Educational level and the risk of mental disorders, substance use disorders and self-harm in different age-groups: A cohort study covering 1,6 million subjects in the Stockholm region.

Autor: Li B; Department of Public Health Sciences, Stockholm University, Stockholm, Sweden., Allebeck P; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden., Burstöm B; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden., Danielsson AK; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden., Degenhardt L; Institute for Health Metrics and Evaluation (IHME), University of Washington, Seattle, New South Wales, USA.; National Drug and Alcohol Research Centre, UNSW Sydney, Sydney, New South Wales, Australia., Eikemo TA; Centre for Global Health Inequalities Research (CHAIN), Department of Sociology and Political Science, Norwegian University of Science and Technology (NTNU), Trondheim, Norway., Ferrari A; Institute for Health Metrics and Evaluation (IHME), University of Washington, Seattle, New South Wales, USA.; School of Public Health, The University of Queensland, Brisbane, Queensland, Australia., Knudsen AK; Centre for Disease Burden, the Norwegian Institute of Public Health, Bergen, Norway.; Department of Psychosocial Science, University of Bergen, Bergen, Norway., Lundin A; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden., Manhica H; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden., Newton J; Public Health England (PHE), Health Improvement, London, UK.; European Centre for Environment and Health, University of Exeter, Exeter, UK., Whiteford H; Institute for Health Metrics and Evaluation (IHME), University of Washington, Seattle, New South Wales, USA.; School of Public Health, The University of Queensland, Brisbane, Queensland, Australia., Flodin P; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden., Sjöqvist H; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden., Agardh EE; Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
Jazyk: angličtina
Zdroj: International journal of methods in psychiatric research [Int J Methods Psychiatr Res] 2023 Dec; Vol. 32 (4), pp. e1964. Date of Electronic Publication: 2023 Feb 17.
DOI: 10.1002/mpr.1964
Abstrakt: Objective: To investigate the associations between low education and risk of mental disorders, substance use disorders and self-harm in different age-groups.
Methods: All subjects in Stockholm born between 1931 and 1990 were linked to their own or their parent's highest education in 2000 and followed-up for these disorders in health care registers 2001-2016. Subjects were stratified into four age-groups: 10-18, 19-27, 28-50, and 51-70 years. Hazard Ratios with 95% Confidence Intervals (CIs) were estimated with Cox proportional hazard models.
Results: Low education increased the risk of substance use disorders and self-harm in all age-groups. Males aged 10-18 with low education had increased risks of ADHD and conduct disorders, and females a decreased risk of anorexia, bulimia and autism. Those aged 19-27 years had increased risks of anxiety and depression, and those aged 28-50 had increased risks of all mental disorders except anorexia and bulimia in males with Hazard Ratios ranging from 1.2 (95% CIs 1.0-1.3) for bipolar disorder to 5.4 (95% CIs 5.1-5.7) for drug use disorder. Females aged 51-70 years had increased risks of schizophrenia and autism.
Conclusion: Low education is associated with risk of most mental disorders, substance use disorders and self-harm in all age-groups, but especially among those aged 28-50 years.
(© 2023 The Authors. International Journal of Methods in Psychiatric Research published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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