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...

Full description

Bibliographic Details
Main Authors: Anita Minh, Christopher B. McLeod, Sijmen A. Reijneveld, Karin Veldman, Sander K.R. van Zon, Ute Bültmann
Format: Article
Language:English
Published: Elsevier 2023-03-01
Series:SSM: Population Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352827322002798
_version_ 1811164945908236288
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.
first_indexed 2024-04-10T15:30:35Z
format Article
id doaj.art-c0790f5aa8cb40b39450e15ace6fe886
institution Directory Open Access Journal
issn 2352-8273
language English
last_indexed 2024-04-10T15:30:35Z
publishDate 2023-03-01
publisher Elsevier
record_format Article
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
work_keys_str_mv AT anitaminh theroleofloweducationalattainmentonthepathwayfromadolescentinternalizingandexternalizingproblemstoearlyadultlabourmarketdisconnectioninthedutchtrailscohort
AT christopherbmcleod theroleofloweducationalattainmentonthepathwayfromadolescentinternalizingandexternalizingproblemstoearlyadultlabourmarketdisconnectioninthedutchtrailscohort
AT sijmenareijneveld theroleofloweducationalattainmentonthepathwayfromadolescentinternalizingandexternalizingproblemstoearlyadultlabourmarketdisconnectioninthedutchtrailscohort
AT karinveldman theroleofloweducationalattainmentonthepathwayfromadolescentinternalizingandexternalizingproblemstoearlyadultlabourmarketdisconnectioninthedutchtrailscohort
AT sanderkrvanzon theroleofloweducationalattainmentonthepathwayfromadolescentinternalizingandexternalizingproblemstoearlyadultlabourmarketdisconnectioninthedutchtrailscohort
AT utebultmann theroleofloweducationalattainmentonthepathwayfromadolescentinternalizingandexternalizingproblemstoearlyadultlabourmarketdisconnectioninthedutchtrailscohort
AT anitaminh roleofloweducationalattainmentonthepathwayfromadolescentinternalizingandexternalizingproblemstoearlyadultlabourmarketdisconnectioninthedutchtrailscohort
AT christopherbmcleod roleofloweducationalattainmentonthepathwayfromadolescentinternalizingandexternalizingproblemstoearlyadultlabourmarketdisconnectioninthedutchtrailscohort
AT sijmenareijneveld roleofloweducationalattainmentonthepathwayfromadolescentinternalizingandexternalizingproblemstoearlyadultlabourmarketdisconnectioninthedutchtrailscohort
AT karinveldman roleofloweducationalattainmentonthepathwayfromadolescentinternalizingandexternalizingproblemstoearlyadultlabourmarketdisconnectioninthedutchtrailscohort
AT sanderkrvanzon roleofloweducationalattainmentonthepathwayfromadolescentinternalizingandexternalizingproblemstoearlyadultlabourmarketdisconnectioninthedutchtrailscohort
AT utebultmann roleofloweducationalattainmentonthepathwayfromadolescentinternalizingandexternalizingproblemstoearlyadultlabourmarketdisconnectioninthedutchtrailscohort