Long-term health implications of school quality
| Autor: | Dudovitz, Rebecca N, Nelson, Bergen B, Coker, Tumaini R, Biely, Christopher, Li, Ning, Wu, Lynne C, Chung, Paul J |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Adolescent Economics Health Status Basic Behavioral and Social Science Medical and Health Sciences Clinical Research Surveys and Questionnaires Behavioral and Social Science Humans Obesity Longitudinal Studies Parent-Child Relations School quality Pediatric Schools Depression Prevention United States Quality Education Logistic Models Good Health and Well Being Studies in Human Society Health Educational Status Female Health Impact Assessment Public Health School Teachers |
| Popis: | ObjectiveIndividual academic achievement is a well-known predictor of adult health, and addressing education inequities may be critical to reducing health disparities. Disparities in school quality are well documented. However, we lack nationally representative studies evaluating the impact of school quality on adult health. We aim to determine whether high school quality predicts adult health outcomes after controlling for baseline health, socio-demographics and individual academic achievement.MethodsWe analyzed data from 7037 adolescents who attended one of 77 high schools in the Unites States and were followed into adulthood from the National Longitudinal Study of Adolescent to Adult Health. Selected school-level quality measures-average daily attendance, school promotion rate, parental involvement, and teacher experience-were validated based on ability to predict high school graduation and college attendance. Individual adult health outcomes included self-rated health, diagnosis of depression, and having a measured BMI in the obese range.ResultsLogistic regressions controlling for socio-demographics, baseline health, health insurance, and individual academic performance demonstrated that school quality significantly predicted all health outcomes. As hypothesized, attending a school with lower average daily attendance predicted lower self-rated health (Adjusted Odds Ratio (AOR) 1.59, p=0.003) and higher odds of depression diagnosis (AOR 1.35, p=0.03); and attending a school with higher parent involvement predicted lower odds of obesity (AOR 0.69, p=0.001). However, attending a school with higher promotion rate also predicted lower self-rated health (AOR1.20, p |
| Databáze: | OpenAIRE |
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