TY - GEN A1 - Matos Fialho, Paula Mayara A1 - Dragano, Nico A1 - Reuter, Matthias A1 - Metzendorf, Maria-Inti A1 - Richter, Bernd A1 - Richter, Matthias A1 - Spallek, Jacob A1 - Diehl, Katharina A1 - Lampert, Thomas A1 - Pischke, Claudia R. T1 - Health inequalities during school-to-work transitions among young adults: Mapping the evidence T2 - European Journal of Public Health N2 - Background School-to-work transition is a sensitive period that can have a substantial impact on health over the life course. Previous studies suggest pronounced health inequalities during this period but little is known about the determinants at the individual, meso- and macro-levels. We aim to further elucidate possible health inequalities during school-to-work transitions with a focus on multilevel determinants, e.g. evidence on potential effects of contextual and compositional factors of specific institutions involved. Methods We are currently conducting a scoping review (funded by the German Research Foundation) to map the evidence on the above mentioned topic among young adults (aged 16-24 years), following the methodological framework proposed by Arksey and ÓMalley and PRISMA. The literature search was performed in Ovid MEDLINE, Web of Science, ILO and NIOSH, using sensitive search strategy developed by text-analysis. Only articles published between January 2000 - February 2020 and written in English or German are considered. The selection process is conducted following a two-step approach:1) screening of titles and abstracts 2) screening of full-texts by two independent reviewers. Any discrepancies in the selection process are resolved by a third researcher. Preliminary Results Following the five stages of the methodological framework, the scoping review is currently in stage 3 (study selection-screening phase). We found 25,069 potentially relevant articles in our primary search. 15,508 articles remained after the duplicates were removed. Up to now, 8,825 papers were screened of which 7,629 were excluded and 1,176 included which qualified for full-text reading. Complete results of the scoping review will be presented at the conference. Conclusions This scoping review will improve our knowledge about the emergence and development of health inequalities during school-to-work transitions by examining health of individuals in different institutional contexts. Key messages - Improving our knowledge of health inequalities during school-to-work transitions. - the role of determinants at the individual, meso- and macro-levels during this stage will also be examined. KW - Health inequalities KW - school-to-work transition KW - young adults KW - life course Y1 - 2020 U6 - https://doi.org/10.1093/eurpub/ckaa166.278 VL - 30 IS - Supplement_5 ER - TY - GEN A1 - Reuter, Marvin A1 - Pischke, Claudia R. A1 - Rigo, Mariann A1 - Diehl, Katharina A1 - Spallek, Jacob A1 - Richter, Matthias A1 - Hövener, Claudia A1 - Dragano, Nico T1 - Health inequalities among young workers: the mediating role of working conditions and company characteristics T2 - International Archives of Occupational and Environmental Health N2 - Objective Few studies have investigated health inequalities among young workers. The objectives of this study are to assess the extent of health inequalities in a sample of job starters and to explore the contribution of job demands and organisational factors. Methods We analyze data from the BIBB/BAuA Youth Employment Survey 2012. The cross-sectional survey includes a representative sample of 3214 German employees, apprentices, and trainees aged 15–24 years. Individuals were grouped by their years of schooling into low (< 12 years) and high levels of education (≥ 12 years). Regression analysis estimated the link between education and four health outcomes: self-rated health, number of health events, musculoskeletal symptoms, and mental health problems over the last 12 months. Counterfactual mediation analysis tested for indirect effects of education via working conditions (i.e., physical and psychosocial job demands) and company characteristics (i.e., company size, health prevention measures, financial situation, downsizing). All analyses were adjusted for age, sex, nationality, region, working hours, job tenure, employment relationship, and economic sector. Results Highly educated workers reported better self-rated health (b = 0.24, 95% CI 0.18–0.31) and lower numbers of health events (Rate Ratio (RR) = 0.74, 95% CI 0.67–0.82), musculoskeletal symptoms (RR = 0.73, 95% CI 0.66–0.80) and mental health problems (RR = 0.84, 95% CI 0.76–0.93). Total job demands explained between 21.6% and 87.2% of the educational differences (depending on health outcome). Unfavourable company characteristics were associated with worse health, but showed no or only small mediation effects. Conclusions Health inequalities are already present at the early working career due to socio-economically stratified working hazards. To enhance prevention measures that aim at reducing inequalities in workplace health, we propose shifting attention towards earlier stages of life. KW - Company leve Young workers KW - Health inequalities KW - Job demands KW - Mediation KW - Socio-economic position KW - Young workers Y1 - 2023 UR - https://link.springer.com/article/10.1007/s00420-023-02010-6 U6 - https://doi.org/10.1007/s00420-023-02010-6 SN - 1432-1246 VL - 96 IS - 10 SP - 1313 EP - 1324 ER -