Several health measures in adolescents were found to be associated with future work marginalization in young adulthood. The associations remained significant, even after correcting for such strong predictors as the parents' education and family economy. Total symptom burden and self-perceived general health can add additional knowledge onto how adolescent health is related to work marginalization, in a longitudinal perspective.
ObjectivesTo study associations between healthcare seeking in 15–16-year-olds and high school dropout 5 years later.DesignLongitudinal community study.SettingData from a comprehensive youth health survey conducted in 2000–2004, linked to data from national registries up to 2010.Participants13 964 10th grade secondary school students in six Norwegian counties.Main outcome measureLogistic regression was used to compute ORs for high school dropout.ResultsThe total proportion of students not completing high school 5 years after registering was 29% (girls 24%, boys 34%). Frequent attenders to school health services and youth health clinics at age 15–16 years had a higher dropout rate (37/48% and 45/71%), compared with those with no or moderate use. Adolescents referred to mental health services were also more likely to drop out (47/62%). Boys with moderate use of a general practitioner (GP) had a lower dropout rate (30%). A multiple logistic regression analysis, in which we adjusted for selected health indicators and sociodemographic background variables, revealed that seeking help from the youth health clinic and consulting mental health services, were associated with increased level of high school dropout 5 years later. Frequent attenders (≥4 contacts) had the highest odds of dropping out. Yet, boys who saw a GP and girls attending the school health services regularly over the previous year were less likely than their peers to drop out from high school.ConclusionsAdolescents who seek help at certain healthcare services can be at risk of dropping out of high school later. Health workers should pay particular attention to frequent attenders and offer follow-up when needed. However, boys who attended a GP regularly were more likely to continue to high school graduation, which may indicate a protective effect of having a regular and stable relationship with a GP.
BackgroundLiving with parents suffering from mental illness can influence adolescents’ health and well-being, and adverse effects may persist into adulthood. The aim of this study was to investigate the relationship between parents’ mental health problems reported by their 15–16-year-old adolescents, the potential protective effect of social support and long-term dependence on public welfare assistance in young adulthood.MethodsThe study linked data from a youth health survey conducted during 1999–2004 among approximately 14 000 15–16-year-olds to data from high-quality, compulsory Norwegian registries that followed each participant through February 2010. Cox regression was used to compute hazard ratios for long-term welfare dependence in young adulthood based on several risk factors in 15–16-year-olds, including their parents’ mental health problems.ResultsOf the total study population, 10% (1397) reported having parents who suffered from some level of mental health problems during the 12 months prior to the baseline survey; 3% (420) reported that their parents had frequent mental health problems. Adolescent report of their parents’ mental health problems was associated with the adolescents’ long-term welfare dependence during follow-up, with hazard ratios (HRs) of 1.49 (CI 1.29–1.71), 1.82 (1.44–2.31) and 2.13 (CI 1.59–2.85) for some trouble, moderate trouble and frequent trouble, respectively, compared with report of no trouble with mental health problems. The associations remained significant after adjusting for socio-demographic factors, although additionally correcting for the adolescents’ own health status accounted for most of the effect. Perceived support from family, friends, classmates and teachers was analysed separately and each was associated with a lower risk of later welfare dependence. Family and classmate support remained a protective factor for welfare dependence after correcting for all study covariates (HR 0.84, CI 0.78–0.90 and 0.80, 0.75–0.85). We did not find evidence supporting a hypothesized buffering effect of social support.ConclusionsExposure to a parent’s mental health problem during adolescence may represent a risk for future welfare dependence in young adulthood. Perceived social support, from family and classmates in particular, may be a protective factor against future long-term welfare dependence.
Lisbeth Homlong er spesialist i allmennmedisin, fastlege ved Kurbadet legesenter i Oslo og seniorrådgiver i Statens helsetilsyn. Forfatteren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter. GRO FREDHEIM Gro Fredheim er jurist og seniorrådgiver i Statens helsetilsyn. Forfatteren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter. HANNE KNUDSEN Hanne Knudsen er jurist og fagsjef i Statens helsetilsyn. Forfatteren har fylt ut ICMJE-skjemaet og oppgir ingen interessekonflikter. Et spedbarn døde uventet, og i tilsynssaken som fulgte, ble det avdekket at både helsesøster, lege ved helsestasjonen, fastlege og barnelege hadde undersøkt barnet for uforklarlige blåmerker. Men ingen av de involverte hadde meldt fra til barneverntjenesten.
A rich life 2260-3 He was born at the old Maternity Clinic. Later on he walked the hospital corridors as a porter and medical student, before he eventually ended up as the Hospital Director. Oslo University Hospital-Rikshospitalet has played a major part in the life of Professor emeritus Jacob B. Natvig. These days, he goes there for his annual coronary checkups .
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