Does an elite education benefit health? Findings from the 1970 British Cohort Study.
Does an elite education benefit health? Findings from the 1970 British Cohort Study.
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DOI：
10.1093/ije/dyw045
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发表时间：
2017-02-01
影响因子：
7.7
通讯作者：
Sullivan A
中科院分区：
文献类型：
--
作者：
Bann D;Hamer M;Parsons S;Ploubidis GB;Sullivan A
背景：上私立学校或更高地位的大学被认为有利于未来的收入和职业机会。我们研究了这些措施是否有益于健康，并在中年选择与健康有关的行为。 方法：数据来自1970年英国出生队列研究的9799名参与者。高中（私立，文法或国家）被确定为16岁，大学参加了42年的报告[归类为高等（罗素集团）或正常状态的机构]。自我报告的健康，限制疾病和身体质量指数（BMI）报告在42岁，随着沿着看电视，外卖餐消费，身体不活动，吸烟和高风险饮酒。使用多元回归模型对相关性进行了研究，并对性别和儿童社会经济，健康和认知措施进行了调整。 结果如下：私立学校和更高地位的大学出勤率与良好的自评健康和较低的BMI相关，并与健康相关的行为有益。例如，私立学校的出勤率与较低的自评健康的0.56 [95%置信区间（CI）：0.48，0.65]比值比（OR）较高地位的大学：0.32（0.27，0.37）]相关。通过调整潜在混杂因素，相关性在很大程度上减弱，除了那些私立学校和较高地位的大学入学率，较低的BMI和电视观看率，以及较不频繁的外卖餐消费。 结论：私立学校和地位较高的大学出勤率与更好的自我评估健康，较低的BMI和中年时的多种有利健康行为有关。研究结果表明，教育的类型或地位可能是一个重要的研究不足的结构时，考虑记录和理解社会经济不平等的健康。
Background: Attending private school or a higher-status university is thought to benefit future earnings and occupational opportunities. We examined whether these measures were beneficially related to health and selected health-related behaviours in midlife. Methods: Data were from up to 9799 participants from the 1970 British birth Cohort Study. The high school attended (private, grammar or state) was ascertained at 16 years, and the university attended reported at 42 years [categorised as either higher (Russell Group) or normal-status institutions]. Self-reported health, limiting illness and body mass index (BMI) were reported at 42 years, along with television viewing, take-away meal consumption, physical inactivity, smoking and high risk alcohol drinking. Associations were examined using multiple regression models, adjusted for gender and childhood socioeconomic, health and cognitive measures. Results: Private school and higher status university attendance were associated with favourable self-rated health and lower BMI, and beneficially associated with health-related-behaviours. For example, private school attendance was associated with 0.56 [95% confidence interval (CI): 0.48, 0.65] odds of lower self-rated health [odds ratio (OR) for higher-status university: 0.32 (0.27, 0.37)]. Associations were largely attenuated by adjustment for potential confounders, except for those of private schooling and higher-status university attendance with lower BMI and television viewing, and less frequent take-away meal consumption. Conclusions: Private school and higher-status university attendance were related to better self-rated health, lower BMI and multiple favourable health behaviours in midlife. Findings suggest that type or status of education may be an important under-researched construct to consider when documenting and understanding socioeconomic inequalities in health.