Associations between household and neighborhood income and anxiety symptoms in young adolescents

Michaela Vine, Ann Vander Stoep, Janice F Bell, Isaac C. Rhew, Gretchen Gudmundsen, Elizabeth McCauley

Research output: Contribution to journalArticlepeer-review

13 Scopus citations


Background A better understanding of the role of both family- and neighborhood-level socioeconomic characteristics in the development of anxiety disorders is important for identifying salient target populations for intervention efforts. Little research has examined the question of whether associations between anxiety and socioeconomic status (SES) differ depending upon the level at which SES is measured or way in which anxiety manifests. We studied associations between both household- and neighborhood-level income and four different manifestations of anxiety in a community sample of young adolescents. Methods We conducted a cross-sectional analysis of data on 498 subjects aged 11-13 from a cohort study of Seattle-area middle school students. Generalized estimating equations were used to examine the association between both annual household income and neighborhood median income and each of four anxiety subscale scores from the multidimensional anxiety scale for children (MASC): physical symptoms, harm avoidance, social anxiety, and separation/panic anxiety. Results A negative association was found between household income and scores on two of the four MASC subscales-physical symptoms and separation/panic anxiety. In contrast, at equivalent levels of household income, adolescents living in higher income neighborhoods reported higher physical and harm avoidance symptom scores. Conclusion The role that SES plays in the development of childhood anxiety appears to be complex and to differ depending on the specific type of anxiety that is manifest and whether income is evaluated at the household or neighborhood level.

Original languageEnglish (US)
Pages (from-to)824-832
Number of pages9
JournalDepression and Anxiety
Issue number9
StatePublished - Sep 2012
Externally publishedYes


  • adolescence
  • child and adolescent anxiety
  • epidemiology
  • residence characteristics
  • socioeconomic position

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Psychology


Dive into the research topics of 'Associations between household and neighborhood income and anxiety symptoms in young adolescents'. Together they form a unique fingerprint.

Cite this