Soziale Determinanten der subjektiven Gesundheit, Lebenszufriedenheit und krankheitsbedingten Schulfehltage von Heranwachsenden in Deutschland: Erste Ergebnisse des Nationalen Bildungspanels (NEPS)

Abstract

The aim of this study is to examine the impact of social determinants on subjective health, life satisfaction and absence from school due to illness among adolescents in secondary schools, by using data from the German National Educational Panel Study (NEPS).Data was obtained from the National Educational Panel Study (NEPS). The sample included (n=5 790) 6 grade pupils in regular schools in 2011 (Starting Cohort 3, Wave 2). The socioeconomic background of adolescents was measured by pupils' school type as well as household income and parental education level. Family structure and gender were considered as additional social determinants in the analyses. Bivariate and multiple logistic regression techniques were applied.The results show that type of school and low household income were related to poor subjective health among students. Life satisfaction varied by family structure and school type. For absence from school due to illness, we found a weak association with students in low track schools.The results indicate that especially the school type had the most important impact on subjective health, life satisfaction and absence from school due to illness. Health promotion and preventive strategies should particularly focus on pupils in low track schools and in relation to socially unequal distribution of educational opportunities also on young people from households with low socioeconomic status.

Critical Events throughout the Educational Career: The Effect of Grade Retention and Repetition on School-Aged Children’s Well-Being

“…Further, the socio-economic background of families correlates with social resources and the extent of family support [45]. Inequalities in well-being usually follow a social gradient, i.e., lower socio-economic family status (low parental education, occupational status or income) is often associated with lower well-being among young people [39,46]. Previous empirical studies focused on inequalities in well-being related to the socio-economic background of parents [47].…”

Intergenerational Educational Pathways and Self-Rated Health in Adolescence and Young Adulthood: Results of the German KiGGS Cohort

“…They are exposed to fewer psychological risks, have fewer behavioural problems and are more often active in sports [35]. They rate their health and quality of life better frequently [36] and have fewer emotional problems [37] than peers with a low-level school education.…”

Entwicklung der selbstberichteten Gesundheit über die Sekundarstufe: Ergebnisse des Nationalen Bildungspanels

“…So ist die selbstberichtete Gesundheit stark mit der sozioökonomischen Position assoziiert, wobei Jugendliche in besseren Positionen auch eine bessere Gesundheit berichten [4,[6][7][8]. Aufgrund des hierarchisch differenzierten Schulsystems ist der Schultyp einer der wichtigsten Indikatoren für die sozioökonomischen Hintergrund und Heranwachsende in Gymnasien berichten eine bessere Gesundheit als jene in anderen Schulformen [9]. Mädchen berichten häufiger eine schlechtere Gesundheit als Jungen [4] und diese Unterschiede zwischen den Geschlechtern nehmen im Laufe der Adoleszenz zu [10].…”

“…Auch hinsichtlich der Familienstrukturen, in denen Heranwachsende aufwachsen, zeigen sich Unterschiede in der Gesundheit. So berichten Jugendliche, die mit biologischen Eltern in Kernfamilien leben, ein höheres Wohlbefinden, auch nach Kontrolle weiterer sozialer Determinanten, welche ihrerseits mit Familienstrukturen korrelieren [9,11].…”