The role of low educational attainment on the pathway from adolescent internalizing and externalizing problems to early adult labour market disconnection in the Dutch TRAILS cohort
Mental health challenges in adolescence may affect labour market transitions in young adulthood. Policies addressing early labour market disconnection largely focus on early school-leaving and educational attainment; however, the role of low educational attainment on the path from adolescent mental...
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Elsevier
2023-03-01
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Series: | SSM: Population Health |
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Online Access: | http://www.sciencedirect.com/science/article/pii/S2352827322002798 |
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author | Anita Minh Christopher B. McLeod Sijmen A. Reijneveld Karin Veldman Sander K.R. van Zon Ute Bültmann |
author_facet | Anita Minh Christopher B. McLeod Sijmen A. Reijneveld Karin Veldman Sander K.R. van Zon Ute Bültmann |
author_sort | Anita Minh |
collection | DOAJ |
description | Mental health challenges in adolescence may affect labour market transitions in young adulthood. Policies addressing early labour market disconnection largely focus on early school-leaving and educational attainment; however, the role of low educational attainment on the path from adolescent mental health to labour market disconnection is unclear. Using the TRacking Adolescents' Individual Lives Survey from the Netherlands (n = 1,197), we examined the extent to which achieving a basic educational qualification (by age 22) in the contemporary Dutch education system, mediates the effect of adolescent mental health (age 11–19) on early adult labour market disconnection, defined as ‘not in education, employment, or training’ (NEET, age 26). We estimated the total effect, the natural direct and indirect effects, and the controlled direct effects of internalizing and externalizing symptoms on NEET by gender. Among young men, clinical levels of adolescent externalizing symptoms were associated with a 0.093 higher probability of NEET compared with no symptoms (95% confidence interval, CI: 0.001, 0.440). The indirect effect through educational attainment accounted for 15.1% of the total effect. No evidence of mediation was observed for the relationship between externalizing symptoms and NEET in young women. No evidence of mediation was observed for the relationship between adolescent internalizing symptoms and NEET in either gender. The findings imply that adolescent externalizing symptoms disrupts the achievement of a basic educational qualification, leading to a higher probability of NEET in young men. This mechanism may play a smaller role in the risk of NEET associated with internalizing symptoms and in young women. |
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issn | 2352-8273 |
language | English |
last_indexed | 2024-04-10T15:30:35Z |
publishDate | 2023-03-01 |
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series | SSM: Population Health |
spelling | doaj.art-c0790f5aa8cb40b39450e15ace6fe8862023-02-14T04:06:54ZengElsevierSSM: Population Health2352-82732023-03-0121101300The role of low educational attainment on the pathway from adolescent internalizing and externalizing problems to early adult labour market disconnection in the Dutch TRAILS cohortAnita Minh0Christopher B. McLeod1Sijmen A. Reijneveld2Karin Veldman3Sander K.R. van Zon4Ute Bültmann5School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada; University of Groningen, University Medical Center Groningen, Department of Health Sciences, Community and Occupational Medicine, Groningen, Netherlands; Corresponding author. School of Population and Public Health, University of British Columbia, 2206 E Mall, Vancouver, BC, V6T 1Z9, Canada.School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada; Institute for Work & Health, Toronto, Ontario, CanadaUniversity of Groningen, University Medical Center Groningen, Department of Health Sciences, Community and Occupational Medicine, Groningen, NetherlandsUniversity of Groningen, University Medical Center Groningen, Department of Health Sciences, Community and Occupational Medicine, Groningen, NetherlandsUniversity of Groningen, University Medical Center Groningen, Department of Health Sciences, Community and Occupational Medicine, Groningen, NetherlandsUniversity of Groningen, University Medical Center Groningen, Department of Health Sciences, Community and Occupational Medicine, Groningen, NetherlandsMental health challenges in adolescence may affect labour market transitions in young adulthood. Policies addressing early labour market disconnection largely focus on early school-leaving and educational attainment; however, the role of low educational attainment on the path from adolescent mental health to labour market disconnection is unclear. Using the TRacking Adolescents' Individual Lives Survey from the Netherlands (n = 1,197), we examined the extent to which achieving a basic educational qualification (by age 22) in the contemporary Dutch education system, mediates the effect of adolescent mental health (age 11–19) on early adult labour market disconnection, defined as ‘not in education, employment, or training’ (NEET, age 26). We estimated the total effect, the natural direct and indirect effects, and the controlled direct effects of internalizing and externalizing symptoms on NEET by gender. Among young men, clinical levels of adolescent externalizing symptoms were associated with a 0.093 higher probability of NEET compared with no symptoms (95% confidence interval, CI: 0.001, 0.440). The indirect effect through educational attainment accounted for 15.1% of the total effect. No evidence of mediation was observed for the relationship between externalizing symptoms and NEET in young women. No evidence of mediation was observed for the relationship between adolescent internalizing symptoms and NEET in either gender. The findings imply that adolescent externalizing symptoms disrupts the achievement of a basic educational qualification, leading to a higher probability of NEET in young men. This mechanism may play a smaller role in the risk of NEET associated with internalizing symptoms and in young women.http://www.sciencedirect.com/science/article/pii/S2352827322002798AdolescentYoung adultMental healthEducationEmploymentMediation |
spellingShingle | Anita Minh Christopher B. McLeod Sijmen A. Reijneveld Karin Veldman Sander K.R. van Zon Ute Bültmann The role of low educational attainment on the pathway from adolescent internalizing and externalizing problems to early adult labour market disconnection in the Dutch TRAILS cohort SSM: Population Health Adolescent Young adult Mental health Education Employment Mediation |
title | The role of low educational attainment on the pathway from adolescent internalizing and externalizing problems to early adult labour market disconnection in the Dutch TRAILS cohort |
title_full | The role of low educational attainment on the pathway from adolescent internalizing and externalizing problems to early adult labour market disconnection in the Dutch TRAILS cohort |
title_fullStr | The role of low educational attainment on the pathway from adolescent internalizing and externalizing problems to early adult labour market disconnection in the Dutch TRAILS cohort |
title_full_unstemmed | The role of low educational attainment on the pathway from adolescent internalizing and externalizing problems to early adult labour market disconnection in the Dutch TRAILS cohort |
title_short | The role of low educational attainment on the pathway from adolescent internalizing and externalizing problems to early adult labour market disconnection in the Dutch TRAILS cohort |
title_sort | role of low educational attainment on the pathway from adolescent internalizing and externalizing problems to early adult labour market disconnection in the dutch trails cohort |
topic | Adolescent Young adult Mental health Education Employment Mediation |
url | http://www.sciencedirect.com/science/article/pii/S2352827322002798 |
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