Examining subgroup effects by socioeconomic status of public health interventions targeting multiple risk behaviour in adolescence

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dc.contributor.authorTinner, Laura
dc.contributor.authorCaldwell, Deborah
dc.contributor.authorHickman, Matthew
dc.contributor.authorMacArthur, Georgina J
dc.contributor.authorGottfredson, Denise
dc.contributor.authorPerez, Alberto Lana
dc.contributor.authorMoberg, D Paul
dc.contributor.authorWolfe, David
dc.contributor.authorCampbell, Rona
dc.date.accessioned2021-06-15T14:49:41Z
dc.date.available2021-06-15T14:49:41Z
dc.date.issued2018-10-16
dc.description.abstractMultiple risk behaviour (MRB) refers to two or more risk behaviours such as smoking, drinking alcohol, poor diet and unsafe sex. Such behaviours are known to co-occur in adolescence. It is unknown whether MRB interventions are equally effective for young people of low and high socioeconomic status (SES). There is a need to examine these effects to determine whether MRB interventions have the potential to narrow or widen inequalities. Two Cochrane systematic reviews that examined interventions to reduce adolescent MRB were screened to identify universal interventions that reported SES. Study authors were contacted, and outcome data stratified by SES and intervention status were requested. Risk behaviour outcomes alcohol use, smoking, drug use, unsafe sex, overweight/obesity, sedentarism, peer violence and dating violence were examined in random effects meta-analyses and subgroup analyses conducted to explore differences between high SES and low SES adolescents. Of 49 studies reporting universal interventions, only 16 also reported having measured SES. Of these 16 studies, four study authors provided data sufficient for subgroup analysis. There was no evidence of subgroup differences for any of the outcomes. For alcohol use, the direction of effect was the same for both the high SES group (RR 1.26, 95% CI: 0.96, 1.65, p = 0.09) and low SES group (RR 1.14, 95% CI: 0.98, 1.32, p = 0.08). The direction of effect was different for smoking behaviour in favour of the low SES group (RR 0.83, 95% CI: 0.66, 1.03, p = 0.09) versus the high SES group (RR 1.16, 95% CI: 0.82, 1.63, p = 0.39). For drug use, the direction of effect was the same for both the high SES group (RR 1.29, 95% CI: 0.97, 1.73, p = 0.08) and the low SES group (RR 1.28, 95% CI: 0.84, 1.96, p = 0.25). The majority of studies identified did not report having measured SES. There was no evidence of subgroup difference for all outcomes analysed among the four included studies. There is a need for routine reporting of demographic information within studies so that stronger evidence of effect by SES can be demonstrated and that interventions can be evaluated for their impact on health inequalities.en_US
dc.description.urihttps://doi.org/10.1186/s12889-018-6042-0
dc.identifierhttps://doi.org/10.13016/j9yw-lqqj
dc.identifier.citationTinner, L., Caldwell, D., Hickman, M. et al. Examining subgroup effects by socioeconomic status of public health interventions targeting multiple risk behaviour in adolescence. BMC Public Health 18, 1180 (2018).en_US
dc.identifier.urihttp://hdl.handle.net/1903/27164
dc.language.isoen_USen_US
dc.publisherSpringer Natureen_US
dc.relation.isAvailableAtCollege of Behavioral & Social Sciencesen_us
dc.relation.isAvailableAtCriminology & Criminal Justiceen_us
dc.relation.isAvailableAtDigital Repository at the University of Marylanden_us
dc.relation.isAvailableAtUniversity of Maryland (College Park, MD)en_us
dc.subjectInterventionsen_US
dc.subjectInequalitiesen_US
dc.subjectSocioeconomic statusen_US
dc.subjectSESen_US
dc.subjectMultiple risk behaviouren_US
dc.subjectAdolescenceen_US
dc.subjectSystematic reviewen_US
dc.titleExamining subgroup effects by socioeconomic status of public health interventions targeting multiple risk behaviour in adolescenceen_US
dc.typeArticleen_US

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