Evidence map›Paper›PMID 29282033›Full record

ArticleBMC public health2017

Adolescent reserve capacity, socioeconomic status and school achievement as predictors of mortality in Finland - a longitudinal study.

Paulyn Jean Acacio-Claro, Leena Kristiina Koivusilta, Judith Rafaelita Borja, Arja Hannele Rimpelä

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.3field-weighted citation impact, top 33% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
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  5. A Chronic Disease in Adolescence and Selection to an Educational Path-A Longitudinal Study.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 2 countries.

Paulyn Jean Acacio-ClaroFaculty of Social Sciences, Health Sciences, University of Tampere, Tampere, Finland. Claro.Paulyn.J@student.uta.fi.ORCID 0000-0002-6186-1176
Leena Kristiina KoivusiltaFaculty of Social Sciences, Department of Social Research, University of Turku, Turku, Finland.
Judith Rafaelita BorjaUSC-Office of Population Studies Foundation, Inc. and Department of Nutrition and Dietetics, University of San Carlos, Cebu City, Philippines.
Arja Hannele RimpeläFaculty of Social Sciences, Health Sciences, University of Tampere, Tampere, Finland.
Tampere University · FIUniversity of San Carlos · PHUniversity of Turku · FI

Funding

Competitive State Research Financing of the Expert Responsibility Area of Tampere University Hospital 9P063 and 9S055Juho Vainio Foundation 201410193Ministry of Social Affairs and Health the §27 Appropriation of the Tobacco Act
6 · The paper itself

Abstract

backgroundDespite robust evidence on the inverse relationship between socioeconomic status (SES) and mortality, deviations from expected results have been observed likely due to school achievement and psychosocial resources, termed as "reserve capacity." Since adolescence is a critical period in developing sound psychological and behavioural patterns and adolescent markers of SES were seldom used, we determine if family SES in adolescence predicts later mortality. We also study how reserve capacity (perceived health, health-promoting behaviour and social support) and school achievement modify this relationship and reduce the negative effects of low SES.

methodsA longitudinal study was designed by linking baseline data on 12 to 18 year-old Finns in 1985-95 (N = 41,833) from the Adolescent Health and Lifestyle Surveys with register data on mortality and SES from Statistics Finland. Average follow-up time was 18.4 years with a total of 770,161 person-years. Cox regression models, stratified by sex, were fitted to determine the effects of variables measured during adolescence: family SES, reserve capacity and school achievement on mortality risk.

resultsAll reserve capacity dimensions significantly predicted mortality in boys. Perceived health and social support predicted that in girls. Adolescents with the lowest school achievement were more than twice at risk of dying compared to those with better school performance. Low SES increased the risk of death in boys (Hazard ratios: 1.6, 95% CI 1.1-2.4) but not in girls. Reserve capacity and school achievement weakened the effects of low SES on boys' risk of death.

conclusionsHigh reserve capacity and good school achievement in adolescence significantly reduce the risk of mortality. In boys, these also mitigate the negative effect of low SES on mortality. These findings underscore the roles of reserve capacity and school achievement during adolescence as likely causal or modifying factors in SES-health inequalities.

Indexed as

Academic SuccessDiagnostic Self EvaluationHealth BehaviorSocial ClassSocial SupportAdolescentAdultChildFemaleFinlandHealth SurveysHumansLongitudinal StudiesMaleMortalityLife course epidemiologyMortalityPsychosocial resourcesReserve capacitySocioeconomic status

Identifiers

PMID29282033
PMCPMC5745635
OpenAlexW2780645627

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.