Is educational differentiation associated with smoking and smoking inequalities in adolescence? A multilevel analysis across 27 European and North American countries

Datos Bibliográficos

ID8020187
AutoresKatharina Rathmann (0000-0002-2892-1624, Institute of Medical Sociology Medical Faculty Martin Luther University Halle‐Wittenberg Germany, autor de correspondencia), Irene Moor (0000-0003-3245-5176, Institute of Medical Sociology Medical Faculty Martin Luther University Halle‐Wittenberg Germany), Anton E Kunst (0000-0002-3313-5273, Department of Public Health AMC University of Amsterdam Amsterdam The Netherlands), Nico Dragano (0000-0002-0378-0757, Institute of Medical Sociology Medical Faculty Heinrich‐Heine University Düsseldorf Düsseldorf Germany), Timo‐kolja Pförtner (0000-0002-8188-894X, Institute of Medical Sociology, Health Services Research, and Rehabilitation Science Faculty of Human Sciences and the Faculty of Medicine University of Cologne Cologne Germany), Frank J Elgar (0000-0003-0290-5500, Institute for Health and Social Policy McGill University Montreal Quebec Canada), Klaus Hurrelmann (0000-0001-5616-7983, Hertie School of Governance Berlin Berlin Germany), Lasse Kannas (Faculty of Sport and Health Sciences Department of Health Sciences University of Jyväskylä Finland), Tibor Baška (0000-0002-3442-7470, Department of Public Health Jessenius Faculty of Medicine Comenius University Martin Slovak Republic), Michael Richter (0000-0003-3898-3332, Martin Luther University Halle-Wittenberg), Matthias Richter (0000-0003-1402-249X, Institute of Medical Sociology Medical Faculty Martin Luther University Halle‐Wittenberg Germany)
Año2016
Volumen38
Número7
Páginas1005-1025
Fecha de publicación2016-05-23
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaSociology of Health & Illness (JOURNAL)
Identificadores de la revistaISSN: 0141-9889 • E-ISSN: 1467-9566
EditorialWiley (PUBLISHER • GB)
DOI10.1111/1467-9566.12420
PMID27214054
OpenAlexW2408362254
IdiomaEN
Citas recibidas10
Referencias citadas46

This study aims to determine whether educational differentiation (i.e. early and long tracking to different school types) relate to socioeconomic inequalities in adolescent smoking. Data were collected from the WHO ‐Collaborative ‘Health Behaviour in School‐aged Children ( HBSC )’ study 2005/2006, which included 48,025 15‐year‐old students (N boys = 23,008, N girls = 25,017) from 27 European and North American countries. Socioeconomic position was measured using the HBSC family affluence scale. Educational differentiation was determined by the number of different school types, age of selection, and length of differentiated curriculum at the country‐level. We used multilevel logistic regression to assess the association of daily smoking and early smoking initiation predicted by family affluence, educational differentiation, and their interactions. Socioeconomic inequalities in both smoking outcomes were larger in countries that are characterised by a lower degree of educational differentiation (e.g. Canada, Scandinavia and the United Kingdom) than in countries with higher levels of educational differentiation (e.g. Austria, Belgium, Hungary and The Netherlands). This study found that high educational differentiation does not relate to greater relative inequalities in smoking. Features of educational systems are important to consider as they are related to overall prevalence in smoking and smoking inequalities in adolescence

Curriculum · Educational inequality · Geography · Inequality · Logistic regression · Multilevel model · Population · Socioeconomic status · Sociology · Demography · Early Childhood Education and Development · Health disparities and outcomes · Medicine · Psychology · Youth Substance Use and School Attendance · Gerontology