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Reading and writing difficulties in adolescence and later risk of welfare dependence. A ten year follow-up, the HUNT Study, Norway

Pape, Kristine; Bjørngaard, Johan Håkon; Westin, Steinar; Holmen, Turid Lingaas; Krokstad, Steinar
Journal article, Peer reviewed
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1471-2458-11-718.pdf (230.2Kb)
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http://hdl.handle.net/11250/1215902
Utgivelsesdato
2011
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  • Institutt for samfunnsmedisin og sykepleie [2607]
  • Publikasjoner fra CRIStin - NTNU [26746]
Originalversjon
BMC Public Health 2011, 11   10.1186/1471-2458-11-718
Sammendrag
Background: Welfare dependence and low work participation among young people have raised concern in many

European countries. Reading and writing difficulties (RWD) might make young people vulnerable to work

integration problems and welfare dependence through negative influences on education and health. Our main

objective of this study was to examine if RWD in adolescence affected the risk of welfare dependence in young

adulthood.

Methods: Baseline information on self-reported RWD, health and family was obtained for 8950 school-attending

adolescents in Nord-Trøndelag County, Norway, participating in the Young-HUNT1 survey, 1995-97. All individuals

were linked to biological parents to identify siblings and parental education from national registers. Welfare

dependence was assessed by the reception of social benefits (medical and economic) from the national social

insurance database (1998-2007). Only long-term benefits (> 180 days) were included.

Results: The adolescents who reported RWD at baseline were more likely to receive medical or social benefits

during follow-up compared with those who did not report RWD. In girls with RWD, the adjusted 5-year risk (at age

24 to 28) for receiving medical benefits was 0.20 (95% confidence interval 0.14-0.26), compared with 0.11 (0.09-

0.12) in girls without RWD. In boys the corresponding risks were 0.13 (0.09-0.17) and 0.08 (0.07-0.09).

Conclusions: The associations between RWD in adolescence and welfare dependence later in life suggest that

increased attention should be paid to these problems when discussing the public health aspects of work

integration, since there might be a potential for prevention.
Utgiver
BioMed Central
Tidsskrift
BMC Public Health

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