Abstract
Highly educated people have better health than those without education. The number of young adults pursuing higher education is increasing; In 2015 almost half the Norwegian adult population had completed higher education (1). Studies have investigated horizontal stratification (i.e. differentiation within higher education) effects on labor market outcomes, but few have studied health returns from education (2). Data stem from a recent national student health survey from 2018 for higher education in Norway (the SHoT2018-study; N = 50 054, response rate = 30.8%). We examined the associations between level of ongoing education (One-year program, Bachelor, Master, longer professional education) and mental health problems measured with Hopkins Symptoms Checklist (HSCL-25; 3. There was a pattern of decreasing symptoms of mental health problems with level of study program, F (5,49782) = 103,34, p < .001. The results formed a monotonic relationship; each level of increased education was associated with significantly less mental health problems. There was no difference between the Masters and professional programs. We found evidence of horizontal stratification of mental health problems in this large sample of Norwegian college and university students. The observed association may have three explanations; causality may run from schooling to health (4), it may run from health to schooling (5), or both may be determined third factors. Further studies should investigate mechanisms such as stigma and social status in relation to the observed associations (6,7).
1 OECD. (OECD Publishing, 2015), 2 Conti, G. et al. Am. Econ. Rev. 100, 234-238 (2010), 3 Derogatis, L. et al. Behavioral science 19, 1-15 (1974), 4 Grossman, Michael et al. in Handbook of the Economics of Education (eds. Eric A Hanushek & F. Welch) 1, (Elsevier, 2006), 5 Currie, J. J Econ Lit 47, 87-122 (2009), 6 Marmot, M. (Bloomsbury, 2004), 7 Hagquist, C. E. I. Eur J Public Health 17, 21-26 (2007)
Key messages
Increasing numbers of young adults pursue higher education, it is therefore important to investigate educational inequalities within higher education. College students pursuing higher education (masters or professional programs) have fewer mental health problems relative to college students enrolled in higher education, but at lower levels.