Medical benefits in young adulthood: a population-based longitudinal study of health behaviour and mental health in adolescence and later receipt of medical benefits

This paper examines whether the degree of convergence between occupational aspirations and actual occupational achievement can elucidate the relationship between socioeconomic status and sickness absence. The analyses draw on survey data from a longitudinal study following 1,552 respondents from adolescence through young adulthood linked to register data on sickness absence. Occupational aspirations in adolescence were contrasted with actual occupational achievement in young adulthood and used to predict sickness absence. In accordance with existing research, socioeconomic status significantly predicted sickness absence, even after controlling for several relevant variables. Including aspiration achievement in the analysis reduced the relationship between socioeconomic status and sickness absence, while aspiration achievement was significantly related to sickness absence. The findings indicate that aspiration achievement mediates the relationship between socioeconomic status and sickness absence

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Depression and self-harm from adolescence to young adulthood in sexual minorities compared with heterosexuals in the UK: a population-based cohort study

European Journal of Public Health ◽

10.1093/eurpub/ckz185.138 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

M Irish ◽

F Solmi ◽

B Mars ◽

M King ◽

G Lewis ◽

...

Keyword(s):

Mental Health ◽

Depressive Symptoms ◽

Young Adulthood ◽

Sexual Minority ◽

Sexual Minorities ◽

Multilevel Models ◽

Mental Health Problems ◽

Population Based ◽

Minority Adolescents ◽

Self Harm

Abstract Background There are few population-based cohort studies of the emergence, development, and persistence of mental health problems in sexual minorities compared with heterosexuals. We compared trajectories of depressive symptoms in sexual-minority adolescents and heterosexual adolescents from when they were aged 10 to 21 years, and examined self-harm at ages 16 and 21 years. Methods The study included 4828 adolescents born between April 1, 1991, and Dec 31, 1992, from the Avon Longitudinal Study of Parents and Children birth cohort (Bristol, UK) who reported their sexual orientation when aged 16 years. Depressive symptoms were assessed with the short Mood and Feelings Questionnaire at seven timepoints between ages 10 and 21 years. A self-harm questionnaire was completed at ages 16 and 21 years. Analyses were linear multilevel models with growth curves (depressive symptoms), logistic multilevel models (self-harm in the previous year at ages 16 and 21 years), and multinomial regression (lifetime self-harm with and without suicidal intent at age 21 years). Findings At age 10, depressive symptoms were higher in sexual minorities than in heterosexuals and increased with age to a larger extent. Depressive symptoms increased at each timepoint by 0·31 points in hetereosexuals, and by 0·49 points in sexual minorities. Sexual-minority adolescents were more likely than heterosexual adolescents to report self-harm in the previous year at ages 16 and 21 years, with no evidence that this estimate decreased with age. At aged 21, sexual minorities were more likely to report lifetime self-harm (ie, on at least one previous occasion) with suicidal intent than heterosexuals. Interpretation Mental health disparities between heterosexuals and sexual minorities are present early in adolescence and increase throughout the school years, persisting to young adulthood. Prevention of these mental health problems and early intervention must be a priority.

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