Rathmann, Katharina ORCID: 0000-0002-2892-1624, Moor, Irene, Kunst, Anton E., Dragano, Nico, Pfoertner, Timo-Kolja, Elgar, Frank J., Hurrelmann, Klaus, Kannas, Lasse, Baska, Tibor ORCID: 0000-0002-3442-7470 and Richter, Matthias ORCID: 0000-0003-3898-3332 (2016). Is educational differentiation associated with smoking and smoking inequalities in adolescence? A multilevel analysis across 27 European and North American countries. Sociol. Health Ill., 38 (7). S. 1005 - 1026. HOBOKEN: WILEY. ISSN 1467-9566

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Abstract

This study aims to determine whether educational differentiation (i.e. early and long tracking to different school types) relate to socioeconomic inequalities in adolescent smoking. Data were collected from the WHO-Collaborative 'Health Behaviour in School-aged Children (HBSC)' study 2005/2006, which included 48,025 15-year-old students (N-boys = 23,008, N-girls = 25,017) from 27 European and North American countries. Socioeconomic position was measured using the HBSC family affluence scale. Educational differentiation was determined by the number of different school types, age of selection, and length of differentiated curriculum at the country-level. We used multilevel logistic regression to assess the association of daily smoking and early smoking initiation predicted by family affluence, educational differentiation, and their interactions. Socioeconomic inequalities in both smoking outcomes were larger in countries that are characterised by a lower degree of educational differentiation (e.g. Canada, Scandinavia and the United Kingdom) than in countries with higher levels of educational differentiation (e.g. Austria, Belgium, Hungary and The Netherlands). This study found that high educational differentiation does not relate to greater relative inequalities in smoking. Features of educational systems are important to consider as they are related to overall prevalence in smoking and smoking inequalities in adolescence.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Rathmann, KatharinaUNSPECIFIEDorcid.org/0000-0002-2892-1624UNSPECIFIED
Moor, IreneUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kunst, Anton E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dragano, NicoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pfoertner, Timo-KoljaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Elgar, Frank J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hurrelmann, KlausUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kannas, LasseUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Baska, TiborUNSPECIFIEDorcid.org/0000-0002-3442-7470UNSPECIFIED
Richter, MatthiasUNSPECIFIEDorcid.org/0000-0003-3898-3332UNSPECIFIED
URN: urn:nbn:de:hbz:38-263629
DOI: 10.1111/1467-9566.12420
Journal or Publication Title: Sociol. Health Ill.
Volume: 38
Number: 7
Page Range: S. 1005 - 1026
Date: 2016
Publisher: WILEY
Place of Publication: HOBOKEN
ISSN: 1467-9566
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
SOCIAL-CLASS GRADIENTS; WELFARE-STATE REGIMES; HEALTH INEQUALITIES; FAMILY AFFLUENCE; SOCIOECONOMIC INEQUALITIES; SCHOOL; BEHAVIORS; RISK; EXPLANATION; PREVALENCEMultiple languages
Public, Environmental & Occupational Health; Social Sciences, Biomedical; SociologyMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/26362

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