Growing up with a chronic illness: Social success, educational/vocational distress

Gary R. Maslow; Abigail Haydon; Annie Laurie McRee; Carol A. Ford; Carolyn T. Halpern

doi:10.1016/j.jadohealth.2010.12.001

Growing up with a chronic illness: Social success, educational/vocational distress

Gary R. Maslow, Abigail Haydon, Annie Laurie McRee, Carol A. Ford, Carolyn T. Halpern

Research output: Contribution to journal › Article › peer-review

162 Scopus citations

Abstract

Objectives: We compared adult educational, vocational, and social outcomes among young adults with and without childhood-onset chronic illness in a nationally representative U.S. sample. Methods: We used data from Wave IV (2008) of the National Longitudinal Study of Adolescent Health. We compared respondents who reported childhood-onset cancer, heart disease, diabetes, or epilepsy with young adults without these chronic illnesses in terms of marriage, having children, living with parents, romantic relationship quality, educational attainment, income, and employment. Multivariate models controlled for sociodemographic factors and adult-onset chronic illness. Results: As compared with those without childhood chronic illness, respondents with childhood chronic illness had similar odds of marriage (odds ratios [OR] =.89, 95% CI:.65-1.24), having children (OR =.99, 95% CI:.70-1.42), and living with parents (OR = 1.49, 95% CI.94-2.33), and similar reports of romantic relationship quality. However, the chronic illness group had lower odds of graduating college (OR =.49, 95% CI:.31.78) and being employed (OR =.56, 95% CI:.39.80), and higher odds of receiving public assistance (OR = 2.13, 95% CI: 1.39-3.25), and lower mean income. Conclusions: Young adults growing up with chronic illness succeed socially, but are at increased risk of poorer educational and vocational outcomes.

Original language	English (US)
Pages (from-to)	206-212
Number of pages	7
Journal	Journal of Adolescent Health
Volume	49
Issue number	2
DOIs	https://doi.org/10.1016/j.jadohealth.2010.12.001
State	Published - Aug 2011

Bibliographical note

Funding Information:
This research used data from Add Health, a program project directed by Kathleen Mullan Harris and designed by J. Richard Udry, Peter S. Bearman, and Kathleen Mullan Harris at the University of North Carolina at Chapel Hill, and funded by grant P01-HD31921 from the Eunice Kennedy Shriver National Institute of Child Health and Human Development , with cooperative funding from 23 other federal agencies and foundations. Special acknowledgment is due to Ronald R. Rindfuss and Barbara Entwisle for assistance in the original design. Information on how to obtain the Add Health data files is available on the Add Health Web site ( http://www.cpc.unc.edu/addhealth ). No direct support was received from grant P01-HD31921 for this analysis.

Funding Information:
Training support for Gary Maslow, M.D. provided by T32HP14001 from the Health Resources and Services Administration for University of North Carolina's National Research Service Administration Primary Care Research Fellowship. Effort by A. Haydon and C.T. Halpern was supported by Eunice Kennedy Shriver National Institute of Child Health and Human Development grant R01-HD57046 ; C.T. Halpern, Principal Investigator. Thanks to the National Research Service Administration Primary Care Research Fellows for careful review of this manuscript.

Keywords

Chronic illness
Educational outcomes
Social outcomes
Transition to adulthood
Vocational outcomes
Young adult

PubMed: MeSH publication types

Comparative Study
Journal Article
Research Support, N.I.H., Extramural

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.jadohealth.2010.12.001

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title = "Growing up with a chronic illness: Social success, educational/vocational distress",

abstract = "Objectives: We compared adult educational, vocational, and social outcomes among young adults with and without childhood-onset chronic illness in a nationally representative U.S. sample. Methods: We used data from Wave IV (2008) of the National Longitudinal Study of Adolescent Health. We compared respondents who reported childhood-onset cancer, heart disease, diabetes, or epilepsy with young adults without these chronic illnesses in terms of marriage, having children, living with parents, romantic relationship quality, educational attainment, income, and employment. Multivariate models controlled for sociodemographic factors and adult-onset chronic illness. Results: As compared with those without childhood chronic illness, respondents with childhood chronic illness had similar odds of marriage (odds ratios [OR] =.89, 95% CI:.65-1.24), having children (OR =.99, 95% CI:.70-1.42), and living with parents (OR = 1.49, 95% CI.94-2.33), and similar reports of romantic relationship quality. However, the chronic illness group had lower odds of graduating college (OR =.49, 95% CI:.31.78) and being employed (OR =.56, 95% CI:.39.80), and higher odds of receiving public assistance (OR = 2.13, 95% CI: 1.39-3.25), and lower mean income. Conclusions: Young adults growing up with chronic illness succeed socially, but are at increased risk of poorer educational and vocational outcomes.",

keywords = "Chronic illness, Educational outcomes, Social outcomes, Transition to adulthood, Vocational outcomes, Young adult",

author = "Maslow, {Gary R.} and Abigail Haydon and McRee, {Annie Laurie} and Ford, {Carol A.} and Halpern, {Carolyn T.}",

note = "Funding Information: This research used data from Add Health, a program project directed by Kathleen Mullan Harris and designed by J. Richard Udry, Peter S. Bearman, and Kathleen Mullan Harris at the University of North Carolina at Chapel Hill, and funded by grant P01-HD31921 from the Eunice Kennedy Shriver National Institute of Child Health and Human Development , with cooperative funding from 23 other federal agencies and foundations. Special acknowledgment is due to Ronald R. Rindfuss and Barbara Entwisle for assistance in the original design. Information on how to obtain the Add Health data files is available on the Add Health Web site ( http://www.cpc.unc.edu/addhealth ). No direct support was received from grant P01-HD31921 for this analysis. Funding Information: Training support for Gary Maslow, M.D. provided by T32HP14001 from the Health Resources and Services Administration for University of North Carolina's National Research Service Administration Primary Care Research Fellowship. Effort by A. Haydon and C.T. Halpern was supported by Eunice Kennedy Shriver National Institute of Child Health and Human Development grant R01-HD57046 ; C.T. Halpern, Principal Investigator. Thanks to the National Research Service Administration Primary Care Research Fellows for careful review of this manuscript.",

year = "2011",

month = aug,

doi = "10.1016/j.jadohealth.2010.12.001",

language = "English (US)",

volume = "49",

pages = "206--212",

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T1 - Growing up with a chronic illness

T2 - Social success, educational/vocational distress

AU - Maslow, Gary R.

AU - Haydon, Abigail

AU - McRee, Annie Laurie

AU - Ford, Carol A.

AU - Halpern, Carolyn T.

N1 - Funding Information: This research used data from Add Health, a program project directed by Kathleen Mullan Harris and designed by J. Richard Udry, Peter S. Bearman, and Kathleen Mullan Harris at the University of North Carolina at Chapel Hill, and funded by grant P01-HD31921 from the Eunice Kennedy Shriver National Institute of Child Health and Human Development , with cooperative funding from 23 other federal agencies and foundations. Special acknowledgment is due to Ronald R. Rindfuss and Barbara Entwisle for assistance in the original design. Information on how to obtain the Add Health data files is available on the Add Health Web site ( http://www.cpc.unc.edu/addhealth ). No direct support was received from grant P01-HD31921 for this analysis. Funding Information: Training support for Gary Maslow, M.D. provided by T32HP14001 from the Health Resources and Services Administration for University of North Carolina's National Research Service Administration Primary Care Research Fellowship. Effort by A. Haydon and C.T. Halpern was supported by Eunice Kennedy Shriver National Institute of Child Health and Human Development grant R01-HD57046 ; C.T. Halpern, Principal Investigator. Thanks to the National Research Service Administration Primary Care Research Fellows for careful review of this manuscript.

PY - 2011/8

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N2 - Objectives: We compared adult educational, vocational, and social outcomes among young adults with and without childhood-onset chronic illness in a nationally representative U.S. sample. Methods: We used data from Wave IV (2008) of the National Longitudinal Study of Adolescent Health. We compared respondents who reported childhood-onset cancer, heart disease, diabetes, or epilepsy with young adults without these chronic illnesses in terms of marriage, having children, living with parents, romantic relationship quality, educational attainment, income, and employment. Multivariate models controlled for sociodemographic factors and adult-onset chronic illness. Results: As compared with those without childhood chronic illness, respondents with childhood chronic illness had similar odds of marriage (odds ratios [OR] =.89, 95% CI:.65-1.24), having children (OR =.99, 95% CI:.70-1.42), and living with parents (OR = 1.49, 95% CI.94-2.33), and similar reports of romantic relationship quality. However, the chronic illness group had lower odds of graduating college (OR =.49, 95% CI:.31.78) and being employed (OR =.56, 95% CI:.39.80), and higher odds of receiving public assistance (OR = 2.13, 95% CI: 1.39-3.25), and lower mean income. Conclusions: Young adults growing up with chronic illness succeed socially, but are at increased risk of poorer educational and vocational outcomes.

AB - Objectives: We compared adult educational, vocational, and social outcomes among young adults with and without childhood-onset chronic illness in a nationally representative U.S. sample. Methods: We used data from Wave IV (2008) of the National Longitudinal Study of Adolescent Health. We compared respondents who reported childhood-onset cancer, heart disease, diabetes, or epilepsy with young adults without these chronic illnesses in terms of marriage, having children, living with parents, romantic relationship quality, educational attainment, income, and employment. Multivariate models controlled for sociodemographic factors and adult-onset chronic illness. Results: As compared with those without childhood chronic illness, respondents with childhood chronic illness had similar odds of marriage (odds ratios [OR] =.89, 95% CI:.65-1.24), having children (OR =.99, 95% CI:.70-1.42), and living with parents (OR = 1.49, 95% CI.94-2.33), and similar reports of romantic relationship quality. However, the chronic illness group had lower odds of graduating college (OR =.49, 95% CI:.31.78) and being employed (OR =.56, 95% CI:.39.80), and higher odds of receiving public assistance (OR = 2.13, 95% CI: 1.39-3.25), and lower mean income. Conclusions: Young adults growing up with chronic illness succeed socially, but are at increased risk of poorer educational and vocational outcomes.

KW - Chronic illness

KW - Educational outcomes

KW - Social outcomes

KW - Transition to adulthood

KW - Vocational outcomes

KW - Young adult

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Growing up with a chronic illness: Social success, educational/vocational distress

Abstract

Bibliographical note

Keywords

PubMed: MeSH publication types

UN SDGs

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