High school dropout and long-term sickness and disability in young adulthood: a prospective propensity score stratified cohort study (the Young-HUNT study)

BMC Public Health

Johan Håkon Bjørngaard¹  Steinar Westin³  Turid Lingaas Holmen⁴  Roar Johnsen³  Koenraad Cuypers⁵  Kristine Pape³  Karin A A De Ridder² 

[1] Forensic Department and Research Centre Bröset, St. Olav's University Hospital Trondheim, 7491 Trondheim, Norway;Youth Health Care, Department of Public Health and Primary Care, KU Leuven, 3000 Leuven, Belgium;Department of Public Health and General Practice, Norwegian University of Science and Technology, 7491 Trondheim, Norway;Department of Public Health and General Practice, HUNT Research Center, Norwegian University of Science and Technology, 7600 Levanger, Norway;Department of Public Health and Surveillance, Scientific Institute of Public Health, WIV-ISP (Site Elsene), 1050 Brussels, Belgium

关键词: HUNT study;    Propensity score;    Prospective cohort study;    Adult;    Adolescent;    Risk factors;    Disability insurance;    Sick leave;    School dropouts;   

Others  :  1161681
DOI  :  10.1186/1471-2458-13-941

 received in 2013-04-30, accepted in 2013-10-04,  发布年份 2013

【 摘 要 】

Background

High school dropout and long-term sickness absence/disability pension in young adulthood are strongly associated. We investigated whether common risk factors in adolescence may confound this association.

Methods

Data from 6612 school-attending adolescents (13–20 years old) participating in the Norwegian Young-HUNT1 Survey (1995–1997) was linked to long-term sickness absence or disability pension from age 24–29 years old, recorded in the Norwegian Labour and Welfare Organisation registers (1998–2008). We used logistic regression to estimate risk differences of sickness or disability for school dropouts versus completers, adjusting for health, health-related behaviours, psychosocial factors, school problems, and parental socioeconomic position. In addition, we stratified the regression models of sickness and disability following dropout across the quintiles of the propensity score for high school dropout.

Results

The crude absolute risk difference for long-term sickness or disability for a school dropout compared to a completer was 0.21% or 21% points (95% confidence interval (CI), 17 to 24). The adjusted risk difference was reduced to 15% points (95% CI, 12 to 19). Overall, high school dropout increased the risk for sickness or disability regardless of the risk factor level present for high school dropout.

Conclusion

High school dropouts have a strongly increased risk for sickness and disability in young adulthood across all quintiles of the propensity score for dropout, i.e. independent of own health, family and socioeconomic factors in adolescence. These findings reveal the importance of early prevention of dropout where possible, combined with increased attention to labour market integration and targeted support for those who fail to complete school.

【 授权许可】

   
2013 De Ridder et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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