School-to-work and school-to-university transition and health inequalities among young adults: a scoping review

Objectives The main objective was to systematically map evidence regarding the emergence of health inequalities in individuals aged 16–24 years during school-to-work and school-to-university transition (STWT). Second, we aimed to summarise the evidence on potential effects of contextual and composit...

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Main Authors: Matthias Richter, Nico Dragano, Benjamin Wachtler, Stephanie Hoffmann, Max Herke, Katharina Diehl, Marvin Reuter, Paula Mayara Matos Fialho, Maria-Inti Metzendorf, Wiebke Schüttig, Christian Deindl, Sarah Schleberger, Claudia R Pischke
Format: Article
Language:English
Published: BMJ Publishing Group 2022-07-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/7/e058273.full
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author Matthias Richter
Nico Dragano
Benjamin Wachtler
Stephanie Hoffmann
Max Herke
Katharina Diehl
Marvin Reuter
Paula Mayara Matos Fialho
Maria-Inti Metzendorf
Wiebke Schüttig
Christian Deindl
Sarah Schleberger
Claudia R Pischke
author_facet Matthias Richter
Nico Dragano
Benjamin Wachtler
Stephanie Hoffmann
Max Herke
Katharina Diehl
Marvin Reuter
Paula Mayara Matos Fialho
Maria-Inti Metzendorf
Wiebke Schüttig
Christian Deindl
Sarah Schleberger
Claudia R Pischke
author_sort Matthias Richter
collection DOAJ
description Objectives The main objective was to systematically map evidence regarding the emergence of health inequalities in individuals aged 16–24 years during school-to-work and school-to-university transition (STWT). Second, we aimed to summarise the evidence on potential effects of contextual and compositional characteristics of specific institutional contexts entered during STWT on health and health behaviours.Design Scoping review.Study selection Relevant literature was systematically searched following the methodological framework proposed by Arksey and O’Malley. Ovid MEDLINE and Web of Science, and websites of the International Labour Organization and National Institute for Occupational Safety and Health were searched, using a predetermined search strategy. Articles in English or German published between 1 January 2000 and 3 February 2020 were considered.Data extraction To collect the main information from the selected studies, a data extraction spreadsheet was created. Data were summarised and grouped into five health outcomes and five institutional contexts (school, vocational training, university, work, unemployment).Results A total of 678 articles were screened for inclusion. To be able to draw a picture of the development of various health outcomes over time, we focused on longitudinal studies. Forty-six prospective studies mapping health-related outcomes during STWT were identified. Higher family socioeconomic position (SEP) was associated with higher levels of health behaviour and lower levels of health-damaging behaviour, but there was also some evidence pointing in the opposite direction. Disadvantaged family SEP negatively impacted on mental health and predicted an adverse weight development. There was limited evidence for the outcomes physical/somatic symptoms and self-rated health. Meso-level characteristics of the institutional contexts identified were not systematically assessed, only individual-level factors resulting from an exposure to these contexts, rendering an analysis of effects of contextual and compositional characteristics on health and health behaviours impossible.Conclusions This scoping review demonstrated a wide range of health inequalities during STWT for various health outcomes. However, knowledge on the role of the core institutional contexts regarding the development of health inequalities is limited.
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spelling doaj-art-43f997a4800344b0ae64f7a4d27ebaa22025-01-31T04:05:12ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2021-058273School-to-work and school-to-university transition and health inequalities among young adults: a scoping reviewMatthias Richter0Nico Dragano1Benjamin Wachtler2Stephanie Hoffmann3Max Herke4Katharina Diehl5Marvin Reuter6Paula Mayara Matos Fialho7Maria-Inti Metzendorf8Wiebke Schüttig9Christian Deindl10Sarah Schleberger11Claudia R Pischke12Chair of Social Determinants of Health, Department of Sport and Health Sciences, Technical University of Munich, Munich, GermanyInstitute of Medical Sociology, Centre for Health and Society, Medical Faculty, Heinrich-Heine University, Medical Faculty, Duesseldorf, GermanyDepartment of Epidemiology and Health Monitoring, Robert Koch Institut, Berlin, GermanyDepartment of Public Health, Faculty for Social Work, Health, and Music, Brandenburg University of Technology Cottbus-Senftenberg, Senftenberg, GermanyInstitute of Medical Sociology, Medical Faculty, Martin-Luther-University Halle-Wittenberg, Halle (Saale), GermanyMannheim Institute of Public Health, Social and Preventive Medicine, Medical Faculty Mannheim, Heidelberg University, Heidelberg, GermanyInstitute of Medical Sociology, Centre for Health and Society, Medical Faculty, Heinrich-Heine University, Medical Faculty, Duesseldorf, GermanyInstitute of Medical Sociology, Centre for Health and Society, Medical Faculty, Heinrich-Heine University, Medical Faculty, Duesseldorf, GermanyInstitute of General Practice, Medical Faculty of the Heinrich-Heine-University, Düsseldorf, GermanyDepartment of Health Economics, Technical University Munich, Munich, GermanyDepartment of Social Sciences, TU Dortmund University, Dortmund, GermanyInstitute of Medical Sociology, Centre for Health and Society, Medical Faculty, Heinrich-Heine University, Medical Faculty, Duesseldorf, GermanyInstitute of Medical Sociology, Centre for Health and Society, Medical Faculty, Heinrich-Heine University, Medical Faculty, Duesseldorf, GermanyObjectives The main objective was to systematically map evidence regarding the emergence of health inequalities in individuals aged 16–24 years during school-to-work and school-to-university transition (STWT). Second, we aimed to summarise the evidence on potential effects of contextual and compositional characteristics of specific institutional contexts entered during STWT on health and health behaviours.Design Scoping review.Study selection Relevant literature was systematically searched following the methodological framework proposed by Arksey and O’Malley. Ovid MEDLINE and Web of Science, and websites of the International Labour Organization and National Institute for Occupational Safety and Health were searched, using a predetermined search strategy. Articles in English or German published between 1 January 2000 and 3 February 2020 were considered.Data extraction To collect the main information from the selected studies, a data extraction spreadsheet was created. Data were summarised and grouped into five health outcomes and five institutional contexts (school, vocational training, university, work, unemployment).Results A total of 678 articles were screened for inclusion. To be able to draw a picture of the development of various health outcomes over time, we focused on longitudinal studies. Forty-six prospective studies mapping health-related outcomes during STWT were identified. Higher family socioeconomic position (SEP) was associated with higher levels of health behaviour and lower levels of health-damaging behaviour, but there was also some evidence pointing in the opposite direction. Disadvantaged family SEP negatively impacted on mental health and predicted an adverse weight development. There was limited evidence for the outcomes physical/somatic symptoms and self-rated health. Meso-level characteristics of the institutional contexts identified were not systematically assessed, only individual-level factors resulting from an exposure to these contexts, rendering an analysis of effects of contextual and compositional characteristics on health and health behaviours impossible.Conclusions This scoping review demonstrated a wide range of health inequalities during STWT for various health outcomes. However, knowledge on the role of the core institutional contexts regarding the development of health inequalities is limited.https://bmjopen.bmj.com/content/12/7/e058273.full
spellingShingle Matthias Richter
Nico Dragano
Benjamin Wachtler
Stephanie Hoffmann
Max Herke
Katharina Diehl
Marvin Reuter
Paula Mayara Matos Fialho
Maria-Inti Metzendorf
Wiebke Schüttig
Christian Deindl
Sarah Schleberger
Claudia R Pischke
School-to-work and school-to-university transition and health inequalities among young adults: a scoping review
BMJ Open
title School-to-work and school-to-university transition and health inequalities among young adults: a scoping review
title_full School-to-work and school-to-university transition and health inequalities among young adults: a scoping review
title_fullStr School-to-work and school-to-university transition and health inequalities among young adults: a scoping review
title_full_unstemmed School-to-work and school-to-university transition and health inequalities among young adults: a scoping review
title_short School-to-work and school-to-university transition and health inequalities among young adults: a scoping review
title_sort school to work and school to university transition and health inequalities among young adults a scoping review
url https://bmjopen.bmj.com/content/12/7/e058273.full
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