Abstract
Quantify the relationships between adolescent self-reported health and college intention in a diverse sample including Asians. Data were used from 3,737 adolescents ages 12–17 who completed the 2003 California Health Interview Survey. Self-reported intention to attend college/university was compared to other plans. Multivariate logistic models predicting college intention by health status (poor/fair, good, or very good/excellent) were performed with the entire sample and for each race/ethnicity separately. Age, poverty, gender, rural residence, and parental college education were controlled. Participants were 44 % white, 36 % Hispanic, 11 % Asian, and 9 % black. Overall, 10 % reported poor/fair health, 30 % good health, and 60 % very good/excellent health. Whites were the most likely to report very good/excellent health and Hispanics least likely (χ2(6) = 11.85; p < 0.01). Eighty-one percent had college plans, which also varied by race/ethnicity with Asians most likely to report college intentions and Hispanics least likely (χ2(3) = 3.97; p < 0.05). In the overall multivariate model, adolescents in poor/fair health (OR: 0.53; 95 % CI: 0.34–0.83) and good health (OR: 0.59; 95 % CI: 0.45–0.78) were significantly less likely to plan on college compared to those in very good/excellent health. Variation was seen by racial/ethnic group. For whites and blacks, only good health significantly predicted less college intention (compared to very good/excellent health) while only poor/fair health significantly predicted less college intention for Hispanics and Asians. Very good/excellent health in adolescence was associated with greater college intention compared to both fair/poor health and good health, but this relationship varied by race/ethnicity.
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Notes
Adjusted results are presented predicting college intention for males, of average age (14.5), not rural, not in poverty, and with a college educated parent.
References
Aud, S., Fox, M. A., & KewalRamani, A. (2010). Status and trends in the education of racial and ethnic groups. National Center of Education Statistics. Washington, DC. Retrieved September 3, 2011. (http://nces.ed.gov/pubs2010/2010015.pdf).
Boardman, J. D. (2006). Self-rated health among U.S. adolescents. Journal of Adolescent Health, 38(4), 401–408.
Bohon, S. A., Johnson, M. K., & Gorman, B. K. (2006). College expectations and aspirations among Latino adolescents in the United States. Social Problems, 52(2), 207–225.
California Health Interview Survey. (2010). CHIS 2003 Adolescent Public Use File, Release 3 [mrdf]. Los Angeles, CA: UCLA Center for Health Policy Research, May 2010. (http://www.chis.ucla.edu/main/PUF/puf03_teen_datadic.pdf).
Case, A., Fertig, A., & Paxson, C. (2005). The lasting impact of childhood health and circumstance. Journal of Health Economics, 24, 365–389.
Cutler, D. M., & Lleras-Muney, A. (2006). Education and health: Evaluating theories and evidence. NBER Working paper 12352; Retrieved on September 3, 2011. (http://www.nber.org/papers/w12352).
Dalstra, J. A. A., Kunst, A. E., Borrell, C., Breeze, E., Cambois, G., et al. (2005). Socioeconomic differences in the prevalence of common chronic diseases: an overview of eight European countries. International Journal of Epidemiology 34(2):316–26. (Epub 2005 Feb 28).
Fiscella, K., & Kitzman, H. (2009). Disparities in academic achievement and health: The intersection of child education and health policy. Pediatrics, 123, 1073–1080.
Fosse, N. E., & Haas, S. A. (2009). Validity and stability of self-reported health among adolescents in a longitudinal, nationally representative survey. Pediatrics, 123(3), e496–e501.
Haas, S. A. (2006). Health selection and the process of social stratification: The effects of childhood health on socioeconomic attainment. Journal of Health and Social Behavior, 47, 339–354.
Haas, S. A., & Fosse, N. E. (2008). Health and the educational attainment of adolescents: Evidence from the NLSY97. Journal of Health and Social Behavior, 49, 178–192.
Hossler, D., & Stage, F. K. (1992). Family and high school experience influences on the postsecondary educational plans of ninth-grade students. American Educational Research Journal, 29, 425–451.
Jackson, M. I. (2009). Understanding the links between adolescent health and educational attainment. Demography, 46, 671–694.
Kandula, N. R., Lauderdale, D. S., & Baker, D. W. (2007). Differences in self-reported health among Asians, Latinos, and non-Hispanic whites: The role of language and nativity. Annals of Epidemiology, 17(3), 191–198.
Kao, G., & Thompson, J. S. (2003). Racial and ethnic stratification in educational achievement and attainment. Annual Review of Sociology, 29, 417–442.
Kessler, R. C., Foster, C. L., Saunders, W. B., & Stang, P. E. (1995). Social consequences of psychiatric disorders, I: Educational attainment. American Journal of Psychiatry, 152(7), 1026–1032.
Meara, E. R., Richards, S. & Cutler, D. M. (2008). The gap gets bigger: Changes in mortality and life expectancy, by education, 1981–2000. Health Affairs, 27, 350–360.
Mirowsky, J., & Ross, C. E. (2003). Education, social status, and health. New York: Aldine De Gruyter.
Mulye, T. P., Park, M. J., Nelson, C. D., Adams, S. H., Irwin, C. E., Brindis, C. D. (2009). Trends in adolescent and young adult health in the US. Journal of Adolescence Health 45(1):8–24.
Robert Wood Johnson Foundation. (2009). Issue brief 6: Education and health. Retrieved on September 3, 2011. (http://www.rwjf.org/files/research/commission2009eduhealth.pdf).
Sedaie, B. (1998). Economic literacy and the intention to attend college. Research in Higher Education, 39(3), 337–364.
Silverman, M., Smola, S., & Musa, D. (2000). The meaning of healthy and not healthy: Older African Americans and whites with chronic illness. Journal of Cross Cultural Gerontology, 15(2), 139–156.
StataCorp. (2009). Stata statistical Software: Release 11. College Station, TX: StataCorp LP.
Stewart, E. B., Stewart, E. A., & Simons, R. L. (2007). The effects of neighborhood context on the college aspirations of African American adolescents. American Educational Research Journal, 44(4), 896–919.
Toldson, I. A., Braithwait, R. L., & Rentie, R. J. (2009). Promoting college aspirations among school-age black American males. Diversity in Higher Education, 7, 117–137.
United States Department of Health and Human Services. (1999). Mental health: A report of the surgeon general. Retrieved September 2, 2011. (http://www.surgeongeneral.gov/library/mentalhealth/home.html).
United States Census Bureau. (2009). Educational Attainment in the United States: 2007. Retrieved on August 4, 2011. (http://www.census.gov/prod/2009pubs/p20-560.pdf).
Woolf, S. H., Johnson, R. E., Phillips, R. L., & Philpsen, M. (2007). Giving everyone the health of the educated: An examination of whether social change would save more lives than medical advances. American Journal of Public Health, 97, 679–683.
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This work was presented as poster presentations at both the AcademyHealth Research meeting and the AcademyHealth Child Health Interest group meeting in Boston, MA in June 2010.
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Sentell, T. Adolescent-Rated Health and Intention to Attend College: Variation by Race/Ethnicity and Levels of Health Status. Race Soc Probl 4, 112–120 (2012). https://doi.org/10.1007/s12552-012-9073-7
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DOI: https://doi.org/10.1007/s12552-012-9073-7