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A Multilevel Study on Ethnic and Socioeconomic School Stratification and Health-Related Behaviors Among Students in Stockholm
Stockholm University, Faculty of Social Sciences, Centre for Health Equity Studies (CHESS).
Stockholm University, Faculty of Social Sciences, Centre for Health Equity Studies (CHESS). Stockholm University, Faculty of Social Sciences, Aging Research Center (ARC), (together with KI).
2015 (English)In: Journal of School Health, ISSN 0022-4391, E-ISSN 1746-1561, Vol. 85, no 12, 871-879 p.Article in journal (Refereed) Published
Abstract [en]

BACKGROUND

This study examines the extent to which high alcohol consumption, drug use, and delinquency vary between schools with different socioeconomic characteristics, over and above the pupil's own sociodemographic background.

METHODS

Analyses are based on data on 5484 ninth-grade students distributed over 93 schools in Stockholm, from the 2010 Stockholm School Survey. School-level information was retrieved from the Swedish National Agency for Education. School disadvantage was determined by combining information on the level of education among parents and the share of pupils with a nonnative background, 2 aspects that have been shown to be central to school segregation in Sweden.

RESULTS

Results indicate significant school-to-school differences in relation to all outcomes. The risk for high alcohol consumption and drug use is greater in more advantaged school settings, adjusting for individual characteristics, whereas the opposite is true in relation to criminal behavior. The school's level of collective efficacy also seems to play an important, albeit not mediating, role.

CONCLUSIONS

Regardless of an adolescent's own background, the risk of having adverse health behaviors is higher at certain schools compared to others. However, school socioeconomic factors do not influence health behaviors consistently; instead, it seems as if the association varies depending on the behavior under study.

Place, publisher, year, edition, pages
2015. Vol. 85, no 12, 871-879 p.
Keyword [en]
alcohol use, drug use, adolescence, risk factors, school environment
National Category
Public Health, Global Health, Social Medicine and Epidemiology Sociology
Research subject
Sociology
Identifiers
URN: urn:nbn:se:su:diva-122732DOI: 10.1111/josh.12344ISI: 000364331700006OAI: oai:DiVA.org:su-122732DiVA: diva2:868370
Available from: 2015-11-10 Created: 2015-11-10 Last updated: 2017-12-01Bibliographically approved
In thesis
1. Expressions of context: Studies of schools, families, and health risk behaviours
Open this publication in new window or tab >>Expressions of context: Studies of schools, families, and health risk behaviours
2016 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This thesis explores the health behaviours of young people. The main focus is on risk behaviours, i.e. those which may have adverse consequences for health. Two fields of interest are looked at. On the one hand, the thesis explores social determinants of such behaviours, with particular focus on the influence of schools’ structural and social environment on health risk behaviours among youth. On the other hand, the thesis addresses the role of such behaviours in the relationship between childhood social inequalities and adult health. In terms of theory, the study sets out from Coleman's view of the association between structure and agency and the assumption that macro level structures and patterns can be understood on the basis of individual actors’ actions. The thesis consists of four studies addressing different, but related, aspects of the above areas of interest. The overall conclusion of studies I-III is that the school context has direct and indirect effects on young people's risk behaviours. The results of multilevel analyses indicate, more specifically, that students who attend more advantaged schools report more risk behaviours such as smoking, alcohol- and drug use than students at more disadvantaged schools. Self-reported crime is however higher in the more disadvantaged school settings. Further analyses show that a school's social and normative climate also is important for the extent to which youth consume alcohol, smoke, or have used drugs. These risk behaviours are most prevalent in schools where a large proportion of the parents have a more permissive attitude towards alcohol and smoking, and where teacher-rated levels of trust and informal social control (collective efficacy) are high. The results show, further, that school contexts also act indirectly on youth risk behaviours. Young people who reports weak bonds with their parents tend generally to be more involved in risk behaviours than those who report strong bonds. This tendency is reinforced in more advantaged school settings. Finally, Study IV demonstrates that youth risk behaviours act accumulatively and indirectly on later health, rather than directly. Moreover, the importance of risk behaviours for later health varies between the birth cohorts. Health behaviours explain a larger part of the relationship between socioeconomic conditions in childhood and health as an adult in the younger cohort.

Place, publisher, year, edition, pages
Stockholm: Department of Sociology, Stockholm University, 2016. 59 p.
Series
Health Equity Studies, ISSN 1651-5390 ; 20
National Category
Sociology
Research subject
Sociology
Identifiers
urn:nbn:se:su:diva-135348 (URN)978-91-7649-512-4 (ISBN)978-91-7649-513-1 (ISBN)
Public defence
2016-12-16, William-Olssonsalen, Geovetenskapens hus, Svante Arrhenius väg 14, Stockholm, 10:00 (English)
Opponent
Supervisors
Note

At the time of the doctoral defense, the following papers were unpublished and had a status as follows: Paper 3: Manuscript. Paper 4: Manuscript.

Available from: 2016-11-23 Created: 2016-11-05 Last updated: 2016-11-22Bibliographically approved

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Olsson, GabriellaFritzell, Johan
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