Selective Classes and Early Health Inequalities in Comprehensive Schools in Finland

IF 1.8 4区医学 Q2 EDUCATION & EDUCATIONAL RESEARCH

Journal of School Health Pub Date : 2024-07-03 DOI:10.1111/josh.13488

Heidi Kesanto-Jokipolvi MSc, Piia Seppänen PhD, Satu Koivuhovi PhD (Ed.), Mari Siipola MEd, Reija Autio DTech, Arja Rimpelä PhD

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引用次数: 0

Abstract

BACKGROUND

The origin of inequalities in health outcomes has been explained by health selection and social causation models. Health selection processes operate particularly at school age. We study, if student allocation to teaching groups with aptitude tests (selective vs general class) differentiates adolescents by health behaviors and mental health.

METHODS

Finnish schoolchildren 12-13 years from 12 selective classes, n = 248; 41 general classes, n = 703 answered a questionnaire on addictive products (tobacco, snus, alcohol, and energy drinks), digital media use, and mental health (health complaints, anxiety, and depression). Structural equation modeling was conducted to identify structures between outcomes, SEP (socioeconomic position), class type, and academic performance.

RESULTS

Students in the selective classes reported less addictive digital media and addictive products use than students in the general classes. Differences in academic performance or SEP between the class types did not solely explain these differences. Mental health was not related to the class type. SEP was indirectly associated with health behaviors via the class type and academic performance.

CONCLUSIONS

Selecting students to permanent teaching groups with aptitude tests differentiates students according to risky health behaviors. The impact of education policies using student grouping should also be evaluated in terms of students' health.

Abstract Image

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芬兰综合学校的择班和早期健康不平等。

背景：健康选择和社会因果关系模型解释了健康结果不平等的根源。健康选择过程尤其在学龄期发挥作用。我们研究了通过能力测试将学生分配到教学小组（选修班与普通班）是否会在健康行为和心理健康方面对青少年产生影响：来自 12 个选修班（n = 248）和 41 个普通班（n = 703）的 12-13 岁芬兰中小学生回答了有关成瘾产品（烟草、鼻烟、酒精和能量饮料）、数字媒体使用和心理健康（健康投诉、焦虑和抑郁）的问卷。研究采用结构方程模型来确定结果、SEP（社会经济地位）、班级类型和学习成绩之间的结构：结果：与普通班的学生相比，选修班的学生使用成瘾性数字媒体和成瘾性产品的情况较少。班级类型之间学习成绩或社会经济地位的差异并不能完全解释这些差异。心理健康与班级类型无关。SEP通过班级类型和学习成绩与健康行为间接相关：结论：通过能力测试将学生选入永久性教学小组，可根据学生的危险健康行为将其区分开来。采用学生分组的教育政策对学生健康的影响也应进行评估。

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来源期刊

Journal of School Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

3.70

自引率

9.10%

发文量

134

审稿时长

6-12 weeks

期刊介绍： Journal of School Health is published 12 times a year on behalf of the American School Health Association. It addresses practice, theory, and research related to the health and well-being of school-aged youth. The journal is a top-tiered resource for professionals who work toward providing students with the programs, services, and environment they need for good health and academic success.