Bjerkedal Tor, Kristensen Petter, Skjeret Geir A, Brevik John Ivar
Forsvarets sanitet, Militaermedisinsk epidemiologi, Ullevål universitetssykehus, Oslo mil/Akershus, 0015 Oslo.
Tidsskr Nor Laegeforen. 2006 Feb 9;126(4):436-9.
Consequences of chronic diseases in childhood with respect to health, educational achievement and participation in the labour force in young adult age are evaluated.
A total of 14,364 children (2.3%) of the 626,928 born in Norway 1967-76 received basic and /or supplemental benefits for at least one year of the age span 0-16 years. The more common diagnoses included Endocrine diseases (diabetes), disease classified under Mental diagnoses, Neurological diseases and Congenital malformations. All the children were followed up to the age of 27 with respect to mortality and disability pensioning and to the age of 25 with regard to education, participation in the labour force and income, and in addition national service for the men. The study was made possible through the linking of data from several national registers, performed by Statistics Norway. Before the file was released for analyses, all personal identification was removed.
Basic and supplementary benefits in childhood predict adverse outcomes in young adult age: mortality, disability, low education, lack of gainful employment and low pensionable income. The diagnosis registered with the benefit strongly influenced the outcomes. Conscripts who had received benefits were judged to have a mean score for general ability of 4.5 compared to 5.2. Adjusted for score for general ability the proportion of those having received benefits achieving higher education was 84% of that of those that had not received benefits. After adjustment for educational attainment, the percentage gainfully employed was 11-12% less among subjects having received benefits in childhood. This negative association between having received a benefit in childhood and gainful employment in adulthood was restricted to the low educational group.
Persons with health problems in childhood did not achieve the education, employment and income they should have been capable of judged by their general ability and the education they had actually achieved.
评估儿童期慢性病对健康、教育成就以及青年劳动力参与情况的影响。
1967年至1976年在挪威出生的626,928名儿童中，共有14,364名儿童（2.3%）在0至16岁期间至少一年领取了基本和/或补充福利。较常见的诊断包括内分泌疾病（糖尿病）、精神诊断分类下的疾病、神经疾病和先天性畸形。所有儿童均随访至27岁，了解其死亡率和残疾抚恤金情况，至25岁了解其教育、劳动力参与和收入情况，此外还了解男性的国民服役情况。这项研究通过挪威统计局将多个国家登记册的数据进行关联得以实现。在文件发布用于分析之前，所有个人身份信息均被删除。
儿童期的基本和补充福利预示着青年期的不良后果：死亡率、残疾、低教育水平、缺乏有酬工作和低可领取养老金收入。与福利相关的诊断对结果有很大影响。领取福利的应征入伍者的一般能力平均得分为4.5，而未领取福利者为5.2。在调整了一般能力得分后，领取福利者中接受高等教育的比例是未领取福利者的84%。在调整了教育程度后，儿童期领取福利的受试者中有酬就业的比例比未领取福利者低11%至12%。儿童期领取福利与成年后有酬就业之间的这种负相关仅限于低教育组。
童年有健康问题的人未能根据其一般能力和实际获得的教育水平实现本应能够达到的教育、就业和收入。
