The impact of school exclusion in childhood on health and well-being outcomes in adulthood: Estimating causal effects using inverse probability of treatment weighting

Ingrid Obsuth, Joan E. Madia, Aja Louise Murray, Ian Thompson, Harry Daniels

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

Background
Previous evidence has suggested a strong association between school exclusion and health outcomes. However, as health risks are themselves related to the risk of experiencing a school exclusion, it has been challenging to determine the extent to which school exclusion impacts later health outcomes, as opposed to reflecting a marker for pre-existing risks.

Aim
The aim of the current study was to address this challenge in estimating the medium-to-long-term impact of school exclusion of health and well-being outcomes.

Methods
To this end, we used an inverse propensity weighting approach in the Next Steps data set (N = 6534, from wave 1, 2014, to wave 8, 2015).

Results
We found that after weighting for propensity of treatment scores estimated based on a wide range of factors, including previous health indicators, there was a significant effect of school exclusion on a wide range of health and well-being outcomes.

Discussion
These results provide some of the most robust evidence to date that school exclusion harms long-term health outcomes.

Conclusion
The findings suggest that policies should aim to reduce exclusion and ensure access to preventative health support for those who experience a school exclusion.
Original languageEnglish
Pages (from-to)1-14
Number of pages14
JournalBritish Journal of Educational Psychology
Early online date28 Dec 2023
DOIs
Publication statusE-pub ahead of print - 28 Dec 2023

Keywords / Materials (for Non-textual outputs)

  • health
  • inverse probability of treatment weighting
  • longitudinal
  • school exclusion
  • well-being

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