Youth organizations, social mobility and health in middle age: evidence from a Scottish 1950s prospective cohort study.

Youth organizations, social mobility and health in middle age: evidence from a Scottish 1950s prospective cohort study.
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DOI:
10.1093/eurpub/ckac144
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发表时间:
2023-02-03
影响因子:
4.4
通讯作者:
Dibben, C.
Dibben, C.
中科院分区:
医学3区
文献类型:
--
作者:
Berrie, L.;Adair, L.;Williamson, L.;Dibben, C.

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以青年发展为重点的非正式教育方案似乎在参与时改善了健康和福祉。人们对其长期影响知之甚少。我们使用20世纪50年代阿伯丁儿童(ACONF)队列来调查他们对中年自我报告的总体健康的影响。我们使用了苏格兰阿伯丁1950年至1956年出生的ACONF队列的一个子集(n = 1333),他们在1964年参加了家庭和阅读调查,并在2001年进行了后续调查。我们探讨了在成人社会经济地位的调节下,儿童时期关注青少年发展俱乐部对50岁左右自我报告的一般健康状况的影响。用Logistic回归和中介分析分别报告优势比和自然直接效应和间接效应对多重输入数据的影响。与参加其他俱乐部的儿童相比,身为童子军/指南(G&S)的成员在成年后总体健康良好的几率高出53%(95%可信区间1.03-2.27)。G&S和男孩/女孩队(B&GB)通过较高的社会经济地位对总体健康的间接影响显示出正相关;成年后总体健康良好的几率分别比参加“其他俱乐部”的儿童高12%和6%。间接影响和直接影响的比较表明,27%的这种联系是通过成年后较高的成年人社会经济地位来调节的。这些结果表明,儿童时期参加G&S俱乐部和B&GB俱乐部与成年人的一般健康状况之间存在着有益的联系。由于这些组织是由志愿者领导的,这可能是改善人口健康的一种具有成本效益的方法。
Informal educational programmes focused on youth development appear to improve health and well-being at time of involvement. Less is known about long-term effects. We investigate their impact on self-reported general health in mid-life using the Aberdeen Children of the 1950s (ACONF) cohort. We use a subset (n = 1333) of the ACONF cohort, born 1950–56, in Aberdeen Scotland, who took part in Family and Reading Surveys in 1964 and a follow-up questionnaire in 2001. We explore exposure to youth development focused clubs in childhood on self-reported general health around age 50 mediated by adult socioeconomic position. Logistic regression and mediation analysis were used to report odds ratios and natural direct and indirect effects, respectively, on multiply imputed data. Being a member of the Scouts/Guides (G&S) was associated with a 53% (95% confidence interval 1.03–2.27) higher odds of ‘excellent’ general health in adulthood compared to children attending ‘other clubs’. Indirect effects of G&S and Boys’/Girls’ Brigade (B&GB) on general health acting via higher socioeconomic position show positive associations; 12% and 6% higher odds of ‘excellent’ general health in adulthood compared to children attending ‘other clubs’, respectively. Comparison of indirect with direct effects suggests 27% of this association is mediated through a higher adult socioeconomic position in adulthood. These results suggest a beneficial association between attending G&S and B&GB clubs in childhood and adult general health. As these organizations are volunteer-led, this may represent a cost-effective method for improving population health.
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