View in EDS

School performance and substance use disorders in early adulthood among non-immigrant and immigrant populations in Sweden

Saved in:
Bibliographic Details
Title: School performance and substance use disorders in early adulthood among non-immigrant and immigrant populations in Sweden
Authors: Okuyama, Kenta, Larsson Lönn, Sara, Khoshnood, Ardavan M, Sundquist, Jan, Sundquist, Kristina
Contributors: Lund University, Faculty of Medicine, Department of Clinical Sciences, Malmö, Family Medicine and Clinical Epidemiology, Lunds universitet, Medicinska fakulteten, Institutionen för kliniska vetenskaper, Malmö, Allmänmedicin och klinisk epidemiologi, Originator, Lund University, Faculty of Medicine, Department of Clinical Sciences, Lund, Section II, Medicine/Emergency Medicine, Lund, Emergency medicine, Lunds universitet, Medicinska fakulteten, Institutionen för kliniska vetenskaper, Lund, Sektion II, Medicin/akutsjukvård, Lund, Akutsjukvård, Originator, Lund University, Faculty of Medicine, Department of Clinical Sciences, Malmö, Cardiovascular Research - Hypertension, Lunds universitet, Medicinska fakulteten, Institutionen för kliniska vetenskaper, Malmö, Kardiovaskulär forskning - hypertoni, Originator, Lund University, Profile areas and other strong research environments, Other Strong Research Environments, LUCC: Lund University Cancer Centre, Lunds universitet, Profilområden och andra starka forskningsmiljöer, Övriga starka forskningsmiljöer, LUCC: Lunds universitets cancercentrum, Originator, Lund University, Profile areas and other strong research environments, Strategic research areas (SRA), EpiHealth: Epidemiology for Health, Lunds universitet, Profilområden och andra starka forskningsmiljöer, Strategiska forskningsområden (SFO), EpiHealth: Epidemiology for Health, Originator
Source: European Journal of Public Health. :1-7
Subject Terms: Medical and Health Sciences, Health Sciences, Drug Abuse and Addiction, Medicin och hälsovetenskap, Hälsovetenskap, Beroendelära och missbruk, Basic Medicine, Epidemiology, Medicinska och farmaceutiska grundvetenskaper, Epidemiologi, Social Sciences, Sociology, Samhällsvetenskap, Sociologi
Description: Individuals with immigrant background generally perform less well in school than non-immigrants. Performing well in school may decrease the risk of substance use disorder (SUD). We investigated whether higher school performance is associated with a decreased risk of SUD in early adulthood among immigrants and non-immigrants and whether subsequent educational attainment and employment status partly explain the association. We used nationwide longitudinal Swedish data on 1 365 634 individuals born 1985-2000. Study individuals were categorized as non-immigrants, second-generation immigrants, and first-generation immigrants. School performance was based on the final school grades of compulsory education when most individuals were 16 years old. SUD was assessed between 20 and 30 years old using medical/legal registers. Cox proportional hazard models were used to examine the association between school performance and SUD by immigrant status, and whether it was partly explained by subsequent educational attainment and employment status. Higher school performance was associated with a decreased risk of SUD among all non-immigrant and immigrant groups where most immigrant groups had higher SUD risks. One standard deviation increase in school grades was associated with a 30%-37% decreased hazard of SUD. The significant hazard ratios varied between 0.63 and 0.70. The association between school performance and SUD was partly explained by subsequent educational attainment and employment status. Improving school performance during compulsory education may prevent SUD in early adulthood, particularly among immigrants who had higher risks. Securing subsequent educational attainment and employment could be additional prevention strategies against SUD.
Access URL: https://doi.org/10.1093/eurpub/ckaf164
Database: SwePub
Be the first to leave a comment!
You must be logged in first