Heilmann Kristina, Bräsen Janina, Herke Max, Richter Matthias, Rathmann Katharina
Institut für Medizinische Soziologie, Medizinische Fakultät, Martin-Luther-Universität Halle-Wittenberg, Halle (Saale).
Gesundheitswesen. 2018 Jul;80(7):613-620. doi: 10.1055/s-0042-123849. Epub 2017 Feb 16.
The aim of this study is to examine the impact of social determinants on subjective health, life satisfaction and absence from school due to illness among adolescents in secondary schools, by using data from the German National Educational Panel Study (NEPS).Data was obtained from the National Educational Panel Study (NEPS). The sample included (n=5 790) 6 grade pupils in regular schools in 2011 (Starting Cohort 3, Wave 2). The socioeconomic background of adolescents was measured by pupils' school type as well as household income and parental education level. Family structure and gender were considered as additional social determinants in the analyses. Bivariate and multiple logistic regression techniques were applied.The results show that type of school and low household income were related to poor subjective health among students. Life satisfaction varied by family structure and school type. For absence from school due to illness, we found a weak association with students in low track schools.The results indicate that especially the school type had the most important impact on subjective health, life satisfaction and absence from school due to illness. Health promotion and preventive strategies should particularly focus on pupils in low track schools and in relation to socially unequal distribution of educational opportunities also on young people from households with low socioeconomic status.
本研究旨在利用德国国家教育面板研究(NEPS)的数据,探讨社会决定因素对中学青少年主观健康、生活满意度以及因病缺课的影响。数据取自国家教育面板研究(NEPS)。样本包括2011年正规学校的6年级学生(起始队列3,第2轮),共5790名。青少年的社会经济背景通过学生的学校类型、家庭收入和父母教育水平来衡量。在分析中,家庭结构和性别被视为额外的社会决定因素。应用了双变量和多元逻辑回归技术。结果表明,学校类型和低家庭收入与学生主观健康状况不佳有关。生活满意度因家庭结构和学校类型而异。对于因病缺课,我们发现与低水平学校的学生存在微弱关联。结果表明,尤其是学校类型对主观健康、生活满意度和因病缺课影响最为重大。健康促进和预防策略应特别关注低水平学校的学生,并且鉴于教育机会的社会不平等分配,也要关注社会经济地位低下家庭的年轻人。