Proportion Of Young Adults Research Articles

Prevalence of Cardiovascular Risk Factors among Young Adults (18-25 Years) in Mozambique.

The life course development of cardiovascular diseases (CVDs) and the undergoing epidemiological transition in Mozambique highlight the importance of monitoring the cardiovascular risk profile in young adults. Therefore, this study aims to estimate the prevalence of CVD risk factors in a population aged 18-25 years living in Mozambique. A total of 776 young adults from a nationally representative sample were evaluated in 2014/2015 following the World Health Organization's STEPwise approach to chronic disease risk factor surveillance. Current smoking was the most prevalent among rural men (10.8%, 95%CI: 6.3-17.8), and drinking was most prevalent among urban men (38.6%, 95%CI: 29.3-48.8). The proportion of young adults not engaging in at least 75 min of vigorous physical activity per week ranged between 14.5% in rural men and 61.6% in urban women. The prevalence of being overweight/obese and hypertension were highest among urban women (21.6%, 95%CI: 14.7-30.6) and urban men (25.2%, 95%CI: 15.9-37.6), respectively. Education >8 years (vs. none) was independently associated with lower odds of being a current smoker, and increased monthly household income was associated with increased odds of low levels of physical activity. This study shows that important CVD risk factors are already common in the young adult population of Mozambique.

Efficacy of Dimethyl Fumarate in Young Adults with Relapsing-Remitting Multiple Sclerosis: Analysis of the DEFINE, CONFIRM, and ENDORSE Studies.

Dimethyl fumarate (DMF) showed favorable benefit-risk in patients with relapsing-remitting multiple sclerosis (MS) in phase 3 DEFINE and CONFIRM trials and in the ENDORSE extension study. Disease activity can differ in younger patients with MS compared with the overall population. Randomized patients received DMF 240mg twice daily or placebo (PBO; years 0-2 DEFINE/CONFIRM), then DMF (years 3-10; continuous DMF/DMF or PBO/DMF; ENDORSE); maximum follow-up (combined studies) was 13years. This integrated post hoc analysis evaluated safety and efficacy of DMF in a subgroup of young adults aged 18-29years. Of 1736 patients enrolled in ENDORSE, 125 were young adults, 86 treated continuously with DMF (DMF/DMF) and 39 received delayed DMF (PBO/DMF) in DEFINE/CONFIRM. Most (n = 116 [93%]) young adults completed DMF treatment in DEFINE/CONFIRM. Median (range) follow-up time in ENDORSE was 6.5 (2.0-10.0) years. Young adults entering ENDORSE who had been treated with DMF in DEFINE/CONFIRM had a model-based Annualized Relapse Rate (ARR; 95% CI) of 0.24 (0.16-0.35) vs. 0.56 (0.35-0.88) in PBO patients. ARR remained low in ENDORSE: 0.07 (0.01-0.47) at years 9-10 (DMF/DMF group). At year 10 of ENDORSE, EDSS scores were low in young adults: DMF/DMF, 1.9 (1.4); PBO/DMF, 2.4 (1.6). At ~ 7years, the proportion of young adults with no confirmed disability progresion was 81% for DMF/DMF and 72% for PBO/DMF. Patient-reported outcomes (PROs) (SF-36 and EQ-5D) generally remained stable during ENDORSE. The most common adverse events (AEs) in young adults during ENDORSE were MS relapse (n = 53 [42%]). Most AEs were mild (n = 20 [23.3%], n = 7 [17.9%]) to moderate (n = 45 [52.3%], n = 23 [59.0%]) in the DMF/DMF and PBO/DMF groups, respectively. The most common serious AE (SAE) was MS relapse (n = 19 [15%]). The data support a favorable benefit-risk profile of DMF in young adults, as evidenced by well-characterized safety, sustained efficacy, and stable PROs. Clinical trials.gov, DEFINE (NCT00420212), CONFIRM (NCT00451451), and ENDORSE (NCT00835770).

Characteristics of poisoning patients visiting emergency departments before and after the COVID-19 pandemic

Purpose: This study investigates the characteristics and prognosis of acute poisoning patients visiting nationwide emergency departments before and after the Coronavirus disease 2019 (COVID-19) pandemic. Data were obtained from the National Emergency Department Information System (NEDIS). Methods: This nationwide retrospective observational study included acute poisoning patients who visited the emergency departments between February 1 to December 31, 2020, which has been determined as the pandemic period. The same periods in 2018 and 2019 were designated as the control periods. The primary outcome assessed was the length of stay in emergency departments (EDLOS). The secondary outcomes examined were intensive care unit admission rate and in-hospital mortality rate before and after the pandemic. A subgroup analysis was performed for inpatients and intentional poisoning patients. Results: A total of 163,560 patients were included in the study. During the pandemic, the proportion of women increased from 50.0% in 2018 and 50.3% in 2019 to 52.5% in 2020. Patients aged 20-29 years increased from 13.4% in 2018 and 13.9% in 2019 to 16.6% in 2020. A rise in cases of intentional poisoning was also noted - from 33.9% in 2018 and 34.0% in 2019 to 38.4% in 2020. Evaluating the hospitalized poisoned patients revealed that the EDLOS increased from 3.8 hours in 2018 and 3.7 hours in 2019 to 4.2 hours in 2020. ICU admissions were also markedly increased (2018, 48.2%; 2019, 51.8%; 2020, 53.2%) among hospitalized patients. Conclusion: The COVID-19 pandemic has changed the epidemiology, clinical characteristics, and prognosis of acute poisoning patients visiting nationwide emergency departments in Korea. The proportion of young adults, women, and intentional poisoning patients has increased after the COVID-19 pandemic. Prolonged length of stay at the emergency department and an increased rate of intensive care unit admissions were determined in hospitalized acute poisoning patients.

E-cigarette use by people who smoke or have recently quit, New South Wales, 2016-2020.

To examine e-cigarette use by adults who smoke or have recently quit, and demographic characteristics associated with their use; to assess reasons for using e-cigarettes. The Cancer Institute NSW Tobacco Tracking Survey (CITTS) is an ongoing, serial, cross-sectional telephone survey study (40 interviews each week). This report is based on interviews during 4 January 2016 - 31 December 2020. Randomly selected New South Wales adults who are current smokers (smoked cigarettes, pipes, or other tobacco products daily, weekly, or less often) or recent quitters (smoked tobacco products in the past twelve months but who no longer smoked). E-cigarette use by age group; reasons for using e-cigarettes. CITTS callers rang 1 494 233 randomly selected numbers; in 203 203 answered calls (13.6%), 11 125 people were eligible for the survey (5.5% of answered calls), of whom 10 004 completed the survey interview, including the question about whether they used e-cigarettes (89.9%). Overall e-cigarette use increased from 6.6% of respondents in 2016 to 13.0% in 2020 (adjusted odds ratio, 1.86; 95% confidence interval [CI], 1.47-2.36). The proportion of respondents aged 18-24 years who reported e-cigarette use increased from 18.4% (95% CI, 12.9-23.9%) in 2018 to 27.2% (95% CI, 20.5-33.9%) in 2020, a larger proportion than for any other age group. The leading reasons offered for e-cigarette use were "to help me quit smoking" (33%; 95% CI, 30-37%) and "to cut down on the number of cigarettes I smoke" (25%; 95% CI, 22-28%). The increase between 2016 and 2020 in the proportions of young adults who smoke or have recently quit who use e-cigarettes undermines claims that these products are designed for older smokers who have struggled to quit using other methods.

Spatiotemporal Surveillance of COVID-19 Based on Epidemiological Features: Evidence from Northeast Iran

Spatiotemporal analysis of COVID-19 cases based on epidemiological characteristics leads to more refined findings about health inequalities and better allocation of medical resources in a spatially and timely fashion. While existing literature has explored the spatiotemporal clusters of COVID-19 worldwide, little attention has been paid to investigate the space-time clusters based on epidemiological features. This study aims to identify COVID-19 clusters by epidemiological factors in Golestan province, one of the highly affected areas in Iran. This cross-sectional study used GIS techniques, including local spatial autocorrelations, directional distribution statistics, and retrospective space-time Poisson scan statistics. The results demonstrated that Golestan has been facing an upward trend of epidemic waves, so the case fatality rate (CFR) of the province was roughly 2.5 times the CFR in Iran. Areas with a more proportion of young adults were more likely to generate space-time clusters. Most high-risk clusters have emerged since early June 2020. The infection first appeared in the west and southwest of the province and gradually spread to the center, east, and northeast regions. The results also indicated that the detected clusters based on epidemiological features varied across the province. This study provides an opportunity for health decision-makers to prioritize disease-prone areas and more vulnerable populations when allocating medical resources.

Unmet Health Needs among Young Adults with Cerebral Palsy in Ireland: A Cross-Sectional Study.

Data describing the unmet health needs of young adults with cerebral palsy (CP) may support the development of appropriate health services. This study aimed to describe unmet health needs among young adults with CP in Ireland and examine if these differed between young adults who were and were not yet discharged from children’s services. In this cross-sectional study, young adults with CP aged 16–22 years completed a questionnaire assessing unmet health needs. Logistic regression was used to examine the association between discharge status and unmet health needs. Seventy-five young adults (mean age 18.4 yr; 41% female; 60% in GMFCS levels I-III) were included in the study. Forty (53%) had been discharged from children’s services. Unmet health need, as a proportion of those with needs, was highest for speech (0.64), followed by epilepsy (0.50) and equipment, mobility, control of movement and bone or joint problems (0.39 or 0.38). After adjusting for ambulatory status, unmet health needs did not differ according to discharge status. The proportion of young adults with unmet health needs highlights the importance of taking a life-course approach to CP and providing appropriate services to people with CP regardless of age.

Public transport and gentrification. Evidence from São Paulo metro new stations

AbstractStudies in regional science show the influence of public transport on gentrification. However, the vast majority of published works deal with cases in developed countries and do not account for selection bias or endogeneity. This work uses a difference‐in‐differences model, combined with a propensity score matching, to analyze the effects of new metro stations between 2000 and 2010 in São Paulo, Brazil. The analysis relies on outcome variables typically used in the gentrification literature. The results indicate a positive and significant effect of new metro stations on income and the ratio of apartments to total dwellings. There was no effect on the proportion of young adults, rented apartments, or single owners. We argue that our findings provide partial evidence of transit‐induced gentrification related to the new metro stations in São Paulo.

Abstract TP180: Secular Trends For Demographics, Characteristics, Management, And Clinical Outcome Of Young Adults With Acute Ischemic Stroke.

Background: The incidence of stroke in young adults is increasing with the growing prevalence of stroke risk factors among young adults over the last decades. However, studies on secular trends in the young-age stroke population are scarce. Methods: We extracted data of acute ischemic stroke (AIS) patients aged 18-50 (n=7053; age, 43±6; male, 72%) from the multicenter stroke registry in South Korea. Demographics, risk factors, stroke characteristics, management, and clinical outcomes in young adults with AIS were summarized according to calendar year (2008-2019). Trends analysis was conducted using a linear regression model for continuous variables and the Mann-Kendall trend test for categorical variables. Results: There was no significant change between 2008 and 2019 in the proportions of young adults among female patients (7.1% to 7.0%, p=0.44). However, the proportions of young adults within male patients tended to decrease (12.4% to 10.7%; p=0.001) The prevalence, and awareness of risk factors were unchanged during the study period. Regarding stroke subtypes, there was a significant increase in other determined etiology (8% to 20%; p<0.001) and a tendency to decrease in large artery atherosclerosis (26% in 2008; 34% in 2009 to 26% in 2019; p=0.28). The endovascular thrombectomy (EVT) rate increased (2% to 8%; p<0.001), but the intravenous thrombolysis rate (8.8% to 10.6%) and door-to-needle time (38 to 36 min) did not change. Use of dual antiplatelet (DAPT; 29% to 55%; p=<0.001) increased and direct oral anticoagulants (DOACs) in patients with atrial fibrillation tended to increase (11.7% in 2013 to 44.8% in 2019; p=0.07; DOAC began to be used in 2013 in Korea). However, the use of anticoagulants among young adult patients having atrial fibrillation tended to decrease (80% to 66%; p=0.054). Clinical outcomes, including a 3-month modified ranking scale 0-2 (84.6% to 85.2%), 1-year mortality (2.8% to 2.4%), and stroke recurrence rate (4.5 to 5.6%), did not improve during the study period. Conclusions: Among young adults with ischemic stroke, the EVT rate and use of DAPT or DOACs increased. Still, awareness of risk factors, door-to-needle time, and anticoagulation for atrial fibrillation required more attention to improve clinical outcomes.

Impact of economic loss due to COVID-19 on happiness among young adults in poverty: Focusing on the mediating effect of financial stress

장기화된 코로나19로 인해 청년들은 실직 및 소득감소로 인한 경제적 상실과 함께 정서적 문제를 가지는 비율이 급증하고 있다. 이러한 상황에서 가용한 자원이 상대적으로 적은 빈곤 청년들은더욱 취약할 수 있다. 이에 본 연구는 빈곤 청년을 대상으로 코로나19로 인한 실직 및 소득 감소와같은 경제적 상실, 경제적 스트레스와 행복 간의 관계를 실증적으로 검증한다. 분석을 위해 2020년9월에 수집된 청년희망키움통장 사업 참여자 패널 자료를 이차자료로 활용하여, 최종적으로 생계급여 수급 가구 청년 558명의 자료가 최종적으로 분석에 사용되었다. 경로 분석을 활용하여 코로나19로 인한 실직 및 소득 감소와 행복 간의 관계와 경제적 상실과 행복 간의 관계에서 경제적스트레스의 매개 효과를 분석한 결과, 코로나19로 인한 실직 경험은 경제적 스트레스를 매개로빈곤 청년의 행복에 부적 영향을 미치는 것으로 나타났다. 반면 코로나19로 인한 실직 경험과소득 감소가 행복에 미치는 직접 효과는 유의하지 않았다. 실직이 경제적 스트레스를 매개로 행복에 영향을 미침을 실증적으로 검증한 본 연구의 결과를 바탕으로 향후 청년지원체계 및 제도에대한 실천적, 제도적 함의를 제시한다.Due to COVID-19, the proportion of young adults having emotional problems along with economic loss is rapidly increasing. Particularly, young adults in poverty with relatively few available resources may be more vulnerable due to COVID-19. Therefore, this study empirically examines the associations between economic loss due to COVID-19 (i.e., unemployment experience and income loss), financial stress, and happiness among low-income young adults in South Korea. The secondary data used were obtained from the second wave of the Panel Study of the Hope Growing Account Program for Young Adults conducted in 2020. The sample comprised 558 young adults who were receiving the Livelihood Benefits. The results of the path analysis suggest that unemployment experience due to COVID-19 was negatively associated with happiness among young adults in poverty through increasing their levels of financial stress. However, neither the direct effect of unemployment and income loss due to COVID-19 on happiness nor the indirect effect through financial stress on the association between income loss and happiness were statistically significant. Based on these findings, this study discusses practical and policy implications for developing a support system for young adults.

Understanding internal migration trends in OECD countries

AbstractAlthough the decline in the level of internal migration has been the focus of growing scholarly attention, little attention has been paid to countries with increasing or stable intensities. As a result, it is not clear why internal migration is declining in some countries but not in others. This paper seeks to address this gap by establishing variations in internal migration trends in 18 OECD countries and determining the economic, demographic and social factors underpinning them. We assemble a time series of annual interregional migration intensities from 1996 to 2018. We find that all non‐European countries report a downward trend, whereas in Europe, eight countries exhibit an upward trend, four do not display a significant trend in either direction, and Poland shows a modest decline. We use a country fixed‐effect dynamic panel data model to distinguish long‐ and short‐term associations. The results show that a reduction in the proportion of young adults and regional inequalities decreases interregional migration whereas a rise in information technologies and net international migration increases interregional migration in the long term. Only regional income inequalities affect the intensity of migration in both the short and the long term. Although the different paces at which these factors evolve explain some of the heterogeneity in internal migration trends, they do not fully account for the downward trend in non‐European countries. Panel time series are valuable for understanding internal migration trends and effort should be geared towards the inclusion of more countries, extended periods and additional explanatory variables.

Laboratory-based surveillance of COVID-19 in the Greater Helsinki area, Finland, February–June 2020

ObjectivesThe aim was to characterise age- and sex-specific severe acute respiratory syndrome coronavirus disease-2 (SARS-CoV-2) RT-PCR sampling frequency and positivity rate in Greater Helsinki area in Finland during February–June 2020. We also describe the laboratory capacity building for these diagnostics. MethodsLaboratory registry data for altogether 80,791 specimens from 70,517 individuals was analysed. The data included the date of sampling, sex, age and the SARS-CoV-2 RT-PCR test result on specimens collected between 1 February and 15 June 2020. ResultsAltogether, 4057/80,791 (5.0%) of the specimens were positive and 3915/70,517 (5.6%) of the individuals were found positive. In all, 37% of specimens were from male and 67% from female subjects. While the number of positive cases was similar in male and female subjects, the positivity rate was significantly higher in male subjects: 7.5% of male and 4.4% of female subjects tested positive. The highest incidence/100,000 was observed in those aged ≥80 years. The proportion of young adults in positive cases increased in late May 2020. Large dips in testing frequency were observed during every weekend and also during public holidays. ConclusionsOur data suggest that men pursue SARS-CoV-2 testing less frequently than women. Consequently, a subset of coronavirus disease-2019 infections in men may have gone undetected. People sought testing less frequently on weekends and public holidays, and this may also lead to missing of positive cases. The proportion of young adults in positive cases increased towards the end of the study period, which may suggest their returning back to social behaviour with an increased risk of infection.

Preference for whole blood versus plasma donation among university students.

Debate continues about whether monetary payments encourage or discourage self-motivated behaviour such as blood donation. With the growing number of paid plasma donation centres in the United States, and the ongoing challenge to recruit and retain volunteer blood donors, a better understanding of the impact of compensation on donation preferences is essential. A sample of 459 undergraduate students (73·9% female, mean age =18·9, SD=1·3years) completed an anonymous online survey that included a question about their preference for donating blood, donating plasma or neither. Preferences were re-assessed after providing information regarding current differential compensation for blood and plasma donations, and in the context of a hypothetical scenario where both blood and plasma donors could receive payment. Participants initially expressed a clear preference for donating blood (73·7%) relative to plasma (3·9%), but these preferences shifted in favour of plasma donation (47·7%) versus blood donation (39·4%) after learning that plasma donors can be paid. However, when asked to consider a hypothetical future wherein payment was offered for either type of donation, participants again reported a strong preference for donating blood (79·3%) relative to plasma (6·3%). These preferences did not differ as a function of sex or donation history. These results suggest that a significant proportion of young adults are positively motivated to donate blood or blood products by the opportunity for payment.

Temporal rise in the proportion of younger adults and older adolescents among coronavirus disease (COVID-19) cases following the introduction of physical distancing measures, Germany, March to April 2020.

Using data on coronavirus disease (COVID-19) cases in Germany from the Robert Koch Institute, we found a relative increase with time in the prevalence in 15–34 year-olds (particularly 20–24-year-olds) compared with 35–49- and 10–14-year-olds (we excluded older and younger ages because of different healthcare seeking behaviour). This suggests an elevated role for that age group in propagating the epidemic following the introduction of physical distancing measures.

Young People with Type 1 Diabetes: Prevalence of Disturbed Eating Behaviour and Psychosocial Care

Disturbed eating behaviour or clinically relevant eating disorders associated with type 1 diabetes have serious consequences for the metabolism and long-term health prognosis of those affected. Early diagnosis and qualified therapeutic interventions may help to prevent microvascular complications. In this study, the prevalence of eating disorders and the status of psychosocial care are assessed for a group of young people with type 1 diabetes, participating in a 4 days diabetes camp. During a diabetes camp for young people (16-29 years) in Germany, the participants completed a questionnaire on their current diabetes therapy, their diabetes-specific distress (PAID-5), and their psychosocial outpatient care. Symptoms of disturbed eating were assessed by a diabetes-specific screening questionnaire, the Diabetes Eating Problem Survey-Revised (DEPS-R). Overall 308 young people with type 1 diabetes (age 21.4±3.4 years, 73% female, diabetes duration 10.2±5.9 years, 74% in adult diabetes out-patient care) answered the questionnaire. In 28.2% of respondents, the cut-off of DEPS-R was exceeded (17% of men, 32% of women). Only 7% of the participants with symptoms of disturbed eating behaviour received appropriate psychological care. Multiple regress analysis indicates that HbA1c, BMI, diabetes-specific distress, age, diabetes duration, and sex account for the level of disturbed eating behaviour. Among the participants of a diabetes camp for young people, more than a quarter presented symptoms of disturbed eating behaviour. Overall, young women were affected more frequently; further risk factors were higher BMI, elevated HbA1c and diabetes-distress. Only a very small proportion of young adults with type 1 diabetes and disturbed eating behaviour received psychological support. Diabetes-specific screening instruments and/or specific screening questions should be used in outpatient routine care for young adults in a standardized manner, especially among young women, and the results should be discussed with the patients to initiate further treatment.

Acute, non-COVID related medical admissions during the first wave of COVID-19: A retrospective comparison of changing patterns of disease

COVID-19 may have altered the case-mix of non-COVID acute medical admissions. Retrospective analysis of acute medical admissions to University Hospitals Birmingham NHS Foundation Trust, showed that medical admissions decreased in April 2020 compared to April 2019. The proportion of young adults, non-cardiac chest pain, musculoskeletal conditions and self-discharges decreased. The proportion of admissions due to alcohol misuse, psychiatric conditions, overdoses and falls increased. There were a higher number of patients admitted to ICU and greater inpatient mortality but not once COVID diagnoses were excluded. There was a significant change in hospitalised case-mix with conditions potentially reflecting social isolation increasing and diagnoses which rarely require hospital treatment, reducing. This analysis will help inform service planning.

Explaining the Increase in Young Adults Living with Parents

:In recent years, a rising proportion of young adults living with their parents has garnered national attention. Even young adults between the ages of twenty-five to thirty-four have not been immune to this trend. This article explores the causes behind the rising parental co-residence over the past thirty-five years using macro data. The article shows that rents have far outstripped incomes for young adults and that increasing unaffordability of renting is a significant factor behind the rising proportion of young adults living with their parents. Although declining interest rates have mitigated rising home prices thereby increasing home affordability, they have not impacted rental affordability.

Owning, renting, or living with parents? Changing housing situations among Canadian young adults, 2001 to 2011

Homeownership is a central component of wealth, but many young adults today struggle to enter the housing market, opting to rent or live at home with their parents instead. Despite these trends, few recent Canadian studies have addressed the housing arrangements of young adults. We use pooled cross-sectional General Social Survey data from 2001 to 2011 to analyze three types of housing arrangements among 18- to 35-year-olds. Findings show that although the proportion of young adults living at home increased dramatically since 2001 and the proportion renting declined, rates of homeownership among young adults remained fairly constant over the three waves. Changes over time were most dramatic among the youngest age group of 18- to 24-year-olds, first-generation immigrants, and young adults with higher levels of education. Findings further demonstrate persistent socioeconomic and demographic disparities between young adults who can move out of their parents’ homes and into homeownership and those who either remain at home or become renters, with important repercussions on lifetime wealth inequality.

Disparities in survival by insurance status in chronic lymphocytic leukemia.

e18134 Background: Chronic Lymphocytic Leukemia (CLL) is the most common leukemia in western world. It is the disease of older adults with a median age at diagnosis of approximately 70 years. However, significant proportion of younger adults are diagnosed with CLL and they usually have an adverse clinical and molecular risk profile necessitating early interventional strategies compared to older patients. Socioeconomic disparities may affect survival for some patient populations. This study examined survival by insurance status for younger patients with CLL. Methods: The Surveillance, Epidemiology, and End Results database was used to identify patients, aged 15 - 64 years, who were diagnosed with CLL between 2007 and 2014 and whose insurance status (no insurance, Medicaid, and other insurance) was documented at diagnosis. Unadjusted associations between insurance status and overall survival (OS) were plotted using Kaplan-Meier curves. The association between insurance status and CLL-specific mortality was assessed using multivariate Cox proportional hazards regression models, adjusting for sociodemographic covariates. Results: A total of 10,913 patients with CLL were included with a median follow up of 44 months. Five-year survival estimates were 87.3%, 87.2%, and 94.0% for patients with no insurance, Medicaid, and other insurance, respectively. In multivariate analysis, compared to patients with other insurance, patients with no insurance (hazard ratio [HR] = 2.33, 95% confidence interval [CI] = 1.73 – 3.140) and Medicaid (HR = 1.95, 95% CI = 1.49 – 2.54) had significantly worse OS survival after adjusting for sociodemographic factors. Conclusions: Younger patients with no insurance or Medicaid have lower survival outcomes after diagnosis with CLL compared to patients with other insurance. Addressing barriers to care, providing resources, and expanding access to care is paramount to reducing the gap in survival for the uninsured patients and those with lower socioeconomic status. Further studies are needed to address poor survival outcomes among Medicaid patients.

Cultural Preferences or Financial Constraints? Understanding Racial and Ethnic Differences in Family Attitudes and Parental Coresidence in Young Adulthood

Establishing an independent household is a key marker of adulthood. Yet, the proportion of young adults who remain in the natal home has increased, with large variations across racial and ethnic groups. We test the role of cultural preferences versus financial constraints in accounting for variation in coresidence by examining young adults’ and parents’ family attitudes in conjunction with measures of financial resources. Using longitudinal data, we explore parents’ and children’s family attitudes when youth are in high school and their relationship to youths’ coresidence behavior a decade later. Though attitudes about family vary by race and ethnicity, these attitudes shape young adult living arrangements in White families and are not just influential among Latinx and Asian families. This highlights the relevance of parents’ views for the transition to adulthood and refocuses attention on the ways that financial constraints in young adulthood drive racial and ethnic differences in living arrangements.

Has the association between low school performance and the risk of disability benefit due to mental disorders become stronger over time?

BackgroundThe proportion of young adults on disability benefits due to mental disorders has increased in Europe since the early 2000’s. Poor educational achievement is a risk factor for disability benefits due to mental disorders in early adulthood, yet no study has examined whether this association has become stronger over time.MethodsAll residents of Stockholm County at the time of graduation from compulsory education between 2000 and 2007 (N = 169,125) were followed prospectively for recipient of disability benefits due to a mental disorder from 2003 to 2011. Information about the study participants was obtained by linkage of national registers. Low school performance in the last year of compulsory school was defined as having a merit rating corresponding to the lowest quintile. The association between school performance and disability benefits was examined using Cox proportional hazards models.ResultsLow school performers had a greater risk of disability benefits due to mental disorders during early adulthood, as compared to their better performing counterparts, and this association was more pronounced for the more recent graduation cohorts (OR = 1.12, 95% CI 1.08–1.16).ConclusionsThe association between low school performance and the risk of disability benefits due to mental disorders seems to become stronger during the first decade of the twenty-first century. It is plausible that this trend indicates an increased vulnerability of poor school performers to exclusion from the labor market. Prevention of school failure and adjustment of the labour market to individual variability in academic performance appear to be critical approaches to counteract this trend.