Låftman Sara B, Magnusson Charlotta
1 Centre for Health Equity Studies (CHESS), Stockholm University/Karolinska Institutet, Stockholm, Sweden.
2 Swedish Institute for Social Research (SOFI), Stockholm University, Stockholm, Sweden.
Scand J Public Health. 2017 Dec;45(8):878-885. doi: 10.1177/1403494817713649. Epub 2017 Jul 12.
Self-reported psychological and psychosomatic health complaints, such as nervousness, sadness, headache and stomach-ache, are common among adolescents, particularly among girls, and studies suggest that the prevalence has risen among adolescent girls during the last few decades. However, only a limited number of studies have investigated the potential long-term consequences of such health complaints. The aim of the current study was to assess whether psychological and psychosomatic health complaints in adolescence predict the chance of entering tertiary education in young adulthood among women and men.
The data used are from the Swedish Young-LNU, which is based on a nationally representative sample with self-reported survey information from adolescents aged 10-18 years in 2000 and from the same individuals at ages 20-28 in 2010 ( n=783). Information was also collected from parents and from official registers.
Linear probability models showed that self-reported psychological complaints in adolescence were associated with a lower chance of having entered tertiary education 10 years later. This association was accounted for by differences in grade point average (GPA), suggesting that GPA may mediate the association between psychological complaints and later education. The pattern was similar for both genders. Furthermore, among men, psychosomatic complaints in adolescence were significantly associated with a lower likelihood of having entered tertiary education 10 years later when adjusting for GPA and social class in adolescence. A similar but non-significant tendency was found among women.
The findings suggest that health complaints in adolescence may have long-term consequences in terms of lower educational attainment.
自我报告的心理和身心方面的健康问题，如紧张、悲伤、头痛和胃痛，在青少年中很常见，尤其是在女孩中，并且研究表明在过去几十年里，青少年女孩中的患病率有所上升。然而，只有少数研究调查了此类健康问题可能产生的长期后果。本研究的目的是评估青少年时期的心理和身心方面的健康问题是否能预测青年时期男性和女性进入高等教育阶段的可能性。
使用的数据来自瑞典青年-全国教育纵向研究（Young-LNU），该研究基于一个具有全国代表性的样本，包含2000年10至18岁青少年的自我报告调查信息以及2010年这些个体20至28岁时的信息（n = 783）。还从父母和官方登记处收集了信息。
线性概率模型显示，青少年时期自我报告的心理问题与10年后进入高等教育的可能性较低有关。这种关联是由平均绩点（GPA）的差异造成的，这表明GPA可能在心理问题与后期教育之间的关联中起中介作用。男女的情况相似。此外，在男性中，调整青少年时期的GPA和社会阶层后，青少年时期的身心问题与10年后进入高等教育的可能性显著降低有关。在女性中也发现了类似但不显著的趋势。
研究结果表明，青少年时期的健康问题可能会对教育程度产生长期影响，导致教育程度较低。
