کد مقاله کد نشریه سال انتشار مقاله انگلیسی ترجمه فارسی نسخه تمام متن
952216 1476015 2016 10 صفحه PDF سفارش دهید دانلود رایگان
عنوان انگلیسی مقاله ISI
An education gradient in health, a health gradient in education, or a confounded gradient in both?
ترجمه فارسی عنوان
یک گرادیان آموزش در سلامت، یک شیب سلامت در آموزش و یا یک شیب سر در گم در هر دو؟
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کلمات کلیدی
شیب آموزش بهداشت; شیب بهداشت در آموزش و پرورش؛ خود دارای سلامت; دست آوردهای آموزشی،; جلوه های ثابت; بزرگسالان جوان
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی سیاست های بهداشت و سلامت عمومی
چکیده انگلیسی


• More educated adults tend to have better self-rated health (SRH).
• But little of this association is due to the causal effect of educational attainment on SRH.
• The bulk of the association occurs because high-SRH adolescents tend to select more education.

There is a positive gradient associating educational attainment with health, yet the explanation for this gradient is not clear. Does higher education improve health (causation)? Do the healthy become highly educated (selection)? Or do good health and high educational attainment both result from advantages established early in the life course (confounding)? This study evaluates these competing explanations by tracking changes in educational attainment and Self-rated Health (SRH) from age 15 to age 31 in the National Longitudinal Study of Youth, 1997 cohort. Ordinal logistic regression confirms that high-SRH adolescents are more likely to become highly educated. This is partly because adolescent SRH is associated with early advantages including adolescents' academic performance, college plans, and family background (confounding); however, net of these confounders adolescent SRH still predicts adult educational attainment (selection). Fixed-effects longitudinal regression shows that educational attainment has little causal effect on SRH at age 31. Completion of a high school diploma or associate's degree has no effect on SRH, while completion of a bachelor's or graduate degree have effects that, though significant, are quite small (less than 0.1 points on a 5-point scale). While it is possible that educational attainment would have greater effect on health at older ages, at age 31 what we see is a health gradient in education, shaped primarily by selection and confounding rather than by a causal effect of education on health.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Social Science & Medicine - Volume 154, April 2016, Pages 18–27
نویسندگان
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