Teenagers who do not access healthcare when needed are at greater risk of dropping out of high school say researchers from Lancaster University in the UK.
More than one in five young people in the developed world drop out of high school, which leads to a higher risk of unemployment, ill health and crime.
The study in the Journal of Economic Psychology examined data from the US National Longitudinal Study of Adolescents to Adult Health, a nationally representative sample of 90,000 students in grades 7 to 12 at 132 schools.
The authors, Dr Eugenio Zucchelli and Dr. Giuseppe Migali, from Lancaster University said : "Forgone healthcare is a consistently significant predictor" and could be used to identify teenagers at risk of leaving before the age of 18.
Over a third of dropouts do not seek healthcare when needed compared with only over a quarter of other high school students.
Not using healthcare includes not choosing to access healthcare for reasons including "did not know who to see" and "I thought the problem will go away"; this was used as a marker of the ability to assess the long-term consequences of actions.
A risky attitude towards health is also common among more than half of dropouts, who are more likely to smoke, drink and take drugs.
Dropouts are more likely to have combinations of the following traits:
Researchers say "Individuals who forgo their healthcare and present low conscientiousness and introversion have the highest risk of dropout."
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Journal of Economic Psychology