, Volume 46, Issue 4, pp 671-694

Understanding links between adolescent health and educational attainment

Rent the article at a discount

Rent now

* Final gross prices may vary according to local VAT.

Get Access


The educational and economic consequences of poor health during childhood and adolescence have become increasingly clear, with a resurgence of evidence leading researchers to reconsider the potentially significant contribution of early-life health to population welfare both within and across generations. Meaningful relationships between early-life health and educational attainment raise important questions about how health may influence educational success in young adulthood and beyond, as well as for whom its influence is strongest. Using data from the National Longitudinal Survey of Youth 1997, I examine how adolescentś health and social status act together to create educational disparities in young adulthood, focusing on two questions in particular. First, does the link between adolescent health and educational attainment vary across socioeconomic and racial/ethnic groups? Second, what academic factors explain the connection between adolescent health and educational attainment? The findings suggest that poorer health in adolescence is strongly negatively related to educational attainment, net of both observed confounders and unobserved, time-invariant characteristics within households. The reduction in attainment is particularly large for non-Hispanic white adolescents, suggesting that the negative educational consequences of poor health are not limited to only the most socially disadvantaged adolescents. Finally, I find that the link between adolescent health and educational attainment is explained by academic factors related to educational participation and, most importantly, academic performance, rather than by reduced educational expectations. These findings add complexity to our understanding of how the educational consequences of poor health apply across the social hierarchy, as well as why poor health may lead adolescents to complete less schooling.

Earlier versions of this article were presented at the 2006 meeting of the Population Association of America and the 2007 meeting of the American Sociological Association. I am grateful for financial support during this research from the Center for Health and Wellbeing and the Office of Population Research (NICHD T32HD01763) at Princeton University. Many thanks are due to Robert Mare, Anne Pebley, Judith Seltzer, and several anonymous reviewers for their helpful suggestions along the way.