Exploring the relationship between education and academic ability in childhood with healthcare utilization in adulthood: findings from the Aberdeen Children of the 1950s (ACONF)

Stannard, Sebastian; S, Simon D; Owen, Rhiannon; Berrington, Ann; Paranjothy, Shantini; Alwan, Nisreen A

doi:10.1093/eurpub/ckaf120

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Exploring the relationship between education and academic ability in childhood with healthcare utilization in adulthood: findings from the Aberdeen Children of the 1950s (ACONF)

Sebastian Stannard

, Simon D S Fraser

, Rhiannon Owen

, Ann Berrington

, Shantini Paranjothy, Nisreen A Alwan

European Journal of Public Health, Volume: 35, Issue: 5, Pages: 903 - 909

Swansea University Author: Rhiannon Owen

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DOI (Published version): 10.1093/eurpub/ckaf120

Abstract

We explored the association between education and academic ability in childhood and both outpatient appointments and hospital admissions in adulthood, accounting for adult factors, including long-term conditions. The analytical sample consisted of 7183 participants in the Aberdeen Children of the 19...

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Published in:	European Journal of Public Health
ISSN:	1101-1262 1464-360X
Published:	Oxford University Press (OUP) 2025
Online Access:	Check full text
URI:	https://cronfa.swan.ac.uk/Record/cronfa69813

first_indexed	2025-06-26T16:01:58Z
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spelling	2025-10-16T14:40:35.0761445 v2 69813 2025-06-26 Exploring the relationship between education and academic ability in childhood with healthcare utilization in adulthood: findings from the Aberdeen Children of the 1950s (ACONF) 0d30aa00eef6528f763a1e1589f703ec 0000-0001-5977-376X Rhiannon Owen Rhiannon Owen true false 2025-06-26 MEDS We explored the association between education and academic ability in childhood and both outpatient appointments and hospital admissions in adulthood, accounting for adult factors, including long-term conditions. The analytical sample consisted of 7183 participants in the Aberdeen Children of the 1950s. Three outcomes were measured using routine Scottish medical records over a five-year period (2004–2008): (1) ≥5 outpatient appointments, (2) ≥2 hospital admissions, or (3) ≥3 outpatient appointments plus ≥1 hospital admission. We constructed a childhood (age 6–11) education and academic ability domain and calculated predicted risk scores of the three outcomes for each cohort member. Nested logistic regression models investigate the association between domain predicted risk scores and odds of each of the three outcomes accounting for childhood confounders and self-reported adult mediators. Adjusting for childhood confounders, lower childhood education and academic ability were positively associated with ≥5 outpatient appointments (OR 1.03, 95% CI 1.01–1.05), ≥2 hospital admissions (OR 1.04, 95% CI 1.03–1.6), and ≥3 outpatient appointments plus ≥1 hospital admissions (OR 1.04, 95% CI 1.02–1.06). Accounting for adult mediators, associations remained statistically significant, but their effect sizes were reduced. When school leaving age was included in the model, the association between the exposure and all three outcomes were attenuated. Education and academic ability in early life may be related to the burden of multiple hospital admissions and outpatient appointments later in life. However, the age at which the participant left school seems to substantially mediate this relationship underscoring the positive impact of time spent in education. Journal Article European Journal of Public Health 35 5 903 909 Oxford University Press (OUP) 1101-1262 1464-360X 1 10 2025 2025-10-01 10.1093/eurpub/ckaf120 COLLEGE NANME Medical School COLLEGE CODE MEDS Swansea University Another institution paid the OA fee This study was a independent research funded by the National Institute for Health and Care Research (NIHR) Artificial Intelligence for Multiple Long-Term Conditions (AIM) ‘Multidisciplinary Ecosystem to study Lifecourse Determinants and Prevention of Early-onset Burdensome Multimorbidity (MELD-B)’ (reference number NIHR203988). 2025-10-16T14:40:35.0761445 2025-06-26T09:48:58.4024625 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Health Data Science Sebastian Stannard 0000-0002-6139-1020 1 Simon D S Fraser 0000-0002-4172-4406 2 Rhiannon Owen 0000-0001-5977-376X 3 Ann Berrington 0000-0002-1683-6668 4 Shantini Paranjothy 5 Nisreen A Alwan 0000-0002-4134-8463 6 69813__34787__98fbf2f319a94b19b017269b7ffd5045.pdf 69813.VOR.pdf 2025-07-17T13:19:12.8042451 Output 1013156 application/pdf Version of Record true © The Author(s) 2025. Published by Oxford University Press on behalf of the European Public Health Association. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY). true eng https://creativecommons.org/licenses/by/4.0/
title	Exploring the relationship between education and academic ability in childhood with healthcare utilization in adulthood: findings from the Aberdeen Children of the 1950s (ACONF)
spellingShingle	Exploring the relationship between education and academic ability in childhood with healthcare utilization in adulthood: findings from the Aberdeen Children of the 1950s (ACONF) Rhiannon Owen
title_short	Exploring the relationship between education and academic ability in childhood with healthcare utilization in adulthood: findings from the Aberdeen Children of the 1950s (ACONF)
title_full	Exploring the relationship between education and academic ability in childhood with healthcare utilization in adulthood: findings from the Aberdeen Children of the 1950s (ACONF)
title_fullStr	Exploring the relationship between education and academic ability in childhood with healthcare utilization in adulthood: findings from the Aberdeen Children of the 1950s (ACONF)
title_full_unstemmed	Exploring the relationship between education and academic ability in childhood with healthcare utilization in adulthood: findings from the Aberdeen Children of the 1950s (ACONF)
title_sort	Exploring the relationship between education and academic ability in childhood with healthcare utilization in adulthood: findings from the Aberdeen Children of the 1950s (ACONF)
author_id_str_mv	0d30aa00eef6528f763a1e1589f703ec
author_id_fullname_str_mv	0d30aa00eef6528f763a1e1589f703ec_***_Rhiannon Owen
author	Rhiannon Owen
author2	Sebastian Stannard Simon D S Fraser Rhiannon Owen Ann Berrington Shantini Paranjothy Nisreen A Alwan
format	Journal article
container_title	European Journal of Public Health
container_volume	35
container_issue	5
container_start_page	903
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institution	Swansea University
issn	1101-1262 1464-360X
doi_str_mv	10.1093/eurpub/ckaf120
publisher	Oxford University Press (OUP)
college_str	Faculty of Medicine, Health and Life Sciences
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description	We explored the association between education and academic ability in childhood and both outpatient appointments and hospital admissions in adulthood, accounting for adult factors, including long-term conditions. The analytical sample consisted of 7183 participants in the Aberdeen Children of the 1950s. Three outcomes were measured using routine Scottish medical records over a five-year period (2004–2008): (1) ≥5 outpatient appointments, (2) ≥2 hospital admissions, or (3) ≥3 outpatient appointments plus ≥1 hospital admission. We constructed a childhood (age 6–11) education and academic ability domain and calculated predicted risk scores of the three outcomes for each cohort member. Nested logistic regression models investigate the association between domain predicted risk scores and odds of each of the three outcomes accounting for childhood confounders and self-reported adult mediators. Adjusting for childhood confounders, lower childhood education and academic ability were positively associated with ≥5 outpatient appointments (OR 1.03, 95% CI 1.01–1.05), ≥2 hospital admissions (OR 1.04, 95% CI 1.03–1.6), and ≥3 outpatient appointments plus ≥1 hospital admissions (OR 1.04, 95% CI 1.02–1.06). Accounting for adult mediators, associations remained statistically significant, but their effect sizes were reduced. When school leaving age was included in the model, the association between the exposure and all three outcomes were attenuated. Education and academic ability in early life may be related to the burden of multiple hospital admissions and outpatient appointments later in life. However, the age at which the participant left school seems to substantially mediate this relationship underscoring the positive impact of time spent in education.
published_date	2025-10-01T06:54:57Z
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Exploring the relationship between education and academic ability in childhood with healthcare utilization in adulthood: findings from the Aberdeen Children of the 1950s (ACONF)

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