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Decreasing income inequality and adolescent emotional distress: a population-based case study of Icelandic adolescents 2006–2016

  • Original Article
  • Published:
International Journal of Public Health

Abstract

Objectives

In this study, we aim to test whether changes in community income inequality influence adolescent emotional distress. We take advantage of the unique combination of data and history available in Iceland. This affluent welfare society has experienced extreme shifts in income inequality, allowing us to test whether changes in community income inequality are related to changes in adolescent emotional distress.

Methods

Combining adolescent survey data (n = 24,107) with tax registry data on 76 neighborhood communities, we used a multilevel approach to model the data as longitudinal in order to test whether changes in community income inequality are related to changes in symptoms of anxiety and depression among adolescents.

Results

The results showed that, after adjusting for relevant individual and community covariates, decreases in community income inequality were associated with decreases in symptoms of anxiety among adolescents (b = − 0.367, p ≤ 0.001), but not with decreases in symptoms of depression.

Conclusions

While the results provide a partial support for the income inequality thesis, we call for replications from other cultures and studies exploring the mediating role of social psychological processes.

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References

  • Aminzadeh K, Denny S, Utter J et al (2013) Neighbourhood social capital and adolescent self-reported wellbeing in New Zealand: a multilevel analysis. Soc Sci Med 84:13–21

    Article  PubMed  Google Scholar 

  • Avendano M, Hessel P (2015) The income inequality hypothesis rejected? Eur J Epidemiol 30:595–598. https://doi.org/10.1007/s10654-015-0084-8

    Article  PubMed  PubMed Central  Google Scholar 

  • Bernburg JG (2016) Economic crisis and mass protest: The pots and pans revolution in Iceland. Routledge, New York

    Book  Google Scholar 

  • Bernburg JG, Thorlindsson T, Sigfusdottir ID (2009a) The neighborhood effects of disrupted family processes on adolescent substance use. Soc Sci Med 69:129–137

    Article  PubMed  Google Scholar 

  • Bernburg JG, Thorlindsson T, Sigfusdottir ID (2009b) Relative deprivation and adolescent outcomes in Iceland : a multilevel test. Soc Forces 87:1223–1250

    Article  Google Scholar 

  • Blakemore S-J, Mills KL (2014) Is adolescence a sensitive period for sociocultural processing? Annu Rev Psychol 65:187–207. https://doi.org/10.1146/annurev-psych-010213-115202

    Article  PubMed  Google Scholar 

  • Chaskin RJ (1997) Perspectives on neighborhood and community: a review of the literature. Social Service Reveiw 71:521–547

    Article  Google Scholar 

  • Chen Z, Gotway Crawford CA (2012) The role of geographic scale in testing the income inequality hypothesis as an explanation of health disparities. Soc Sci Med 75:1022–1031. https://doi.org/10.1016/j.socscimed.2012.04.032

    Article  PubMed  Google Scholar 

  • Craig P, Cooper C, Gunnell D et al (2012) Using natural experiments to evaluate population health interventions: new Medical Research Council guidance. J Epidemiol Community Health 66:1182–1186. https://doi.org/10.1136/jech-2011-200375

    Article  PubMed  PubMed Central  Google Scholar 

  • Derogatis LR, Lipman RS, Rickels K et al (1974) The Hopkins Symptom Chechlist (HSCL): a self-report symptom inventory. Behav Sci 19:1–15

    Article  CAS  PubMed  Google Scholar 

  • Elgar FJ, Pförtner T-K, Moor I et al (2015) Socioeconomic inequalities in adolescent health 2002–2010: a time-series analysis of 34 countries participating in the Health Behaviour in School-aged Children study. The Lancet 385:2088–2095

    Article  Google Scholar 

  • Elgar FJ, Gariépy G, Torsheim T, Currie C (2016) Early-life income inequality and adolescent health and well-being. Social Science & Medicine 174. https://doi.org/10.1016/j.socscimed.2016.10.014

  • Fairbrother M (2014) Two multilevel modeling techniques for analyzing comparative longitudinal survey datasets. Political Science Research and Methods 2:119–140. https://doi.org/10.1017/psrm.2013.24

    Article  Google Scholar 

  • Flanagan CA, Kim T, Pykett A et al (2014) Adolescents ’ theories about economic inequality : why are some people poor while others are rich ? Dev Psychol 50:2512–2525

    Article  PubMed  Google Scholar 

  • Graber JA, Sontag LM (2009) Internalizing problems during adolescence. In: Lerner RM, Steinberg L (eds) Handbook of adolescent psychology (vol 1): Individual basis of adolescent development, 3rd edn. John Wiley & Sons Inc, Hoboken, NJ, USA, pp 642–682

    Google Scholar 

  • Haraldsdóttir S, Valdimarsdóttir UA, Guðmundsson S (2014) Poorer self-rated health in residential areas with limited healthcare supply. Scand J Soc Med 42:310–318. https://doi.org/10.1177/1403494814522147

    Article  Google Scholar 

  • Hidaka BH (2012) Depression as a disease of modernity: explanations for increasing prevalence. J Affect Disord 140:205–214

    Article  PubMed  PubMed Central  Google Scholar 

  • Hu Y, van Lenthe FJ, Mackenbach JP (2015) Income inequality, life expectancy and cause-specific mortality in 43 European countries, 1987–2008: a fixed effects study. Eur J Epidemiol 30:615–625. https://doi.org/10.1007/s10654-015-0066-x

    Article  PubMed  PubMed Central  Google Scholar 

  • Islam MK, Merlo J, Kawachi I et al (2006) Social capital and health: does egalitarianism matter? A literature review. International journal for equity in health 5:3

    Article  PubMed  PubMed Central  Google Scholar 

  • Kawachi I, Subramanian SV (2014) Income inequality. In: Berkman LF, Kawachi I, Glymor MM (eds) Social epidemiology, 2nd editio. Oxford University Press, Oxford, pp 126–152

    Google Scholar 

  • Kessler RC, Angermeyer M, Anthony JC et al (2007) Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization’s World Mental Health Survey Initiative. World psychiatry : official journal of the World Psychiatric Association (WPA) 6:168–176

    Google Scholar 

  • Kondo N, van Dam RM, Sembajwe G et al (2012) Income inequality and health: the role of population size, inequality threshold, period effects and lag effects. J Epidemiol Community Health 66:e11. https://doi.org/10.1136/jech-2011-200321

    Article  PubMed  Google Scholar 

  • Kristjansson AL, Sigfusson J, Sigfusdottir ID, Allegrante JP (2013) Data collection procedures for school-based surveys among adolescents: the Youth in Europe Study. J Sch Health 83:662–667. https://doi.org/10.1111/josh.12079

    Article  PubMed  Google Scholar 

  • Leventhal T, Dupéré V, Brooks-Gunn J (2009) Neighborhood influences on adolescent development. In: Lerner RM, Steinberg L (eds) Handbook of adolescent psychology (vol 2): Contextual influences on adolescent development, 3rd edn. John Wiley & Sons Inc, Hoboken, pp 411–443

    Google Scholar 

  • Liska AE (1990) The significance of aggregate dependent variables and contextual independent variables for linking macro and micro theories. Social Psychology Quarterly 53:292

    Article  Google Scholar 

  • McLoyd VC, Kaplan R, Purtell KM et al (2009) Poverty and socioeconomic disadvantage in adolescence. In: Lerner RM, Steinberg L (eds) Handbook of adolescent psychology (vol 2): Contextual influences on adolescent development, 3rd edn. John Wiley & Sons Inc, Hoboken, pp 444–491

    Google Scholar 

  • Merlo J, Yang M, Chaix B et al (2005) A brief conceptual tutorial on multilevel analysis in social epidemiology: investigating contextual phenomena in different groups of people. J Epidemiol Community Health 59:729–736. https://doi.org/10.1136/jech.2004.023929

    Article  PubMed  PubMed Central  Google Scholar 

  • Oakes JM (2004) The (mis)estimation of neighborhood effects: causal inference for a practicable social epidemiology. Soc Sci Med 58:1929–1952

    Article  PubMed  Google Scholar 

  • Oddsson G (2016) Neoliberal globalization and heightened perceptions of class division in Iceland. The Sociological Quarterly 57:462–490. https://doi.org/10.1111/tsq.12143

    Article  Google Scholar 

  • Olafsson S, Kristjansson AS (2013) Income inequality in boom and bust: A tale from Iceland´s bubble economy. In: Jantti M (ed) Gornick JC. Income Inequality, Economic Disparities and the Middle Class in Affluent Countries. Stanford, pp 416–438

    Google Scholar 

  • Olafsson S, Kristjansson AS (2017) Ójöfnuður á Íslandi (e. inequality in Iceland). Háskólaútgáfan, Reykjavík

  • Pabayo R, Dunn EC, Gilman SE, et al (2016) Income inequality within urban settings and depressive symptoms among adolescents. Journal of Epidemiology and Community Health jech-2015-206613. https://doi.org/10.1136/jech-2015-206613

  • Piketty T, Saez E (2014) Income inequality in Europe and the United States. Science 344:838–843. https://doi.org/10.1126/science.1251936

    Article  CAS  PubMed  Google Scholar 

  • Quon EC, McGrath JJ (2015) Community, family, and subjective socioeconomic status: relative status and adolescent health. Health Psychol 34:591–601. https://doi.org/10.1037/hea0000135

    Article  PubMed  Google Scholar 

  • Raudenbush SW, Sampson RJ (1999) Ecometrics: toward a science of assessing ecological settings, with application to the systematic social observation of neighborhoods. Sociol Methodol 29:1–41

    Article  Google Scholar 

  • Raudenbush SW, Bryk AS, Cheong AS et al (2011) HLM 7: Linear and nonlinear modeling. Scientific Software International Inc, Lincolnwood

    Google Scholar 

  • Sampson RJ, Raudenbush SW, Earls F (1997) Neighborhoods and violent crime: a multilevel study of collective efficacy. Science 277:918–924

    Article  CAS  PubMed  Google Scholar 

  • Sigfusdottir ID, Farkas G, Silver E (2004) The role of depressed mood and anger in the relationship between family conflict and delinquent behavior. J Youth Adolesc 33:509–522

    Article  Google Scholar 

  • Sigfusdottir ID, Asgeirsdottir BB, Sigurdsson JF, Gudjonsson GH (2008) Trends in depressive symptoms, anxiety symptoms and visits to healthcare specialists: a national study among Icelandic adolescents. Scandinavian journal of public health 36:361–368

    Article  PubMed  Google Scholar 

  • Strand BH, Dalgard OS, Tambs K, Rognerud M (2003) Measuring the mental health status of the Norwegian population: a comparison of the instruments SCL-25, SCL-10, SCL-5 and MHI-5 (SF-36). Nord J Psychiatry 57:113–118. https://doi.org/10.1080/08039480310000932

    Article  PubMed  Google Scholar 

  • Thorisdottir IE, Asgeirsdottir BB, Sigurvinsdottir R, et al (2017) The increase in symptoms of anxiety and depressed mood among Icelandic adolescents: Time trend between 2006 and 2016. European Journal of Public Health 1–6. https://doi.org/10.1093/eurpub/ckx111

  • Veijola J, Jokelainen J, Läksy K et al (2003) The Hopkins Symptom Checklist-25 in screening DSM-III-R axis-I disorders. Nord J Psychiatry 57:119–123. https://doi.org/10.1080/08039480310000941

    Article  PubMed  Google Scholar 

  • Vilhjalmsdottir A, Gardarsdottir RB, Bernburg JG, Sigfusdottir ID (2016) Neighborhood income inequality, social capital and emotional distress among adolescents: a population-based study. Journal of Adolescence 51:92–102. https://doi.org/10.1016/j.adolescence.2016.06.004

    Article  PubMed  Google Scholar 

  • Vilhjalmsdottir A, Bernburg JG, Gardarsdottir RB, Sigfusdottir ID (2018a) Community income inequality and adolescent emotional problems: A population-based study. Journal of Community Psychology. https://doi.org/10.1002/jcop.21968

  • Vilhjalmsdottir A, Bernburg JG, Gardarsdottir RB, Sigfusdottir ID (2018b) Community income inequality and adolescent emotional problems: A population-based study. Journal of Community Psychology 1–19. https://doi.org/10.1002/jcop.21968

  • Weitzman BC, Guttmacher S, Weinberg S, Kapadia F (2003) Low response rate schools in surveys of adolescent risk taking behaviours: possible biases, possible solutions. J Epidemiol Community Health 57:63–67. https://doi.org/10.1136/jech.57.1.63

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wilkinson RG, Pickett KE (2007) The problems of relative deprivation: why some societies do better than others. Soc Sci Med 65:1965–1978

    Article  PubMed  Google Scholar 

  • Wilkinson RG, Pickett KE (2017) The enemy between us: the psychological and social costs of inequality. European Journal of Social Psychology 47:11–24. https://doi.org/10.1002/ejsp.2275

    Article  Google Scholar 

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Correspondence to Arndis Vilhjalmsdottir.

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The authors declare no conflicts of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The Youth in Iceland surveys were conducted anonymously and approved by the Icelandic Data Protection Authority (www.personuvernd.is). Parents were informed about the survey and given the opportunity to withdraw their children from participation. All community-level data were prepared by Statistics Iceland and delivered in aggregated form and can therefore not be traced back to individual households. This research received funding from The Icelandic Centre for Research (Grant No. 152601-052).

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This article is part of the special issue “Adolescent transitions”.

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Vilhjalmsdottir, A., De Clercq, B., Gardarsdottir, R.B. et al. Decreasing income inequality and adolescent emotional distress: a population-based case study of Icelandic adolescents 2006–2016. Int J Public Health 64, 253–263 (2019). https://doi.org/10.1007/s00038-018-1193-4

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  • DOI: https://doi.org/10.1007/s00038-018-1193-4

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