Anomaly in the gradient: Health of U.S. adults with subbaccalaureate education.

梯度异常：受过学士学位以下教育的美国成年人的健康状况。

基本信息

批准号：
9272770
负责人：
Anna Zajacova
金额：
$ 7.22万
依托单位：
UNIVERSITY OF WYOMING
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-05-15 至 2019-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9272770
关键词：
Academic skills Address Adult Age American Associate Degree Bachelor&apos s Degree Biological Birth Categories Childhood Chronic Disease Cognitive Data Sources Demographer Dimensions Disadvantaged Dropout Economics Education Employment Epidemiologist Ethnic Origin Foundations Funding Future Gender Goals Health Health Policy Health Status Health behavior Health trends Human Resources Light Link Literature Measures Mediating Methodology Mission National Health Interview Survey National Health and Nutrition Examination Survey National Longitudinal Survey of Youth Nature Outcome Patient Self-Report Pattern Play Policies Population Population Group Psyche structure Public Health Race Reporting Research Risk Role Schools Social Conditions Subgroup Time Time trend United States National Institutes of Health Work base cognitive skill cohort college experience falls health care availability health difference high school innovation insight low socioeconomic status peer physical conditioning population health public health relevance social sociologist theories trend

项目摘要

DESCRIPTION (provided by applicant): The subbaccalaureate educational attainment level --those who attended college but did not earn a bachelor's degree-- comprises 28% of American adults age 25 and older, or about 54 million people in the U.S. Surprisingly little is known about the health of adults in this major population group. A recent study by the PI and collaborators found a startling anomaly in the education gradient in health: adults at the subbaccalaureate level (especially college dropouts but also some recipients of associate's degrees) reported more health problems than high school graduates who never attended college. The gradient, which describes the monotonic positive association between schooling and health, has been understood to be universal across populations, health outcomes, and all levels of attainment. The fact that the gradient does not hold for 28% of the population may provide important clues about the mechanisms of the relationship between educational attainment and health. The long-term goal of the PI's research agenda is to understand how and why education and health are linked. The goal of this project is to compare the health of the subbaccalaureate group versus that of high school (HS) graduates who never attended college and college graduates, using three large, nationally-representative sources of data (the National Health Interview Survey 1997-2013, the National Health and Nutrition Examination Survey 1999-2012, and the National Longitudinal Survey of Youth 1979). In Aim 1, we will provide a detailed picture of the health patterns across multiple health dimensions, across major population groups, and across age, period, and birth cohorts. In Aim 2, we will explore how specific mediating and confounding mechanisms-employment, economic circumstances, health behaviors, childhood social conditions, cognitive/non- cognitive skills, and early health-explain the observed health patterns across the three education groups. This research is significant because: (1) Poorer-than-expected health in the large subbaccalaureate group must be addressed in health care policy and planning. (2) Explaining the anomalous patterns at the subbacca- laureate level can spur new theories to understand the relationship between schooling and health in general. This research is innovative because it seeks to challenge current research on the educational determinants of health by focusing on an anomaly in the gradient pattern. At the completion of this project, we will provide the first systematic assessment of the health of college dropouts and recipients of associate's degrees, as well as explore reasons why their additional schooling does not translate into a health advantage relative to HS graduates. We are thus proposing to answer an important, recently recognized issue of relatively poor health in the large subbaccalaureate group-an issue highly pertinent to NIH funding priorities, the U.S. health and educational policies, and the health of the American population-using methodologically and substantively innovative perspectives.

描述（由应用程序提供）：班爵士的教育程度 - 那些上大学但没有获得学士学位的人 - 企业25％及25岁以上的美国成年人，或美国大约5400万人，令人惊讶的是，对这个主要人群的成年人的健康知之甚少。 PI和合作者最近的一项研究发现，在健康方面的教育梯度上有一个起始异常：Subbaccalaureate水平的成年人（尤其是大学辍学者，但也是副学士学位的一些获得者）报告的健康问题比从未上过大学的高中毕业生更多。描述学校与健康之间单调积极关联的梯度已被理解为在人群，健康成果和各个级别的各个层次之间是普遍的。 28％的人口不承担梯度的事实可能会提供有关教育成果与健康之间关系机制的重要线索。 PI研究议程的长期目标是了解如何以及为什么与教育和健康联系在一起。该项目的目的是使用三个从未参加过大学和大学毕业生的高中毕业生（HS）毕业生的健康状况，使用三个大型，全国性代表性的数据来源（国家健康健康访谈调查调查调查1997- 2013年，国家健康与营养调查调查调查，国家健康与营养调查调查，1999-2012，以及全国长期调查1979年，年轻1979年）。在AIM 1中，我们将详细描述主要人口群体以及跨年龄，时期和出生队列的多个健康方面的健康模式。在AIM 2中，我们将探讨如何进行特定的调解和混淆机制 - 就业，经济环境，健康行为，儿童社会状况，认知/非认知技能以及早期健康 - 解释这三个教育群体中观察到的健康模式。这项研究之所以重要，是因为：（1）在卫生保健政策和规划中必须解决大型子库务小组的健康状况较差。（2）解释Subbacca-Leareate水平的异常模式可以刺激新理论，以了解学校与健康之间的关系。研究之所以创新，是因为它试图通过关注梯度模式的异常来挑战对健康的教育决心的研究。该项目完成后，我们将对大学辍学的健康和副学士学位的获得者，以及探讨他们额外的教育不转化为HS毕业生健康优势的原因。因此，我们建议在大型的群集团中回答一个重要的，最近认可的相对较差的健康问题，这与NIH资助优先事项，美国的健康和教育政策以及美国人口使用方法论和实质上创新的美国健康非常相关。观点。