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Effects of parental job loss on psychotropic drug use in children: Long-term effects, timing, and cumulative exposure 父母失业对儿童使用精神药物的影响:长期影响、时间和累积接触
IF 3.4 2区 社会学 Q1 Medicine Pub Date : 2024-03-29 DOI: 10.1016/j.alcr.2024.100607
Björn Högberg , Anna Baranowska-Rataj

Intra-family crossover effects triggered by job losses have received growing attention across scientific disciplines, but existing research has reached discrepant conclusions concerning if, and if so how, parental job losses affect child mental health. Drawing on sociological models of stress and life course epidemiology, we ask if parental job losses have long-term effects on child mental health, and if these effects are conditional on the timing of, or the cumulative exposure to, job losses. We use intergenerationally linked Swedish register data combined with entropy balance and structural nested mean models for the analyses. The data allow us to track 400,000 children over 14 years and thereby test different life-course models of cross-over effects. We identify involuntary job losses using information on workplace closures, thus reducing the risk of confounding. Results show that paternal but not maternal job loss significantly increases the risk of psychotropic drug use among children, that the average effects are modest in size (less than 4% in relative terms), that they may persist for up to five years, and that they are driven by children aged 6–10 years. Moreover, cumulative exposure to multiple job losses are more harmful than zero or one job loss.

失业引发的家庭内部交叉效应在各科学学科中受到越来越多的关注,但现有研究对父母失业是否会影响儿童心理健康以及如何影响儿童心理健康得出了不同的结论。借鉴压力社会学模型和生命历程流行病学,我们询问父母失业是否会对儿童心理健康产生长期影响,以及这些影响是否取决于失业的时间或累积暴露。我们使用代际关联的瑞典登记数据,结合熵平衡和结构嵌套均值模型进行分析。通过这些数据,我们可以对 40 万名儿童进行长达 14 年的跟踪调查,从而检验不同生命周期的交叉效应模型。我们利用工作场所关闭的信息来识别非自愿失业,从而降低了混杂风险。结果表明,父亲而非母亲的失业会显著增加儿童使用精神药物的风险,平均效应的规模不大(相对而言小于 4%),可能持续长达 5 年,且主要由 6-10 岁的儿童造成。此外,多次失业的累积影响比零次或一次失业的影响更大。
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引用次数: 0
A crisis in the life course? Pregnancy loss impacts fertility desires and intentions 生命历程中的危机?失孕影响生育愿望和意向
IF 3.4 2区 社会学 Q1 Medicine Pub Date : 2024-03-26 DOI: 10.1016/j.alcr.2024.100612
Samira Beringer, Nadja Milewski

Background

An unintended spontaneous termination of a pregnancy can be a traumatic experience affecting the subsequent life course, but has received little attention in socio-demographic studies on fertility intentions or behavior. The theoretical background of our study draws on considerations from life course research, the Theory of Planned Behavior and the Traits-Desires-Intentions-Behavior framework.

Objective

This study investigates whether the experience of pregnancy loss changes the fertility desires and intentions of women in their subsequent life course.

Methods

We use 11 waves of the Panel Analysis of Intimate Relationships and Family Dynamics (pairfam) with 5197 women in total, of which 281 women (5.4%) reported a miscarriage. Data have been collected annually in Germany since 2008. We investigate four dependent variables capturing different indicators of the ideational dimension of fertility: Personal ideal number of children, realistic number of (additional) children, intention to have a(nother) child in the next two years and importance of having a(nother) child. We study the intrapersonal changes in these items among women after a pregnancy loss, applying linear fixed effect regression models. Controls include parity, age, partnership status, pregnancy status and the interaction of pregnancy loss with whether the woman already had children before the pregnancy loss.

Results

We found that the importance of having a(nother) child and the intention to have a(nother) child in the next two years increase after a pregnancy loss. These patterns can only partially be explained by control variables. By contrast, an effect on the ideal number of children as well as the realistic number of children could not be found. The patterns varied, however, across age and stage in the life course, most importantly between mothers and childless women.

Conclusions

Our results demonstrate that the effect of pregnancy loss on the subsequent life course varies across the indicators used and by duration after the pregnancy loss. Overall, they suggest that specifically the younger women in our sample might perceive pregnancy loss as a temporary crisis in their transition to motherhood, or to having another child, and as an impetus to reinforce their fertility goals, while for older respondents this might mark the end of their fertility career. Against the backdrop of rising ages at childbirth, future research on fertility and reproductive health care should pay more attention to reproductive complications and how affected women can be supported in coping with them.

背景意外自然终止妊娠可能是一种创伤性经历,会影响以后的生命历程,但在有关生育意愿或行为的社会人口学研究中却很少受到关注。本研究的理论背景借鉴了生命历程研究、计划行为理论和特质--欲望--意向--行为框架。德国自 2008 年起每年收集数据。我们对四个因变量进行了调查,这四个因变量捕捉了生育观念维度的不同指标:个人理想子女数、现实(额外)子女数、未来两年内生育另一个孩子的意愿以及生育另一个孩子的重要性。我们采用线性固定效应回归模型,研究妇女在失去妊娠后这些项目的个人内部变化。结果我们发现,妊娠失败后,生育一个(另一个)孩子的重要性和未来两年内生育一个(另一个)孩子的意愿都会增加。控制变量只能部分解释这些模式。相比之下,对理想子女数和现实子女数的影响却没有发现。结论我们的研究结果表明,不同的指标以及不同的妊娠失败后持续时间,妊娠失败对其后的生命历程的影响是不同的。总体而言,这些结果表明,在我们的样本中,年轻女性可能会将失孕视为她们向为人母或再生一个孩子过渡过程中的暂时危机,并将其视为加强生育目标的动力,而对于年长的受访者来说,这可能标志着她们生育生涯的结束。在生育年龄不断提高的背景下,未来有关生育和生殖保健的研究应更多地关注生殖并发症,以及如何帮助受影响的妇女应对这些并发症。
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引用次数: 0
Disparate benefits of higher childhood socioeconomic status on cognition in young adulthood by intersectional social positions 儿童时期较高的社会经济地位对青年时期认知能力的不同益处取决于社会地位的交叉性
IF 3.4 2区 社会学 Q1 Medicine Pub Date : 2024-03-24 DOI: 10.1016/j.alcr.2024.100608
Addam Reynolds , Emily A. Greenfield , Lenna Nepomnyaschy

Objectives

Emerging evidence supports the protective effects of higher childhood socioeconomic status (cSES) on cognition over the life course. However, less understood is if higher cSES confers benefits equally across intersecting social positions. Guided by a situational intersectionality perspective and the theory of Minority Diminished Returns (MDR), this study examined the extent to which associations between cSES and cognition in young adulthood are jointly moderated by racialized identity and region of childhood residence.

Methods

Using data from the National Longitudinal Study of Adolescent to Adult Health (Add Health), we used multilevel modeling to test associations between cSES and delayed recall and working memory 14 years later when participants were ages 25–34. Further, we examined the influence of racialized identity and region of childhood residence on these associations.

Results

Higher cSES was associated with higher delayed recall and working memory scores across social positions. However, the strength of the association between higher cSES and working memory differed across racialized subgroups and region of childhood residence. We found a statistically significant three-way interaction between cSES, race and region of childhood residence. Of particular important, a small yet statistically robust association was found in all groups, but was especially strong among White Southerners and especially weak among Black participants from the South.

Conclusions

This study contributes to a growing body of research indicating that the protective effects of higher cSES on cognition are not universal across subgroups of intersecting social positions, consistent with the theory of MDR. These findings provide evidence for the importance of considering the role of systemic racism across geographic contexts as part of initiatives to promote equity in life course cognitive aging and brain health.

目的 越来越多的证据表明,较高的童年社会经济地位(cSES)对人一生的认知具有保护作用。然而,人们对较高的社会经济地位是否能为不同社会地位的人带来同样的益处却知之甚少。本研究以情境交叉性视角和少数群体收益递减理论(MDR)为指导,考察了种族化身份和童年居住地区在多大程度上共同调节了 cSES 与青年期认知之间的关联。方法利用全国青少年到成人健康纵向研究(Add Health)的数据,我们使用多层次建模来检验 14 年后参与者 25-34 岁时 cSES 与延迟回忆和工作记忆之间的关联。此外,我们还研究了种族化身份和童年居住地区对这些关联的影响。结果在不同的社会地位中,较高的 cSES 与较高的延迟回忆和工作记忆得分相关。然而,在不同的种族亚群和童年居住地区,较高的 cSES 与工作记忆之间的关联强度有所不同。我们发现,cSES、种族和童年居住地区三者之间存在统计学意义上的交互作用。尤其重要的是,我们在所有群体中都发现了一种微小但在统计上稳健的关联,但这种关联在南方白人中尤为明显,而在来自南方的黑人参与者中则尤为微弱。结论 这项研究为越来越多的研究做出了贡献,这些研究表明,较高的社会经济地位对认知的保护作用在社会地位交叉的亚群体中并不具有普遍性,这与 MDR 理论是一致的。这些发现证明,在促进生命过程中认知老化和大脑健康的公平性的过程中,必须考虑不同地域背景下系统性种族主义的作用。
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引用次数: 0
Family structure transitions and educational outcomes: Explaining heterogeneity by parental education in Germany 家庭结构转型与教育成果:解释德国父母教育的异质性
IF 3.4 2区 社会学 Q1 Medicine Pub Date : 2024-03-24 DOI: 10.1016/j.alcr.2024.100610
Kristina Lindemann

Recent research has documented that the effect of parental separation on children’s educational outcomes depends on socioeconomic background. Yet, parental separation could lead to a stable single-parent family or to a further transition to a stepfamily. Little is known about how the effect of family structure transitions on educational outcomes depends on the education of parents and stepparents, and there has been limited empirical research into the mechanisms that explain heterogeneity in the effects of family transitions. Using longitudinal data from the German Socio-Economic Panel and models with entropy balancing and sibling fixed effects, I explore the heterogeneous effects of family transitions during early and middle childhood on academic secondary school track attendance, grades and aspirations. I find that family transitions only reduce the academic school track attendance among children of less educated parents living in stepfamilies or with a single mother after parental separation, and among children of highly educated fathers living in single-mother families. The mechanisms that partly explain these effects relate to reduced income and exposure to poverty after parental separation. The findings underscore the importance of considering the stepparent's educational level, indicating that the adverse consequences of parental separation on educational outcomes are mitigated when a highly educated stepfather becomes part of the family. Overall, these findings align more closely with the resource perspective than the family stability perspective.

最近的研究表明,父母离异对儿童教育成果的影响取决于社会经济背景。然而,父母离异可能导致稳定的单亲家庭,也可能进一步过渡到继父继母家庭。人们对家庭结构转变对教育结果的影响如何取决于父母和继父母的教育程度知之甚少,对解释家庭转变影响异质性的机制的实证研究也很有限。我利用德国社会经济小组的纵向数据以及熵平衡和兄弟姐妹固定效应模型,探讨了儿童早期和中期家庭过渡对中学学业出勤率、成绩和志向的异质性影响。我发现,家庭变迁只会降低继父继母家庭或父母离异后单亲母亲家庭中受教育程度较低的子女的学业出勤率,以及单亲母亲家庭中受教育程度较高的父亲的子女的学业出勤率。部分解释这些影响的机制与父母离异后收入减少和面临贫困有关。研究结果强调了考虑继父母教育水平的重要性,表明当受过高等教育的继父成为家庭的一部分时,父母离异对教育结果的不利影响会得到缓解。总体而言,这些研究结果更符合资源视角,而不是家庭稳定性视角。
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引用次数: 0
Parental stress and working situation during the COVID-19 shutdown – Effects on children’s skill development COVID-19 停产期间父母的压力和工作状况 - 对儿童技能发展的影响
IF 3.4 2区 社会学 Q1 Medicine Pub Date : 2024-03-24 DOI: 10.1016/j.alcr.2024.100609
Markus Vogelbacher , Thorsten Schneider

Objective

This study examines whether parental emotional distress during the first pandemic-related school shutdown in 2020 in Germany affected the development of primary school students’ mathematical skills and investigates changes in parents’ working conditions as triggers of cascading stress processes.

Background

The Family Stress Model (FSM) explains the mechanisms that mediate between families’ structural conditions and children's developmental outcomes. Foundational works for this approach focus on historic events that instigate rapid structural changes which, in turn, undermine families' economic situation. The economic losses trigger stress processes. Research on the COVID-19 pandemic reports heightened levels of parental stress and negative impacts on children's cognitive and socioemotional development. This study examines the role of parental emotional distress during the COVID-19 shutdown on children's cognitive development. Expanding on the classical FSM, we hypothesize that changes in parents' working situation, rather than economic changes, may have triggered family stress processes during the shutdown, as federal support largely cushioned economic cutbacks in Germany.

Method

For the German National Educational Panel Study (NEPS), interviews were conducted with parents, and primary school students in Starting Cohort 1 were tested after the first shutdown in 2020. The database provides rich information from survey waves prior to the COVID-19 pandemic, allowing a longitudinal analysis of a sample of 1512 primary school students with ordinary least squares regression.

Results

Parents’ emotional distress during the pandemic had a robust negative effect on students’ mathematical skills, even when controlling for prior parenting stress. Changes in parents’ working conditions also had an effect on children’s test scores, and the negative effect of working from home on the test scores was mediated by parents’ emotional distress.

Conclusion

The COVID-19 pandemic was a historic event which, at least in Germany, challenged the mental health of many parents and, in turn, impaired the skill development of primary school students. We introduce the role of changes in working conditions as triggers of such processes.

背景家庭压力模型(FSM)解释了家庭结构条件与儿童发展结果之间的中介机制。这一方法的基础性工作侧重于历史事件,这些事件引发了快速的结构性变化,进而破坏了家庭的经济状况。经济损失引发压力过程。有关 COVID-19 大流行的研究报告显示,父母的压力水平增加,对儿童的认知和社会情感发展产生了负面影响。本研究探讨了 COVID-19 停产期间父母的情绪困扰对儿童认知发展的影响。在经典的 FSM 基础上,我们假设父母工作状况的变化而非经济变化可能引发了停工期间的家庭压力过程,因为联邦支持在很大程度上缓解了德国的经济衰退。方法在德国国家教育面板研究(NEPS)中,我们对父母进行了访谈,并在 2020 年第一次停工后对起始组 1 的小学生进行了测试。该数据库提供了 COVID-19 大流行之前调查波次的丰富信息,因此可以利用普通最小二乘法回归对 1512 名小学生样本进行纵向分析。父母工作条件的变化也会对孩子的考试成绩产生影响,而在家工作对考试成绩的负面影响是由父母的情绪困扰所中介的。结论 COVID-19 大流行是一个历史性事件,至少在德国,它对许多父母的心理健康提出了挑战,进而损害了小学生的技能发展。我们介绍了工作条件的变化作为此类过程的触发因素所起的作用。
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引用次数: 0
Partner’s unemployment and subjective well-being: The mediating role of relationship functioning 伴侣失业与主观幸福感:关系功能的中介作用
IF 3.4 2区 社会学 Q1 Medicine Pub Date : 2024-03-20 DOI: 10.1016/j.alcr.2024.100606
Jonas Voßemer , Anna Baranowska-Rataj , Stefanie Heyne , Katharina Loter

Unemployment affects not only the subjective well-being of the individual, but also that of the partner. Based on the life course perspective and the spillover-crossover-model, we examine the mediating role of relationship functioning for such crossover effects of partner’s unemployment on subjective well-being. We also test whether gender differences in the mechanism of relationship functioning can explain the larger overall crossover effects on women compared to men. We use data from the German Family Panel pairfam (2008/09–2018/19), which provide more direct and comprehensive measures of relationship functioning than previous research, and allow us to examine couples’ communication and interactions, their conflict styles and behaviors, relationship satisfaction, and perceived relationship instability as mediators. To analyze the impact of the partner’s transition to unemployment on subjective well-being, we use fixed effects panel regression models and the product method of mediation analysis to estimate the indirect effects of relationship functioning. The results show that a partner’s transition to unemployment has a negative impact on one’s own well-being. The effects are more pronounced for women than men which can be partly explained by gender-specific effects of the partner’s unemployment on various aspects of relationship functioning, rather than by differential effects of the latter on one’s own well-being.

失业不仅会影响个人的主观幸福感,还会影响伴侣的主观幸福感。基于生命历程视角和溢出-交叉模型,我们研究了关系功能对伴侣失业对主观幸福感的交叉影响的中介作用。我们还检验了关系功能机制中的性别差异是否可以解释女性与男性相比更大的整体交叉效应。我们使用了德国家庭小组 pairfam(2008/09-2018/19)的数据,这些数据提供了比以往研究更直接、更全面的关系功能测量,使我们能够考察夫妻间的沟通和互动、他们的冲突风格和行为、关系满意度以及感知到的关系不稳定性等中介因素。为了分析伴侣失业对主观幸福感的影响,我们使用了固定效应面板回归模型和中介分析的乘积法来估计关系功能的间接影响。结果显示,伴侣转入失业状态会对自己的幸福感产生负面影响。对女性的影响比对男性的影响更明显,这可以部分地解释为伴侣失业对两性关系各方面功能的影响,而不是后者对个人幸福感的不同影响。
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引用次数: 0
Adjust for non-ignorable panel attrition in the analysis of leaving the parental home 在分析离开父母家庭的情况时,对不可忽略的小组自然减员进行调整
IF 3.4 2区 社会学 Q1 Medicine Pub Date : 2024-03-04 DOI: 10.1016/j.alcr.2024.100605
Yusi Luo , Jamil Nur , Ying Jin

Leaving the parental home is an important life event that has received significant attention in the literature. Research on this topic relies heavily on panel data; however, panel data faces the issue of serious non-ignorable panel attrition associated with leaving the parental home. This paper addresses this issue using the UK Household Longitudinal Study (UKHLS) as a case study. It introduces an adjustment procedure that combines panel gap imputation via the next observation carried backward and inverse probability weighting based on the retrieved information about leaving the parental home. The results show that this adjustment method yields more precise model estimates for leaving the parental home, and after the adjustment, the positive marginal effects of age and living with non-biological parents, as well as the negative marginal effects of Asian ethnicity and regional house prices, become more pronounced. This adjustment method has the potential to be applied to address non-ignorable panel attrition associated with other events in different panel data.

离开父母家庭是一个重要的人生事件,在文献中受到了极大的关注。有关这一主题的研究在很大程度上依赖于面板数据;然而,面板数据面临着与离开父母家庭相关的严重的不可忽略的面板流失问题。本文以英国家庭纵向研究(UKHLS)为案例,探讨了这一问题。它引入了一种调整程序,该程序结合了通过向后转移下一个观测值进行的面板缺口估算,以及基于检索到的离开父母家庭信息进行的反概率加权。结果表明,这种调整方法能得到更精确的离开父母家庭的模型估计值,而且经过调整后,年龄和与非亲生父母同住的正边际效应,以及亚裔和地区房价的负边际效应变得更加明显。这种调整方法有可能用于解决不同面板数据中与其他事件相关的不可忽略的面板流失问题。
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引用次数: 0
Pathways to retirement in West Germany: Does divorce matter? 西德的退休之路:离婚重要吗?
IF 3.4 2区 社会学 Q1 Medicine Pub Date : 2024-02-16 DOI: 10.1016/j.alcr.2024.100595
Sarah Schmauk

The aim of this paper is to explore how divorce is linked to pathways to retirement in West Germany and to understand whether and how patterns are gendered. Using German pension insurance data, I employ sequence and cluster analysis to map and group pathways to retirement of women and men who retired in 2018. Pathways to retirement are defined based on monthly pension insurance histories from age 50 to 65. I find nine distinct pathways to retirement, ranging from unemployment to stable low to high income pathways and to an early retirement pathway through the reduced-earnings-capacity pension, the latter representing 9.3% of the sample. Based on multinomial logistic regression models, I analyse how marital status, distinguishing between divorced and (re)married, was related to different pathways to retirement. The results show that divorced people were more likely than married people to retire through indirect and unstable pathways to retirement characterised by early exit from the labour market and receipt of reduced-earnings-capacity pensions and/or unemployment benefits. Whereas the relationship between divorce and pathways to retirement seemed to be overall unfavourable for men, the results for women are more ambiguous. Divorced women were also more likely to retire through a stable high-income pathway than married women. Nevertheless, the results suggest that divorce is associated with an early retirement pathway through the reduced-earnings-capacity pension for both women and men.

本文旨在探讨离婚如何与西德的退休途径相关联,并了解这种模式是否以及如何具有性别特征。利用德国养老保险数据,我采用序列分析和聚类分析,对 2018 年退休的女性和男性的退休途径进行映射和分组。退休途径是根据 50 岁至 65 岁的每月养老保险历史记录定义的。我发现了九种不同的退休途径,从失业到稳定的低收入到高收入途径,以及通过收入能力降低的养老金提前退休途径,后者占样本的 9.3%。根据多项式逻辑回归模型,我分析了婚姻状况(区分离婚和(再)结婚)与不同退休途径的关系。结果显示,离婚者比已婚者更有可能通过间接和不稳定的退休途径退休,其特点是提前退出劳动力市场,领取收入能力降低的养老金和/或失业救济金。离婚与退休途径之间的关系似乎对男性总体不利,但对女性的结果则较为模糊。与已婚妇女相比,离婚妇女也更有可能通过稳定的高收入途径退休。不过,结果表明,离婚与男女通过收入能力降低的养老金提前退休的途径有关。
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引用次数: 0
Leaving the parental home during the COVID-19 pandemic: the case of Southern Europe COVID-19:南欧离开父母家庭的决定是停滞还是加速?
IF 3.4 2区 社会学 Q1 Medicine Pub Date : 2024-02-01 DOI: 10.1016/j.alcr.2024.100594
Valeria Ferraretto , Agnese Vitali , Francesco C. Billari

In 2020, COVID-19-related governmental restrictions forced individuals to radically change their habits, possibly impacting on their living arrangements. Whether COVID-19 affected young adults’ propensity to leave the parental home is still unknown; Southern Europe is of particular interest, as youth experience the “latest-late” transition to adulthood, face uncertainty in the labor market, and receive low welfare support. Using EU-SILC longitudinal data from Greece, Spain, Italy, and Portugal, this study examines how home-leaving rates evolved in the short-term and explores the relationship between governmental restrictions, economic characteristics of households and young adults, and leaving home behaviors. Descriptive analyses reveal that the share of young adults leaving the parental home in Southern Europe between 2019 and 2020 slightly increased compared to previous years. Discrete-time event history models show that the propensity to leave the parental home increases with the stringency of policy measures. Young adults with the highest likelihood to leave home are employed individuals whose households are in the lowest income quintile as well as students from the highest income quintile, suggesting that, in these countries, residential independence is associated with either the acquisition of economic resources in the labor market or the availability of family resources. We interpret this result in favor of an “independence effect” exerted by COVID-19-related restrictions on young adults; future research might establish whether this trend is temporary or persistent over time.

2020 年,与 COVID-19 相关的政府限制措施迫使人们彻底改变生活习惯,这可能会影响到他们的生活安排。COVID-19 是否会影响年轻人离开父母家庭的倾向,目前还不得而知;南欧的情况尤其令人关注,因为年轻人经历着 "最晚 "的成年过渡,面临着劳动力市场的不确定性,并且获得的福利支持较少。本研究利用来自希腊、西班牙、意大利和葡萄牙的 EU-SILC 纵向数据,考察了离家出走率在短期内的演变情况,并探讨了政府限制、家庭和年轻人的经济特征与离家出走行为之间的关系。描述性分析表明,与前几年相比,2019 年至 2020 年南欧离开父母家的青壮年比例略有上升。离散时间事件历史模型显示,离开父母家庭的倾向随着政策措施的严格程度而增加。离开家庭可能性最大的青壮年是家庭收入处于最低五分位数的就业者以及来自最高收入五分位数的学生,这表明在这些国家,居住独立与劳动力市场经济资源的获得或家庭资源的可用性有关。我们对这一结果的解释是,与 COVID-19 相关的限制措施对年轻成年人产生了 "独立效应";未来的研究可能会确定这一趋势是暂时的还是长期持续的。
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引用次数: 0
A longitudinal analysis of health inequalities from adolescence to young adulthood and their underlying causes 对从青春期到青年期的健康不平等现象及其根本原因的纵向分析
IF 3.4 2区 社会学 Q1 Medicine Pub Date : 2024-02-01 DOI: 10.1016/j.alcr.2024.100593
Marvin Reuter , Katharina Diehl , Matthias Richter , Leonie Sundmacher , Claudia Hövener , Jacob Spallek , Nico Dragano

Research suggests that children of low-educated parents face greater health burdens during the passage from adolescence to young adulthood, as they are more likely to become low-educated themselves, establish behavioural and psychosocial disadvantages, or being exposed to unhealthy working conditions. However, studies examining the development and drivers of health inequalities during this particular life stage are limited in number and have produced varied results. This study investigates trajectories of self-rated health and overweight from 14 to 25 years of age, stratified by parental education, and explores the role of potential mediators (educational achievement, health behaviours, psychosocial factors, working conditions). We rely on prospective cohort data from the National Educational Panel Study (NEPS), a representative sample of 14,981 German ninth graders interviewed yearly from 2011 to 2021 (n = 90,096 person-years). First, we estimated random-effects growth curves for self-rated health and overweight over participants’ age and calculated the average marginal effect of high versus low parental education. Second, a series of simulation-based mediation analyses were performed to test how much of health inequalities were explained by children’s educational attainment (years of school education, years in university), health behaviours (smoking, alcohol, physical inactivity), psychosocial factors (number of grade repetitions, years in unemployment, chronic stress, self-esteem) and working conditions (physical and psychosocial job demands). We accounted for potential confounding by controlling for age, sex, migration background, residential area, household composition, and interview mode. Results show that higher parental education was related to higher self-rated health and lower probabilities of being overweight. Interaction between parental education and age indicated that, after some equalisation in late adolescence, health inequalities increased in young adulthood. Furthermore, educational attainment, health behaviours, psychosocial factors, and early-career working conditions played a significant role in mediating health inequalities. Of the variables examined, the level of school education and years spent in university were particular strong mediating factors. School education accounted for around one-third of the inequalities in self-rated health and one-fifth of the differences in overweight among individuals. Results support the idea that the transition to adulthood is a sensitive period in life and that early socio-economic adversity increases the likelihood to accumulate health disadvantages in multiple dimensions. In Germany, a country with comparatively low educational mobility, intergenerational continuities in class location seem to play a key role in the explanation of health inequalities in youth.

研究表明,父母受教育程度低的儿童在青春期到青年期期间面临更大的健康负担,因为他们自己更有可能成为受教育程度低的人,在行为和社会心理方面处于不利地位,或处于不健康的工作环境中。然而,对这一特殊人生阶段健康不平等的发展和驱动因素的研究数量有限,结果也各不相同。本研究调查了 14 岁至 25 岁期间自评健康和超重的轨迹,按父母教育程度进行了分层,并探讨了潜在中介因素(教育成就、健康行为、社会心理因素、工作条件)的作用。我们依据的是国家教育小组研究(NEPS)的前瞻性队列数据,该研究在 2011 年至 2021 年期间每年对 14981 名德国九年级学生(n=90,096 人-年)进行访谈,是一个具有代表性的样本。首先,我们估算了参与者自评健康和超重随年龄增长的随机效应增长曲线,并计算了父母教育程度高与低的平均边际效应。其次,我们进行了一系列基于模拟的中介分析,以检验儿童的教育程度(学校教育年限、大学教育年限)、健康行为(吸烟、酗酒、缺乏运动)、社会心理因素(留级次数、失业年限、长期压力、自尊)和工作条件(身体和社会心理方面的工作要求)在多大程度上可以解释健康不平等现象。我们通过控制年龄、性别、移民背景、居住地区、家庭组成和访谈方式来考虑潜在的混杂因素。结果表明,父母受教育程度越高,自评健康水平越高,超重概率越低。父母受教育程度与年龄之间的交互作用表明,在青春期后期出现一定程度的平等之后,健康不平等现象在青年期有所加剧。此外,教育程度、健康行为、社会心理因素和职业生涯早期的工作条件在调节健康不平等方面发挥了重要作用。在所研究的变量中,学校教育水平和大学教育年限是特别重要的中介因素。学校教育约占自评健康不平等的三分之一,占个人超重差异的五分之一。研究结果支持这样一种观点,即向成年过渡是人生的一个敏感时期,早期的社会经济逆境会增加在多个方面积累健康劣势的可能性。在德国这个教育流动性相对较低的国家,阶级位置的代际连续性似乎在解释青少年健康不平等方面发挥着关键作用。
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