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dc.contributor.authorSmith, NRen_US
dc.contributor.authorLewis, DJen_US
dc.contributor.authorFahy, Aen_US
dc.contributor.authorEldridge, Sen_US
dc.contributor.authorTaylor, SJCen_US
dc.contributor.authorMoore, DGen_US
dc.contributor.authorClark, Cen_US
dc.contributor.authorStansfeld, SAen_US
dc.contributor.authorCummins, Sen_US
dc.date.accessioned2015-04-28T14:37:28Z
dc.date.accessioned2015-11-27T16:25:53Z
dc.date.available2015-01-23en_US
dc.date.issued2015-02-15en_US
dc.identifier.urihttp://www.biomedcentral.com/1471-2458/15/150
dc.identifier.urihttp://qmro.qmul.ac.uk/xmlui/handle/123456789/9459
dc.description.abstractBACKGROUND: Populations living in urban areas experience greater health inequalities as well as higher absolute burdens of illness. It is well-established that a range of social and environmental factors determine these differences. Less is known about the relative importance of these factors in determining adolescent health within a super diverse urban context. METHODS: A cross-sectional sample of 3,105 adolescent participants aged 11 to 12 were recruited from 25 schools in the London boroughs of Newham, Tower Hamlets, Hackney and Barking & Dagenham. Participants completed a pseudo-anonymised paper-based questionnaire incorporating: the Warwick-Edinburgh Mental Well-being Scale used for assessing positive mental well-being, the Short Moods and Feelings Questionnaire based on the DSM III-R criteria for assessment of depressive symptoms, the Youth-Physical Activity Questionnaire and a self-assessment of general health and longstanding illness. Prevalence estimates and unadjusted linear models estimate the extent to which positive well-being scores and time spent in physical/sedentary activity vary by socio-demographic and environmental indicators. Logistic regression estimated the unadjusted odds of having fair/(very)poor general health, a long standing illness, or depressive symptoms. Fully adjusted mixed effects models accounted for clustering within schools and for all socio-demographic and environmental indicators. RESULTS: Compared to boys, girls had significantly lower mental well-being and higher rates of depressive symptoms, reported fewer hours physically active and more hours sedentary, and had poorer general health after full adjustment. Positive mental well-being was significantly and positively associated with family affluence but the overall relationship between mental health and socioeconomic factors was weak. Mental health advantage increased as positive perceptions of the neighbourhood safety, aesthetics, walkability and services increased. Prevalence of poor health varied by ethnic group, particularly for depressive symptoms, general health and longstanding illness suggesting differences in the distribution of the determinants of health across ethnic groups. CONCLUSIONS: During adolescence perceptions of the urban physical environment, along with the social and economic characteristics of their household, are important factors in explaining patterns of health inequality.en_US
dc.description.sponsorshipSC is supported by a National Institute for Health Research (NIHR) Senior Research Fellowship and is guarantor. The ORiEL Study is funded by the NIHR Public Health Research Programme (Grant number: 09/3005/09 to SC)en_US
dc.format.extent150 - ?en_US
dc.languageengen_US
dc.language.isoenen_US
dc.relation.ispartofBMC Public Healthen_US
dc.relation.replaceshttp://qmro.qmul.ac.uk/jspui/handle/123456789/7341
dc.relation.replaces123456789/7341
dc.subjectAdolescenten_US
dc.subjectChilden_US
dc.subjectCross-Sectional Studiesen_US
dc.subjectFemaleen_US
dc.subjectHealth Status Disparitiesen_US
dc.subjectHumansen_US
dc.subjectLogistic Modelsen_US
dc.subjectLondonen_US
dc.subjectMaleen_US
dc.subjectMental Healthen_US
dc.subjectResidence Characteristicsen_US
dc.subjectSocial Determinants of Healthen_US
dc.subjectSocioeconomic Factorsen_US
dc.subjectSurveys and Questionnairesen_US
dc.subjectUrban Healthen_US
dc.titleIndividual socio-demographic factors and perceptions of the environment as determinants of inequalities in adolescent physical and psychological health: the Olympic Regeneration in East London (ORiEL) study.en_US
dc.typeArticle
dc.identifier.doi10.1186/s12889-015-1459-1en_US
pubs.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/25884502en_US
pubs.notesNot knownen_US
pubs.organisational-group/Queen Mary University of London
pubs.organisational-group/Queen Mary University of London/Faculty of Medicine & Dentistry
pubs.organisational-group/Queen Mary University of London/Faculty of Medicine & Dentistry/Blizard Institute
pubs.organisational-group/Queen Mary University of London/Faculty of Medicine & Dentistry/Blizard Institute/Centre for Primary Care and Public Health
pubs.organisational-group/Queen Mary University of London/Faculty of Medicine & Dentistry/Wolfson Institute of Preventive Medicine
pubs.organisational-group/Queen Mary University of London/Faculty of Medicine & Dentistry/Wolfson Institute of Preventive Medicine/Psychiatry
pubs.organisational-group/Queen Mary University of London/Impact Leads
pubs.organisational-group/Queen Mary University of London/REF
pubs.organisational-group/Queen Mary University of London/REF/REF - Blizard
pubs.publication-statusPublished onlineen_US
pubs.volume15en_US
dcterms.dateAccepted2015-01-23en_US


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