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LIFELONG LEARNING EDUCATIONAL ATTAINMENT AND HEALTH OUTCOMES AMONG OLDER ADULTS IN THE U.S.

机译：在美国老年人的学习教育程度和健康状况得到改善

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摘要

Educational attainment is typically determined by the time one reaches early adulthood. However, its effects on health are cumulative across the life course. The cumulative nature of the relationship between educational attainment and health highlights the need to explore the potential benefits of continuous adult education (e.g., lifelong learning). Thus, we hypothesize that participation in lifelong learning attenuates the effects of educational attainment on health in later life. This study is among the first to examine the association between lifelong learning activity and health with the use of a nationally representative sample of adults aged 50 years and older (2012 Health and Retirement Study; n = 6,829). Structural equation models with bootstrapping were used to examine the mediation effect of lifelong learning activity in the relationship between educational attainment and self-rated health. Results showed that approximately 6–10% of the education effect [95% bootstrap confidence interval (lower limit, upper limit) = (0.033, 0.052)] on self-rated health was mediated by lifelong learning activity [95% bootstrap confidence interval (lower limit, upper limit) = (0.002, 0.006)] even after adjusting for the sociodemographic characteristics as well as major health determinants (e.g., physical activity, smoking, etc.). Findings suggest that engagement in lifelong learning provides an opportunity to promote older adults’ health regardless of formal educational attainment established in early adulthood. Public health implications point to lifelong learning as a potential autonomous and sustainable strategy to reduce socioeconomic disparities in health, which could be incorporated into education and public health policies to promote such efforts.
机译：受教育程度通常取决于一个人成年的时间。但是，它对健康的影响在整个生命过程中都是累积的。受教育程度与健康之间关系的累积性质突出表明，有必要探索持续成人教育（例如终身学习）的潜在利益。因此，我们假设参加终身学习会减弱教育程度对以后健康的影响。该研究是首次使用全国代表性的50岁及以上成年人抽样研究终身学习活动与健康之间的关系（2012年健康与退休研究； n = 6,829）。具有自举的结构方程模型被用来检验终身学习活动在教育程度和自我评价健康之间的中介作用。结果表明，终身学习活动介导了对自我评估健康状况的大约6–10％的教育效果[95％引导置信区间（下限，上限）=（0.033，0.052）] [95％引导置信区间（下限，上限）=（0.002，0.006）]，即使在调整了社会人口统计学特征以及主要健康决定因素（例如，体育锻炼，吸烟等）后也是如此。研究结果表明，终身学习的参与为促进老年人的健康提供了机会，而不管成年初期所获得的正规教育水平如何。对公共卫生的影响表明，终身学习是减少卫生方面的社会经济差异的潜在自主和可持续战略，可以将其纳入教育和公共卫生政策以促进此类努力。

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    T Yamashita; A Bardo; D Liu;

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  • 年(卷),期 -1(2),Suppl 1
  • 年度 -1
  • 页码 468–469
  • 总页数 2
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