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Educational level and the risk of mental disorders, substance use disorders and self-harm in different age-groups: A cohort study covering 1,6 million subjects in the Stockholm region.


ABSTRACT:

Objective

To investigate the associations between low education and risk of mental disorders, substance use disorders and self-harm in different age-groups.

Methods

All subjects in Stockholm born between 1931 and 1990 were linked to their own or their parent's highest education in 2000 and followed-up for these disorders in health care registers 2001-2016. Subjects were stratified into four age-groups: 10-18, 19-27, 28-50, and 51-70 years. Hazard Ratios with 95% Confidence Intervals (CIs) were estimated with Cox proportional hazard models.

Results

Low education increased the risk of substance use disorders and self-harm in all age-groups. Males aged 10-18 with low education had increased risks of ADHD and conduct disorders, and females a decreased risk of anorexia, bulimia and autism. Those aged 19-27 years had increased risks of anxiety and depression, and those aged 28-50 had increased risks of all mental disorders except anorexia and bulimia in males with Hazard Ratios ranging from 1.2 (95% CIs 1.0-1.3) for bipolar disorder to 5.4 (95% CIs 5.1-5.7) for drug use disorder. Females aged 51-70 years had increased risks of schizophrenia and autism.

Conclusion

Low education is associated with risk of most mental disorders, substance use disorders and self-harm in all age-groups, but especially among those aged 28-50 years.

SUBMITTER: Li B 

PROVIDER: S-EPMC10698815 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature

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Publications

Educational level and the risk of mental disorders, substance use disorders and self-harm in different age-groups: A cohort study covering 1,6 million subjects in the Stockholm region.

Li Baojing B   Allebeck Peter P   Burstöm Bo B   Danielsson Anna-Karin AK   Degenhardt Louisa L   Eikemo Terje A TA   Ferrari Alize A   Knudsen Ann Kristin AK   Lundin Andreas A   Manhica Hélio H   Newton John J   Whiteford Harvey H   Flodin Pär P   Sjöqvist Hugo H   Agardh Emilie E EE  

International journal of methods in psychiatric research 20230217 4


<h4>Objective</h4>To investigate the associations between low education and risk of mental disorders, substance use disorders and self-harm in different age-groups.<h4>Methods</h4>All subjects in Stockholm born between 1931 and 1990 were linked to their own or their parent's highest education in 2000 and followed-up for these disorders in health care registers 2001-2016. Subjects were stratified into four age-groups: 10-18, 19-27, 28-50, and 51-70 years. Hazard Ratios with 95% Confidence Interva  ...[more]

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