Abstract
PurposeTo examine the effect of educational attainment in primary school on later adolescent health. MethodsEducation data attainments at age 7 and 11 were linked with (1) primary and secondary care injury consultation/admissions and (2) the Health Behaviour in School-aged Children survey. Cox regression was carried out to examine if attainment in primary school predicts time to injury in adolescence. ResultsPupils that achieve attainment at age 7 but not at age 11 (i.e., declining attainment over time in primary school) are more likely to have an injury during adolescence. These children are also more likely to self-report drinking in adolescence. ConclusionsInterventions aimed at children with declining attainment in primary school could help to improve adolescent health.
Highlights
Targeting interventions in primary school according to educational attainment might help to reduce injury risk in adolescence and improve adolescent health
After stratification by Key stage 1 (KS1) results there were Analysis A: 126,240 (73%) children who achieved both KS1 and key stage 2 (KS2), and 13,396 (7.8%) who achieved KS1 but not KS2, Analysis B: 9,858 (5.7%) children who did not achieve KS1 but did achieve KS2, and 22,927 (13.3%) who did not achieve either of the national assessments
99.99% of the children with educational attainment data were registered with a general practitioner
Summary
Targeting interventions in primary school according to educational attainment might help to reduce injury risk in adolescence and improve adolescent health. Adolescence is a time when individuals are vulnerable to injury [4] Many of these injuries are related to the increase in health risk behaviors during adolescence, such as Conflicts of Interest: The authors have no conflicts of interest to disclose. Not all adolescents will engage in risk-taking behavior, but they are more likely to do so than children and adults [7]. Some of these risk behaviors are important because they can lead to chronic diseases in later life [8] and have more immediate consequences for rates of adolescent injuries, even after controlling for the social environment and its associated environmental hazards [9,10].
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