Julie Erickson1, Renée El-Gabalawy2, Daniel Palitsky3, Scott Patten4, Corey S Mackenzie1, Murray B Stein5, Jitender Sareen6. 1. Department of Psychology, University of Manitoba, Manitoba, Canada. 2. Department of Clinical Health Psychology and Anesthesia and Perioperative Medicine, University of Manitoba, Manitoba, Canada. 3. Department of Psychiatry, College of Medicine, University of Manitoba, Manitoba, Canada. 4. Department of Community Health Sciences and Psychiatry, University of Calgary, Alberta, Canada. 5. Department of Psychiatry and Family Medicine & Public Health, University of California San Diego, La Jolla, California. 6. Department of Psychiatry, Psychology and Community Health Sciences, University of Manitoba, Manitoba, Canada.
Abstract
OBJECTIVE: This study examined cross-sectional and longitudinal relationships between educational attainment and psychiatric disorders (i.e., mood, anxiety, substance use, and personality disorders) using a nationally representative survey of US adults. METHOD: We used data from Waves 1 and 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (N = 34,653). Bivariate and multiple logistic regressions examined cross-sectional and longitudinal associations between educational attainment and a variety of past-year and incident anxiety, mood, and substance use disorders, controlling for sociodemographics and psychiatric disorder comorbidity. RESULTS: Adjusted cross-sectional data indicated that educational attainment below a graduate or professional degree at Wave 2 was associated with significantly higher odds of substance use and/or dependence disorders (adjusted odds ratio range (AORR = 1.55-2.55, P < 0.001). Longitudinal adjusted regression analyses indicated that individuals reporting less than a college education at Wave 1 were at significantly higher odds of experiencing any incident mood (AORR 1.49-1.64, P < 0.01), anxiety (AORR 1.35-1.69, P < 0.01), and substance use disorder (AORR 1.50-2.02, P < 0.01) at Wave 2 even after controlling for other sociodemographic variables and psychiatric comorbidity. CONCLUSION: Findings lend support to other published research demonstrating that educational attainment is protective against developing a spectrum of psychiatric disorders. Mechanisms underlying this relationship are speculative and in need of additional research.
OBJECTIVE: This study examined cross-sectional and longitudinal relationships between educational attainment and psychiatric disorders (i.e., mood, anxiety, substance use, and personality disorders) using a nationally representative survey of US adults. METHOD: We used data from Waves 1 and 2 of the National Epidemiologic Survey on Alcohol and Related Conditions (N = 34,653). Bivariate and multiple logistic regressions examined cross-sectional and longitudinal associations between educational attainment and a variety of past-year and incident anxiety, mood, and substance use disorders, controlling for sociodemographics and psychiatric disorder comorbidity. RESULTS: Adjusted cross-sectional data indicated that educational attainment below a graduate or professional degree at Wave 2 was associated with significantly higher odds of substance use and/or dependence disorders (adjusted odds ratio range (AORR = 1.55-2.55, P < 0.001). Longitudinal adjusted regression analyses indicated that individuals reporting less than a college education at Wave 1 were at significantly higher odds of experiencing any incident mood (AORR 1.49-1.64, P < 0.01), anxiety (AORR 1.35-1.69, P < 0.01), and substance use disorder (AORR 1.50-2.02, P < 0.01) at Wave 2 even after controlling for other sociodemographic variables and psychiatric comorbidity. CONCLUSION: Findings lend support to other published research demonstrating that educational attainment is protective against developing a spectrum of psychiatric disorders. Mechanisms underlying this relationship are speculative and in need of additional research.
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