Educational Attainment Research Articles

Low Literacy Levels Among U.S. Adults and Difficult Ballot Propositions.

High-level literacy skills are required for full participation in the democratic process through voting. Consequently, adults with low-level literacy skills are at a disadvantage. This work investigated the disparity between the readability of U.S. ballot propositions for year 2022 state elections and grade level reading estimates (≤eighth grade) for adults. Educational attainment was also examined. Propositions (n = 140) from 38 states were included. Mean readability was 18 (range 7.0-64.0). Only four measures (3%) fell within range of national estimates for adult reading ability. Thirty-nine percent of adults completed high school or less, yet 74% of ballots were written well above a high school reading level. There is a discrepancy between the literacy skills of the average voter and the readability of most propositions. The findings of this study have important implications for individuals with learning disabilities. Policy changes and educational support efforts should be initiated.

An Expanded Approach to the Ascertainment of Children and Youth With Special Health Care Needs.

To describe the prevalence, characteristics, and health-related outcomes of children with diagnosed health conditions and functional difficulties who do not meet criteria for having a special health care need based on the traditional scoring of the Children with Special Health Care Needs (CSHCN) Screener. Data come from the 2016 to 2021 National Survey of Children's Health (n = 225 443). Child characteristics and health-related outcomes were compared among 4 mutually exclusive groups defined by CSHCN Screener criteria and the presence of both conditions and difficulties. Among children who do not qualify as children and youth with special health care needs (CYSHCN) on the CSHCN Screener, 6.8% had ≥1 condition and ≥1 difficulty. These children were more likely than CYSHCN to be younger, female, Hispanic, uninsured, privately insured, living in a household with low educational attainment, have families with more children and a primary household language other than English. After adjustment, non-CYSHCN with ≥1 conditions and ≥1 difficulty were less likely than CYSHCN, but significantly more likely than other non-CYSHCN, to have ≥2 emergency department visits, have unmet health care needs, not meet flourishing criteria, live in families that experienced child health-related employment impacts and frustration accessing services. Including these children in the calculation of CYSHCN prevalence increases the national estimate from 19.1% to 24.6%. Approximately 4 million children have both a diagnosed health condition and functional difficulties but are not identified as CYSHCN. An expanded approach to identify CYSHCN may better align program and policy with population needs.

How Technology, Health Information Seeking, and Socioeconomic Factors Are Associated With Coronavirus Disease 2019 Vaccination Readiness in Estonians Over 50 Years?

Despite the proven effectiveness of COVID-19 vaccines in preventing severe illness, many individuals, including older adults who are most susceptible to the virus, have opted against vaccination. Various factors could shape vaccination decisions, including seeking health information (HI). The internet is the primary source of HI today; however, older adults are often referred to as those missing out on digital benefits. The study explores the correlations between information and communication technology (ICT) use, online HI seeking, socioeconomic factors, and COVID-19 vaccination readiness among individuals aged 50 and above in Estonia. The survey data were gathered from 501 people aged 50 and older after the first lockdown in 2020. The outcomes revealed that vaccination readiness positively correlated with factors such as higher educational attainment, greater income, male gender, access to ICT, a readiness to employ digital technologies for health-related purposes, a greater demand for HI, and a higher frequency of seeking it online. There was some discrepancy in the preference of HI sources; for example, vaccination consenters preferred online versions of professional press publications and specific health portals. Based on the findings, it is advisable to encourage older adults to utilize the internet and new technology for health-related purposes. This practice expands the range of information sources available to them, ultimately enabling better decision-making regarding their health behaviors.

Demographic and economic inequality of antenatal care coverage in 4 African countries with a high maternal mortality rate

BackgroundMaternal deaths are concentrated in low and middle-income countries, and Africa accounts for over 50% of the deaths. Women from socioeconomically disadvantaged households have higher morbidity and mortality rates and lower access to maternal health services. Understanding and addressing these inequalities is crucial for achieving the Sustainable Development Goals and improving maternal health outcomes. This study examines the demographic and economic disparities in the utilization of antenatal care (ANC) in four countries with high maternal mortality rates in Africa, namely Nigeria, Chad, Liberia, and Sierra Leone.MethodThe study utilised data from Demographic and Health Surveys (DHS) and Multiple Indicator Cluster Surveys (MICS) from Nigeria, Chad, Liberia, and Sierra Leone. The data was obtained from the Health Equity Assessment Toolkit (HEAT) database. The study examined ANC service utilisation inequality in four dimensions such as economic status, education, place of residence, and subnational region across different subgroups by using four summary measures (Difference (D), Absolute Concentration Index (ACI), Population Attributable Risk (PAR), and Population Attributable Factor (PAF)).ResultA varying level of inequality in ANC coverage across multiple survey years was observed in Nigeria, Chad, Liberia, and Sierra Leone. Different regions and countries exhibit varying levels of inequality. Disparities were prominent based on educational attainment and place of residence. Higher level of inequality was generally observed among individuals with higher education and those residing in urban areas. Inequality in ANC coverage was also observed by economic status, subnational region, and other factors in Nigeria, Chad, Liberia, and Sierra Leone. ANC coverage is generally higher among the richest quintile subgroup, indicating inequality. Nigeria and Chad show the highest levels of inequality in ANC coverage across multiple measures. Sierra Leone displays some variation with higher coverage among the poorest quintile subgroup.Conclusion and recommendationInequalities in ANC coverage exist across age groups and survey years in Nigeria, Chad, Liberia, and Sierra Leone. Disparities are prominent based on education, residence, and economic status. Efforts should focus on improving access for vulnerable groups, enhancing education and awareness, strengthening healthcare infrastructure, and addressing economic disparities.

Albanian Public Opinion on US Role in the Israel-Gaza Conflict

Against the Israel-Gaza conflict and the United States’ involvement, this study explores the complex dynamics of Albanian public opinion regarding these geopolitical events. Through a systematic examination of demographic variables including gender, age, educational attainment, and religious belief, the research aims to elucidate how these variables shape perceptions and attitudes among the Albanian populace. The objectives encompass assessing knowledge levels regarding the US role in the conflict, evaluating public opinion on this role, and examining pro/anti-American sentiments. Hypotheses are formulated to substantiate the influence of demographic factors on these perceptions. Employing structured questionnaires and statistical analysis, data was collected from Albanian citizens, revealing intriguing insights. While age emerges as a significant determinant of understanding and assessment, gender and religious faith notably influence pro/anti-American sentiments. The study underscores the intricate interplay between demographic factors and public perceptions, shedding light on the multifaceted dynamics shaping attitudes toward international affairs and the USA in Albania. These findings hold implications for policy-making, public discourse, and future research on global conflicts and public opinion.   Received: 1 February 2024 / Accepted: 30 April 2024 / Published: 5 May 2024

Psychological distress mediates the link between bullying and truancy in Australian LGBQ+ adolescents with experiences of homelessness

ABSTRACT Homelessness is a high prevalence experience among lesbian, gay, bisexual, and queer (LGBQ+) youth, and potentiates both significant morbidity and future homelessness. While educational attainment is cited as a structural solution to homelessness, limited research exists on homeless LGBQ+ youths’ schooling experiences. A nationwide, cross-sectional survey involving 4,370 cisgender LGBQ+ participants aged 14–21 was conducted to address this gap. Regression analyses showed previous homelessness was associated with an increased odds of verbal, physical and sexual bullying and harassment within school contexts. Mediation analyses confirmed the mediating role of psychological distress on the associations between physical and sexual harassment and truancy, regardless of past homelessness. Previous experiences of homelessness are not associated with increased distress in relation to bullying or harassment. However, the indirect effect of harassment on truancy was significantly more pronounced for youth with past homelessness. Our findings crucially suggest that bullying presents both direct and indirect structural risks to cisgender LGBQ+ youth, and is particularly inconducive to continued engagement with schooling for youth with experiences of homelessness. Interventions aiming to address truancy among this group should aim to reduce the incidence of bullying within educational settings, whilst also providing assistance for managing the challenges associated with experiencing homelessness.

Role of Family in Educational Attainment and Upward Mobility

Role of Family in Educational Attainment and Upward Mobility

Impacts of heat exposure in utero on long-term health and social outcomes: a systematic review

BackgroundClimate change, particularly global warming, is amongst the greatest threats to human health. While short-term effects of heat exposure in pregnancy, such as preterm birth, are well documented, long-term effects have received less attention. This review aims to systematically assess evidence on the long-term impacts on the foetus of heat exposure in utero.MethodsA search was conducted in August 2019 and updated in April 2023 in MEDLINE(PubMed). We included studies on the relationship of environmental heat exposure during pregnancy and any long-term outcomes. Risk of bias was assessed using tools developed by the Joanna-Briggs Institute, and the evidence was appraised using the GRADE approach. Synthesis without Meta-Analysis (SWiM) guidelines were used.ResultsEighteen thousand six hundred twenty one records were screened, with 29 studies included across six outcome groups. Studies were mostly conducted in high-income countries (n = 16/25), in cooler climates. All studies were observational, with 17 cohort, 5 case-control and 8 cross-sectional studies. The timeline of the data is from 1913 to 2019, and individuals ranged in age from neonates to adults, and the elderly. Increasing heat exposure during pregnancy was associated with decreased earnings and lower educational attainment (n = 4/6), as well as worsened cardiovascular (n = 3/6), respiratory (n = 3/3), psychiatric (n = 7/12) and anthropometric (n = 2/2) outcomes, possibly culminating in increased overall mortality (n = 2/3). The effect on female infants was greater than on males in 8 of 9 studies differentiating by sex. The quality of evidence was low in respiratory and longevity outcome groups to very low in all others.ConclusionsIncreasing heat exposure was associated with a multitude of detrimental outcomes across diverse body systems. The biological pathways involved are yet to be elucidated, but could include epigenetic and developmental perturbations, through interactions with the placenta and inflammation. This highlights the need for further research into the long-term effects of heat exposure, biological pathways, and possible adaptation strategies in studies, particularly in neglected regions. Heat exposure in-utero has the potential to compound existing health and social inequalities. Poor study design of the included studies constrains the conclusions of this review, with heterogenous exposure measures and outcomes rendering comparisons across contexts/studies difficult.Trial RegistrationPROSPERO CRD 42019140136.

Microfoundations of the weakening educational gradient in fertility

The disappearance of the social gradient in fertility represents a paradigm shift that has called into question the validity of theories that predicted a decline in fertility with increased access to education and resources. Emerging theories have tried to explain this trend by highlighting a potential change in the fertility preferences of more educated couples. In this paper we add additional elements to this explanation. Using a computational modelling approach, we show that it is still possible to simulate the weakening social gradient in fertility, in the context of steady declines in family size preferences. Our results show that one of the key drivers of the change in the education–fertility relationship can be found in the transition to an increasingly regulated fertility regime. As the share of unplanned births decreases over time, the negative association between education and fertility weakens and the mechanisms that positively connect educational attainment with desired fertility become dominant.

Varieties occupational change in Europe after the great recession

ABSTRACT This paper empirically explores occupational change in Europe after the 2008-crisis (the Great Recession). During this period, which has remained relatively unexplored by the literature so far, many European economies have implemented profound institutional changes in their labour markets and transformed their growth models. Using individual-level data of 18 economies, I build three indicators of job quality -the average educational attainment, the median earnings and an index of job instability based on the contractual characteristics of the job- and analyse relative employment growth of jobs. The findings suggest that there is not just one pattern of occupational change in Europe, in opposition to the mainstream view of pervasive polarisation. On the contrary, I detect a variety of occupational change profiles, which even differ within the same country depending on the indicator employed.

Adolescents’ Covitality Patterns: Relations with Student Demographic Characteristics and Proximal Academic and Mental Health Outcomes

AbstractIdentifying and promoting students’ social-emotional strengths is essential in building their mental health. Covitality, representing the co-occurrence of psychological strengths, is a helpful framework for characterizing students’ well-being. This study used latent profile analysis to identify adolescents’ (n = 11,217; 50.3% female, 37.8% male; grades 9 [33.7%], 10 [21.0%], 11 [28.9%], and 12 [16.5%]) covitality patterns across 12 social-emotional health domains. We investigated whether student demographic characteristics (i.e., sex, parent educational attainment, ethnic identification) were related to profile membership. We further examined profiles’ relations to students’ proximal academic and mental health outcomes, including self-reported grades, school connectedness, life satisfaction, and psychological distress. Four covitality profiles were identified—High, Moderate-High, Moderate-Low, and Low. Profile membership was statistically significantly related to students’ sex and socioeconomic circumstances but with small effect sizes. We identified consistent differences across covitality profiles on student self-reported proximal outcomes. Overall, students in profiles with higher covitality levels (High and Moderate-High) reported (a) higher grades, school connectedness, and life satisfaction and (b) less psychological distress, with students in the High profile reporting the most favorable outcomes. Assessing students’ strengths and providing interventions focused on building strengths across domains are recommended.

E-commerce and foreign direct investment: pioneering a new era of trade strategies

This study explores the dynamic interplay between foreign direct investment, e-commerce, and China’s export growth from 2005 to 2022 against the backdrop of the rapidly evolving global economy. Utilizing advanced analytical models that combine province- and year-fixed effects with fully modified ordinary least squares and dynamic ordinary least-squares methodologies, we delve into how foreign direct investment and e-commerce collectively boost China’s export capabilities. Our findings highlight a significant alignment between China’s export expansion and the global sustainable development agenda. We observe that China’s export growth transcends mere international investment and digital market engagement, incorporating sustainable practices such as effective utilization of local labor resources and an emphasis on technological advancements. This study also uncovers how knowledge capital and educational attainment positively impact export figures. A notable regional disparity is observed, with the eastern regions of China being more responsive to foreign direct investment and e-commerce influences on export trade compared to their western counterparts. This disparity underscores the need for region-specific policy approaches and sustainable strategies to evenly distribute the benefits of foreign direct investment and e-commerce. The study concludes that while foreign direct investment and e-commerce are crucial for China’s export growth, the underlying theme is sustainable development, with technological innovation and human capital being key to ongoing export success. The findings advocate for policies that balance economic drivers with sustainable development goals, ensuring both economic prosperity and environmental sustainability.

Attitude Towards Caesarean Section as a Delivery Option among Pregnant Women in Ogbomoso, Oyo State

This study explored the attitudes toward Caesarean Section (C-section) as a delivery option among pregnant women in Ogbomoso, Oyo State, utilizing a descriptive cross-sectional design. The target population comprised aged 18 to 45years who registered and are attending antenatal clinic of the hospital for their antenatal care services, estimated at approximately 900. The random sampling technique through ballot was employed in the study, and a sample size of 298 participants was selected for the study which was determined using th Fisher’s formula. Data collection was facilitated through a well-structured questionnaire, which boasted reliability coefficients of 0.73 for attitudes towards C-sections. Statistical analyses, including percentage, standard deviation, and Analysis of Variance (ANOVA), were conducted at a 0.05 alpha level. The study unveiled that 675 (67.5%) majority exhibited a generally positive attitude towards C-sections. Age groups 18-30 and 31-40 years showed similar attitudes, with a criterion mean of 2.55, indicating a broadly shared positive perspective across age groups. However, educational attainment and religious beliefs were found not to significantly influence attitudes towards C-sections [F(4,291) = 1.473, p>0.05 for education; F(3,292) = 1.936, p>0.05 for religion]. The study concluded that pregnant women in Ogbomoso have a generally positive attitude towards C-sections as a delivery option, with minor variations across different age groups but no significant differences based on educational attainment or religious affiliation. It is recommended that healthcare providers continue educational efforts to demystify C-sections, addressing specific misconceptions and cultural beliefs, and ensure equitable access to C-section information and services for pregnant women across all demographics in Ogbomoso.

An assessment on the competencies in local governance among the punong barangays in the Municipality of Hadji Panglima Tahil, Province of Sulu

The study evaluates the competencies of Punong Barangays in Hadji Panglima Tahil, Province of Sulu, in terms of delivery of basic services, executive functions, and legislative functions during the Fiscal Year 2023. The study involved 100 respondents, mostly female, married, aged 31+, with high school education and an average monthly income of 5,001-10,000. With 100 samples taken through non-probability sampling method via purposive sampling, and with the use of weighted mean, standard deviation, t-test for independent samples, One-way ANOVA, and Pearson’s r the findings indicate that Punong Barangays are generally competent in their duties and functions. The study supports the Antal Szerletics, Gerry Stoker, and B. Guy Peter’s model, which emphasizes the importance of establishing a good governance structure to guide and manage sustainability and responsibility. This structure allows leaders to set direction, establish goals, and create policies to execute strategies. Good governance can be conceived as a basket of practices, including professional civil service, anti-corruption policies, transparency and accountability, democratic decision-making, the rule of law, protection of human rights, and independent judiciary. The findings suggest that the Punong Barangays in Hadji Panglima Tahil, Province of Sulu are competent in their duties and functions, with age, gender, average monthly income, and educational attainment not significantly mediating their assessment of competencies.

Individual Trajectories of Specialist Substance Use Disorder and Mental Health Treatment Utilization Among Young Adults With Substance Use Problems: A Cohort Study

Objective The aim of the study was to identify groups of young adults with distinct longitudinal patterns of use of treatment for substance use disorders and mental health (MH) problems and to investigate potential explanatory factors for different patterns of treatment use over time, including sociodemographic factors. Methods The sample consisted of 447 young adults aged 16–29 years who entered long-term residential substance use disorder treatment facilities in Norway from 2011 to 2016. In this study, we obtained data collected by the Norwegian Patient Registry and Statistics Norway. These data were linked with the electronic health record data of the substance use disorder treatment facilities from which the participants were recruited. Growth mixture modeling was performed. The identified groups were further compared using analysis of variance or χ 2 test. Results Four groups of participants for total treatment use, substance use disorder treatment use, and MH treatment use were identified. Most participants from the overall sample were classified as members of a group characterized by a low and stable pattern of treatment use over time. A group with a high and stable pattern of treatment use was identified in total and MH treatment use. The proportion of participants with higher levels of substance use disorder treatment use at the end of the study period than at the beginning was larger (35%) than in the case of MH treatment use (14.2%). Younger age was associated with a decreasing pattern of MH treatment use and with an increasing pattern of substance use disorder treatment use over time. There were larger proportions of female participants in groups with a stable high use of MH treatment and in groups with an initially increasing trend of substance use disorder treatment use. Findings revealed that most participants across the identified groups were recipients of welfare benefits, had low educational attainment, and were not working. Conclusions Results demonstrated significant variation in trajectories of treatment use among young adults with substance use disorder. Differences in treatment use could indicate differences in symptom severity and complexity. In this study, treatment use was associated with socioeconomic factors, sex, and age. Integrative approaches, including interagency and interdisciplinary collaboration, will often be necessary to sufficiently address the multidimensionality of substance use disorder.

Estimating Gender Differences in the Association between Cognitive Resilience and MCI Incidence.

Recent evidence suggests that the influence of verbal intelligence and education on the onset of subjective cognitive decline may be modulated by gender, where education contributes less to cognitive resilience in women than in men. This study aims to examine gender differences in the association between cognitive resilience (CR) and mild cognitive impairment (MCI) incidence in an Australian population-based cohort. We included 1806 participants who had completed at least the first two waves and up to four waves of assessments in the Personality and Total Health (PATH) through life study (Baseline: 49% Female, Mage=62.5, SD=1.5), age range=60-66). CR proxies included measures of educational attainment, occupation skill, verbal intelligence, and leisure activity. Discrete-time survival analyses were conducted to examine gender differences in the association between CR proxies and MCI risk, adjusting for age and Apolipoprotein E4 status. Gender differences were only found in the association between occupation and MCI risk, where lower occupation skill was more strongly associated with higher risk in men than in women (OR = 1.30, 95% CI[1.07, 1.57]). In both genders, after adjusting for education and occupation, one SD increase in leisure activity was associated with lower MCI risk by 24% (OR = 0.76, 95% CI[0.65, 0.89]). Higher scores in verbal intelligence assessment were associated with reduced risk of MCI by 22% (OR = 0.78, 95% CI[0.69, 0.89]). Occupational experience may contribute to cognitive resilience differently between genders. Life-course cognitive engagement and verbal intelligence may be more protective against MCI than education and occupation for both men and women.

Sense of relatedness and science engagement among Filipino high school students

AbstractPast studies indicate that feeling related to specific social agents such as parents, teachers, and peers can facilitate domain‐general academic engagement. However, there is scarce research on how relatedness may be associated with engagement in specific academic subjects. This cross‐sectional study explores the associations of sense of relatedness to mother, father, science teachers, friends, classmates, and neighbors with behavioral, cognitive, emotional, and social engagement in science. Four hundred and thirty‐eight high school students completed an online survey that included scales to assess demographic information, relatedness, and science engagement. Only relatedness to science teacher positively predicted behavioral, cognitive, and emotional engagement in science when controlling for other relatedness dimensions, age, gender, year in school, parental educational attainment, and daily allowance. Although further research that can uncover causal conclusions is needed, these findings suggest the importance of science teacher relatedness for students' science engagement.

Access to Psychiatric and Education Services During Incarceration in the United States.

Individuals with psychiatric disorders are incarcerated at disproportionately high rates and often have low educational attainment. Access to psychiatric and education services within prisons has been described as inadequate, but recent data are lacking. The authors sought to assess the association of psychiatric disorders with both educational attainment before incarceration and access to psychiatric and education services during incarceration. Data were from the 2016 Survey of Prison Inmates, a national survey of adults incarcerated in U.S. state and federal prisons (N=24,848). Multinomial regression was used to identify associations of educational attainment before incarceration with psychiatric disorders and sociodemographic factors. Multivariable logistic regression models were used to assess associations of psychiatric disorders with access to psychiatric and education services during incarceration and with sociodemographic factors. Before incarceration, 57.3% of survey respondents had less than a high school diploma. Across four education and psychiatric services, only 8.4%-44.8% of respondents reported participating in these services during incarceration, despite 57.3% reporting a psychiatric or learning disorder. Psychiatric disorders were associated with lower educational attainment before incarceration and lower access to education services during incarceration. Psychiatric disorders were associated with higher odds of access to psychiatric services during incarceration. Men had lower educational attainment before incarceration and lower odds of accessing psychiatric and education services during incarceration. Incarcerated people had a high need for psychiatric and education services. Individuals with psychiatric disorders had lower odds of participating in education services during incarceration, highlighting the need for policies and services that increase participation.

Educational attainment and psychiatric diagnoses: a national registry data and two-sample Mendelian randomization study

Educational attainment and psychiatric diagnoses: a national registry data and two-sample Mendelian randomization study

Fluid Cognition Among Individuals With Systemic Lupus Erythematosus.

We sought to describe fluid cognition and its correlates among individuals with systemic lupus erythematosus (SLE). Participants (n = 199) were recruited from a population-based cohort for a single study visit (October 2019 to May 2022). Fluid cognition was measured via the National Institutes of Health Toolbox Fluid Cognition Battery (including episodic memory, working memory, attention and inhibitory control, processing speed, and cognitive flexibility domains) and expressed as age-corrected standard scores (mean 100, SD 15). Potential impairment was defined as a standard score >1.5 SD below the mean. Descriptive statistics were calculated and associations of various participant characteristics with the potential fluid cognition impairment were assessed with multivariable logistic regression. Participants' mean age was 46.1 years; most were female (87.4%), Black (86.4%), and non-Hispanic (95.0%). The mean overall fluid cognition score was 87.2; of the individual domains, the participants' mean score was lowest on attention and inhibitory control (82.0). Working status (odds ratio [OR] 0.30, 95% confidence interval [CI] 0.14-0.64) and higher self-reported physical functioning (OR 0.46, 95% CI 0.28-0.75) and physical performance (OR 0.72, 95% CI 0.59-0.87) were associated with lower odds of fluid cognition impairment; lower educational attainment was associated with higher odds (OR 3.82, 95% CI 1.67-8.75). Self-reported forgetfulness, neuropsychiatric damage, and depressive symptoms were not statistically significantly associated with potential impairment. Fluid cognition and, particularly, attention and inhibitory control were low in those with SLE relative to the general US population. Working status, higher physical functioning and performance, and higher educational attainment were associated with lower prevalence of potential impairment. Future work is needed to develop and implement interventions to help support cognition in individuals with SLE.