ArticleBMC public health2022
Young people's health and well-being during the school-to-work transition: a prospective cohort study comparing post-secondary pathways.
Article in BMC public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Educational Pathways, Parenting, and the Development of Self-Esteem from Adolescence to Young Adulthood: Evidence from South Korea.Journal of youth and adolescence · 2026Article
- Longitudinal patterns of adolescent well-being and associations with health-related outcomes in young adulthood: a cohort study using latent growth mixture modelling.Child and adolescent psychiatry and mental health · 2026Article
- Characterising the classes of children and young people with mental health concerns based on reported service contact.JCPP advances · 2026Article
- From Trust to Choice: A Cross-Sectional Survey of How Patient Trust in Pharmacists Shapes Willingness and Vaccination Decision Control Preferences.International journal of environmental research and public health · 2025Article
- Predictors of Life Satisfaction in Native Hawaiian and Pacific Islander College Students.International journal of environmental research and public health · 2025Article
- Health inequalities among young workers: the mediating role of working conditions and company characteristics.International archives of occupational and environmental health · 2023Article
- Does Subjective Well-Being Improve Self-Rated Health from Undergraduate Studies to Three Years after Graduation in China?Healthcare (Basel, Switzerland) · 2023Article
- Loneliness in University Students during Two Transitions: A Mixed Methods Approach Including Biographical Mapping.International journal of environmental research and public health · 2023Article
- Spatiotemporal Characteristics of Coupling and Coordination of Cultural Tourism and Objective Well-Being in Western China.International journal of environmental research and public health · 2022Article
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Authors and funding
7 authors.
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Abstract
backgroundAt the end of secondary education, young people can either start vocational training, enter university, directly transition to employment or become unemployed. Research assumes that post-secondary pathways have immediate and/or long-term impacts on health and well-being, but empirical investigations on this are scarce and restricted to few countries. Therefore, this study traced the development of health and well-being throughout the highly institutionalised school-to-work transition (STWT) in Germany.
methodsWe used longitudinal data of the National Educational Panel Study (NEPS), a representative sample of 11,098 school-leavers (50.5% girls) repeatedly interviewed between 2011 and 2020. We estimated the effect of post-secondary transitions on self-rated health and subjective well-being by applying fixed-effects (FE) regression, eliminating bias resulting from time-constant confounding and self-selection into different pathways. A multiple-sample strategy was used to account for the increasing diversity of STWTs patterns. Models were controlled for age, as well as household and residential changes to minimise temporal heterogeneity.
resultsFindings indicate that leaving school was good for health and well-being. Compared with participants who did not find a training position after school, direct transitions to vocational training or university were linked to higher absolute levels of health and well-being, but also to a lower relative decline over time. Furthermore, upward transitions (e.g. to programs leading to better education or from unemployment to employment) were associated with improvements in health and well-being, while downward transitions were followed by deteriorations.
conclusionFindings suggest that school-leave is a sensitive period and that post-secondary pathways provide young people with different abilities to maintain health and well-being. Youth health interventions might benefit when setting a stronger focus on unsuccessful school-leavers.
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