Winding Trine Nøhr, Andersen Johan Hviid
Danish Ramazzini Centre, Department of Occupational Medicine, University Research Clinic, Regional Hospital West Jutland, Gl. Landevej 61, 7400, Herning, Denmark.
BMC Public Health. 2015 Oct 15;15:1054. doi: 10.1186/s12889-015-2391-0.
School dropout in adolescence is an important social determinant of health inequality in a lifetime perspective. It is commonly accepted that parental background factors are associated with later dropout, but to what extent social relations mediate this association is not yet fully understood.
To investigate the effect of social relations on the association between parental socioeconomic position and school dropout in the Danish youth cohort Vestliv.
This prospective study used data from questionnaires in 2004 and 2007 and register data in 2004 and 2010. The study population consisted of 3,054 persons born in 1989. Information on dropout was dichotomised into those who had completed a secondary education/were still attending one and those who had dropped out/had never attended a secondary education. Logistic regression analyses were used to investigate associations between parental socioeconomic position and dropout at age 21, taking into account effects of social relations at age 15 and 18.
A large proportion of young people were having problems with social relations at age 15 and 18. In general, social relations were strongly related to not completing a secondary education, especially among girls. For instance, 18-year-old girls finding family conflicts difficult to handle had a 2.6-fold increased risk of not completing a secondary education. Young people from low socioeconomic position families had approximately a 3-fold higher risk of not completing a secondary education compared to young people from high position families, and the estimates did not change greatly after adjustment for social relations with family or friends. Poor relations with teachers and classmates at age 18 explained a substantial part of the association between income and dropout among both girls and boys.
The study confirmed a social gradient in completion of secondary education. Despite the fact that poor social relations at age 15 and 18 were related to dropout at age 21, social relations with family and friends only explained a minor part of the socioeconomic differences in dropout. However, poor social relations with teachers and classmates at age 18 explain a substantial part of the socioeconomic difference in dropout from secondary education.
从一生的角度来看,青少年辍学是健康不平等的一个重要社会决定因素。人们普遍认为,父母的背景因素与后来的辍学有关,但社会关系在多大程度上介导这种关联尚未完全了解。
调查丹麦青年队列Vestliv中社会关系对父母社会经济地位与辍学之间关联的影响。
这项前瞻性研究使用了2004年和2007年问卷调查的数据以及2004年和2010年登记数据。研究人群包括1989年出生的3054人。辍学信息被分为完成中等教育/仍在接受中等教育的人和辍学/从未接受过中等教育的人。采用逻辑回归分析来研究父母社会经济地位与21岁时辍学之间的关联,同时考虑15岁和18岁时社会关系的影响。
很大一部分年轻人在15岁和18岁时存在社会关系问题。总体而言,社会关系与未完成中等教育密切相关,尤其是在女孩中。例如,18岁发现家庭冲突难以处理的女孩未完成中等教育的风险增加了2.6倍。与高社会经济地位家庭的年轻人相比,低社会经济地位家庭的年轻人未完成中等教育的风险大约高出3倍,在对与家人或朋友的社会关系进行调整后,估计值变化不大。18岁时与教师和同学关系不佳解释了女孩和男孩收入与辍学之间关联的很大一部分。
该研究证实了中等教育完成情况中的社会梯度。尽管15岁和18岁时不良的社会关系与21岁时的辍学有关,但与家人和朋友的社会关系仅解释了辍学方面社会经济差异的一小部分。然而,18岁时与教师和同学的不良社会关系解释了中等教育辍学方面社会经济差异的很大一部分。