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Updated: Aug 11, 2026

Measuring the Functional Abilities of Children Aged 3-6 Years Old with Observational Methods and Computer Tools
Published on: June 20, 2020
[A follow up of persons who received basic and/or supplemental benefits in childhood]
Tor Bjerkedal1, Petter Kristensen, Geir A Skjeret
1Forsvarets sanitet, Militaermedisinsk epidemiologi, Ullevål universitetssykehus, Oslo mil/Akershus, 0015 Oslo. tor.bjerkedal@chello.no
Insights
Children receiving benefits for health issues in childhood face long-term challenges in education and employment. These health problems significantly impact adult outcomes, highlighting a need for continued support.
Area of Science:
- Public Health
- Pediatrics
- Sociology
Background:
- Chronic diseases in childhood can have lasting effects on health, education, and future employment.
- Evaluating these long-term consequences is crucial for understanding lifelong health trajectories.
Purpose of the Study:
- To assess the long-term health, educational, and labor force participation outcomes for children with chronic diseases.
- To identify the impact of childhood health conditions on young adult life trajectories.
Main Methods:
- A cohort of 14,364 children receiving benefits (0-16 years) in Norway was followed up to age 27.
- Data linkage from national registers tracked mortality, disability, education, employment, and income.
- Common diagnoses included endocrine, mental, neurological diseases, and congenital malformations.
Main Results:
- Childhood benefits predict adverse adult outcomes: increased mortality, disability, lower education, unemployment, and reduced income.
- Specific diagnoses significantly influenced these outcomes.
- Individuals receiving benefits had lower general ability scores and reduced higher education attainment, particularly those with lower educational attainment.
Conclusions:
- Children with childhood health problems often underachieve in education, employment, and income relative to their potential.
- Early health interventions and support are critical for improving long-term life outcomes.
Background:
Consequences of chronic diseases in childhood with respect to health, educational achievement and participation in the labour force in young adult age are evaluated.
Material And Methods:
A total of 14,364 children (2.3%) of the 626,928 born in Norway 1967-76 received basic and /or supplemental benefits for at least one year of the age span 0-16 years. The more common diagnoses included Endocrine diseases (diabetes), disease classified under Mental diagnoses, Neurological diseases and Congenital malformations. All the children were followed up to the age of 27 with respect to mortality and disability pensioning and to the age of 25 with regard to education, participation in the labour force and income, and in addition national service for the men. The study was made possible through the linking of data from several national registers, performed by Statistics Norway. Before the file was released for analyses, all personal identification was removed.
Results:
Basic and supplementary benefits in childhood predict adverse outcomes in young adult age: mortality, disability, low education, lack of gainful employment and low pensionable income. The diagnosis registered with the benefit strongly influenced the outcomes. Conscripts who had received benefits were judged to have a mean score for general ability of 4.5 compared to 5.2. Adjusted for score for general ability the proportion of those having received benefits achieving higher education was 84% of that of those that had not received benefits. After adjustment for educational attainment, the percentage gainfully employed was 11-12% less among subjects having received benefits in childhood. This negative association between having received a benefit in childhood and gainful employment in adulthood was restricted to the low educational group.
Interpretation:
Persons with health problems in childhood did not achieve the education, employment and income they should have been capable of judged by their general ability and the education they had actually achieved.
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