The impact of school exclusion in childhood on health and well-being outcomes in adulthood: Estimating causal effects using inverse probability of treatment weighting.

health inverse probability of treatment weighting longitudinal school exclusion well-being

Journal

The British journal of educational psychology
ISSN: 2044-8279
Titre abrégé: Br J Educ Psychol
Pays: England
ID NLM: 0370636

Informations de publication

Date de publication:
28 Dec 2023
Historique:
received: 02 02 2023
accepted: 08 12 2023
medline: 29 12 2023
pubmed: 29 12 2023
entrez: 28 12 2023
Statut: aheadofprint

Résumé

Previous evidence has suggested a strong association between school exclusion and health outcomes. However, as health risks are themselves related to the risk of experiencing a school exclusion, it has been challenging to determine the extent to which school exclusion impacts later health outcomes, as opposed to reflecting a marker for pre-existing risks. The aim of the current study was to address this challenge in estimating the medium-to-long-term impact of school exclusion of health and well-being outcomes. To this end, we used an inverse propensity weighting approach in the Next Steps data set (N = 6534, from wave 1, 2014, to wave 8, 2015). We found that after weighting for propensity of treatment scores estimated based on a wide range of factors, including previous health indicators, there was a significant effect of school exclusion on a wide range of health and well-being outcomes. These results provide some of the most robust evidence to date that school exclusion harms long-term health outcomes. The findings suggest that policies should aim to reduce exclusion and ensure access to preventative health support for those who experience a school exclusion.

Sections du résumé

BACKGROUND BACKGROUND
Previous evidence has suggested a strong association between school exclusion and health outcomes. However, as health risks are themselves related to the risk of experiencing a school exclusion, it has been challenging to determine the extent to which school exclusion impacts later health outcomes, as opposed to reflecting a marker for pre-existing risks.
AIM OBJECTIVE
The aim of the current study was to address this challenge in estimating the medium-to-long-term impact of school exclusion of health and well-being outcomes.
METHODS METHODS
To this end, we used an inverse propensity weighting approach in the Next Steps data set (N = 6534, from wave 1, 2014, to wave 8, 2015).
RESULTS RESULTS
We found that after weighting for propensity of treatment scores estimated based on a wide range of factors, including previous health indicators, there was a significant effect of school exclusion on a wide range of health and well-being outcomes.
DISCUSSION CONCLUSIONS
These results provide some of the most robust evidence to date that school exclusion harms long-term health outcomes.
CONCLUSION CONCLUSIONS
The findings suggest that policies should aim to reduce exclusion and ensure access to preventative health support for those who experience a school exclusion.

Identifiants

pubmed: 38155360
doi: 10.1111/bjep.12656
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Economics and Econometrics Research Institute
Organisme : Economic and Social Research Council
ID : 1811EP001/LH7

Informations de copyright

© 2023 The Authors. British Journal of Educational Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society.

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Auteurs

Ingrid Obsuth (I)

Clinical and Health Psychology, University of Edinburgh, Edinburgh, UK.

Joan E Madia (JE)

Department of Sociology, Nuffield College, University of Oxford, Oxford, UK.

Aja L Murray (AL)

Department of Psychology, University of Edinburgh, Edinburgh, UK.

Ian Thompson (I)

Department of Education, University of Oxford, Oxford, UK.

Harry Daniels (H)

Department of Education, University of Oxford, Oxford, UK.

Classifications MeSH