Lee Jeehye, Bahk Jinwook, Khang Young-Ho
Department of Health Policy and Management, Seoul National University College of Medicine, Seoul, Korea.
Institute of Health Policy and Management, Seoul National University Medical Research Center, Seoul, Korea.
J Prev Med Public Health. 2017 Jul;50(4):228-239. doi: 10.3961/jpmph.16.110. Epub 2017 May 10.
This study aimed to examine the association between preschool education experiences and adulthood self-rated health using representative data from a national population-based survey.
Data from the Korean Labor and Income Panel Study in 2006 and 2012 were used. A total of 2391 men and women 21-41 years of age were analyzed. Log-binomial regression analyses were conducted to examine the associations between preschool education experience and self-rated health in adulthood. Parental socioeconomic position (SEP) indicators were considered as confounders of the association between preschool education experience and adulthood subjective health, while current SEP indicators were analyzed as mediators. Age-adjusted prevalence ratios (PRs) and the associated 95% confidence intervals (CIs) were estimated.
Compared with men without any experience of preschool education, those with both kindergarten and other preschool education experiences showed a lower prevalence of self-rated poor health (PR, 0.65; 95% CI, 0.47 to 0.89). In women, however, such an association was not evident. The relationship of preschool education experiences with self-rated poor health in adulthood among men was confounded by parental SEP indicators and was also mediated by current SEP indicators. After adjustment for parental and current SEP indicators, the magnitude of the associations between preschool education experiences and adulthood subjective health was attenuated in men.
Preschool education experience was associated with adulthood self-rated health in men. However, this association was explained by parental and current SEP indicators. Further investigations employing a larger sample size and objective health outcomes are warranted in the future.
本研究旨在利用一项全国性基于人群的调查中的代表性数据,探讨学前教育经历与成年期自评健康之间的关联。
使用了2006年和2012年韩国劳动与收入面板研究的数据。共分析了2391名年龄在21 - 41岁之间的男性和女性。进行对数二项回归分析,以检验学前教育经历与成年期自评健康之间的关联。父母的社会经济地位(SEP)指标被视为学前教育经历与成年期主观健康之间关联的混杂因素,而当前的SEP指标则作为中介因素进行分析。估计了年龄调整后的患病率比值(PRs)及相关的95%置信区间(CIs)。
与没有任何学前教育经历的男性相比,有幼儿园和其他学前教育经历的男性自评健康状况较差的患病率较低(PR,0.65;95% CI,0.47至0.89)。然而,在女性中,这种关联并不明显。男性学前教育经历与成年期自评健康状况较差之间的关系受到父母SEP指标的混杂影响,并且也由当前的SEP指标介导。在调整了父母和当前的SEP指标后,男性学前教育经历与成年期主观健康之间关联的强度减弱。
学前教育经历与男性成年期自评健康有关。然而,这种关联可以由父母和当前的SEP指标来解释。未来有必要采用更大样本量和客观健康结果进行进一步调查。