| Literature DB >> 32235306 |
Sakari Karvonen1, Laura Kestilä1, Arja Rimpelä2.
Abstract
Accumulated disadvantage (AD) is conceptualised here as an agglomeration of unfavourable or prejudicial conditions which in adolescence may compromise the progress to further education or future life chances. There are several theories on AD, suggesting, e.g., (1) an increase of AD by age and (2) trajectories (previous disadvantage predicts later disadvantage). Social pathways theory suggests that (3) a third factor (e.g., socioeconomic position, SEP) mediates or moderates the association between early and later disadvantage, while other theories imply (4) polarisation (a strengthening association between AD and SEP by age) or (5) equalisation (a weakening of association between AD and SEP). We apply these theories to longitudinal data of 7th graders (13 years, N = 5742), followed until the end of the 9th grade. Five dimensions of disadvantage were health (poor self-rated health), social behaviour (poor prosocial behaviour), normative (conduct disorders), educational (poor academic achievement), and economic (parental unemployment). The results show that the prevalence of AD increased over the follow-up as most indicators of disadvantage elevated. AD at the 7th grade predicted later AD, as did the SEP of the students. Moderation of AD by SEP was also observed. The study corroborates with hypotheses on increase of AD, trajectory, and social pathways but no signs of polarisation or equalisation were observed.Entities:
Keywords: Finland; comprehensive school; follow-up; health; multidimensional adversity; social determinants; young people
Year: 2020 PMID: 32235306 PMCID: PMC7177873 DOI: 10.3390/ijerph17072290
Source DB: PubMed Journal: Int J Environ Res Public Health ISSN: 1660-4601 Impact factor: 3.390
Key theories of accumulated disadvantage (AD) and hypotheses derived from them and applied to school years between 13 to 16 years.
| Theory | Hypothesis |
|---|---|
| Increase of AD [ | Accumulated disadvantage becomes more frequent over the school years |
| Trajectory [ | Previous accumulated disadvantage associates with later accumulated disadvantage |
| Social pathway: moderation [ | The effect of earlier AD on later AD is moderated by a socio-economic factors (parents’ level of education, family type, area of residence, immigrant background) or gender |
| Polarisation [ | Stronger association between socioeconomic position (SEP) and accumulated disadvantage over time |
| Equalisation [ | Weakening association between accumulated disadvantage and SEP during school years |
Prevalence (%) of dimensions of disadvantage and accumulated disadvantage at the 7th and 9th grades, by gender (N = 4337–5677) and their statistical significance (p) by gender and grade (95% confidence interval).
| Dimension and Indicator of Disadvantage | Boys | Girls | ||||
|---|---|---|---|---|---|---|
| 7th | 9th | 7th | 9th | 7th | 9th | |
| Health: |
|
|
|
| 0.295 | 0.828 |
| Social Behaviour: | 16.9 | 16.4 | 5.2 | 4.9 | <0.001 | <0.001 |
| Normative: |
|
|
|
| 0.001 | <0.001 |
| Economic: |
|
| 8.6 | 10.0 | 0.172 | 0.346 |
| Educational: |
|
|
|
| 0.012 | <0.001 |
| Not Accumulated: |
|
|
|
| <0.001 | <0.001 |
| Accumulated: |
|
|
|
| <0.001 | <0.001 |
1 Bold = 95% confidence intervals do not overlap; 2 Strengths and Difficulties Questionnaire; 3 Grade Point Average.
Odds ratios (OR, 95% CI: Confidence Interval) for each indicator of disadvantage at the 9th grade when having the same disadvantage at the 7th grade. (N = 4239–5677).
| Indicators of Disadvantage at 7th Grade | 9th Grade, OR |
|
|---|---|---|
| Health: Poor or average self-rated health | 6.39 (5.34–7.64) | <0.001 |
| Social Behaviour: SDQ 1: abnormal prosocial behaviour | 1.63 (1.29–2.06) | <0.001 |
| Normative: SDQ 1: abnormal conduct | 1.33 (1.05–1.69) | 0.017 |
| Economic: One of the parents unemployed or stays at home | 1.47 (1.14–1.89) | 0.003 |
| Educational: GPA 2 below 7 | 1.68 (1.36–2.07) | <0.001 |
| Has accumulated disadvantage at 7th grade | 6.19 (4.91–7.81) | < 0.001 |
1 Strengths and Difficulties Questionnaire; 2 Grade Point Average.
Sociodemographic factors accounting for accumulated disadvantage at the 7th and at the 9th grades. Odds ratios (OR, 95% CI: Confidence Interval) and p-values, bivariate models.
| Sociodemographic Factor | 7th Grade, OR |
| 9th Grade, OR |
|
|---|---|---|---|---|
| Gender (girls) | ||||
| - boys | 1.84 (1.47–2.30) | <0.001 | 2.19 (1.86–2.57) | <0.001 |
| Parents’ level of education (high) | ||||
| - middle | 1.27 (0.97–1.65) | 1.29 (1.07–1.55) | ||
| - lower | 2.17 (1.58–2.97) | <0.001 | 2.20 (1.74–2.77) | <0.001 |
| Immigrant background (no) | ||||
| - yes | 1.73 (1.18–2.56) | 0.006 | 1.73 (1.30–2.30) | <0.001 |
| Family type (intact) | ||||
| - other | 2.02 (1.62–2.52) | <0.001 | 1.80 (1.53–2.11) | <0.001 |
| Area of residence (capital area) | ||||
| - area of rapid growth | 1.30 (1.00–1.67) | 1.50 (1.24–1.81) | ||
| - other areas | 1.63 (1.22–2.17) | 0.002 | 1.86 (1.51–2.29) | <0.001 |
Odds ratios (OR) of sociodemographic factors accounting for accumulated disadvantage at the 9th grade. Logistic regression analysis. (N = 4183).
| Sociodemographic Factor | 9th Grade, OR |
|
|---|---|---|
| Gender (girls) | ||
| - boys | 1.90 (1.58–2.28) | <0.001 |
| Parents’ level of education (high) | ||
| - middle | 1.28 (1.03–1.59) | |
| - lower | 2.03 (1.54–2.65) | <0.001 |
| Immigrant background (no) | ||
| - yes | 1.53 (1.08–2.16) | 0.016 |
| Family type (intact) | ||
| - other | 1.56 (1.29–1.89) | <0.001 |
| Area of residence (capital area) | ||
| - area of rapid growth | 1.42 (1.14–1.76) | |
| - other areas | 1.96 (1.55–2.49) | <0.001 |
| Accumulated disadvantage at grade 7 (no) | ||
| - yes | 4.76 (3.72–6.08) | <0.001 |
Accumulated disadvantage (AD) at the 9th grade (%) by gender, parents’ level of education and AD status at the 7th grade. (N = 4195).
| Girls | AD Status at the 9th Grade | AD Status at the 7th Grade | |||
|---|---|---|---|---|---|
| No Accumulated Disadvantage (AD) ( | Accumulated Disadvantage (AD) ( | Total, | |||
| Parents’ level of education | |||||
| - High | No AD | 95% | 48% | 693 | |
| AD | 5% | 52% | 48 | ||
| - Middle | No AD | 90% | 57% | 1014 | |
| AD | 10% | 43% | 135 | ||
| - Lower | No AD | 86% | 68% | 270 | |
| AD | 14% | 32% | 51 | ||
| AD at grade 7 | No AD | 91% | 58% | 1977 | |
| AD | 9% | 42% | 234 | ||
|
|
|
| |||
| Parents’ level of education | |||||
| - High | No AD | 87% | 50% | 589 | |
| AD | 13% | 50% | 106 | ||
| - Middle | No AD | 84% | 57% | 820 | |
| AD | 16% | 43% | 186 | ||
| - Lower | No AD | 72% | 49% | 193 | |
| AD | 28% | 51% | 90 | ||
| AD at grade 7 | No AD | 84% | 53% | 1602 | |
| AD | ( | 16% | 47% | 382 | |