title: Inequalities in maintenance of health and performance between young adult women and men in higher education.
abstract: BACKGROUND
  Because of ageing populations, most high-income countries are facing an imminent scarcity of labour. Maintenance of health and performance in young adults therefore becomes a crucial prerequisite for sustainable societies. One major obstruction to this accomplishment is the striking health inequalities between young women and young men. Previously these inequalities have mainly been studied in a cross-sectional way, focusing on ill-health. In this study, we compared the prevalence of maintained health and performance between young adult women and men and the predictors for this outcome.
  
  
  METHODS
  The cohort consisted of 1266 participants from a homogenous sample of university students in Sweden. A combined assessment of self-rated 'very good' health and un-impaired performance took place at three time points (i.e. maintained health and performance). Potential predictors covered stable conditions in health-related behaviours, conditions at work/school and work-home interference.
  
  
  RESULTS
  Young women had less maintained health and performance than young men. No major differences in predictors were found. However, there was a tendency for psychosocial factors to be the most important predictors, especially in women.
  
  
  CONCLUSIONS
  That young women had less maintained health and performance in a homogenous sample beyond well-known differentiating factors suggests explanations other than observable structural differences between the sexes. This was also indicated by the importance attached to perceived demands, and work-home interference, especially in women. The combination of less scheduled, and more unscheduled, schoolwork (i.e. time-flexibility) negatively affected the maintenance of health and performance in our study population, suggesting a focus for future studies.
authors.affiliation: Sahlgrenska School of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. jesper.love@amm.gu
authors.forename: Jesper
authors.initials: J
authors.lastname: Löve
authors.forename: Lotta
authors.initials: L
authors.lastname: Dellve
authors.forename: Mats
authors.initials: M
authors.lastname: Eklöf
authors.forename: Mats
authors.initials: M
authors.lastname: Hagberg
mesh_terms: D000293:Adolescent; D000328:Adult; D004522:Educational Status; D005260:Female; D015438:Health Behavior; D054624:Health Status Disparities; D006801:Humans; D008297:Male; D010549:Personal Satisfaction; D010809:Physical Fitness / Q000502:physiology*; D012737:Sex Factors; D013548:Sweden; D014495:Universities; D055815:Young Adult