Abstract
The Family Affluence Scale (FAS) is a widely used and validated instrument to measure adolescents’ socioeconomic status (SES). It is plausible that the COVID-19 pandemic and resulting social and economic changes have affected the capacity of the six-item FAS-III to measure adolescent SES, particularly the holiday and computer items. Using data from 247,503 adolescents from 16 European countries participating in the Health Behaviour in School-aged Children (HBSC) study before (2013/14 and 2017/18) and during (2021/22) the pandemic, the present study aims to fill this gap. Findings showed that although the internal consistency of the scale decreased during the pandemic, related to the functioning of the computer and especially the holiday item, it was still acceptable in all countries. Furthermore, measurement invariance analysis showed that during the pandemic the item thresholds of the computer and particularly the holiday item deviated from the thresholds of these items before the pandemic. However, all item factor loadings were comparable to the factor loadings before the pandemic. In addition, during the pandemic the computer and holiday item and their correlations with health-related outcomes were mostly still in the expected direction. Removing these items from the scale yielded comparable or decreased scale criterion validity as compared to the original FAS-III scale in most countries. These findings inform future research that although mean differences in family affluence levels before and during the pandemic should be interpreted with caution, it is a suitable tool to study (changes in) socioeconomic health inequalities among adolescents during the pandemic.
| Original language | English |
|---|---|
| Pages (from-to) | 395–418 |
| Number of pages | 24 |
| Journal | Child Indicators Research |
| Volume | 17 |
| Issue number | 1 |
| Early online date | 27 Nov 2023 |
| DOIs | |
| Publication status | Published - 2024 |
Bibliographical note
Publisher Copyright:© 2023, The Author(s).
Funding
Health Behaviour in School-aged Children (HBSC) is an international study carried out in collaboration with the World Health Organization (WHO) Regional Office for Europe. The International Coordinators of the HBSC study were Candace Currie (2013/14 survey) and Jo Inchley (2017/18 & 2021/22 surveys), and the Data Bank Manager was Oddrun Samdal (University of Bergen). The present study used data from 16 countries/regions, conducted by the following principal investigators: Gentiana Qirjako (Albania), Rosemarie Felder-Puig (Austria), Maxim Dierckens and Katrijn Delaruelle (Flemish Belgium), Ivana Pavic Simetin (Croatia), Michal Kalman (Czech Republic), Katrine Rich Madsen (Denmark), Fiona Brooks and Sally Kendall (England), Leila Oja and Jaanika Piksööt (Estonia), Emmanuelle Godeau and Mariane Sentenac (France), Ágnes Németh (Hungary), Carolina Catunda and Maud Moinard (Luxembourg), Lina Kostarova Unkovska (Macedonia), Gonneke Stevens and Saskia van Dorsselaer (Netherlands), Andrea Madarasova Geckova (Slovakia), Helena Jeriček Klanšček (Slovenia), and Petra Lofstedt (Sweden). Fiona Brooks, co-Principal Investigator of HBSC England, suddenly and very sadly died following a short illness in January 2023. We are indebted for her leadership, knowledge and guidance on the HBSC study as well as her inspiration and friendship. Thank you Fiona, your work will continue to live on and make a difference to young people’s lives. We would like to thank Dominic Weinberg for his contribution to the conceptualization of the study.
| Funders | Funder number |
|---|---|
| Andrea Madarasova Geckova | |
| Carolina Catunda and Maud Moinard (Luxembourg), Lina Kostarova Unkovska | |
| Emmanuelle Godeau and Mariane Sentenac | |
| Gonneke Stevens and Saskia van Dorsselaer | |
| Helena Jeriček Klanšček | |
| Ivana Pavic Simetin | |
| Katrine Rich Madsen | |
| Leila Oja and Jaanika Piksööt | |
| Michal Kalman | |
| Petra Lofstedt | |
| Rosemarie Felder-Puig | |
| World Health Organization | 2017/18 |
Keywords
- Adolescents
- COVID-19
- Family Affluence Scale
- Health Behaviour in School-aged Children
- Socioeconomic status
- Validation study
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