Health related lifestyle in adolescence predicts adult educational level: a longitudinal study from Finland
Health related lifestyle in adolescence predicts adult educational level: a longitudinal study from Finland
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DOI：
10.1136/jech.52.12.794
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发表时间：
1998-12-01
影响因子：
6.3
通讯作者：
Rimpela, M
中科院分区：
文献类型：
--
作者：
Koivusilta, L;Rimpela, A;Rimpela, M
目的-评估青春期自感健康和与健康相关的生活方式在产生教育差异中的相对重要性。设计-一项纵向研究：1981年和1985年的调查数据与1993年的教育登记数据相关联。设置-整个芬兰。参与者-4761名16岁和18岁的代表性样本。随访率为82%。测量和主要结果-结果变量为24岁至30岁的受教育程度。预测变量描述了16岁和18岁时与健康相关的生活方式和健康。那些在随访时教育水平较低的人，在青春期的生活方式比那些达到较高水平的人更不利于健康。他们较少强调促进健康的行为，如不吸烟、体育锻炼、良好饮食和牙齿卫生。吸烟是受教育程度的显著预测因素。在健康变量中，只有心身症状预测女孩的高教育水平，而男孩的心身症状和身高都预示着高教育水平。结论--成年后达到高教育水平的人，在青春期就已经有了促进健康的生活方式，而达到较低水平的人，已经有了损害健康的生活方式。健康状况在成人教育水平预测中只起到很小的作用。结果表明，在青春期就已经采取的损害健康的生活方式，是造成教育健康差异的重要机制。
Objective-To assess the relative importance of perceived health and health related Lifestyle in adolescence in the production of educational differences.Design-A longitudinal study: survey data from 1981 and 1985 linked with Educational Registry data from 1993.Setting-The whole of Finland.Participants-A representative sample of 4761 16 and 18 year olds. The follow up rate was 82%.Measurements and main results-The outcome variable was the attained educational level at age 24 to 30. Predictive variables described health related lifestyle and health at the age of 16 and 18. Those whose educational level was low at follow up, had in adolescence, a more health compromising lifestyle than those who had reached higher levels. They had placed less emphasis on health promoting behaviours Like not smoking, physical exercise, good diet, and dental hygiene. Smoking was the outstanding predictor of attained educational level. Among the health variables, only psychosomatic symptoms predicted high educational levels in girls, and both psychosomatic symptoms and height in boys.Conclusion-Those who reach a high level of education in adulthood, have had a health enhancing lifestyle already in adolescence, while those reaching only a low level, have had a health compromising lifestyle. Health plays only a small part in the prediction of adult educational level. The results suggest that a health compromising lifestyle, adopted already in adolescence, is an important mechanism from which educational health differences originate.