Indicadores de Posición Socioeconómica y Salud Mental en Adolescentes Chilenos

Autores/as

  • Mauricio Marín-Gutiérrez Universidad de Tarapacá
  • Marcelo Avalos-Tejeda Universidad Católica del Norte
  • Alejandra Caqueo-Urízar Universidad de Tarapacá

DOI:

https://doi.org/10.21134/pssa.v13i1.15

Palabras clave:

Adolescentes, Determinantes Sociales, Posición Socioeconómica, Salud Mental, Chile

Resumen

Este estudio investiga el impacto de distintos indicadores de posición socioeconómica (PSE) en la salud mental positiva (SMP) y negativa (SMN) de adolescentes chilenos, utilizando modelos de los Determinantes Sociales en Salud (DSS) y el modelo de doble factor de la salud mental. La investigación asumió un diseño no experimental transversal y correlacional-explicativo. La muestra estuvo conformada por 425 adolescentes del norte de Chile. Se utilizó un cuestionario sociodemográfico y la Escala de Afluencia Familiar II (EAF-II) para medir los indicadores de PSE, y el Índice de Bienestar Personal (IBP) y las Escalas Abreviadas de Depresión, Ansiedad y Estrés (DASS-21) para medir la SMP y SMN respectivamente. Los resultados mostraron que la afluencia familiar y el género impactan significativamente la SMP y SMN. Además, ser adolescente migrante correlaciona con mejor SMP y menor SMN. Los niveles educativos de los padres y la etnia no mostraron efectos significativos. Estos hallazgos contribuyen al entendimiento de la salud mental de los adolescentes en Chile desde la perspectiva de los determinantes sociales y se sugiere la importancia de adoptar un enfoque multidimensional para desarrollar políticas e intervenciones efectivas que mejoren la salud mental de esta población.

Descargas

Los datos de descarga aún no están disponibles.

Biografía del autor/a

  • Mauricio Marín-Gutiérrez, Universidad de Tarapacá

    Mauricio Marín-Gutiérrez, Psicólogo, Doctorando en Psicología, Escuela de Psicología y Filosofía, Universidad de Tarapacá, 18 de Septiembre 2222, Arica, Chile.

  • Marcelo Avalos-Tejeda, Universidad Católica del Norte

    Marcelo Avalos-Tejeda, Psicólogo, Doctorando en Psicología, Escuela de Psicología, Facultad de Humanidades, Universidad Católica del Norte, Angamos 0610, Antofagasta, Chile.

  • Alejandra Caqueo-Urízar, Universidad de Tarapacá

    Alejandra Caqueo-Urízar, Doctora en Psicología, Académica Titular del Instituto de Alta Investigación, Universidad de Tarapacá, Antofagasta 1520, Arica, Chile

Referencias

Berry, J. W. (1997). Immigration, acculturation, and adaptation. Applied Psychology, 46(1), 5–34. https://doi.org/10.1111/j.1464-0597.1997.tb01087.x

Bhugra, D. (2004). Migration and mental health. Acta Psychiatrica Scandinavica, 109(4), 243–258. https://doi.org/10.1046/j.0001-690X.2003.00246.x

Bilbao Ramírez, M. Á., Torres Vallejos, J., Ascorra Acosta, P., López Leiva, V., Páez Rovira, D., Oyanedel, J. C., & Vargas Salfate, S. (2016). Propiedades psicométricas de la escala índice de bienestar personal (PWI – SC) en adolescentes chilenos. Salud & Sociedad, 7(2), 168–178. https://doi.org/10.22199/s07187475.2016.0002.00003

Boyce, W., Torsheim, T., Currie, C., & Zambon, A. (2006). The family affluence scale as a measure of national wealth: Validation of an adolescent self-report measure. Social Indicators Research, 78(3), 473–487. https://doi.org/10.1007/s11205-005-1607-6

Byrne, B. M. (2012). Structural Equation Modeling With Mplus: Basic concepts, applications, and programming. Routledge/Taylor & Francis Group.

Caqueo-Urízar, A., Mena-Chamorro, P., Flores, J., Narea, M., & Irarrázabal, M. (2020). Problemas de regulación emocional y salud mental en adolescentes del norte de Chile. Terapia Psicológica, 38(2), 203–222. http://dx.doi.org/10.4067/S0718-48082020000200203

Caqueo-Urízar, A., Mena-Chamorro, P., Henríquez, D., Urzúa, A., & Irarrázaval, M. (2023). The Effects of Social Determinants and Resilience on the Mental Health of Chilean Adolescents. Children, 10(7), 1213. https://doi.org/10.3390/children10071213

Caqueo-Urízar, A., Mena-Chamorro, P., Urzúa, A., Muñoz-Henríquez, W., Flores, J., Narea, M., & Irarrázaval, M. (2023). Mental Health in Indigenous Children and Adolescents: The Contribution of Cultural Background. Journal of Immigrant and Minority Health, 25(1), 151–160. https://doi.org/10.1007/s10903-022-01374-0

Caqueo-Urízar, A., Urzúa, A. & De Munter, K. (2014). Mental health of indigenous school children in Northern Chile. BMC Psychiatry 14, 11. https://doi.org/10.1186/1471-244X-14-11

Cooper, M., Reilly, E. E., Siegel, J. A., Coniglio, K., Sadeh-Sharvit, S., Pisetsky, E. M., & Anderson, L. M. (2022). Eating disorders during the COVID-19 pandemic and quarantine: an overview of risks and recommendations for treatment and early intervention. Eating Disorders, 30(1), 54–76. https://doi.org/10.1080/10640266.2020.1790271

Doll, B. (2008). The Dual-Factor Model of Mental Health in Youth. School Psychology Review, 37(1), 69–73. https://doi.org/10.1080/02796015.2008.12087909

Galobardes, B., Lynch, J., & Davey Smith, G. (2007). Measuring socioeconomic position in health research. British Medical Bulletin, 81–82(1), 21–37. https://doi.org/10.1093/bmb/ldm001

Galobardes, B., Shaw, M., Lawlor, D. A., Lynch, J. W., & Smith, G. D. (2006). Indicators of socioeconomic position (part 1). Journal of Epidemiology and Community Health, 60(1), 7–12. https://doi.org/10.1136/jech.2004.023531

Greenspoon, P. J., & Saklofske, D. H. (2001). Toward an integration of subjective well-being and psychopathology. Social Indicators Research, 54(1), 81–108. https://doi.org/10.1023/A:1007219227883

Güilgüiruca, M., Quiñones, M., & Zúñiga, C. (2023). Dimensionalidad de la Escala de Depresión, Ansiedad y Estrés (DASS-21): Un estudio en trabajadores chilenos. Revista Iberoamericana de Diagnóstico y Evaluación-e Avaliação Psicológica, 70, 31–45. https://doi.org/10.21865/RIDEP70.4.03

Hossain, M. M., Nesa, F., Das, J., Aggad, R., Tasnim, S., Bairwa, M., Ma, P., & Ramirez, G. (2022). Global burden of mental health problems among children and adolescents during COVID-19 pandemic: An umbrella review. Psychiatry Research, 317, 114814. https://doi.org/10.1016/j.psychres.2022.114814

Instituto Nacional de Estadísticas de Chile (INE) (2018). Radiografía de Género: Pueblos Originarios en Chile 2017. Santiago, Chile. Recuperado de https://www.ine.gob.cl

Jiménez-Molina, Á., Abarca-Brown, G., & Montenegro, C. (2019). “No hay salud mental sin justicia social”: Desigualdades, determinantes sociales y salud mental en Chile. Revista de Psiquiatría Clínica, 57(1-2), 7–20.

Keyes, C. L. M. (2005). Mental illness and/or mental health? Investigating axioms of the complete state model of health. Journal of Consulting and Clinical Psychology, 73(3), 539–548. https://doi.org/10.1037/0022-006X.73.3.539

King, N., Davison, C. M., & Pickett, W. (2021). Development of a dual-factor measure of adolescent mental health: An analysis of cross-sectional data from the 2014 Canadian Health Behaviour in School-aged Children (HBSC) study. BMJ Open, 11(9). https://doi.org/10.1136/bmjopen-2020-041489

Kuehner, C. (2017). Why is depression more common among women than among men?. The Lancet Psychiatry, 4(2), 146–158. https://doi.org/10.1016/S2215-0366(16)30263-2

Kuhn, E. S., & Laird, R. D. (2014). Family support programs and adolescent mental health: Review of evidence. Adolescent Health, Medicine and Therapeutics, 5, 127–142. https://doi.org/10.2147/AHMT.S48057

Lecuelle, F., Leslie, W., Huguelet, S., Franco, P., & Putois, B. (2020). Did the COVID-19 lockdown really have no impact on young children’s sleep?. Journal of Clinical Sleep Medicine, 16(12), 2121. https://doi.org/10.5664/jcsm.8806

Little, R. J. A. (1988). A Test of Missing Completely at Random for Multivariate Data with Missing Values. Journal of the American Statistical Association, 83(404), 1198–1202. https://doi.org/10.1080/01621459.1988.10478722

Lovibond, P. F., & Lovibond, S. H. (1995). The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behav. Res. Ther., 33(3), 335–343.

Magalhães, E. (2024). Dual-factor Models of Mental Health: A Systematic Review of Empirical Evidence. Psychosocial Intervention, 33(2), 89 - 102. https://doi.org/10.5093/pi2024a6

Marín-Gutiérrez, M., & Caqueo-Urízar, A. (2022). Evidencias en salud mental en niños, niñas y adolescentes Aymara del norte de Chile. Centro de Justicia Educacional.

Martínez, P., Jiménez-Molina, Á., Mac-Ginty, S., Martínez, V., & Rojas, G. (2021). Salud mental en estudiantes de educación superior en Chile: una revisión de alcance con meta-análisis. Terapia Psicológica, 39(3), 405-426. https://dx.doi.org/10.4067/S0718-48082021000300405

Mella, F. R., Vinet, E. V, & Alarcón, A. M. (2014). Escalas de Depresión, Ansiedad y Estrés (DASS-21): Adaptación y propiedades psicométricas en estudiantes secundarios de Temuco. Revista Argentina de Clínica Psicológica, XXIII(2), 179–190.

Mindlis, I., & Boffetta, P. (2017). Mood disorders in first- and second-generation immigrants: Systematic review and meta-analysis. British Journal of Psychiatry, 210(3), 182–189. https://doi.org/10.1192/bjp.bp.116.181107

Moreno-Maldonado, C., Rivera, F., Ramos, P., & Moreno, C. (2018). Measuring the Socioeconomic Position of Adolescents: A Proposal for a Composite Index. Social Indicators Research, 136(2), 517–538. https://doi.org/10.1007/s11205-017-1567-7

Mújica, Ó. J., & Moreno, C. M. (2019). De la retórica a la acción: medir desigualdades en salud para “no dejar a nadie atrás”. Rev Panam Salud Publica, 43, 1–8. https://doi.org/10.26633/RPSP.2019.12

Navas, M., García, M. C., Sánchez, J., Rojas, A. J., Pumares, P., & Fernández, J. S. (2005). Relative Acculturation Extended Model (RAEM): New contributions with regard to the study of acculturation. International Journal of Intercultural Relations, 29(1), 21–37. https://doi.org/10.1016/j.ijintrel.2005.04.001

Nonweiler J, Rattray F, Baulcomb J, Happé F, Absoud M. Prevalence and Associated Factors of Emotional and Behavioral Difficulties during COVID-19 Pandemic in Children with Neurodevelopmental Disorders. Children. 2020; 7(9):128. https://doi.org/10.3390/children7090128

Oh, H., Goehring, J., Jacob, L., & Smith, L. (2021). Revisiting the Immigrant Epidemiological Paradox: Findings from the American Panel of Life 2019. International Journal of Environmental Research and Public Health, 18(9), 4619. https://doi.org/10.3390/ijerph18094619

Organización Mundial de la Salud (OMS) (2008). Closing the gap in a generation: Health equity through action on the social determinants of health. Commission on Social Determinants of Health final report. World Health Organization. https://www.who.int/publications/i/item/WHO-IER-CSDH-08.1

Organización Mundial de la Salud (OMS) (2010). A conceptual framework for action on the social determinants of health: Debates, policy & practice, case studies. World Health Organization. https://www.who.int/publications/i/item/9789241500852

Organización Mundial de la Salud (OMS) (2020). Global Health Estimates 2019: Disease burden by cause, age, sex, by country and by region, 2000-2019. Geneva: World Health Organization. https://www.who.int/data/gho/data/themes/mortality-and-global-health-estimates

Organización Mundial de la Salud (OMS) (2022). Mental health and COVID-19: Early evidence of the pandemic’s impact. Geneva: World Health Organization. https://www.who.int/publications/i/item/9789240061311

Panchal, U., Salazar de Pablo, G., Franco, M., Moreno, C., Parellada, M., Arango, C., & Fusar-Poli, P. (2023). The impact of COVID-19 lockdown on child and adolescent mental health: Systematic review. European Child & Adolescent Psychiatry, 32(7), 1151–1177. https://doi.org/10.1007/s00787-021-01856-w

Pérez, A., Thrasher, J., Monzón, J. C., Arillo-Santillán, E., Barnoya, J., & Mejía, R. (2021). La escala de afluencia familiar para la medición de inequidades. Salud Publica de Mexico, 63(2), 201–210. https://doi.org/10.21149/11793

Peverill, M., Dirks, M. A., Narvaja, T., Herts, K. L., Comer, J. S., & McLaughlin, K. A. (2021). Socioeconomic status and child psychopathology in the United States: A meta-analysis of population-based studies. Clinical Psychology Review, 83, 101933. https://doi.org/10.1016/j.cpr.2020.101933

Pförtner, T. K., Günther, S., Levin, K. A., Torsheim, T., & Richter, M. (2015). The use of parental occupation in adolescent health surveys. An application of ISCO-based measures of occupational status. Journal of Epidemiology and Community Health, 69(2), 177–184. https://doi.org/10.1136/jech-2014-204529

Pinto-Cortez, C., & Guerra, C. (2019). Victimización sexual de niños, niñas y adolescentes chilenos: prevalencia y características asociadas. Revista de Psicología, 28(2), 1-12. https://doi.org/10.5354/0719-0581.2019.55658

R Core Team. (2024). R: A Language and Environment for Statistical Computing. R Foundation for Statistical Computing.

Reiss, F. (2013). Socioeconomic inequalities and mental health problems in children and adolescents: A systematic review. Social Science and Medicine, 90, 24–31. https://doi.org/10.1016/j.socscimed.2013.04.026

Rosenfield, S., & Mouzon, D. (2013). Gender and mental health. In C. S. Aneshensel, J. C. Phelan, & A. Bierman (Eds.), Handbooks of sociology and social research (pp. 277–296). Springer Science and Business Media B.V. https://doi.org/10.1007/978-94-007-4276-5_14

Rosseel, Y. (2012). Lavaan: An R Package for Structural Equation Modeling. Journal of Statistical Software, 48(2), 1-36. https://doi.org/10.18637/jss.v048.i02

Salinas-Contreras, M., Vargas, B., Crockett, M. A., & Martínez, V. (2023). Disparidades en el uso de servicios de salud mental de adolescentes en Chile. Andes Pediátrica: Revista Chilena de Pediatría, 94(6), 681–688. https://doi.org/10.32641/andespediatr.v94i6.4637

Salk, R. H., Hyde, J. S., & Abramson, L. Y. (2017). Gender differences in depression in representative national samples: Meta-analyses of diagnoses and symptoms. Psychological Bulletin, 143(8), 783–822. https://doi.org/10.1037/bul0000102

Santomauro, D. F., Mantilla Herrera, A. M., Shadid, J., Zheng, P., Ashbaugh, C., Pigott, D. M., … Ferrari, A. J. (2021). Global prevalence and burden of depressive and anxiety disorders in 204 countries and territories in 2020 due to the COVID-19 pandemic. The Lancet, 398(10312), 1700–1712. https://doi.org/10.1016/S0140-6736(21)02143-7

Shidhaye, R. (2023). Global priorities for improving access to mental health services for adolescents in the post-pandemic world. Current Opinion in Psychology, 51, 101661. https://doi.org/10.1016/j.copsyc.2023.101661

Sonego, M., Llácer, A., Galán, I., & Simón, F. (2013). The influence of parental education on child mental health in Spain. Quality of Life Research, 22(1), 203–211. https://doi.org/10.1007/s11136-012-0130-x

Stevens, G. W. J. M., & Vollebergh, W. A. M. (2008). Mental health in migrant children. Journal of Child Psychology and Psychiatry and Allied Disciplines, 49(3), 276–294. https://doi.org/10.1111/j.1469-7610.2007.01848.x

Suldo, S. M., & Shaffer, E. J. (2008). Looking beyond psychopathology: The dual-factor model of mental health in youth. School Psychology Review, 37(1), 52–68. https://doi.org/10.1080/02796015.2008.12087908

Tabachnick, B. G., & Fidell, L. S. (2013). Using multivariate statistics (Sixth). Pearson.

Tomyn, A. J., & Cummins, R. A. (2011). The Subjective Wellbeing of High-School Students: Validating the Personal Wellbeing Index-School Children. Social Indicators Research, 101(3), 405–418. https://doi.org/10.1007/s11205-010-9668-6

Torsheim, T., Cavallo, F., Levin, K. A., Schnohr, C., Mazur, J., Niclasen, B., & Currie, C. (2016). Psychometric Validation of the Revised Family Affluence Scale: a Latent Variable Approach. Child Indicators Research, 9(3), 771–784. https://doi.org/10.1007/s12187-015-9339-x

Valencia, D. P. (2019). Las Escalas de Depresión, Ansiedad y Estrés (DASS-21): ¿Miden algo más que un factor general? Avances en Psicología, 27(2), 177–190. https://doi.org/10.33539/avpsicol.2019.v27n2.1796

Van Buuren, S. (2018). Flexible Imputation of Missing Data, Second Edition (2nd ed.). Chapman and Hall/CRC. https://doi.org/10.1201/9780429492259

Van Buuren, S., & Groothuis-Oudshoorn, K. (2011). Mice: Multivariate Imputation by Chained Equations in R. Journal of Statistical Software, 45(3), 1-67. https://doi.org/10.18637/jss.v045.i03

Vicente, B., Saldivia, S., de la Barra, F., Melipillán, R., Valdivia, M., & Kohn, R. (2012). Salud mental infanto-juvenil en Chile y brechas de atención sanitarias. Revista Médica de Chile, 140(4), 447–457. https://doi.org/10.4067/S0034-98872012000400005

Viner, R. M., Ozer, E. M., Denny, S., Marmot, M., Resnick, M., Fatusi, A., & Currie, C. (2012). Adolescence and the social determinants of health. The Lancet, 379, 1641–1652. https://doi.org/1016/S0140-6736(12)60149-4

Wight, R. G., Botticello, A. L., & Aneshensel, C. S. (2006). Socioeconomic context, social support, and adolescent mental health: A multilevel investigation. Journal of Youth and Adolescence, 35(1), 115–126. https://doi.org/10.1007/s10964-005-9009-2

Xiang, Y., Cao, R., & Li, X. (2024). Parental education level and adolescent depression: A multi-country meta-analysis. Journal of Affective Disorders, 347, 645–655. https://doi.org/10.1016/j.jad.2023.11.081

Zanon, C., Brenner, R. E., Baptista, M. N., Vogel, D. L., Rubin, M., Al-Darmaki, F. R., Gonçalves, M., Heath, P. J., Liao, H. Y., Mackenzie, C. S., Topkaya, N., Wade, N. G., & Zlati, A. (2021). Examining the dimensionality, reliability, and invariance of the Depression, Anxiety, and Stress Scale-21 (DASS-21) across eight countries. Assessment, 28(6), 1531–1544. https://doi.org/10.1177/1073191119887449

Descargas

Publicado

2025-02-17

Cómo citar

Indicadores de Posición Socioeconómica y Salud Mental en Adolescentes Chilenos. (2025). Revista De PSICOLOGÍA DE LA SALUD, 13(1), 166-181. https://doi.org/10.21134/pssa.v13i1.15

Artículos similares

1-10 de 162

También puede Iniciar una búsqueda de similitud avanzada para este artículo.