Income inequality is frequently cited as a forceful determinant of mental health and as a possible contributor to the rising trend in adolescent depressive symptoms. However, research findings often rely on low-powered cross-sectional designs. We conducted a preregistered study of the within-municipality effect of income inequality on adolescent depressive symptoms in Norway, covering ≈550,000 respondents nested within 863 municipality years and 340 municipalities. Using multilevel modeling and equivalence testing, the overall within-municipality effect of income inequality was neither statistically significant nor practically meaningful and did not significantly interact with family financial situation. A significant gender interaction showed that rising inequality predicted slightly higher depressive symptoms among females and slightly lower among males; however, the main gender effects were also probably too small to be meaningful. We conclude that changes in income inequality likely do not meaningfully predict nor help explain changes in adolescent depressive symptoms in Norway from 2010 to 2019.
Nilsen et al. (Mon,) studied this question.