title: Educational Attainment at Age 10-11 Years Predicts Health Risk Behaviors and Injury Risk During Adolescence.
abstract: OBJECTIVE
  To examine the effect of educational attainment in primary school on later adolescent health.
  
  
  METHODS
  Education data attainments at age 7 and 11 were linked with (1) primary and secondary care injury consultation/admissions and (2) the Health Behaviour in School-aged Children survey. Cox regression was carried out to examine if attainment in primary school predicts time to injury in adolescence.
  
  
  RESULTS
  Pupils that achieve attainment at age 7 but not at age 11 (i.e., declining attainment over time in primary school) are more likely to have an injury during adolescence. These children are also more likely to self-report drinking in adolescence.
  
  
  CONCLUSIONS
  Interventions aimed at children with declining attainment in primary school could help to improve adolescent health.
authors.affiliation: Farr Institute, School of Medicine, Swansea University, Swansea, Wales, United Kingdom. Electronic address: j.demmler@swansea.ac.uk.
authors.forename: Joanne C
authors.initials: JC
authors.lastname: Demmler
authors.affiliation: Farr Institute, School of Medicine, Swansea University, Swansea, Wales, United Kingdom.
authors.forename: Rebecca A
authors.initials: RA
authors.lastname: Hill
authors.affiliation: Farr Institute, School of Medicine, Swansea University, Swansea, Wales, United Kingdom.
authors.forename: Muhammad A
authors.initials: MA
authors.lastname: Rahman
authors.affiliation: Farr Institute, School of Medicine, Swansea University, Swansea, Wales, United Kingdom.
authors.forename: Amrita
authors.initials: A
authors.lastname: Bandyopadhyay
authors.affiliation: Farr Institute, School of Medicine, Swansea University, Swansea, Wales, United Kingdom.
authors.forename: Melanie A
authors.initials: MA
authors.lastname: Healy
authors.affiliation: Institute of Primary Care and Public Health, School of Medicine, Cardiff University, Cardiff, Wales, United Kingdom.
authors.forename: Shantini
authors.initials: S
authors.lastname: Paranjothy
authors.affiliation: Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer), School of Social Sciences, Cardiff University, Cardiff, Wales, United Kingdom.
authors.forename: Simon
authors.initials: S
authors.lastname: Murphy
authors.affiliation: Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer), School of Social Sciences, Cardiff University, Cardiff, Wales, United Kingdom.
authors.forename: Adam
authors.initials: A
authors.lastname: Fletcher
authors.affiliation: Centre for the Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer), School of Social Sciences, Cardiff University, Cardiff, Wales, United Kingdom.
authors.forename: Gillian
authors.initials: G
authors.lastname: Hewitt
authors.affiliation: Farr Institute, School of Medicine, Swansea University, Swansea, Wales, United Kingdom.
authors.forename: Ann
authors.initials: A
authors.lastname: John
authors.affiliation: Farr Institute, School of Medicine, Swansea University, Swansea, Wales, United Kingdom.
authors.forename: Ronan A
authors.initials: RA
authors.lastname: Lyons
authors.affiliation: Farr Institute, School of Medicine, Swansea University, Swansea, Wales, United Kingdom.
authors.forename: Sinead T
authors.initials: ST
authors.lastname: Brophy
mesh_terms: D000073978:Academic Performance / Q000706:statistics & numerical data*; D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology*; D000428:Alcohol Drinking / Q000523:psychology; D002648:Child; D005260:Female; D000073599:Health Risk Behaviors; D006306:Health Surveys; D006801:Humans; D008297:Male; D012574:Schools; D014947:Wounds and Injuries / Q000523:psychology*
keywords: Adolescence; Children; Cohort; Educational attainment; Injury