Educational Attainment Research Articles

Empowering Education: Addressing Vaccination Hesitancy in The Covid-19 Era

The COVID-19 pandemic started in 2019 with the emergence of a new coronavirus and has greatly affected societies worldwide. It has led to an increase in mortality rates, disturbed pre-existing health conditions, disrupted educational systems, and reduced global workforce productivity and production. The scientific community has expedited vaccine development to combat the pandemic. However, the emergence of various vaccines has paradoxically resulted in a decline in public confidence, contributing to anti-vaccine sentiments. This study explores the pivotal role of education in fortifying vaccination rates and seeks to identify effective strategies to address hesitancy and strengthen public health measures. This research uses the two-stage least squares (2SLS) methodology to analyze the “Learning Loss Covid-19” cross-sectional dataset, which the World Bank published on January 4, 2023. The investigation focuses on the relationship between “Vaccination rate (per person)” and “Year of Education” across 41 countries. The empirical findings show that education has a significant impact on vaccination rates. An increase of one year in educational attainment leads to an approximate 14% increase in doses administered per person and a substantial 23% surge in the average dosage across nations. Therefore, education plays a crucial role in fortifying and elevating vaccination rates, demonstrating its significance as a potent tool in global public health endeavours.

On being a foodie: Food literacy, involvement, and disgust

Foodies, despite representing a significant and important consumer segment globally, are not well characterized in the scholarly literature. In this study we examine the association between foodiness and food literacy, involvement, and disgust; factors known to mediate several dimensions of food behaviour. A sample of 617 Canadian youth (18–25 yrs.) completed a 25-item food literacy scale, the 8-item Food Disgust Scale (English version), and the Food Involvement Scale. Foodiness and foodie status (foodie or non-foodie) were determined using the modified Foodie Index. Results show that foodies (n = 204) are more food literate overall than non-foodies (n = 203) (Kruskal-Wallis H test), and score higher across all five subscales. They also have a higher level of general education attainment (Chi-square test). Unexpectedly, foodies also display higher food disgust than non-foodies (Kruskal-Wallis H test). We also show that the foodie construct is more complex than and qualitatively distinct from food involvement. Our findings should assist food marketers and retailers in market segmentation initiatives, and in aligning their products and services with the features and needs of those segments. Additionally, we discuss implications for education and policy strategies aimed at improving food literacy, and identify future research needs.

Educational trajectories for residential care experienced young people are complex. A lived experience perspective from a PhD study in Scotland

Purpose Research highlights that residential care experienced children and young people in Scotland have poorer educational outcomes than their peers within the wider population. Despite this, poor educational attainment is not inevitable, and further research is needed to increase the understanding of long-term trajectories. This paper aims to address a gap in contemporary literature that is of benefit to practitioners, academics and policymakers. Despite experiencing adversity, attachment, separation and loss, school attainment data on leaving care only reflects part of the educational journey. Design/methodology/approach Using a mixed methodology and social constructionist theoretical framework, a practitioner-led PhD study gathered data from questionnaires and qualitative information from 13 semi-structured interviews with young people who had experienced residential care in Scotland. Recruitment was through a gatekeeper within a national third-sector organisation. The educational trajectories for young people with experience of residential care in Scotland are complex. A lived experience perspective from a PhD study illustrates that statistical data only captures part of the journey and the author needs to reconsider how success is measured. Findings Of the 13 participants in the study, 12 achieved success educationally, although for the majority of those interviewed, attainment continued after leaving compulsory education. Barriers to greater success included placement uncertainty and movement, stigma, low expectations, pressure to not become a statistic, procedural obstacles and inconsistency or poor relationships. Research limitations/implications Supportive relationships and stable placements can create circumstances conducive to effective learning, but evidence reflects that support is necessary throughout the life course if children, young people and adults with care experience are to reach their full academic potential. Originality/value Research into the educational outcomes for those with experience of residential care in Scotland is limited. This paper, from a PhD, provides lived experience accounts from a practitioner-led study.

Impact of sociodemographic patient factors on prescriber adherence to antihypertensive prescription guidelines: a cross-sectional study using data from The Irish Longitudinal Study on Ageing

Abstract Introduction Uncontrolled hypertension causes significant morbidity and mortality worldwide. Several international prescribing guidelines have been created to address this. However, prescriber adherence to these guidelines may be influenced by sociodemographic patient factors such as socio-economic status, gender and age. Aim To examine the effects of gender and other patient factors, including age, geographical location, educational attainment, duration of disease, socio-economic status, smoking status, and previous history of cardiovascular diseases on prescriber adherence to hypertension prescription guidelines. Achievement of blood pressure goals (<140/90 mmHg) with adherence to prescription guidelines was also assessed. Methods This study is a secondary analysis of cross-sectional data from the first wave (2009-2011) of The Irish Longitudinal Study on Ageing (TILDA), which included 8,175 Irish adults ≥50 years of age. Participants were included in the present study if they reported a previous doctor diagnosis of hypertension. Antihypertensive medication regimens were compared and categorised according to the 2011 National Institute for Health and Clinical Excellence (NICE)[1] prescription guidelines, which included the use of angiotensin converting enzyme inhibitors, angiotensin receptor blockers, beta-blockers, calcium channel blockers, and thiazide diuretics in the treatment of hypertension. In this study, the antihypertensive medication regimens of participants were categorised based on age categories (<55, ≥55, and all age groups), and compared to the 2011 NICE Guidelines which differentiate treatment in those ≥55, and <55 years of age. The effects of patient sociodemographic factors on prescriber adherence to the guidelines, and the effects of guideline adherence on blood pressure control, (defined as blood pressure<140/90 mmHg), were determined using multinomial logistic regression models. The mlogit, RRR code in STATA 17 SE was used to report relative risks (RRs). Results A total of 2,992 participants were included, of whom 54.9% were women. The mean age of participants was 65.69 years (±9.23). Male gender, older age and lower socioeconomic status among participants were associated with increased prescriber guideline adherence. Prescribers were less likely to adhere to guidelines in female patients ≥55 years (RR 0.75 [0.62 to 0.91]), and female patients across all age groups (RR 0.80 [0.67 to 0.95]). Better blood pressure control was seen with medication regimens adherent to prescription guidelines with a mean of 140.38 (±18.98)/83.09 (±11.02) mmHg compared to a mean of 141.66 (±19.86)/84.77 (±11.71) mmHg in those non-adherent to guidelines. Conclusion This study highlights the effects of patient gender on prescriber adherence to antihypertensive prescription guidelines. A study strength is the use of a large, nationally representative cohort that used a standardised protocol of data collection within the Irish population. A potential limitation is the inclusion of self-reported data, including doctor diagnosis of hypertension. The results of this study may emphasise a larger issue of the systemic undertreatment of women within healthcare; however, these results should be interpreted in the context of 2011 guidelines, which have since been superseded by 2019 NICE guidelines. Further research may seek to determine possible reasons for such differences in hypertensive care. Reference 1. Linden B. NICE guidance on primary hypertension National Institute for Health and Clinical Excellence (2011) Hypertension: Clinical Management of Primary Hypertension in Adults. NICE Clinical Guideline 127. British journal of cardiac nursing. 2011;6:582-584.

Mothering While Sick: Poor Maternal Health and the Educational Attainment of Young Adults.

At a time when educational attainment in young adulthood forecasts long-term trajectories of economic mobility, better health, and stable partnership, there is more pressure on mothers to provide labor and support to advance their children's interests in the K-12 system. As a result, poor health among mothers when children are growing up may interfere with how far they progress educationally. Applying life course theory to the National Longitudinal Study of Adolescent to Adult Health to investigate this possibility, we found that young adults were less likely to graduate from college when raised by mothers in poor health, especially when those mothers had a college degree themselves. Young people's school-related behaviors mediated this longitudinal association. These findings extend the literature on the connection between education and health into an intergenerational process, speaking to a pressing public health issue-rising morbidity among adults in midlife-and the reproduction of inequality within families.

Public health efforts to prevent expansion of alcohol retail availability in neighbourhoods with factors associated with high rates of alcohol-related harms: A case report.

This commentary illustrates a recent case study within Ontario, Canada, in which the application of sociodemographic and health data was used by public health to support a legal case to oppose a retail licence application to consume liquor at a corner store located within a neighbourhood that has experienced low socio-economic factors, including low income, high unemployment and low educational attainment levels. Communities in a similar situation may draw from this situation to prevent expansion of alcohol retail availability in neighbourhoods that have low socio-economic status populations and high unemployment and other factors associated with high rates of alcohol-related harms.

Gene-Environment Interactions and Gene-Gene Interactions on Two Biological Age Measures: Evidence from Taiwan Biobank Participants.

PhenoAge and BioAge are two commonly used biological age (BA) measures. The author here searched for gene-environment interactions (GxE) and gene-gene interactions (GxG) on PhenoAgeAccel (age-adjusted PhenoAge) and BioAgeAccel (age-adjusted BioAge) of 111,996 Taiwan Biobank (TWB) participants, including a discovery set of 86,536 TWB2 individuals and a replication set of 25,460 TWB1 individuals. Searching for variance quantitative trait loci (vQTLs) provides a convenient way to evaluate GxE and GxG. A total of 4 nearly independent (linkage disequilibrium measure r2 < 0.01) PhenoAgeAccel-vQTLs are identified from 5,303,039 autosomal TWB2 SNPs (p < 5E-8), whereas no vQTLs are found from BioAgeAccel. These 4 PhenoAgeAccel-vQTLs (rs35276921, rs141927875, rs10903013, and rs76038336) are further replicated by TWB1 (p < 5E-8). They are located in the OR51B5, FAM234A, and AXIN1 genes. All 4 PhenoAgeAccel-vQTLs are significantly associated with PhenoAgeAccel (p < 5E-8). A phylogenetic heat map of the GxE analyses showed that smoking exacerbated the PhenoAgeAccel-vQTLs' aging effects, while higher educational attainment attenuated the PhenoAgeAccel-vQTLs' aging effects. Body mass index, chronological age, alcohol consumption, and sex do not prominently modulate PhenoAgeAccel-vQTLs' aging effects. Based on these vQTL results, rs141927875-rs35276921 interaction (p = 4.7E-61) and rs76038336-rs10903013 interaction (p = 3.3E-116) on PhenoAgeAccel are detected.

The Intergenerational Transmission of Health Disadvantage: Can Education Disrupt It?

In low-income countries, intergenerational processes can culminate in the replication of extreme forms of health disadvantage between mothers and adult daughters, including experiencing a young child's death. The preventable nature of most child deaths raises questions of whether social resources can protect women from enduring this adversity like their mothers. This study examined whether education-widely touted as a vehicle for social mobility in resource-poor countries-disrupts the intergenerational cycle of maternal bereavement. We estimated multilevel discrete-time survival models of women's hazard of child loss using Demographic and Health Survey Program data (N = 195,744 women in 345 subnational regions in 32 African countries). Women's educational attainment minimizes the salience of their mothers' bereavement history for their own probability of child loss; however, mothers' background becomes irrelevant only among women with ≥10 years of schooling. Education's neutralizing influence is most prominent in the highest mortality-burdened communities.

Who is most at risk of digital exclusion within healthcare?

Abstract Introduction There has been a rapid growth in the use of digital technologies in healthcare to improve population health. However, due to digital exclusion (DE) (the unfair differences in motivation, access and use of these technologies), some demographic groups are unable to harness the health benefits of these technologies. Various frameworks have been designed to highlight groups vulnerable to health inequities, but none focus on DE. To provide better support for digitally excluded individuals, we must start by identifying demographic groups most at risk of DE. Aim Review the literature to identify demographic groups most at risk of DE within healthcare. Methods PubMed, Google Scholar and Scopus were searched on 22nd October 2022 in a non-systematic way to scope and examine emerging evidence surrounding groups at risk of DE within healthcare. English-language peer-reviewed articles and grey literature (e.g., government reports and regulatory organisation documents) identifying demographic groups at risk of DE and possible factors influencing exclusion were included. Search terms included words associated with DE and health inequity. Data extracted from the included articles included the different demographic groups highlighted and reasons for DE. Results Analysis of twenty-two included articles highlighted six common sociodemographic factors associated with DE that we compiled into six groups. These groups include Culture (ethnicity, language, religion), Limiting conditions (visual and hearing impairments), Education, Age, Residence (rural, deprived areas, homeless), and Socioeconomic status, forming the CLEARS framework. Cultural factors associated with DE included bias in artificial intelligence models used in healthcare technologies, low sensitivity in sensors when used across different ethnic backgrounds, and lack of consideration for different religious groups. Limiting conditions may make it difficult to use the technology, such as reading health information on small screens if visually impaired. Low educational attainment and old age (over 65) were frequently associated with poor digital literacy skills and poor understanding of the benefit of health technologies, thus reducing motivation and use of health technologies. Residential factors centred around barriers to accessing infrastructure to support connectivity (e.g. WiFi) and socioeconomic factors, including financial barriers to compatible devices and connectivity. Individuals who identify with two or more of these groups (intersectionality) are at even greater risk of DE. Conclusion This review identified six groups at risk of DE, the contributing reasons for exclusion, and the role of intersectionality. The CLEARS framework generated from this review can guide researchers and health technology developers in identifying groups that need to be involved in the co-design of digital health technologies to support inclusion. During the development of the CLEARS framework, groups in previous health inequities frameworks, such as the LGBTQ+ community, were considered, but later excluded due to the lack of representation within the literature. However, it is also important to recognise underserved groups are less likely to appear in the literature. Further work is needed to design tailored guidelines to support the development of inclusive digital health technologies that meet the needs of underserved groups.

Early career researchers in health policy and systems research: insights from freelancers in a non-profit organization in the Philippines

BackgroundThe freelance economy has seen rapid growth worldwide in recent years and the Philippines is not an exception. Freelance workers are becoming increasingly common in healthcare and research. Early career researchers carry out most of scientific research and can play a critical role in advancing public health by bringing new perspectives and diversity to the field. Existing literature has mostly focused on the experiences of early career researchers in an institutional academic setting. This study aimed to understand the experiences of freelance early career researchers in the health policy and systems space in the Philippines.MethodsThis qualitative study collected data from 18 to 22 March 2022 through virtual interview and focus group discussions. Themes and codes were created based on the topic guide developed. New themes and codes were generated as they emerged. Two researchers coded the data using both a priori and emergent codes. Any coding conflicts were resolved through discussions until intercoder agreement was reached. Interpretation and conclusions from the data were developed by 2 researchers with consideration for its context and relationship between themes.ResultsFifteen current and former freelance researchers participated in the study. Most are female, under 35 years old, and with an undergraduate degree as the highest educational attainment. The findings highlight insights and challenges faced by early career researchers in aspects of: (1) work arrangement, (2) tasks, (3) expectations from senior researchers, (4) development in the health policy and systems field, (5) relationship with peers, and (6) motivations for continuing to work as a freelance health policy and systems researcher.ConclusionThis study reveals the challenges freelance early career researchers face, highlighting the need for enhanced support and recognition amidst rapidly evolving workforce demands and complex health dilemmas. Recommendations include structured mentorship, professional development, innovative funding models, and the establishment of a supportive network. Advocacy for policies ensuring freelancer inclusion in the economy and policy-making is crucial. Future research should investigate their experiences further, including their roles, transitions, and the impacts of funding trends, to foster their development and integration into public health research and policy.

Shaping Strict Migrant Policies through Housing Strategies in Denmark

In Denmark, approximately one million people reside in public housing. This sector encompasses over half of all “immigrants and their descendants from non-Western countries “. Educational attainment and employment rates among public housing residents are notably lower than the na-tional average, and a significant proportion rely on transfer income (Landsbyggefonden, 2022). In 2020, the Housing and Planning Authority designated 25 public housing areas as 'disadvantaged residential areas.' According to the Ministry of Housing, these areas are beset by several chal-lenges, including higher unemployment rates, lower educational levels, increased criminal activity, a predominance of residents with only basic education, and substantially lower incomes compared to the broader population (Bolig- og Planstyrelsen, 2020). The political strategy for addressing these disadvantaged areas has significantly changed in recent years. Since 2018, the Danish parliament, supported by a broad majority, has implemented the Parallel Society Agreement (PSA). Key elements of the PSA include mandatory childcare from age one for children in these areas, a prohibition on individuals receiving transfer incomes from relocating to the most severely affected 'ghetto areas,' language assessments for children beginning in kindergarten, and a cap of no more than 40% public housing in these areas. This is to be achieved by demolishing existing public housing and developing new private properties (PSA, 2018). These regulations, unique to areas predominantly inhabited by ethnic minorities, prompt questions about whether this represents a singular approach to housing policy or a continuation of practices that have been evolving since the 1980s with the increase in labor and refugee migration. This article will demonstrate, through policy document analysis and three case studies in Denmark, how politicians and the media construct a narrative that ethnic minorities in disadvantaged housing areas, often labeled as ghetto areas, lack the desire for cultural interaction and integration with the wider Danish society. This perception paves the way for legal and administrative practices that systematically discriminate against ethnic minorities, illustrating how housing policy is intricately connected to migration policy in Denmark.

Autonomous Vehicles Perception, Acceptance, and Future Prospects in the GCC: An Analysis Using the UTAUT-Based Model

The emergence of Autonomous Vehicles (AVs) marks a significant advancement in the automotive industry, transitioning from driver-assistance technologies to fully autonomous systems. This change is particularly impactful in the Gulf Cooperation Council (GCC) region, which is a significant automotive market and technological hub. However, the adoption of AVs in the GCC faces unique challenges due to the influence of cultural norms and geographical characteristics. Our research utilizes a customized framework of the Unified Theory of Acceptance and Use of Technology (UTAUT), which is adapted to include cultural and geographical factors. This approach fills a gap in the existing literature by identifying and analyzing the key factors affecting the adoption of AVs in the GCC. Our findings indicate a difference in the receptiveness towards AVs among different demographics. Younger participants displayed a more favorable attitude towards AVs compared to older individuals. Additionally, gender and educational attainment play significant roles in the acceptance of AVs. Specifically, our results suggest that there are variations in acceptance rates among genders and individuals with varying levels of education. The United Arab Emirates (UAE) has a relatively high acceptance rate of AVs due to its advanced infrastructure and openness to technological innovations. Our study identifies facilitating conditions and performance expectancy as crucial determinants of intention to use AVs in the GCC. It emphasizes the importance of infrastructure readiness and the perceived advantages of AVs in promoting their adoption.

Race/ethnicity and socioeconomic status as predictors of outcome following family therapy in youth at clinical high risk for psychosis.

There is limited research on the effects of sociodemographic and socioeconomic factors on treatment outcomes in youth at clinical high risk for psychosis (CHRp). This study examined sociodemographic factors that may affect functional outcomes within this population. Specifically, we investigated the influence of race/ethnicity (dichotomized as non-Hispanic whites [NHW] vs. people of colour [POC]), socioeconomic status (SES; operationalized as parental years of education), and their interaction on change in psychosocial functioning and symptoms over 6 months in a randomized trial of family-focused therapy. CHRp youth (N = 128) participated in a randomized trial of family therapy (18 sessions of family therapy vs. 3 sessions of family psychoeducation). Sixty-four participants who self-identified as POC and 64 self-identified NHW participants completed baseline and 6-month follow-up measures of positive and negative symptoms and psychosocial (global, role, and social) functioning. Multiple regression models were conducted to test the main effect of race/ethnicity on changes in positive and negative symptoms and functioning, and whether this effect was moderated by parental education. There was a significant interaction between race/ethnicity and parental education, such that higher parental education was associated with greater improvement in global functioning in NHW participants, but there was no relationship between parental education and global functioning in POC. Additionally, higher parental education was associated with a decrease in negative symptoms in NHW participants but not in POC. There were no significant effects of race/ethnicity or parental education on positive symptoms, nor on social or role functioning. Clinicians may consider tailoring psychosocial treatments according to the needs of diverse families who vary in sociodemographic factors such as educational attainment and race/ethnicity.

Impact of positive selection technology on seed yam productivity

Positive Selection (PS) technique has been shown to reduce virus infection and increase yields, however there is insufficient empirical evidence on how this technology affects seed yam farm productivity. This study employed Propensity Score Matching (PSM) technique to evaluate the impact of PS on seed yam yields of 368 farmers randomly selected from Ghana and Nigeria.The findings showed that educational attainment, distance from the farm to the nearest market, cropping patterns, and other factors influenced farmers' adoption of PS. Furthermore, the adoption of PS technology resulted in a 16.98 % boost in farm productivity for PS seed yam farmers compared to their productivity without the technology. It is of the utmost importance that PS adoption be supported by developing tailored training materials for farmers to improve their use of the PS technology.

A causal relationship between educational attainment and risk of infectious diseases: A Mendelian randomisation study.

Previous observational studies have investigated the association between educational attainment and sepsis, pneumonia, and urinary tract infections (UTIs). However, their findings have been susceptible to reverse causality and confounding factors. Furthermore, no study has examined the effect of educational level on the risk of infections of the skin and subcutaneous tissue (SSTIs). Thus, we aimed to evaluate the causal relationships between educational level and the risk of four infectious diseases using Mendelian randomisation (MR) techniques. We used univariable MR analysis to investigate the causal associations between educational attainment (years of schooling (n = 766 345) and holding college or university degree (n = 334 070)) and four infectious diseases (sepsis (n = 486 484), pneumonia (n = 486 484), UTIs (n = 463 010), and SSTIs (n = 218 792)). We included genetic instrumental variables with a genome-wide significance (P < 5 × 10-8) in the study. We used inverse variance-weighted estimation in the primary analysis and explored the stability of the results using multivariable MR analysis after adjusting for smoking, alcohol consumption, and body mass index. Genetically predicted years of schooling were associated with a reduced risk of sepsis (odds ratio (OR) = 0.763; 95% confidence interval (CI) = 0.668-0.870, P = 5.525 × 10-5), pneumonia (OR = 0.637; 95% CI = 0.577-0.702, P = 1.875 × 10-19), UTIs (OR = 0.995; 95% CI = 0.993-0.997, P = 1.229 × 10-5), and SSTIs (OR = 0.696; 95% CI = 0.605-0.801, P = 4.034 × 10-7). We observed consistent results for the correlation between qualifications and infectious diseases. These findings remained stable in the multivariable MR analyses. Our findings suggest that increased educational attainment may be causally associated with a decreased risk of sepsis, pneumonia, UTIs, and SSTIs.

Correlation of Job Satisfaction of Poultry Farm Workers and Product Compliance Sustainability

The study aimed to scrutinize the relationships between Job Satisfaction and Product Compliance indicators such as Supervisor's Relations, Co-workers' Relations, Nature of Work, Working Conditions, Pay and promotions, Product Attributes, Product Standards, and Product Disclosure. The samples were poultry farm workers from the province of Bulacan, Philippines. In addition to employing random sampling, the research instruments comprised rating scale-equipped questionnaires. The research utilized Mann-Whitney U and Kruskal-Wallis to test the significant difference, Spearman's Rho to test the relationship, and SEM to analyze the structural relationship. The results showed that pay and promotion have significant differences when grouped according to sex, family size, and length of service. Co-worker relations significantly differ when grouped according to average monthly income and educational attainment. Product disclosure has significant differences when grouped according to age and educational attainment. Product attributes significantly differ when grouped according to average monthly income, educational attainment, length of service, and number of training attended. Product standards have significant differences when grouped according to the number of training attended. Product disclosures have significant differences when grouped according to average monthly income, length of service, and number of training attended. Co-workers’ relations have a significant relationship with product attributes. SEM shows that supervisor relations, product attributes, and product disclosures are correlated. Job satisfaction can be enhanced through the provision of higher pay, training, and good working conditions. Future research should be qualitative for a richer qualitative interpretation.

Sociodemographic risk factors for the persistence of harmful alcohol use: a pooled analysis of prospective cohort studies.

Previous research suggests several sociodemographic risk factors for the persistence of harmful alcohol use. However, the evidence is limited due to short follow-up times, retrospective reporting and samples comprising onlypeople with alcohol dependence. We pooled data from six prospective cohort studies to systematically evaluate whether the sociodemographic risk factors differ between the incidence and persistence of harmful alcohol use. Data were from six prospective cohort studies from the US, UK and Japan (n = 28,394). We conducted a two-stage meta-analysis to examine the associations of six sociodemographic risk factors (sex, age, presence of a partner, educational attainment, smoking and psychological distress) with the incidence and persistence of harmful alcohol use. Tests of heterogeneity were used to evaluate whether the associations differ between the incident and persistent use. Male sex, younger age, higher education, smoking, and psychological distress were associated with a greater risk of both the incidence and the persistence of harmful alcohol use in mutually adjusted models (ORs = 0.97-1.67). There were no differences in the associations of these risk factors with incident and persistent use, except that the association of psychological distress was greater with incident use compared to persistent use (p for heterogeneity < 0.05). These findings suggest that the incidence and persistence of harmful alcohol use share a similar set of sociodemographic risk factors in the general population.

Risk and protective factors for self-harm and suicide behaviours among serving and ex-serving personnel of the UK Armed Forces, Canadian Armed Forces, Australian Defence Force and New Zealand Defence Force: A systematic review.

Self-harm and suicide behaviours are a major public health concern. Several factors are associated with these behaviours among military communities. Identifying these factors may have important implications for policy and clinical services. The aim of this review was to identify the risk and protective factors associated with self-harm and suicide behaviours among serving and ex-serving personnel of the United Kingdom Armed Forces, Canadian Armed Forces, Australian Defence Force and New Zealand Defence Force. A systematic search of seven online databases (PubMed, Web of Science, Embase, Global Health, PsycINFO, PTSDpubs and CINAHL) was conducted alongside cross-referencing, in October 2022. Following an a priori PROSPERO approved protocol (CRD42022348867), papers were independently screened and assessed for quality. Data were synthesised using a narrative approach. Overall, 28 papers were included: 13 from Canada, 10 from the United Kingdom, five from Australia and none from New Zealand. Identified risk factors included being single/ex-relationship, early service leavers, shorter length of service (but not necessarily early service leavers), junior ranks, exposure to deployment-related traumatic events, physical and mental health diagnoses, and experience of childhood adversity. Protective factors included being married/in a relationship, higher educational attainment, employment, senior ranks, and higher levels of perceived social support. Adequate care and support are a necessity for the military community. Prevention and intervention strategies for self-harm and suicide behaviours may be introduced early and may promote social networks as a key source of support. This review found a paucity of peer-reviewed research within some populations. More peer-reviewed research is needed, particularly among these populations where current work is limited, and regarding modifiable risk and protective factors.

Examining the Relationship between Vaccine Utilization and Educational Attainment in Southeast Los Angeles

The Southeast Los Angeles cities of Maywood and Bell have educational attainment (bachelor’s degree or higher) rates of 8.7% and 8.8%, respectively, relative to California’s state average of 37.0% (U.S. Census Bureau 2022). The goal of this study is to evaluate the relationship between educational attainment and vaccine utilization in Southeast Los Angeles to inform future policies aimed at improving long-term health outcomes. For this study, the International Collegiate Health Initiative (ICHI), a 501(c)-3 nonprofit focused on providing multicultural low-income, immigrant, and refugee populations with educational, nutritional, and medical health services, conducted extensive surveying of the patient population at its mobile community health clinic events at the Maywood YMCA and the Bell Community Health Center. The data reveals significant differences in vaccine use between college- and non-college-educated individuals. 68.75% of college-educated respondents reported receiving a COVID-19 booster shot, whereas 56.82% of non-college-educated respondents reported the same. Similarly, college-educated respondents had a 62.5% flu vaccination rate in the 2022 flu season, compared to 47.7% for non-college-educated respondents. The trend of college attendees being more likely to use vaccine services than non-college attendees is corroborated by a longitudinal study of Wisconsin high school graduates. This study determined that college attendance was correlated with higher probability of vaccine utilization in general, and increased flu shot usage in particular (Fletcher &amp; Frisvold, 2009). The study also indicates that there is causation, rather than simply correlation, between increased college attendance and use of vaccines. Moreover, an empirical assessment of OECD countries for the period 1995–2015 found that well-educated adults have better health relative to adults who are less-educated (​​Raghupathi &amp; ​​Raghupathi, 2020). This underscores the need to support increased educational attainment in underserved communities in order to increase vaccination rates in the United States.

Adult children’s educational attainment and its relationship with older parents’ life satisfaction in India

ABSTRACT Life satisfaction is an important component of successful aging and is known to be associated with health, well-being, and longevity. This study examines the association between children’s educational attainment and life satisfaction among older parents in India while also exploring the moderating effect of the children’s and parents’ sex on the examined relationship. Additionally, the study aims to identify potential mediators and pathways that could explain the examined relationship. The study draws on data from the Longitudinal Ageing Study in India (LASI, 2017–18) wave-1. Multivariable Ordinary Least Squares (OLS) regression models, incorporating interaction analyzes, were employed to examine the relationship between offspring education and parental life satisfaction. Structural Equation Modelling (SEM) was employed to investigate potential mediators and pathways of the examined relationship. The findings reveal that a one-year increase in average offspring education was associated with a 0.18 unit increase in life satisfaction among older parents. Moreover, the interaction estimates indicate that for every unit increase in offspring education, mothers experienced a 0.05 unit higher increment in life satisfaction score compared to fathers. The SEM analysis identified health behavior, physical and mental health, food insecurity, and perceived socioeconomic status as potential mediators of the relationship between children’s education and parents’ life satisfaction. The study suggests that investing in higher education for the upcoming generation could yield benefits not only for the younger generation but also for the older generation as well.