Educational tracking amplifies social inequalities in a wide range of outcomes. From an institutional perspective, the current study examines whether this holds for educational disparities in general health. To investigate this question, we use information from the European Social Survey (Rounds 1–8: 2002–2016) for individuals between the ages of 18 and 45 years (N = 99,771) in 22 European countries. The estimated three-level hierarchical models indicate that tracking is indeed associated with larger educational inequalities in overall health. Individuals who have attained vocational education fare worse in terms of general health than do individuals who have pursued academic qualifications. However, the strength of association is much higher in countries with highly tracked systems (e.g. Germany and Czech Republic) than it is in countries with more comprehensive systems (e.g. the United Kingdom and Scandinavian countries). This result suggests that health inequalities between educational groups can be reduced by reorganizing secondary educational systems.

中文翻译：

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一般健康方面的教育不平等：课程跟踪系统重要吗？

教育跟踪在广泛的结果中放大了社会不平等。从制度的角度来看，当前的研究检查这是否适用于一般健康的教育差异。为了调查这个问题，我们使用了欧洲社会调查（第 1-8 轮：2002-2016 年）中 22 个欧洲国家 18 至 45 岁（N = 99,771）个人的信息。估计的三级层次模型表明，跟踪确实与整体健康方面更大的教育不平等有关。受过职业教育的人在总体健康方面比追求学历的人差。然而，在具有高度跟踪系统的国家（例如 德国和捷克共和国）比系统更全面的国家（例如英国和斯堪的纳维亚国家）的情况要好。这一结果表明，可以通过重组中等教育系统来减少教育群体之间的健康不平等。