

BACKGROUND: Physicians prescribe benzodiazepines more often to patients with high alcohol consumption than to others. Little is known about benzodiazepine prescription rates to people who use illicit substances. In this cross-sectional study we examined the association between use of cannabis and prescription of benzodiazepines in young adults. MATERIAL AND METHODS: Data were analyzed on use of cannabis and prescription of benzodiazepines among 2606 participants in the survey "Young in Norway longitudinal" (YiN). Data from YiN and the Norwegian Prescription Database (NorPD) were merged. Anxiety was measured by use of 6 items from the Symptom Checklist-25. Other explanatory variables that were examined were age, sex and urbanity. RESULTS: 55 (2.1 %) participants had received at least one benzodiazepine prescription. Benzodiazepine prescription was significantly associated with frequent cannabis use (OR 4.2) and high level of anxiety (OR 8.5). The patients' sex, age and urbanity had no impact on benzodiazepine prescription. INTERPRETATION: Cannabis users receive more benzodiazepine prescriptions than others. They may have other motives than symptom relief (e.g. euphoric effects) for their benzodiazepine use.

Psychosocial factors predicting the motivation to undergo cosmetic surgery.

BACKGROUND: The present study investigates psychological factors expected to predict the motivation to undergo cosmetic surgery. It is hypothesized that body image, self-esteem, teasing history, acceptance of cosmetic surgery in the individual's environment, and self-monitoring relate to motivation to have cosmetic surgery. METHODS: Questionnaire data were obtained from 907 participants who responded to a survey distributed to a representative sample of Norwegian women aged 22 to 55 years. A second sample of 195 female prospective cosmetic surgery patients was recruited from a plastic surgery clinic. Measures of the hypothesized predictor variables were obtained from both samples. Surgery motivation was operationalized in two different ways. First, the women in the first sample were asked to indicate whether they wished to undergo cosmetic surgery, such that women who wished to have surgery could be compared with those who did not. Second, prospective patients were compared with women from the first sample who indicated that they did not wish to have cosmetic surgery. RESULTS: Analyses revealed all predictor variables but self-esteem to be related to either the wish or the decision to undergo surgery, or to both. Social acceptance of cosmetic surgery and body image were the strongest predictors of cosmetic surgery motivation. CONCLUSIONS: The study gives new insights into psychological factors predicting cosmetic surgery motivation. Furthermore, the influence of social factors on cosmetic surgery motivation is emphasized, and it is suggested that these factors be included in future research designs.