Tracking Health Inequalities from High School to Midlife

Tracking Health Inequalities from High School to Midlife
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DOI:
10.1093/sf/sox065
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发表时间:
2017-12-01
期刊:
影响因子:
4.8
通讯作者:
Warren, John Robert
Warren, John Robert
中科院分区:
法学1区
文献类型:
--
作者:
Carroll, Jamie M.;Muller, Chandra;Warren, John Robert

文献摘要

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健康状况、发病率和死亡率的教育梯度已经得到了很好的确定,但学校教育的哪些方面产生了这些梯度却只得到了部分了解。我们利用高中及以后二年级队列中年随访的最新数据,分析高中学生的课程水平与他们的长期健康结果之间的关系。我们还评估了中介作用的技能发展,中学后的出勤率和程度的实现,和职业特征。我们发现,在高中学习中到高级课程的学生在中年时有更好的自我报告的健康和身体功能,即使是家庭背景,青少年健康,基线技能和学校特征。该协会通过进入中学后教育的途径部分运作。我们的研究结果对教育政策和健康教育梯度的研究都有影响。
Educational gradients in health status, morbidity, and mortality are well established, but which aspects of schooling produce those gradients is only partially understood. We draw on newly available data from the midlife follow-up of the High School and Beyond sophomore cohort to analyze the relationship between students' level of coursework in high school and their long-term health outcomes. We additionally evaluate the mediating roles of skill development, postsecondary attendance and degree attainment, and occupational characteristics. We find that students who took a medium- to high-level course of study in high school have better self-reported health and physical functioning in midlife, even net of family background, adolescent health, baseline skills, and school characteristics. The association partially operates through pathways into postsecondary education. Our findings have implications for both educational policy and research on the educational gradient in health.