Mental health in adolescence and subsequent receipt of medical benefits in young adulthood: The mediating role of upper secondary school completion

Scandinavian Journal of Public Health
Å SagatunL Lien

Abstract

Mental health problems in adolescence are associated with impaired function in young adulthood. Our aim was to assess how a hypothetical reduction in mental health problems in adolescence was related to medical benefits in young adulthood and to examine the mediating role of completion of upper secondary school. We used a population-based sample of more than 10,000 10th-grade adolescents with self-reported data on internalizing and externalizing mental health problems. The sample was linked to the Norwegian national registers of education and medical benefits. The mediation analysis was based on a causal inference framework. During a three-year period in young adulthood, 6.4% of men and 5.9% of women received medical benefits. A two-point hypothetical reduction in externalizing problems was related to a lower probability of receiving medical benefits of 1.5 (95% confidence interval (CI) 1.0-2.1) percentage points in young men and 1.8 (95% CI 1.3-2.3) percentage points in young women. The proportion mediated by the completion of upper secondary school was 52% (95% CI 36-76) among boys and 42% (95% CI 29-60) among girls. The corresponding reduction in the probability of receiving medical benefits was 1.8 percentage points for int...Continue Reading

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Citations

Mar 14, 2018·European Journal of Public Health·Øystein HetlevikMari Hysing
Oct 10, 2018·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Øystein HetlevikSturla Gjesdal
Dec 6, 2020·Child and Adolescent Mental Health·Brynhildur AxelsdóttirLillebeth Larun

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Software Mentioned

SPSS
R
R package mediation

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