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Strandh, Mattias
Publications (10 of 59) Show all publications
diva2:1370386
Open this publication in new window or tab >>Consequences of school grading systems on adolescent health: evidence from a Swedish school reform
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2019 (English)In: Journal of education policy, ISSN 0268-0939, E-ISSN 1464-5106Article in journal (Refereed) Epub ahead of print
Abstract [en]

Education reforms that entail increased emphasis on high-stakes testing, assessment and grading have spread across education systems in recent decades. Critics have argued that these policies could have consequences for stress, identity, self-esteem and the overall health of pupils. However, these potentially negative consequences have rarely been investigated in a systematic and rigorous way. In this study we use a major education reform in Sweden, which introduced grades and increased the use of testing for pupils in the 6th and 7th school year (aged 12 to 13 years), to study the consequences of grading and assessment for health outcomes. Using data from the Health Behaviours of School-Aged Children Survey, we find that the reform increased school-related stress and reduced the academic self-esteem of pupils in the 7th school year. This, in turn, had an indirect effect on psychosomatic symptoms and life satisfaction for these pupils. Moreover, the negative effects of the reform were generally stronger for girls, thereby widening the already troubling gender differences in health. We conclude that accountability reforms aimed at increased use of testing, assessment and grading can potentially have negative side effects on pupils’ health.

National Category
Educational Sciences Social Work
Identifiers
urn:nbn:se:umu:diva-165211 (URN)10.1080/02680939.2019.1686540 (DOI)000493743800001 ()
Available from: 2019-11-15 Created: 2019-11-15 Last updated: 2019-11-21
Högberg, B., Strandh, M., Petersen, S. & Johansson, K. (2019). Education system stratification and health complaints among school-aged children. Social Science and Medicine, 220, 159-166
Open this publication in new window or tab >>Education system stratification and health complaints among school-aged children
2019 (English)In: Social Science and Medicine, ISSN 0277-9536, E-ISSN 1873-5347, Vol. 220, p. 159-166Article in journal (Refereed) Published
Abstract [en]

Research shows that the school environment is an important social determinant of health among children and adolescents. However, we know virtually nothing of the health consequences of national education systems and policies, for example the stratification of pupils by academic ability. This study aimed to investigate if education system stratification is related to self-reported psychological and somatic health complaints of pupils aged 11 to 15, and social inequalities in such health complaints.

Survey data from the Health Behaviors of School-aged Children (HBSC) survey, covering 33 countries and more than 180 000 pupils in primary and lower secondary school, were used. Multilevel models showed that education system stratification was not associated with the average levels of health complaints of pupils, but cross-level interaction effects showed that stratification moderated the relationship between social background and health complaints, such that inequalities in health complaints were smaller in countries with more stratified systems. Moreover, this moderating effect was mediated by the school learning environmentand social relations in school. Specifically, social inequalities in school pressure, academic self-concept, school climate, and school satisfaction were smaller in more stratified education systems, which in turn accounted for smaller inequalities in health complaints in these countries.

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Health complaints, Health inequalities, Education systems, Schools Children, Adolescents, Multilevel, Comparative research
National Category
Public Health, Global Health, Social Medicine and Epidemiology Social Work
Identifiers
urn:nbn:se:umu:diva-155320 (URN)10.1016/j.socscimed.2018.11.007 (DOI)000456222400017 ()30445341 (PubMedID)
Funder
Forte, Swedish Research Council for Health, Working Life and Welfare, 2015-00048Swedish Research Council, 2018-03870_3
Available from: 2019-01-11 Created: 2019-01-11 Last updated: 2019-02-26Bibliographically approved
Assarsson, R., Petersen, S., Högberg, B., Strandh, M. & Johansson, K. (2019). Gender inequality and adolescent suicide ideation across Africa, Asia, the South Pacific and Latin America: a cross-sectional study based on the Global School Health Survey (GSHS). Global Health Action, 11, Article ID 1663619.
Open this publication in new window or tab >>Gender inequality and adolescent suicide ideation across Africa, Asia, the South Pacific and Latin America: a cross-sectional study based on the Global School Health Survey (GSHS)
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2019 (English)In: Global Health Action, ISSN 1654-9716, E-ISSN 1654-9880, Vol. 11, article id 1663619Article in journal (Refereed) Published
Abstract [en]

Background: Suicide ideation is a health issue affecting adolescents worldwide. There are significant variations in suicide ideation between countries and genders, which have not been fully explained. Research is especially lacking in countries outside Europe and North America. Gender equality has been shown to matter in other aspects of adolescent mental health, such as life satisfaction, but has not been researched in relation to suicide ideation at national level.

Objective: To investigate how national gender inequality is related to self-reported suicide ideation among adolescents, and whether this association differs between boys and girls.

Methods: This is a cross-national, cross-sectional study using individual survey data from the Global School-based Student Health Survey, a survey in Africa, Asia, Latin America and the South Pacific, developed and supported by among others the WHO and the CDC; connecting this to national data: the gender inequality index from the UNDP; controlling for GDP per capita and secondary school enrolment. The data was analysed using a multilevel logistic regression method and included 149,306 students from 37 countries.

Results: Higher national gender inequality, as measured by the gender inequality index, was significantly associated with a higher likelihood of suicide ideation in both girls and boys (odds ratio: 1.38 p-value: 0.015), but for girls and both sexes this was only after adjusting for selection bias due to secondary school enrolment (as well as GDP/capita). Interaction models showed that this association was stronger in boys than in girls.

Conclusions: National gender inequality seems to be associated with higher levels of suicide ideation among adolescents in mainly low- and middle-income countries, especially among boys.

Place, publisher, year, edition, pages
Taylor & Francis, 2019
Keywords
Gender equality, adolescents, suicide ideation, global health, mental health, child, inequality, low income populations, gender, suicide
National Category
General Practice Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Family Medicine
Identifiers
urn:nbn:se:umu:diva-164000 (URN)10.1080/16549716.2019.1663619 (DOI)2-s2.0-85072558412 (Scopus ID)
Note

SPECIAL ISSUE: Gender and Health Inequality

Available from: 2019-10-11 Created: 2019-10-11 Last updated: 2019-10-15Bibliographically approved
Bortes, C., Strandh, M. & Nilsson, K. (2019). Is the effect of ill health on school achievement among Swedish adolescents gendered?. SSM - Population Health, 8, Article ID 100408.
Open this publication in new window or tab >>Is the effect of ill health on school achievement among Swedish adolescents gendered?
2019 (English)In: SSM - Population Health, ISSN 2352-8273, Vol. 8, article id 100408Article in journal (Refereed) Published
Abstract [en]

This study investigates why the relationship between health problems requiring hospitalization between the ages of 13 and 16 and school achievement (school grades in 9th grade) in Sweden was stronger for girls than for boys. We reviewed previous research on gender differences in subjective health, health care utilization and medical drug treatment to identify mechanisms responsible for this gendered effect. The relationship was analysed using retrospective observational data from several national full-population registers of individuals born in 1990 in Sweden (n = 115 196), and ordinary least squares techniques were used to test hypotheses. We found that girls had longer stays when hospitalized, which mediated 15% of the interaction effect. Variability in drug treatment between boys and girls did not explain the gendered effect of hospitalization. The main mediator of the gendered effect was instead differences in diagnoses between boys and girls. Girls’ hospitalizations were more commonly related to mental and behavioural diagnoses, which have particularly detrimental effects on school achievement.

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Sweden, Child health, Adolescent health, Disease, Mental disorders, Academic achievement, Registries, Gender differences
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-163022 (URN)10.1016/j.ssmph.2019.100408 (DOI)31289741 (PubMedID)
Available from: 2019-09-05 Created: 2019-09-05 Last updated: 2019-10-31Bibliographically approved
Högberg, B., Strandh, M. & Baranowska-Rataj, A. (2019). Transitions from temporary employment to permanent employment among young adults: The role of labour law and education systems. Journal of Sociology
Open this publication in new window or tab >>Transitions from temporary employment to permanent employment among young adults: The role of labour law and education systems
2019 (English)In: Journal of Sociology, ISSN 0004-8690Article in journal (Refereed) Epub ahead of print
Abstract [en]

Temporary work is common across Europe, especially among young people. Whether temporary employment is a transitory stage on the road to standard employment, and whether this varies depending on institutional contexts, is controversial. This article investigates variability in transition rates from temporary to permanent employment across Europe, and how this is related to employment protection legislation (EPL) and the vocational specificity of education systems. We utilize harmonized panel data from the European Union Statistics on Income and Living Conditions, covering 18 European countries and including 34,088 temporary workers aged 18–30. The results show that stricter EPL is associated with lower rates of transitions to permanent employment, while partial deregulation, with strict EPL for permanent contracts but weaker EPL for temporary contracts, is associated with higher transition rates. Vocationally specific education systems have higher transition rates, on average. Moreover, the role of EPL is conditional on the degree of vocational specificity.

Place, publisher, year, edition, pages
Sage Publications, 2019
Keywords
age groups, education systems, employment opportunities, labour market, social stratification, unemployment, welfare state, youth
National Category
Sociology (excluding Social Work, Social Psychology and Social Anthropology)
Research subject
Sociology; Social Medicine
Identifiers
urn:nbn:se:umu:diva-163490 (URN)10.1177/1440783319876997 (DOI)000488721600001 ()
Available from: 2019-09-23 Created: 2019-09-23 Last updated: 2019-10-24
Högberg, B., Vossemer, J., Gebel, M. & Strandh, M. (2019). Unemployment, well-being, and the moderating role of education policies: A multilevel study. International Journal of Comparative Sociology, 60(4), 269-291
Open this publication in new window or tab >>Unemployment, well-being, and the moderating role of education policies: A multilevel study
2019 (English)In: International Journal of Comparative Sociology, ISSN 0020-7152, E-ISSN 1745-2554, Vol. 60, no 4, p. 269-291Article in journal (Refereed) Published
Abstract [en]

This article aims to investigate if education policies moderate the association between unemployment and well-being among young adults. Based on the capability approach, we argue that education policies mitigate the negative effects of unemployment by providing opportunities for education and thus ways to exit unemployment. Education policies can strengthen capabilities, enhance the control that individuals have over their situation, and thereby reduce the stress associated with unemployment. We estimated cross-level interactions between education policies and unemployment status using multilevel methods and data from the European Social Survey. Results showed that policies that increase educational opportunities—such as generous second chance opportunities—were associated with smaller negative effects of unemployment on well-being and that this moderating impact was stronger for young adults with low education. Further analyses show that education policies are also associated with perceived capabilities among unemployed, supporting the proposed mechanism.

Place, publisher, year, edition, pages
Sage Publications, 2019
Keywords
Capabilities, education policies, spillover effects, unemployment, well-being, young adults
National Category
Sociology Sociology (excluding Social Work, Social Psychology and Social Anthropology)
Identifiers
urn:nbn:se:umu:diva-162919 (URN)10.1177/0020715219874386 (DOI)000492484500003 ()
Available from: 2019-09-02 Created: 2019-09-02 Last updated: 2019-11-20Bibliographically approved
Högberg, B., Strandh, M., Baranowska-Rataj, A. & Johansson Sevä, I. (2018). Ageing, health inequalities and the welfare state: a multilevel analysis. Journal of European Social Policy, 28(4), 311-325
Open this publication in new window or tab >>Ageing, health inequalities and the welfare state: a multilevel analysis
2018 (English)In: Journal of European Social Policy, ISSN 0958-9287, E-ISSN 1461-7269, Vol. 28, no 4, p. 311-325Article in journal (Refereed) Published
Abstract [en]

Comparative studies of health inequalities have largely neglected age and ageing aspects, while ageing research has often paid little attention to questions of social inequalities. This article investigates cross-country differences in gradients in self-rated health and limiting long-standing illness (LLSI) in middle-aged and in older people (aged 50–64 and 65–80 years) linked to social class, and degrees to which the social health gradients are associated with minimum pension levels and expenditure on elderly care. For these purposes, data from the European Social Survey (2002–2010) are analysed using multilevel regression techniques. We find significant cross-level interaction effects between class and welfare policies: higher expenditure on elderly care and particularly more generous minimum pensions are associated with smaller health inequalities in the older age group (65–80 years). It is concluded that welfare policies moderate the association between social class and health, highlighting the importance of welfare state efforts for older persons, who are strongly reliant on the welfare state and welfare state arrangements such as pensions and care policies.

Place, publisher, year, edition, pages
Sage Publications, 2018
Keywords
health equity, LLSI, social class, social gradient, subjective health
National Category
Sociology
Research subject
Sociology
Identifiers
urn:nbn:se:umu:diva-143461 (URN)10.1177/0958928717739234 (DOI)000445639900001 ()
Funder
Welfare and Life-course
Available from: 2018-01-01 Created: 2018-01-01 Last updated: 2019-09-02Bibliographically approved
Namatovu, F., Strandh, M., Ivarsson, A. & Nilsson, K. (2018). Effect of childhood coeliac disease on ninth grade school performance: evidence from a population-based study. Archives of Disease in Childhood, 103(2), 143-148
Open this publication in new window or tab >>Effect of childhood coeliac disease on ninth grade school performance: evidence from a population-based study
2018 (English)In: Archives of Disease in Childhood, ISSN 0003-9888, E-ISSN 1468-2044, Vol. 103, no 2, p. 143-148Article in journal (Refereed) Published
Abstract [en]

Background: Coeliac disease might affect school performance due to its effect on cognitive performance and related health consequences that might increase school absenteeism. The aim of this study was to investigate whether children with coeliac disease performed differently on completion of ninth grade in school compared with children without coeliac disease.

Methods: Analysis was performed on a population of 445 669 children born in Sweden between 1991 and 1994 of whom 1767 were diagnosed with coeliac disease. School performance at ninth grade was the outcome and coeliac disease was the exposure. Other covariates included sex, Apgar score at 5 min, small for gestational age, year of birth, family type, parental education and income.

Results: There was no association between coeliac disease and school performance at ninth grade (adjusted coefficient -2.4, 95% CI 5.1 to 0.4). A weak association was established between late coeliac diagnosis and higher grades, but this disappeared after adjusting for parent socioeconomic conditions. Being small for gestational age affected performance negatively (adjusted coefficient -6.9, 95% CI 8.0 to 5.7). Grade scores were significantly lower in children living with a single parent (adjusted coefficient -20.6, 95% CI 20.9 to 20.2), compared with those with married/cohabiting parents. A positive association was found between scores at ninth grade and parental education and income.

Conclusion: Coeliac disease diagnosis during childhood is not associated with poor school performance at ninth grade.

Place, publisher, year, edition, pages
BMJ Publishing Group Ltd, 2018
Keywords
achievement, celiac, disease, education, grades, income, performance and school
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:umu:diva-139901 (URN)10.1136/archdischild-2017-312830 (DOI)000424019400011 ()28844065 (PubMedID)
Available from: 2017-09-26 Created: 2017-09-26 Last updated: 2018-06-09Bibliographically approved
Bortes, C., Strandh, M. & Nilsson, K. (2018). Health problems during childhood and school achievement: Exploring associations between hospitalization exposures, gender, timing, and compulsory school grades. PLoS ONE, 13(12), 1-14, Article ID e0208116.
Open this publication in new window or tab >>Health problems during childhood and school achievement: Exploring associations between hospitalization exposures, gender, timing, and compulsory school grades
2018 (English)In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 13, no 12, p. 1-14, article id e0208116Article in journal (Refereed) Published
Abstract [en]

AIMS:

To investigate while accounting for health at birth 1) associations between health problems during childhood, measured as hospitalizations, and school achievement in the final year of compulsory school, measured as overall grade points and eligibility for upper secondary education, 2) if and how gender moderates the association between health problems and school achievement, 3) if and how the timing of a health problem during childhood is associated with later school achievement.

METHODS:

Analyzes were performed on a population-based cohort (n = 115 196) born in 1990 in Sweden (51.3% boys, 48.7% girls) using data from several national registries. Multiple linear regression and logistic regression were used to analyze associations between study variables.

RESULTS:

Overall grade points and eligibility for continuation to upper secondary school were lower for individuals exposed to hospitalizations. Only the association between hospitalizations and overall grade points was moderated by gender and only for ages 13-16 years. Exposure close to actual grading had worst outcomes.

CONCLUSIONS:

Health problems, measured through hospitalizations, was significantly associated with lower school achievements among Swedish children. Girls exposed to health problems requiring hospitalizations had relatively poorer school achievements as compared to boys. Health problems requiring hospitalization during junior high school had the greatest negative association with final achievement at compulsory school.

Place, publisher, year, edition, pages
Public Library of Science, 2018
National Category
Social Work
Identifiers
urn:nbn:se:umu:diva-154744 (URN)10.1371/journal.pone.0208116 (DOI)000452212400079 ()30517159 (PubMedID)
Funder
Swedish Research Council, 2014-1992Marianne and Marcus Wallenberg Foundation, 2014.0154
Available from: 2018-12-29 Created: 2018-12-29 Last updated: 2019-02-01Bibliographically approved
Vossemer, J., Gebel, M., Täht, K., Unt, M., Högberg, B. & Strandh, M. (2018). The effects of unemployment and insecure jobs on well-being and health: the moderating role of labor market policies. Social Indicators Research, 138(3), 1229-1257
Open this publication in new window or tab >>The effects of unemployment and insecure jobs on well-being and health: the moderating role of labor market policies
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2018 (English)In: Social Indicators Research, ISSN 0303-8300, E-ISSN 1573-0921, Vol. 138, no 3, p. 1229-1257Article in journal (Refereed) Published
Abstract [en]

Labor market insecurities have been growing in Europe and previous research has illustrated that unemployment and insecure jobs negatively affect individuals’ well-being and health. Although empirical evidence suggests that these effects vary substantially across different welfare states, we still know little about the moderating role of specific labor market policies. Taking a cross-national comparative perspective, this article investigates how passive and active labor market policies (PLMP, ALMP) as well as employment protection legislation (EPL) shape the experience of unemployment and insecure jobs. We complement micro data of round 1–6 (2002–2012) of the European Social Survey with time-varying macro indicators of PLMP, ALMP, and EPL. The data include about 89,000 individuals nested in 112 country-rounds and 26 countries respectively. We apply three-level random intercept models as well as pooled linear regression models including country fixed effects. The results show that labor market policies are important in shaping the experience of unemployment, but are less relevant for workers in insecure jobs. Specifically, higher unemployment benefit generosity buffers the negative effects of unemployment on well-being but not health. Moreover, we discuss different interpretations for the finding that higher ALMP expenditures are associated with more negative effects of unemployment on well-being and health. With respect to EPL it is found that in countries with high insider protection, deregulating the restrictions on the use of temporary employment increases the negative effects of unemployment on well-being and health.

Place, publisher, year, edition, pages
Dordrecht: Springer, 2018
Keywords
Unemployment, Temporary employment, Fixed-term contract, Job insecurity, Well-being, Life satisfaction, Happiness, Health, Comparative, Cross-national, Multi-level, Labor market policies, Welfare state, Institutions
National Category
Political Science (excluding Public Administration Studies and Globalisation Studies)
Identifiers
urn:nbn:se:umu:diva-140282 (URN)10.1007/s11205-017-1697-y (DOI)000438558600017 ()2-s2.0-85025673826 (Scopus ID)
Available from: 2017-10-04 Created: 2017-10-04 Last updated: 2019-06-14Bibliographically approved
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