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Does more schooling improve health outcomes and health related behaviors? Evidence from U.K. twins

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  • Amin, Vikesh
  • Behrman, Jere R.
  • Spector, Tim D.

Abstract

Several recent studies using instrumental variables based on changes in compulsory school-leaving age laws have estimated the causal effect of schooling on health outcomes and health-related behaviors in the U.K. Despite using the same identification strategy and similar datasets, no consensus has been reached. We contribute to the literature by providing results for the U.K. using a different research design and a different dataset. Specifically, we estimate the effect of schooling on health outcomes (obesity and physical health) and health-related behaviors (smoking, alcohol consumption and exercise) for women through within-MZ twins estimates using the TwinsUK database. For physical health, alcohol consumption and exercise, the within-MZ twins estimates are uninformative about whether there is a causal effect. However, we find (1) that the significant association between schooling and smoking status is due to unobserved endowments that are correlated with schooling and smoking and (2) there is some indication that more schooling reduces the body mass index for women, even once these unobserved endowments have been controlled for.

Suggested Citation

  • Amin, Vikesh & Behrman, Jere R. & Spector, Tim D., 2013. "Does more schooling improve health outcomes and health related behaviors? Evidence from U.K. twins," Economics of Education Review, Elsevier, vol. 35(C), pages 134-148.
    • Handle: RePEc:eee:ecoedu:v:35:y:2013:i:c:p:134-148
    DOI: 10.1016/j.econedurev.2013.04.004
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    Cited by:

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    2. Elizabeth N. Appiah, 2017. "The Effect of Education Expenditure on Per Capita GDP in Developing Countries," International Journal of Economics and Finance, Canadian Center of Science and Education, vol. 9(10), pages 136-144, October.
    3. Petter Lundborg; & Carl Hampus Lyttkens; & Paul Nystedt;, 2012. "Human capital and longevity. Evidence from 50,000 twins," Health, Econometrics and Data Group (HEDG) Working Papers 12/19, HEDG, c/o Department of Economics, University of York.
    4. Ning Wei & Dingqiang Sun, 2023. "Children’s education and parents’ dietary nutrient intake: an empirical study based on rural China," Palgrave Communications, Palgrave Macmillan, vol. 10(1), pages 1-13, December.
    5. Michael Grossman, 2015. "The Relationship between Health and Schooling: What's New?," Working Papers 8, City University of New York Graduate Center, Ph.D. Program in Economics.
    6. Petter Lundborg, 2013. "The health returns to schooling—what can we learn from twins?," Journal of Population Economics, Springer;European Society for Population Economics, vol. 26(2), pages 673-701, April.
    7. Madsen, Mia & Andersen, Per K. & Gerster, Mette & Andersen, Anne-Marie N. & Christensen, Kaare & Osler, Merete, 2014. "Are the educational differences in incidence of cardiovascular disease explained by underlying familial factors? A twin study," Social Science & Medicine, Elsevier, vol. 118(C), pages 182-190.
    8. Petter Lundborg & Carl Hampus Lyttkens & Paul Nystedt, 2016. "The Effect of Schooling on Mortality: New Evidence From 50,000 Swedish Twins," Demography, Springer;Population Association of America (PAA), vol. 53(4), pages 1135-1168, August.
    9. Lång, Elisabeth & Nystedt, Paul, 2016. "Learning For Life? The Effects of Schooling on Earnings and Health- Related Behavior Over the Life Cycle," LiU Working Papers in Economics 4, Linköping University, Division of Economics, Department of Management and Engineering.
    10. Chen, Yuanyuan & Wang, Haining & Cheng, Zhiming & Smyth, Russell, 2023. "Education and Migrant Health in China," Economic Modelling, Elsevier, vol. 121(C).
    11. Güneş, Pınar Mine, 2015. "The role of maternal education in child health: Evidence from a compulsory schooling law," Economics of Education Review, Elsevier, vol. 47(C), pages 1-16.
    12. Matthew Calver, 2015. "Closing the Aboriginal Education Gap in Canada: Assessing Progress and Estimating the Economic Benefits," CSLS Research Reports 2015-03, Centre for the Study of Living Standards.
    13. Jared C. Carbone & Snorre Kverndokk, 2016. "Individual Investments in Education and Health: Policy Responses and Interactions," CESifo Working Paper Series 6154, CESifo.
    14. Felix C. Tropf & Jornt J. Mandemakers, 2017. "Is the Association Between Education and Fertility Postponement Causal? The Role of Family Background Factors," Demography, Springer;Population Association of America (PAA), vol. 54(1), pages 71-91, February.
    15. Titus J. Galama & Adriana Lleras-Muney & Hans van Kippersluis, 2018. "The Effect of Education on Health and Mortality: A Review of Experimental and Quasi-Experimental Evidence," NBER Working Papers 24225, National Bureau of Economic Research, Inc.
    16. Tropf, Felix C & Mandemakers, Jornt J, 2017. "Is the Association Between Education and Fertility Postponement Causal? The Role of Family Background Factors," OSF Preprints dqrrx, Center for Open Science.
    17. Behrman, Jere R. & Xiong, Yanyan & Zhang, Junsen, 2015. "Cross-sectional schooling-health associations misrepresented causal schooling effects on adult health and health-related behaviors: Evidence from the Chinese Adults Twins Survey," Social Science & Medicine, Elsevier, vol. 127(C), pages 190-197.
    18. Gerdtham, Ulf-G & Lundborg, Petter & Lyttkens, Carl Hampus & Nystedt, Paul, 2012. "Do Socioeconomic Factors Really Explain Income-Related Inequalities in Health? Applying a Twin Design to Standard Decomposition Analysis," Working Papers 2012:21, Lund University, Department of Economics.
    19. Ren, Yanjun & Zhang, Yanjie & Castro Campos, Bente & Loy, Jens-Peter, 2020. "Unhealthy consumption behaviors and their intergenerational persistence: The role of education," China Economic Review, Elsevier, vol. 62(C).
    20. Jere Behrman & Hans-Peter Kohler & Vibeke Jensen & Dorthe Pedersen & Inge Petersen & Paul Bingley & Kaare Christensen, 2011. "Does More Schooling Reduce Hospitalization and Delay Mortality? New Evidence Based on Danish Twins," Demography, Springer;Population Association of America (PAA), vol. 48(4), pages 1347-1375, November.
    21. Mark R. Rosenzweig & Junsen Zhang, 2019. "The Effects of Schooling on Costless Health Maintenance: Overweight Adolescents and Children in Rural China," NBER Working Papers 26089, National Bureau of Economic Research, Inc.
    22. Xindong Xue & Mingmei Cheng & Wangyongxin Zhang, 2021. "Does Education Really Improve Health? A Meta‐Analysis," Journal of Economic Surveys, Wiley Blackwell, vol. 35(1), pages 71-105, February.

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    More about this item

    Keywords

    Schooling; Health; Twins fixed-effects;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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