Schoon, I; (2015) Mental health and inequality among youth. (William T Grant Foundation Inequality Discussion Paper ).

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Abstract

Alegria, Green, McLaughlin and Loder (2015) provide a most informative review of four key factors shaping disparities in mental health outcomes among children and adolescents, focusing on the role of socio-economic status, childhood adversities, family structure and neighbourhood factors. The paper concludes with recommendations for a future research agenda, and a plea for a multilevel intervention model addressing the intersection of various forms of inequality, attacking inequity as a whole instead of focusing only on single mechanisms. Their argument confirms the call for broad scope preventative actions by the World Health Organization based on findings from the 2009/2010 Health Behaviour in School-aged Children (HBSC) Study comprising many European countries (WHO, 2010). Yet, in Europe the discussion of social inequality in health is less focused on ethnicity and minority status but on socio-economic position (Braveman, 2012). It is however recognised that attributing all ethnic differences in health to socioeconomic factors is not satisfactory, that for some health outcomes socioeconomic gradients vary between ethnic groups, and not adequately accounting for socioeconomic circumstances when examining ethnic group differences in health can reify ethnicity and its supposed correlates (Bartley, 2004; Davey Smith, 2000).

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