Association between school racial/ethnic composition during adolescence and adult health
Autor: | Paul J. Chung, Peter G. Szilagyi, Elizabeth S. Barnert, Alma D. Guerrero, Adam Schickedanz, Nicholas Jackson, Tumaini R. Coker, Christopher Biely, Sai Iyer, Rebecca N. Dudovitz |
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Rok vydání: | 2021 |
Předmět: |
School
Longitudinal study Health (social science) Economics Ethnic group Alcohol abuse Substance use Medical and Health Sciences Racism Substance Misuse Alcohol Use and Health 0302 clinical medicine Ethnicity Longitudinal Studies 030212 general & internal medicine Aetiology media_common Pediatric Schools Depression 030503 health policy & services Health equity Test (assessment) Substance abuse Alcoholism Studies in Human Society Mental health Public Health social and economic factors 0305 other medical science Psychology Clinical psychology Adult Pediatric Research Initiative Race Adolescent media_common.quotation_subject education Race/ethnicity Article Odds Young Adult 03 medical and health sciences History and Philosophy of Science Clinical Research 2.3 Psychological Behavioral and Social Science medicine Humans Racial Groups medicine.disease Black or African American Good Health and Well Being |
Zdroj: | Soc Sci Med |
ISSN: | 0277-9536 |
DOI: | 10.1016/j.socscimed.2021.113719 |
Popis: | Objectives School racial/ethnic segregation in U.S. schoolsDifferences in school racial/ethnic composition may increase health disparities by concentrating educational opportunities that confer long-term health benefits in schools serving predominantly wwhite students. For racial minority students, high concentrations of white students may increase exposure to racismis also associated with psychologicstress, which may ultimately reduceing the long-term health benefits from educational opportunities. Meanwhile associations of racial/ethnic academic tacking within schools and health have been mixed. We sought to test whether: 1) differences in racial/ethnic composition between schools and, 2) racial/ethnic distribution of students in academic tracks within schools are associated with long-term health benefits or risks for white, Black and Latinx students. Methods We analyzed the National Longitudinal Study of Adolescent to Adult Health (12,438 participants, collected 1994–2008), to test whether the school-level segregation (percent of non-Latinx white students at participants’ school during adolescence) was associated with adult health outcomes at ages 18–26 & 24–32, controlling for contextual factorscomparing Black, Latinx, and white students, and controlling for contextualf factors. A secondary analysis explored whether racial/ethnic cohorting across levels of English courses was associated with each health outcome. Results Attending a school with a higher percent of white students was associated with higher adult depression scores, substance abuse, and worse self-rated health for black Black students; lower depression scores, better self-rated health, and alcohol abuse for white students; and no health differences for Latinx students. Greater within school racial/ethnic cohorting across English courses was associated with increased odds of alcohol abuse for white students; decreased odds of alcohol abuse for Black and Latinx students; and decreased odds of drug abuse for Black students. Conclusion Among Bblack youth, attending a school with a higher percentage of white students is associated with worse behavioral health in adulthood. Understanding the potential impacts of school racial/ethnic composition on health is critical to designing policies that maximize access to opportunity and health.Education policies should comprehensively address school quality and racism to maximize adult health. |
Databáze: | OpenAIRE |
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