Selective Classes and Early Health Inequalities in Comprehensive Schools in Finland.

BACKGROUND: The origin of inequalities in health outcomes has been explained by health selection and social causation models. Health selection processes operate particularly at school age. We study, if student allocation to teaching groups with aptitude tests (selective vs general class) differentia...

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Published in:Journal of School Health Vol. 94; no. 9; pp. 820 - 830
Main Authors: Kesanto‐Jokipolvi, Heidi, Seppänen, Piia, Koivuhovi, Satu, Siipola, Mari, Autio, Reija, Rimpelä, Arja
Format: research tables/charts Journal Article
Published: Wiley-Blackwell Sep2024
Online Access:View this record in EBSCOhost
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      dt: Sep2024
      vid: 94
      iid: 9
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/josh.13488
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        atl: Selective Classes and Early Health Inequalities in Comprehensive Schools in Finland.
      aug:
        au:
          Kesanto‐Jokipolvi, Heidi
          Seppänen, Piia
          Koivuhovi, Satu
          Siipola, Mari
          Autio, Reija
          Rimpelä, Arja
        affil: Faculty of Social Sciences, Unit of Health Sciences, Tampere University, Tampere, Finland
      sug:
        subj:
          Student Selection
          Health Inequities
          Academic Performance
          Aptitude Tests
          Health Behavior In Adolescence
          Mental Health In Adolescence
          Students, Elementary Psychosocial Factors
          Schools Finland
          Human
          Female
          Male
          Finland
          Questionnaires
          Structural Equation Modeling
          Socioeconomic Factors
          Descriptive Statistics
          Chi Square Test
          Paired T-Tests
          Linear Regression
          Intraclass Correlation Coefficient
          Data Analysis Software
          Factor Analysis
          Adolescence
          Adolescent: 13-18 years
          Female
          Male
      ab: BACKGROUND: The origin of inequalities in health outcomes has been explained by health selection and social causation models. Health selection processes operate particularly at school age. We study, if student allocation to teaching groups with aptitude tests (selective vs general class) differentiates adolescents by health behaviors and mental health. METHODS: Finnish schoolchildren 12‐13 years from 12 selective classes, n = 248; 41 general classes, n = 703 answered a questionnaire on addictive products (tobacco, snus, alcohol, and energy drinks), digital media use, and mental health (health complaints, anxiety, and depression). Structural equation modeling was conducted to identify structures between outcomes, SEP (socioeconomic position), class type, and academic performance. RESULTS: Students in the selective classes reported less addictive digital media and addictive products use than students in the general classes. Differences in academic performance or SEP between the class types did not solely explain these differences. Mental health was not related to the class type. SEP was indirectly associated with health behaviors via the class type and academic performance. CONCLUSIONS: Selecting students to permanent teaching groups with aptitude tests differentiates students according to risky health behaviors. The impact of education policies using student grouping should also be evaluated in terms of students' health.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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