This article reconsiders the role of social origin in health selection by examining whether parental education moderates the association between early health and educational attainment and whether health problems mediate the intergenerational transmission of education. We used longitudinal register data on Finns born in 1986–1991 (n = 352,899). We measured the completion of secondary and tertiary education until age 27 and used data on hospital care and medication reimbursements to assess chronic somatic conditions, frequent infections, and mental disorders at ages 10–16. We employed linear probability models to estimate the associations between different types of health problems and educational outcomes and to examine moderation by parental education, both overall in the population and comparing siblings with and without health problems. Finally, we performed a mediation analysis with g-computation to simulate whether a hypothetical eradication of health problems would weaken the association between parental and offspring education. All types of health problems reduced the likelihood of secondary education, but mental disorders were associated with the largest reductions. Among those with secondary education, there was further evidence of selection to tertiary education. High parental education buffered against the negative impact of mental disorders on completing secondary education but exacerbated it in the case of tertiary education. The simulated eradication of health problems slightly reduced disparities by parental education in secondary education (up to 10%) but increased disparities in tertiary education (up to 2%). Adolescent health problems and parental education are strong but chiefly independent predictors of educational attainment.

中文翻译：

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评估父母教育和青少年健康问题在教育成就中的作用

本文通过考察父母教育是否调节早期健康与教育程度之间的关联以及健康问题是否介导了教育的代际传递，重新考虑了社会出身在健康选择中的作用。我们使用了 1986-1991 年出生的芬兰人的纵向登记数据（n= 352,899）。我们测量了直到 27 岁的中等和高等教育的完成情况，并使用关于医院护理和药物报销的数据来评估 10-16 岁的慢性躯体疾病、频繁感染和精神障碍。我们采用线性概率模型来估计不同类型的健康问题与教育结果之间的关联，并检查父母教育的调节作用，包括总体人口和比较有和没有健康问题的兄弟姐妹。最后，我们使用 g 计算进行了中介分析，以模拟假设的健康问题根除是否会削弱父母和后代教育之间的关联。所有类型的健康问题都降低了接受中等教育的可能性，但精神障碍的降低幅度最大。在受过中等教育的人中，有进一步的证据表明他们选择接受高等教育。高父母教育缓冲了精神障碍对完成中等教育的负面影响，但在高等教育的情况下加剧了这种影响。模拟根除健康问题的做法略微减少了中等教育中父母教育的差距（高达 10%），但增加了高等教育中的差距（高达 2%）。青少年健康问题和父母教育是教育程度的重要但主要是独立的预测因素。模拟根除健康问题的做法略微减少了中等教育中父母教育的差距（高达 10%），但增加了高等教育中的差距（高达 2%）。青少年健康问题和父母教育是教育程度的重要但主要是独立的预测因素。模拟根除健康问题的做法略微减少了中等教育中父母教育的差距（高达 10%），但增加了高等教育中的差距（高达 2%）。青少年健康问题和父母教育是教育程度的重要但主要是独立的预测因素。