Adolescent reserve capacity, socioeconomic status and school achievement as predictors of mortality in Finland a longitudinal study

Background Despite robust evidence on the inverse relationship between socioeconomic status (SES) and mortality, deviations from expected results have been observed likely due to school achievement and psychosocial resources, termed as “reserve capacity.” Since adolescence is a critical period in de...

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Main Authors: Claro, Paulyn Jean A, Koivusilta,, Leena Kristiina, Borja, Judith Rafaelita, Rimpelä, Arja Hannele
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Published: Archīum Ateneo 2017
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Online Access:https://archium.ateneo.edu/gsb-pubs/22
https://link.springer.com/article/10.1186/s12889-017-4990-4
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spelling ph-ateneo-arc.gsb-pubs-10212022-03-24T02:02:51Z Adolescent reserve capacity, socioeconomic status and school achievement as predictors of mortality in Finland a longitudinal study Claro, Paulyn Jean A Koivusilta,, Leena Kristiina Borja, Judith Rafaelita Rimpelä, Arja Hannele Background Despite robust evidence on the inverse relationship between socioeconomic status (SES) and mortality, deviations from expected results have been observed likely due to school achievement and psychosocial resources, termed as “reserve capacity.” Since adolescence is a critical period in developing sound psychological and behavioural patterns and adolescent markers of SES were seldom used, we determine if family SES in adolescence predicts later mortality. We also study how reserve capacity (perceived health, health-promoting behaviour and social support) and school achievement modify this relationship and reduce the negative effects of low SES. Methods A longitudinal study was designed by linking baseline data on 12 to 18 year-old Finns in 1985–95 (N = 41,833) from the Adolescent Health and Lifestyle Surveys with register data on mortality and SES from Statistics Finland. Average follow-up time was 18.4 years with a total of 770,161 person-years. Cox regression models, stratified by sex, were fitted to determine the effects of variables measured during adolescence: family SES, reserve capacity and school achievement on mortality risk. Results All reserve capacity dimensions significantly predicted mortality in boys. Perceived health and social support predicted that in girls. Adolescents with the lowest school achievement were more than twice at risk of dying compared to those with better school performance. Low SES increased the risk of death in boys (Hazard ratios: 1.6, 95% CI 1.1–2.4) but not in girls. Reserve capacity and school achievement weakened the effects of low SES on boys’ risk of death. Conclusions High reserve capacity and good school achievement in adolescence significantly reduce the risk of mortality. In boys, these also mitigate the negative effect of low SES on mortality. These findings underscore the roles of reserve capacity and school achievement during adolescence as likely causal or modifying factors in SES-health inequalities. 2017-01-01T08:00:00Z text https://archium.ateneo.edu/gsb-pubs/22 https://link.springer.com/article/10.1186/s12889-017-4990-4 Graduate School of Business Faculty Publications Archīum Ateneo Mortality Socioeconomic status Psychosocial resources Reserve capacity Life course epidemiology Economics Epidemiology
institution Ateneo De Manila University
building Ateneo De Manila University Library
continent Asia
country Philippines
Philippines
content_provider Ateneo De Manila University Library
collection archium.Ateneo Institutional Repository
topic Mortality
Socioeconomic status
Psychosocial resources
Reserve capacity
Life course epidemiology
Economics
Epidemiology
spellingShingle Mortality
Socioeconomic status
Psychosocial resources
Reserve capacity
Life course epidemiology
Economics
Epidemiology
Claro, Paulyn Jean A
Koivusilta,, Leena Kristiina
Borja, Judith Rafaelita
Rimpelä, Arja Hannele
Adolescent reserve capacity, socioeconomic status and school achievement as predictors of mortality in Finland a longitudinal study
description Background Despite robust evidence on the inverse relationship between socioeconomic status (SES) and mortality, deviations from expected results have been observed likely due to school achievement and psychosocial resources, termed as “reserve capacity.” Since adolescence is a critical period in developing sound psychological and behavioural patterns and adolescent markers of SES were seldom used, we determine if family SES in adolescence predicts later mortality. We also study how reserve capacity (perceived health, health-promoting behaviour and social support) and school achievement modify this relationship and reduce the negative effects of low SES. Methods A longitudinal study was designed by linking baseline data on 12 to 18 year-old Finns in 1985–95 (N = 41,833) from the Adolescent Health and Lifestyle Surveys with register data on mortality and SES from Statistics Finland. Average follow-up time was 18.4 years with a total of 770,161 person-years. Cox regression models, stratified by sex, were fitted to determine the effects of variables measured during adolescence: family SES, reserve capacity and school achievement on mortality risk. Results All reserve capacity dimensions significantly predicted mortality in boys. Perceived health and social support predicted that in girls. Adolescents with the lowest school achievement were more than twice at risk of dying compared to those with better school performance. Low SES increased the risk of death in boys (Hazard ratios: 1.6, 95% CI 1.1–2.4) but not in girls. Reserve capacity and school achievement weakened the effects of low SES on boys’ risk of death. Conclusions High reserve capacity and good school achievement in adolescence significantly reduce the risk of mortality. In boys, these also mitigate the negative effect of low SES on mortality. These findings underscore the roles of reserve capacity and school achievement during adolescence as likely causal or modifying factors in SES-health inequalities.
format text
author Claro, Paulyn Jean A
Koivusilta,, Leena Kristiina
Borja, Judith Rafaelita
Rimpelä, Arja Hannele
author_facet Claro, Paulyn Jean A
Koivusilta,, Leena Kristiina
Borja, Judith Rafaelita
Rimpelä, Arja Hannele
author_sort Claro, Paulyn Jean A
title Adolescent reserve capacity, socioeconomic status and school achievement as predictors of mortality in Finland a longitudinal study
title_short Adolescent reserve capacity, socioeconomic status and school achievement as predictors of mortality in Finland a longitudinal study
title_full Adolescent reserve capacity, socioeconomic status and school achievement as predictors of mortality in Finland a longitudinal study
title_fullStr Adolescent reserve capacity, socioeconomic status and school achievement as predictors of mortality in Finland a longitudinal study
title_full_unstemmed Adolescent reserve capacity, socioeconomic status and school achievement as predictors of mortality in Finland a longitudinal study
title_sort adolescent reserve capacity, socioeconomic status and school achievement as predictors of mortality in finland a longitudinal study
publisher Archīum Ateneo
publishDate 2017
url https://archium.ateneo.edu/gsb-pubs/22
https://link.springer.com/article/10.1186/s12889-017-4990-4
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