Does losing a parent early influence the education you obtain? A nationwide cohort study in Denmark.


Journal

Journal of public health (Oxford, England)
ISSN: 1741-3850
Titre abrégé: J Public Health (Oxf)
Pays: England
ID NLM: 101188638

Informations de publication

Date de publication:
01 06 2019
Historique:
received: 10 10 2017
revised: 06 02 2018
accepted: 04 04 2018
pubmed: 24 4 2018
medline: 19 6 2020
entrez: 24 4 2018
Statut: ppublish

Résumé

Health inequalities are rooted in education and we investigate the association between early parental death and attainment across the educational spectrum. Using total population data on Danes born between 1982 and 2000 (n = 1 043 813), we assess incidence rate ratios (RRs) by gender for attainment of each educational level (basic school, high school or vocational training, bachelor degree or professional programme, and university graduate degree) according to loss of a parent before the age of 18 years. We adjust for family income, education and psychiatric illness and examine parent's gender, cause of death and child's age at time of death as potential moderators. Bereaved people had significantly lower attainment rates than non-bereaved people: basic school (RR = 0.95; 95% CI: 0.93-0.97 for men and 0.96; 0.94-0.98 for women), high school or vocational training (0.78; 0.76-0.80 for men and 0.82; 0.80-0.84 for women), bachelor degree or professional programme (0.74; 0.70-0.79 for men and 0.83; 0.79-0.86 for women) and university graduate degree (0.77; 0.68-0.86 for men and 0.77; 0.69-0.86 for women). Parent's gender, cause of death and child's age at the death did not modify the associations. As education impacts population health, support for bereaved school children may be more important than realized.

Sections du résumé

BACKGROUND
Health inequalities are rooted in education and we investigate the association between early parental death and attainment across the educational spectrum.
METHODS
Using total population data on Danes born between 1982 and 2000 (n = 1 043 813), we assess incidence rate ratios (RRs) by gender for attainment of each educational level (basic school, high school or vocational training, bachelor degree or professional programme, and university graduate degree) according to loss of a parent before the age of 18 years. We adjust for family income, education and psychiatric illness and examine parent's gender, cause of death and child's age at time of death as potential moderators.
RESULTS
Bereaved people had significantly lower attainment rates than non-bereaved people: basic school (RR = 0.95; 95% CI: 0.93-0.97 for men and 0.96; 0.94-0.98 for women), high school or vocational training (0.78; 0.76-0.80 for men and 0.82; 0.80-0.84 for women), bachelor degree or professional programme (0.74; 0.70-0.79 for men and 0.83; 0.79-0.86 for women) and university graduate degree (0.77; 0.68-0.86 for men and 0.77; 0.69-0.86 for women). Parent's gender, cause of death and child's age at the death did not modify the associations.
CONCLUSIONS
As education impacts population health, support for bereaved school children may be more important than realized.

Identifiants

pubmed: 29684221
pii: 4978069
doi: 10.1093/pubmed/fdy070
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

296-304

Informations de copyright

© The Author(s) 2018. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Auteurs

B L Høeg (BL)

Survivorship Unit, Danish Cancer Society Research Center, Strandboulevarden 49, Copenhagen, Denmark.

C Johansen (C)

Survivorship Unit, Danish Cancer Society Research Center, Strandboulevarden 49, Copenhagen, Denmark.
Department of Oncology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.

J Christensen (J)

Statistics, Bioinformatics and Registry Unit, Danish Cancer Society Research Center, Copenhagen, Denmark.

K Frederiksen (K)

Statistics, Bioinformatics and Registry Unit, Danish Cancer Society Research Center, Copenhagen, Denmark.

S Oksbjerg Dalton (SO)

Survivorship Unit, Danish Cancer Society Research Center, Strandboulevarden 49, Copenhagen, Denmark.

P Bøge (P)

Department of Patient Support and Community Activities, Danish Cancer Society, Copenhagen, Denmark.

A Dencker (A)

Department of Patient Support and Community Activities, Danish Cancer Society, Copenhagen, Denmark.

A Dyregrov (A)

Center for Crisis Psychology, Bergen, Norway.

P E Bidstrup (PE)

Survivorship Unit, Danish Cancer Society Research Center, Strandboulevarden 49, Copenhagen, Denmark.

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