How do mental and physical health problems contribute to inequalities in persistent school absence? A causal mediation analysis using ECHILD

精神和身体健康问题如何导致持续缺课带来的不平等？

• 批准号: ES/Z502509/1
• 金额: $ 18.42万
• 依托单位: Imperial College London
• 依托单位国家: 英国
• 项目类别: Fellowship
• 财政年份: 2024
• 资助国家: 英国
• 起止时间: 2024 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FZ502509%2F1
• 关键词: How; do; mental; physical; health

Around one in four young people are missing a large amount of education through persistent absence from school (10% or more missed). While it was presumed that school attendance levels would recover following the pandemic, a large proportion of young people still not consistently attend school. It is reported that young people are predominantly absent from school due to health concerns, including mental health symptoms such as anxiety. Yet, we do not know how maternal health, social service contacts, and individual mental and physical health contribute to inequalities in persistent school absence and educational attainment.Disadvantaged young people more often perform poorly in assessments and spend more time absent from education compared to privileged peers. Poor health during childhood and adolescence has the potential to explain some of the relationship between family socioeconomic circumstances (SECs) and poor educational outcomes. Poor health is likely to impact educational attainment through negative symptoms, disruption of learning, and school absence. Furthermore, long-term school absence is likely to contribute to young people's risk of mental health difficulties through distance from peers, social isolation, and anxiety.In addition, parents with low SECs are more likely to have poor mental and physical health. Parental mental health has a substantial impact on young people's own mental health, not only through inherited characteristics but also through parents' psychological problems that may lead to negative parenting behaviours, lack of attention to children's needs, increased dysfunction at home and social service contact.The context:Public health challenges for young people have been exacerbated by both the Covid-19 pandemic and the current cost of living crisis. The number of young people living in absolute poverty continues to rise dramatically, and the indirect impacts of the pandemic include a step-change increase in rates of mental health problems among young people, as well as reduced access to, and uptake of, key preventive and early intervention services.Aims and research questions:The overall aim of this fellowship is to assess the relative importance of maternal health, family social service contacts, and young peoples' mental and physical chronic conditions associated with social inequalities in adolescent (aged 11-18 years) persistent school absence and educational attainment in England. Using the ECHILD database; linked data on education, social care, and health before and after the covid-19 pandemic, I will examine the following questions:What proportion of young people experiencing repeated absence, poor attainment, or school exclusion have underlying chronic mental or physical health conditions?How much of the association between family disadvantage and educational outcomes is attributable to family risk factors or underlying chronic mental or physical health conditions in young people?Has the impact of health on educational inequalities changed since the pandemic?Does the relationship between health and educational inequalities vary by school, Local Authority or region?The fellowship will also be used to scope the ability of the ECHILD data to answer future research questions on whether frequent absences or poor educational attainment during adolescence predict health into early adulthood.Applications and benefits:I will address important gaps in the interplay between health and education/social care needs, including the compound disadvantage experienced since the pandemic. Digital co-produced materials on findings will inform and empower families and young people, practitioners, and teachers to better manage the relationship between health and education.

大约四分之一的年轻人由于长期缺课而错过了大量的教育（10%或更多）。虽然人们认为，在大流行病之后，入学率会恢复，但很大一部分年轻人仍然没有坚持上学。据报告，年轻人主要是由于健康问题，包括焦虑等心理健康症状而缺课。然而，我们不知道孕产妇健康、社会服务接触以及个人身心健康如何导致持续缺课和教育成就方面的不平等。与享有特权的同龄人相比，不自信的年轻人往往在评估中表现不佳，缺课的时间更长。儿童和青少年时期的健康状况不佳有可能解释家庭社会经济环境与教育成果不佳之间的某些关系。健康状况不佳可能会通过负面症状、中断学习和缺课影响受教育程度。此外，长期缺课可能会增加年轻人的心理健康问题，因为他们与同龄人的距离、社会孤立和焦虑。此外，SEC低的父母更有可能身心健康状况不佳。父母的心理健康对年轻人自身的心理健康有重大影响，不仅是通过遗传特征，而且还通过父母的心理问题，这些心理问题可能导致消极的育儿行为，缺乏对儿童需求的关注，增加家庭功能障碍和社会服务接触。背景：新冠肺炎大流行和当前的生活成本危机加剧了年轻人面临的公共卫生挑战。生活在绝对贫困中的青年人数继续急剧增加，这一流行病的间接影响包括青年人中精神健康问题的比例逐步增加，以及获得和接受主要预防和早期干预服务的机会减少。这项研究金的总体目标是评估产妇保健、家庭社会服务联系、以及英国青少年（11-18岁）长期缺课和受教育程度与社会不平等有关的身心慢性病。使用ECHILD数据库;根据2019冠状病毒病大流行前后有关教育、社会关怀和健康的相关数据，我将研究以下问题：在反复缺课、成绩不佳或被学校排斥的年轻人中，有多少比例存在潜在的慢性精神或身体健康问题？家庭劣势与教育成果之间的关联在多大程度上可归因于家庭风险因素或年轻人潜在的慢性精神或身体健康状况？自大流行以来，健康对教育不平等的影响是否发生了变化？健康和教育不平等之间的关系是否因学校、地方当局或地区而异？该奖学金还将用于评估爱婴国际儿童发展项目数据的能力，以回答未来的研究问题，即青春期经常缺席或教育程度低是否预示着成年早期的健康状况。应用和益处：我将解决健康与教育/社会护理需求之间相互作用的重要差距，包括自大流行以来经历的复合劣势。数字共同制作的调查结果材料将告知家庭和年轻人，从业人员和教师，使他们能够更好地管理健康与教育之间的关系。