青少年心理健康:实行义务教育提前年级的影响。

IF 2.4 3区 医学 Q2 ECONOMICS
Health economics Pub Date : 2025-07-09 DOI:10.1002/hec.4982
Anna Linder, Ulf-G. Gerdtham, Gawain Heckley
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引用次数: 0

摘要

我们研究了义务教育等级的早期引入如何影响瑞典青少年接受精神障碍诊断的可能性。我们利用了一项学校改革,将年级的引入从8年级转移到6年级,从而首次接触到不同年龄段人群的评分。我们的研究结果表明,接受较早评分的女孩更有可能在义务教育结束时被诊断出患有抑郁症和焦虑症等内化障碍。这种影响在学习成绩中低的学生中尤为明显。我们还发现了启发性的证据,即暴露于较早分级的女孩和男孩都面临被诊断患有酒精相关疾病的风险增加。这些发现强调,早期接触分级可能会对青少年心理健康产生意想不到的不利影响。教育系统应认识到这些潜在风险,并在修订评分政策时考虑实施补充性的心理健康支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Adolescent Mental Health: Impact of Introducing Earlier Compulsory School Grades

Adolescent Mental Health: Impact of Introducing Earlier Compulsory School Grades

We examine how the earlier introduction of compulsory school grades affects the likelihood of receiving a mental disorder diagnosis among Swedish adolescents. We exploit a school reform that shifted the introduction of grades from grade 8 to grade 6, resulting in first exposure to grading at different ages between cohorts. Our results show that girls exposed to earlier grading are more likely to be diagnosed with internalizing disorders, such as depression and anxiety, by the end of compulsory school. This effect is particularly pronounced among students with low to moderate academic achievement. We also find suggestive evidence that both girls and boys exposed to earlier grading face an increased risk of being diagnosed with alcohol-related disorders. These findings highlight that early exposure to grading may have unintended adverse effects on adolescent mental health. Education systems should acknowledge these potential risks and consider implementing complementary mental health support when revising grading policies.

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来源期刊
Health economics
Health economics 医学-卫生保健
CiteScore
3.60
自引率
4.80%
发文量
177
审稿时长
4-8 weeks
期刊介绍: This Journal publishes articles on all aspects of health economics: theoretical contributions, empirical studies and analyses of health policy from the economic perspective. Its scope includes the determinants of health and its definition and valuation, as well as the demand for and supply of health care; planning and market mechanisms; micro-economic evaluation of individual procedures and treatments; and evaluation of the performance of health care systems. Contributions should typically be original and innovative. As a rule, the Journal does not include routine applications of cost-effectiveness analysis, discrete choice experiments and costing analyses. Editorials are regular features, these should be concise and topical. Occasionally commissioned reviews are published and special issues bring together contributions on a single topic. Health Economics Letters facilitate rapid exchange of views on topical issues. Contributions related to problems in both developed and developing countries are welcome.
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