IDEAS home Printed from https://ideas.repec.org/p/nbr/nberwo/15678.html
   My bibliography  Save this paper

Explaining the Rise in Educational Gradients in Mortality

Author

Listed:
  • David M. Cutler
  • Fabian Lange
  • Ellen Meara
  • Seth Richards
  • Christopher J. Ruhm

Abstract

The long-standing inverse relationship between education and mortality strengthened substantially later in the 20th century. This paper examines the reasons for this increase. We show that behavioral risk factors are not of primary importance. Smoking has declined more for the better educated, but not enough to explain the trend. Obesity has risen at similar rates across education groups, and control of blood pressure and cholesterol has increased fairly uniformly as well. Rather, our results show that the mortality returns to risk factors, and conditional on risk factors, the return to education, have grown over time.

Suggested Citation

  • David M. Cutler & Fabian Lange & Ellen Meara & Seth Richards & Christopher J. Ruhm, 2010. "Explaining the Rise in Educational Gradients in Mortality," NBER Working Papers 15678, National Bureau of Economic Research, Inc.
  • Handle: RePEc:nbr:nberwo:15678
    Note: EH
    as

    Download full text from publisher

    File URL: http://www.nber.org/papers/w15678.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. David M. Cutler, 2008. "Are We Finally Winning the War on Cancer?," Journal of Economic Perspectives, American Economic Association, vol. 22(4), pages 3-26, Fall.
    2. Kenneth Y. Chay & Michael Greenstone, 2003. "The Impact of Air Pollution on Infant Mortality: Evidence from Geographic Variation in Pollution Shocks Induced by a Recession," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 118(3), pages 1121-1167.
    3. Harriet Duleep, 1989. "Measuring socioeconomic mortality differentials over time," Demography, Springer;Population Association of America (PAA), vol. 26(2), pages 345-351, May.
    4. David M. Cutler & Edward L. Glaeser & Allison B. Rosen, 2009. "Is the US Population Behaving Healthier?," NBER Chapters, in: Social Security Policy in a Changing Environment, pages 423-442, National Bureau of Economic Research, Inc.
    5. Burkhauser, Richard V. & Cawley, John, 2008. "Beyond BMI: The value of more accurate measures of fatness and obesity in social science research," Journal of Health Economics, Elsevier, vol. 27(2), pages 519-529, March.
    6. Dana P. Goldman & James P. Smith, 2004. "Can Patient Self-Management Help Explain the SES Health Gradient?," HEW 0403004, University Library of Munich, Germany.
    7. Kenkel, Donald S, 1991. "Health Behavior, Health Knowledge, and Schooling," Journal of Political Economy, University of Chicago Press, vol. 99(2), pages 287-305, April.
    8. James Smith, 2007. "Diabetes and the Rise of the SES Health Gradient," NBER Working Papers 12905, National Bureau of Economic Research, Inc.
    9. Michael Grossman, 1972. "The Demand for Health: A Theoretical and Empirical Investigation," NBER Books, National Bureau of Economic Research, Inc, number gros72-1, May.
    10. Crimmins, Eileen M. & Saito, Yasuhiko, 2001. "Trends in healthy life expectancy in the United States, 1970-1990: gender, racial, and educational differences," Social Science & Medicine, Elsevier, vol. 52(11), pages 1629-1641, June.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Rosolia, Alfonso & Cipollone, Piero, 2011. "Schooling and Youth Mortality: Learning from a Mass Military Exemption," CEPR Discussion Papers 8431, C.E.P.R. Discussion Papers.
    2. Mark E. McGovern, 2012. "Don't stress: early life conditions, hypertension and selection into associated risk factors," Working Papers 201223, Geary Institute, University College Dublin.
    3. Parro, Francisco & Pohl, R. Vincent, 2018. "Health Shocks, Human Capital, and Labor Market Outcomes," MPRA Paper 87238, University Library of Munich, Germany.
    4. Strulik, Holger, 2011. "Health and Education: Understanding the Gradient," Hannover Economic Papers (HEP) dp-487, Leibniz Universität Hannover, Wirtschaftswissenschaftliche Fakultät.
    5. John Robert Warren, 2016. "Does Growing Childhood Socioeconomic Inequality Mean Future Inequality in Adult Health?," The ANNALS of the American Academy of Political and Social Science, , vol. 663(1), pages 292-330, January.
    6. Aïda Solé-Auró & Hiram Beltrán-Sánchez & Eileen Crimmins, 2015. "Are Differences in Disability-Free Life Expectancy by Gender, Race, and Education Widening at Older Ages?," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 34(1), pages 1-18, February.
    7. Masters, Ryan K. & Link, Bruce G. & Phelan, Jo C., 2015. "Trends in education gradients of ‘preventable’ mortality: A test of fundamental cause theory," Social Science & Medicine, Elsevier, vol. 127(C), pages 19-28.
    8. Jennifer Montez & Erika Sabbath & M. Glymour & Lisa Berkman, 2014. "Trends in Work–Family Context Among U.S. Women by Education Level, 1976 to 2011," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 33(5), pages 629-648, October.
    9. Olga Grigoriev & Gabriele Doblhammer, 2019. "Changing educational gradient in long-term care-free life expectancy among German men, 1997-2012," PLOS ONE, Public Library of Science, vol. 14(9), pages 1-20, September.
    10. Strulik, Holger, 2018. "The return to education in terms of wealth and health," The Journal of the Economics of Ageing, Elsevier, vol. 12(C), pages 1-14.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Cutler, David M. & Lange, Fabian & Meara, Ellen & Richards-Shubik, Seth & Ruhm, Christopher J., 2011. "Rising educational gradients in mortality: The role of behavioral risk factors," Journal of Health Economics, Elsevier, vol. 30(6), pages 1174-1187.
    2. Grossman, Michael, 2006. "Education and Nonmarket Outcomes," Handbook of the Economics of Education, in: Erik Hanushek & F. Welch (ed.), Handbook of the Economics of Education, edition 1, volume 1, chapter 10, pages 577-633, Elsevier.
    3. Galama, Titus & Kapteyn, Arie, 2011. "Grossman’s missing health threshold," Journal of Health Economics, Elsevier, vol. 30(5), pages 1044-1056.
    4. Variyam, Jayachandran N. & Blaylock, James R. & Smallwood, David, 1997. "Diet-Health Information and Nutrition: The Intake of Dietary Fats and Cholesterol," Technical Bulletins 156800, United States Department of Agriculture, Economic Research Service.
    5. Thompson, Owen, 2011. "Racial disparities in the cognition-health relationship," Journal of Health Economics, Elsevier, vol. 30(2), pages 328-339, March.
    6. Adriana Lleras-Muney, 2005. "The Relationship Between Education and Adult Mortality in the United States," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 72(1), pages 189-221.
    7. Bolin, Kristian & Lindgren, Björn, 2014. "Non-monotonic health behaviours - implications for individual health-related behaviour in a demand-for-health framework," Working Papers in Economics 588, University of Gothenburg, Department of Economics.
    8. Braakmann, Nils, 2011. "The causal relationship between education, health and health related behaviour: Evidence from a natural experiment in England," Journal of Health Economics, Elsevier, vol. 30(4), pages 753-763, July.
    9. Dursun, Bahadır & Cesur, Resul & Mocan, Naci, 2018. "The Impact of Education on Health Outcomes and Behaviors in a Middle-Income, Low-Education Country," Economics & Human Biology, Elsevier, vol. 31(C), pages 94-114.
    10. Gilleskie, Donna B. & Harrison, Amy L., 1998. "The effect of endogenous health inputs on the relationship between health and education," Economics of Education Review, Elsevier, vol. 17(3), pages 279-295, June.
    11. Johnston, David W. & Lordan, Grace & Shields, Michael A. & Suziedelyte, Agne, 2015. "Education and health knowledge: Evidence from UK compulsory schooling reform," Social Science & Medicine, Elsevier, vol. 127(C), pages 92-100.
    12. Weale, Martin, 1992. "Education, externalities, fertility, and economic growth," Policy Research Working Paper Series 1039, The World Bank.
    13. Barone, Adriana & Barra, Cristian, 2019. "Weight status and mental health in Italy: Evidence from EHIS2 microdata," MPRA Paper 96703, University Library of Munich, Germany.
    14. Alexander Ahammer & G. Thomas Horvath & Rudolf Winter-Ebmer, 2017. "The effect of income on mortality—new evidence for the absence of a causal link," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 180(3), pages 793-816, June.
    15. Brunello, Giorgio & Fabbri, Daniele & Fort, Margherita, 2009. "Years of Schooling, Human Capital and the Body Mass Index of European Females," IZA Discussion Papers 4667, Institute of Labor Economics (IZA).
    16. Fane Groes & Daniela Iorio & Man Yee (Mallory) Leung & Raül Santaeulàlia-Llopis, 2017. "Educational Disparities in the Battle Against Infertility: Evidence from IVF Success," Working Papers 977, Barcelona School of Economics.
    17. William J. Collins & Melissa A. Thomasson, 2002. "Exploring the Racial Gap in Infant Mortality Rates, 1920-1970," Vanderbilt University Department of Economics Working Papers 0201, Vanderbilt University Department of Economics.
    18. Adam Wagstaff & Magnus Lindelow, 2014. "Are Health Shocks Different? Evidence From A Multishock Survey In Laos," Health Economics, John Wiley & Sons, Ltd., vol. 23(6), pages 706-718, June.
    19. Li-Shiun Chen & Ping Wang & Yao Yao, 2017. "Smoking, Health Capital, and Longevity: Evaluation of Personalized Cessation Treatments in a Lifecycle Model with Heterogeneous Agents," NBER Working Papers 23820, National Bureau of Economic Research, Inc.
    20. David Cutler & Angus Deaton & Adriana Lleras-Muney, 2006. "The Determinants of Mortality," Journal of Economic Perspectives, American Economic Association, vol. 20(3), pages 97-120, Summer.

    More about this item

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:nbr:nberwo:15678. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: the person in charge (email available below). General contact details of provider: https://edirc.repec.org/data/nberrus.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.