Pathways between education and health: a causal modelling approach
Pathways between education and health: a causal modelling approach
复制标题
DOI：
10.1111/j.1467-985x.2006.00411.x
复制
发表时间：
2006-01-01
影响因子：
2
通讯作者：
Blane, D
中科院分区：
文献类型：
--
作者：
Chandola, T;Clarke, P;Blane, D
在许多研究和不同国家中，人们一直注意到教育程度低与健康状况差之间的联系。到目前为止，研究这种关联的机制的研究只研究了有限的一组潜在途径。这项研究同时检查了六个不同的途径，这已被假设为教育和健康的联系，并从以前的研究中找到了支持。使用结构方程模型进行教育和健康的因果分析。数据来自全国儿童发展研究的六个阶段，该研究是基于对1958年出生的17416名儿童的初始样本进行随访。教育与健康之间的联系似乎可以用多种机制来解释：男女的青少年健康和成年健康行为、男子的成年社会阶层和妇女的父母社会阶层。我们的结论是，人口教育程度的提高可能不会自动导致人口健康的改善，改善健康和减少健康不平等的卫生政策需要针对特定的因果途径。
The association of poor education and poor health has been consistently observed in many studies and in various countries. Thus far, studies examining the mechanisms underlying this association have looked at only a limited set of potential pathways. This study simultaneously examines six distinctive pathways, which have been hypothesized to link education and health and found support from previous studies. A causal analysis of education and health was performed using structural equation models. Data were used from six phases of the National Child Development Study, which is based on following up an initial sample of 17416 children who were born in 1958. The association between education and health appears to be explained by a combination of mechanisms: adolescent health and adult health behaviours for men and women, adult social class among men and parental social class among women. We conclude that improvements in population educational attainment may not automatically lead to improvements in population health, and that health policies for improving health and reducing health inequalities need to target specific causal pathways.