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Mediating role of education and lifestyles in the relationship between early-life conditions and health : evidence from the 1958 British cohort

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  • Tubeuf, Sandy
  • Jusot, Florence
  • Bricard, Damien

Abstract

The paper focuses on the long-term effects of early-life conditions with comparison to lifestyles and educational attainment on health status in a cohort of British people born in 1958. Using the longitudinal follow-up data at age 23, 33, 42 and 46, we build a dynamic model to investigate the influence of each determinant on health and the mediating role of education and lifestyles in the relationship between early-life conditions and later health. Direct and indirect effects of early-life conditions on adult health are explored using auxiliary linear regressions of education and lifestyles and panel Probit specifications of self-assessed health with random effects addressing individual unexplained heterogeneity. Our study shows that early-life conditions are important parameters for adult health accounting for almost 20% of explained health inequality when mediating effects are identified. The contribution of lifestyles reduces from 32% down to 25% when indirect effects of early-life conditions and education are distinguished. Noticeably, the absence of father at the time of birth and experience of financial hardships represent the lead factors for direct effects on health. The absence of obesity at 16 influences health both directly and indirectly working through lifestyles.

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File URL: http://basepub.dauphine.fr/xmlui/bitstream/123456789/9292/1/SSRN-id1903859.pdf
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Bibliographic Info

Paper provided by Paris Dauphine University in its series Economics Papers from University Paris Dauphine with number 123456789/9292.

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Date of creation: Jun 2012
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Publication status: Published in Health Economics, 2012, Vol. Volume 21, no. Supplement S1
Handle: RePEc:dau:papers:123456789/9292

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Keywords: Cohort; early-life conditions; education; lifestyles; random effects;

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Cited by:
  1. Emma Gorman & Grant M Scobie & Andy Towers, 2012. "Health and Retirement of Older New Zealanders," Treasury Working Paper Series 12/02, New Zealand Treasury.
  2. Thomas Leoni & Rainer Eppel, 2013. "Women's Work and Family Profiles over the Lifecourse and their Subsequent Health Outcomes. Evidence for Europe," WWWforEurope Working Papers series, WWWforEurope 28, WWWforEurope.
  3. Tubeuf, Sandy & Trannoy, Alain & Jusot, Florence & Bricard, Damien, 2013. "Inequalities of Opportunities in Health and Natural Reward: a European Perspective," Economics Papers from University Paris Dauphine, Paris Dauphine University 123456789/11716, Paris Dauphine University.
  4. Kjellsson, Gustav, 2014. "Extending Decomposition Analysis to Account for Socioeconomic Background: Income-Related Smoking Inequality among Swedish Women," Working Papers, Lund University, Department of Economics 2014:29, Lund University, Department of Economics.

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