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dc.contributor.authorWhitehead, Ross David
dc.contributor.authorCurrie, Dorothy Bruce
dc.contributor.authorInchley, Jo
dc.contributor.authorCurrie, Candace
dc.identifier.citationWhitehead , R D , Currie , D B , Inchley , J & Currie , C 2015 , ' Educational expectations and adolescent health behaviour : an evolutionary approach ' , International Journal of Public Health , vol. 60 , no. 5 , pp. 599-608 .
dc.identifier.otherPURE: 192599609
dc.identifier.otherPURE UUID: 9eadf9db-636b-43e9-9de9-ac9189b450a5
dc.identifier.otherScopus: 84933183340
dc.identifier.otherORCID: /0000-0001-7321-9394/work/60196036
dc.identifier.otherWOS: 000356809400009
dc.identifier.otherORCID: /0000-0001-8322-8817/work/65014244
dc.descriptionThis research was funded by NHS Health Scotland.en
dc.description.abstractObjectives. Previous research finds adolescents expecting to attend university are more likely to demonstrate health-promoting behaviour than those not expecting university attendance. This suggests public health improvements may be achievable by encouraging adolescents to adopt academic goals. We investigate confounders of this putative relationship, focusing on those identified by evolutionary theory. Methods. Multi-level logistic regression was used to analyse the 2010 Scottish Health Behaviour in School-aged Children survey (n = 1834). Results. Adolescents anticipating university attendance exhibited higher levels of engagement in health-protective behaviours (fruit and vegetable consumption, exercise and tooth brushing) and were more likely to avoid health-damaging behaviours (crisps, soft drink and alcohol consumption, tobacco and cannabis use, fighting and intercourse). These relationships persisted when controlling indicators of life history trajectory (pubertal timing, socioeconomic status and father absence). Pupil level: gender, age, perceived academic achievement and peer/family communication and school level: university expectations, affluence, leavers’ destinations, exam performance and school climate were also adjusted. Conclusions. Encouraging adolescents to consider an academic future may achieve public health benefits, despite social factors that might otherwise precipitate poor health via an accelerated life history trajectory.
dc.relation.ispartofInternational Journal of Public Healthen
dc.rights© 2015, Publisher / the Author(s). This work is made available online in accordance with the publisher’s policies. This is the author created, accepted version manuscript following peer review and may differ slightly from the final published version. The final published version of this work is available at /
dc.subjectTemporal orientationen
dc.subjectAcademic expectationsen
dc.subjectHealth behaviouren
dc.subjectRisk behaviouren
dc.subjectLife history theoryen
dc.subjectRA0421 Public health. Hygiene. Preventive Medicineen
dc.titleEducational expectations and adolescent health behaviour : an evolutionary approachen
dc.typeJournal articleen
dc.contributor.institutionUniversity of St Andrews.School of Medicineen
dc.contributor.institutionUniversity of St Andrews.Child and Adolescent Health Research Uniten
dc.contributor.institutionUniversity of St Andrews.WHO Collaborating Centre for International Child & Adolescent Health Policyen
dc.description.statusPeer revieweden

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