School performance and alcohol-related disorders in early adulthood: a Swedish national cohort study

International Journal of Epidemiology
Karl GauffinAnders Hjern

Abstract

Alcohol misuse is an important global health determinant and a major contributor to health inequalities. We aimed to investigate the association between school performance and alcohol-related disorders in early adulthood in a longitudinal register-based national cohort study. We followed a register-based national cohort of Swedish citizens born 1973-1984 (N = 948,440) from compulsory school graduation at age 15-16 to 2009. We divided the population into five groups: high school marks (> mean + 1 SD); high average (between mean and mean + 1 SD); low average (between mean and mean - 1 SD); low (< mean - 1SD); and missing. Cox proportional hazard models were used to investigate the relation between school marks at time of graduation and hospital care for alcohol-related disorders in early adulthood. There was a steep gradient in the risk of alcohol-related disorders related to school performance. In comparison with peers in the top category of school marks, students with low marks had adjusted hazard ratios of 8.02 [95% confidence interval (CI) 7.20 to 8.91], low average 3.02 (2.72 to 3.35) and high average 1.55 (1.39 to 1.73). The risk associated with low school marks was stronger in the male population and in the group from high...Continue Reading

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Citations

May 29, 2019·Nordic Journal of Psychiatry·Lisa BergAnders Hjern
Jun 18, 2019·Alcohol and Alcoholism : International Journal of the Medical Council on Alcoholism·Siri ThorJonas Landberg
Jul 12, 2019·Prevention Science : the Official Journal of the Society for Prevention Research·Katherine J Karriker-JaffeNina Mulia
May 13, 2020·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Ludmila Gonçalves PerruciChristopher Wagstaff
Mar 16, 2017·BMC Health Services Research·Onkabetse V MabikwaSarah J Fleming
Oct 21, 2020·Addictive Behaviors·Helena C KalteneggerSebastian Lundström
Jul 19, 2021·Journal of Traumatic Stress·Lisa BergAnders Hjern
Aug 31, 2021·European Journal of Public Health·Line BagerEsben Agerbo

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