Danish Ramazzini Centre, Department of Occupational Medicine, Regional Hospital Herning, Herning, Denmark.
Scand J Public Health. 2013 Feb;41(1):92-101. doi: 10.1177/1403494812467713. Epub 2012 Dec 4.
Getting a secondary education is essential in preventing future inequalities in health and socioeconomic status. We investigated to what degree personal predictors like low school performance, high vulnerability, and poor health status are associated with not completing a secondary education in a Danish youth cohort.
This prospective study used data from a questionnaire in 2004 and register data in 2010. The study population consisted of 3053 adolescents born in 1989. Information on educational attainment from Statistics Denmark was divided into four categories: completed, still studying, dropped out, or never attained a secondary education. Data was analysed using multinomial logistic regression.
Low grades when completing compulsory school predicted not having completed a secondary education by age 20/21 (odds ratios (OR) between 1.7 and 2.5). Low sense of coherence in childhood was associated with dropping out from a vocational education (OR 2.0). Low general health status was associated with dropping out (OR 2.2) or never attaining a secondary education (OR 2.7) and overweight was associated with never attaining a secondary education (OR 3.5).
The study confirms the social gradient in educational attainment. Furthermore, the results indicate that factors related to the individual in terms of low school performance, low health status, and high vulnerability predict future success in the educational system. It is recommended that these high-risk groups are recognised and targeted when designing guidance and supervision programmes for youth at secondary education.
接受中等教育对于预防未来健康和社会经济地位的不平等至关重要。我们研究了个人预测因素,如学习成绩低、脆弱性高和健康状况差,与丹麦青年队列中未完成中等教育的程度有何关联。
本前瞻性研究使用了 2004 年问卷调查和 2010 年登记数据。研究人群由 1989 年出生的 3053 名青少年组成。丹麦统计局提供的教育程度信息分为四类:完成、仍在学习、辍学或从未获得中学教育。使用多项逻辑回归分析数据。
完成义务教育时成绩低预测到 20/21 岁时未完成中学教育(优势比 [OR] 在 1.7 到 2.5 之间)。童年时期低的综合健康感与职业教育辍学有关(OR 2.0)。一般健康状况低与辍学(OR 2.2)或从未获得中学教育(OR 2.7)有关,超重与从未获得中学教育(OR 3.5)有关。
该研究证实了教育程度的社会梯度。此外,结果表明,与个人相关的学习成绩低、健康状况差和脆弱性高的因素预测了未来在教育系统中的成功。建议在为中学教育的青少年设计指导和监督计划时,识别和针对这些高风险群体。