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Disparities in disability by educational attainment across US states

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  • Montez, J.K.
  • Zajacova, A.
  • Hayward, M.D.

Abstract

Objectives. To examine how disparities in adult disability by educational attainment vary across US states. Methods. We used the nationally representative data of more than 6 million adults aged 45 to 89 years in the 2010-2014 American Community Survey. We defined disability as difficulty with activities of daily living. We categorized education as low (less than high school), mid (high school or some college), or high (bachelor's or higher). We estimated age-standardized disability prevalence by educational attainment and state. We assessed whether the variation in disability across states occurs primarily among low-educated adults and whether it reflects the socioeconomic resources of low-educated adults and their surrounding contexts. Results. Disparities in disability by education vary markedly across states-from a 20 percentage point disparity in Massachusetts to a 12-point disparity in Wyoming. Disparities vary across states mainly because the prevalence of disability among loweducated adults varies across states. Personal and contextual socioeconomic resources of low-educated adults account for 29% of the variation. Conclusions. Efforts to reduce disparities in disability by education should consider state and local strategies that reduce poverty among low-educated adults and their surrounding contexts.

Suggested Citation

  • Montez, J.K. & Zajacova, A. & Hayward, M.D., 2017. "Disparities in disability by educational attainment across US states," American Journal of Public Health, American Public Health Association, vol. 107(7), pages 1101-1108.
  • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2017.303768_9
    DOI: 10.2105/AJPH.2017.303768
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    Cited by:

    1. Donnelly, Rachel & Farina, Mateo P., 2021. "How do state policies shape experiences of household income shocks and mental health during the COVID-19 pandemic?," Social Science & Medicine, Elsevier, vol. 269(C).
    2. Liliya Leopold, 2018. "Education and Physical Health Trajectories in Later Life: A Comparative Study," Demography, Springer;Population Association of America (PAA), vol. 55(3), pages 901-927, June.
    3. Todd A MacKenzie & Jason Houle & Steven Jiang & Tracy Onega, 2019. "Middle-aged death and taxes in the USA: Association of state tax burden and expenditures in 2005 with survival from 2006 to 2015," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-9, April.
    4. Edward Adinkrah & Babak Najand & Arash Rahmani & Najmeh Maharlouei & Tavonia Ekwegh & Sharon Cobb & Hossein Zare, 2022. "Social Determinants of Mental, Physical, and Oral Health of Middle-Aged and Older African Americans in South Los Angeles," IJERPH, MDPI, vol. 19(24), pages 1-14, December.
    5. Mohsen Bazargan & James L. Smith & Paul Robinson & John Uyanne & Ruqayyah Abdulrahoof & Chika Chuku & Shervin Assari, 2019. "Chronic Respiratory Disease and Health-Related Quality of Life of African American Older Adults in an Economically Disadvantaged Area of Los Angeles," IJERPH, MDPI, vol. 16(10), pages 1-15, May.
    6. Connor Sheehan & Anna Zajacova & Dylan Connor & Jennifer Karas Montez, 2022. "State-Level Variation in the Association Between Educational Attainment and Sleep," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 41(3), pages 1137-1160, June.
    7. Jennifer Karas Montez & Anna Zajacova & Mark D. Hayward & Steven H. Woolf & Derek Chapman & Jason Beckfield, 2019. "Educational Disparities in Adult Mortality Across U.S. States: How Do They Differ, and Have They Changed Since the Mid-1980s?," Demography, Springer;Population Association of America (PAA), vol. 56(2), pages 621-644, April.
    8. Megan M. Reynolds & Patricia A. Homan, 2023. "Income Support Policy Packages and Birth Outcomes in U.S. States: An Ecological Analysis," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 42(4), pages 1-24, August.
    9. Elizabeth M. Lawrence & Richard G. Rogers & Anna Zajacova & Tim Wadsworth, 2019. "Marital Happiness, Marital Status, Health, and Longevity," Journal of Happiness Studies, Springer, vol. 20(5), pages 1539-1561, June.
    10. Hafifa Siddiq & Babak Najand, 2022. "Immigration Status, Socioeconomic Status, and Self-Rated Health in Europe," IJERPH, MDPI, vol. 19(23), pages 1-12, November.

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