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Does Less Education Harm Health? Evidence from a Natural Experiment in a Developing Country

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  • Mallick, Debdulal
  • Khalil, Islam
  • Nicholas, Aaron

Abstract

We investigate the effects on health outcomes resulting from a reduction in years of schooling in Egypt in 1988, a policy change that moves in the opposite direction in relation to the extant literature. We exploit this policy change as a natural experiment and employ a fuzzy regression discontinuity design to investigate a wide range of objectively measured health outcomes and behaviors. Despite the policy’s adverse effect on years of schooling and students’ ability to complete educational milestones, there is no effect on any of the health outcomes. Our results (or lack thereof) add to the complexity and nuance of the findings in the literature that is focused on the effect of increasing compulsory schooling (or school leaving age), particularly in developing countries.

Suggested Citation

  • Mallick, Debdulal & Khalil, Islam & Nicholas, Aaron, 2023. "Does Less Education Harm Health? Evidence from a Natural Experiment in a Developing Country," MPRA Paper 116184, University Library of Munich, Germany.
  • Handle: RePEc:pra:mprapa:116184
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    File URL: https://mpra.ub.uni-muenchen.de/116841/1/MPRA_paper_116841.pdf
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    References listed on IDEAS

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    1. Etilé, Fabrice & Jones, Andrew M., 2011. "Schooling and smoking among the baby boomers - An evaluation of the impact of educational expansion in France," Journal of Health Economics, Elsevier, vol. 30(4), pages 811-831, July.
    2. Victor R. Fuchs, 1982. "Economic Aspects of Health," NBER Books, National Bureau of Economic Research, Inc, number fuch82-1, March.
    3. Massimiliano Bratti & Elena Cottini & Paolo Ghinetti, 2022. "Education, health and health-related behaviors: Evidence from higher education expansion," DISCE - Working Papers del Dipartimento di Economia e Finanza def114, Università Cattolica del Sacro Cuore, Dipartimenti e Istituti di Scienze Economiche (DISCE).
    4. Damon Clark & Heather Royer, 2013. "The Effect of Education on Adult Mortality and Health: Evidence from Britain," American Economic Review, American Economic Association, vol. 103(6), pages 2087-2120, October.
    5. 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.
    6. 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.
    7. Imbens, Guido W. & Lemieux, Thomas, 2008. "Regression discontinuity designs: A guide to practice," Journal of Econometrics, Elsevier, vol. 142(2), pages 615-635, February.
    8. Fatma Romeh M. Ali & Shiferaw Gurmu, 2018. "The impact of female education on fertility: a natural experiment from Egypt," Review of Economics of the Household, Springer, vol. 16(3), pages 681-712, September.
    9. 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.
    10. Djavad Salehi-Isfahani & Nadia Hassine & Ragui Assaad, 2014. "Equality of opportunity in educational achievement in the Middle East and North Africa," The Journal of Economic Inequality, Springer;Society for the Study of Economic Inequality, vol. 12(4), pages 489-515, December.
    11. Lance, Lochner, 2011. "Nonproduction Benefits of Education," Handbook of the Economics of Education, in: Erik Hanushek & Stephen Machin & Ludger Woessmann (ed.), Handbook of the Economics of Education, edition 1, volume 4, chapter 0, pages 183-282, Elsevier.
    12. Lee, David S. & Card, David, 2008. "Regression discontinuity inference with specification error," Journal of Econometrics, Elsevier, vol. 142(2), pages 655-674, February.
    13. Nattavudh Powdthavee, 2010. "Does Education Reduce the Risk of Hypertension? Estimating the Biomarker Effect of Compulsory Schooling in England," Journal of Human Capital, University of Chicago Press, vol. 4(2), pages 173-202.
    14. Pedro Carneiro & Claire Crawford & Alissa Goodman, 2007. "The Impact of Early Cognitive and Non-Cognitive Skills on Later Outcomes," CEE Discussion Papers 0092, Centre for the Economics of Education, LSE.
    15. Hai Fang & Karen N. Eggleston & John A. Rizzo & Scott Rozelle & Richard J. Zeckhauser, 2012. "The Returns to Education in China: Evidence from the 1986 Compulsory Education Law," NBER Working Papers 18189, National Bureau of Economic Research, Inc.
    16. Cutler, David M. & Lleras-Muney, Adriana, 2010. "Understanding differences in health behaviors by education," Journal of Health Economics, Elsevier, vol. 29(1), pages 1-28, January.
    17. Xie, Shiqing & Mo, Taiping, 2014. "The impact of education on health in China," China Economic Review, Elsevier, vol. 29(C), pages 1-18.
    18. Sherry Glied & Adriana Lleras-Muney, 2003. "Health Inequality, Education and Medical Innovation," Working Papers 255, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
    19. Silles, Mary A., 2009. "The causal effect of education on health: Evidence from the United Kingdom," Economics of Education Review, Elsevier, vol. 28(1), pages 122-128, February.
    20. Assaad, Ragui & Hendy, Rana & Salehi-Isfahani, Djavad, 2019. "Inequality of opportunity in educational attainment in the Middle East and North Africa: Evidence from household surveys," International Journal of Educational Development, Elsevier, vol. 66(C), pages 24-43.
    21. Deon Filmer & Lant Pritchett, 2001. "Estimating Wealth Effects Without Expenditure Data—Or Tears: An Application To Educational Enrollments In States Of India," Demography, Springer;Population Association of America (PAA), vol. 38(1), pages 115-132, February.
    22. Huang, Wei, 2015. "Understanding the Effects of Education on Health: Evidence from China," IZA Discussion Papers 9225, Institute of Labor Economics (IZA).
    23. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-255, March-Apr.
    24. 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.
    25. repec:pri:cheawb:adriana_healthinequality is not listed on IDEAS
    26. Asmaa Elbadawy, 2014. "Education in Egypt: Improvements in Attainment, Problems with Quality and Inequality," Working Papers 854, Economic Research Forum, revised Nov 2014.
    27. Victor R. Fuchs, 1982. "Introduction to "Economic Aspects of Health"," NBER Chapters, in: Economic Aspects of Health, pages 1-12, National Bureau of Economic Research, Inc.
    28. Sherry Glied & Adriana Lleras-Muney, 2003. "Health Inequality, Education and Medical Innovation," NBER Working Papers 9738, National Bureau of Economic Research, Inc.
    29. Harold Alderman & Jere R. Behrman & Victor Lavy & Rekha Menon, 2001. "Child Health and School Enrollment: A Longitudinal Analysis," Journal of Human Resources, University of Wisconsin Press, vol. 36(1), pages 185-205.
    30. Fuchs, Victor R. (ed.), 1982. "Economic Aspects of Health," National Bureau of Economic Research Books, University of Chicago Press, number 9780226267852, December.
    31. Fatma Romeh M. Ali & Mahmoud A. A. Elsayed, 2018. "The effect of parental education on child health: Quasi‐experimental evidence from a reduction in the length of primary schooling in Egypt," Health Economics, John Wiley & Sons, Ltd., vol. 27(4), pages 649-662, April.
    32. Hamad, Rita & Elser, Holly & Tran, Duy C. & Rehkopf, David H. & Goodman, Steven N., 2018. "How and why studies disagree about the effects of education on health: A systematic review and meta-analysis of studies of compulsory schooling laws," Social Science & Medicine, Elsevier, vol. 212(C), pages 168-178.
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    More about this item

    Keywords

    Education; Health; Natural experiment; Fuzzy regression discontinuity;
    All these keywords.

    JEL classification:

    • C99 - Mathematical and Quantitative Methods - - Design of Experiments - - - Other
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I20 - Health, Education, and Welfare - - Education - - - General

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