The association between adolescents’ health and disparities in school career: a longitudinal cohort study

BMC Public Health

Fons van der Lucht²  Robert A Verheij¹  Marieke Zwaanswijk¹  Mariël Droomers³  Erica Maurits¹  Ellen Uiters² 

[1] NIVEL, Netherlands Institute for Health Services Research, P.O. Box 1568, 3500 BN Utrecht, The Netherlands;National Institute of Public Health and the Environment (RIVM), P.O. Box 1, 3720 BA, Bilthoven, The Netherlands;Department of Public Health, Academic Medical Centre, University of Amsterdam, P.O. Box 22660, 1100 DD, Amsterdam, The Netherlands

关键词: Health selection;    Socioeconomic status;    Adolescents;    Education;    Health status;   

Others  :  1125955
DOI  :  10.1186/1471-2458-14-1104

 received in 2014-04-16, accepted in 2014-10-16,  发布年份 2014

【 摘 要 】

Background

Literature suggests that children’s educational achievement is associated with their health status and the socioeconomic position of their parents. Few studies have investigated this association in adolescence, while this is an important period affecting future life trajectories. Our study investigates the relationship between adolescents’ health and their subsequent school career, taking into account their parents’ socioeconomic position.

Methods

Data of all Dutch adolescents who entered secondary education in 2003, according to the national education register, were linked to electronic health records from general practices and to data from the Dutch population register on a patient by patient basis. Secondary school career data of 2455 adolescents were available for several years, resulting in a longitudinal prospective cohort. School career was measured by the completion of secondary education within the research period.

Results

For most health problems, adolescents’ health status at the moment of entering secondary education showed no association with the subsequent course of their school career. However, adolescents who had more frequent contact with their general practitioner for acute psychosocial problems (e.g. enuresis or overactive/hyperkinetic disorder), were less likely to complete their secondary education, also after adjustment for parental socioeconomic position. They were also less likely to complete their secondary education at the level of entry.

Conclusions

Adolescents’ secondary school career is negatively affected by the presence of acute psychosocial health problems, but not by the presence of physical health problems. This underlines the importance of adequately addressing mental health problems in adolescence.

【 授权许可】

   
2014 Uiters et al.; licensee BioMed Central Ltd.

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