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Estimating the Education-Health Relationship: A Cost-Utility Approach

Author

Listed:
  • Golberstein Ezra

    (University of Minnesota - Twin Cities)

  • Hirth Richard A.

    (University of Michigan - Ann Arbor)

  • Lantz Paula M.

    (George Washington University)

Abstract

While considerable research studies the association between education and health, no prior research estimates the magnitude of health improvements associated with more schooling, accounting for both quantity and quality of life. We use longitudinal PSID data that combines repeated survey measures of health status with mortality data to measure the number of Quality-Adjusted Life Years accruing over a 23-year period. To reduce endogeneity concerns we utilize detailed survey information on family background, cognitive, and non-cognitive skills; and we estimate sibling fixed effects models. An additional year of schooling is associated with 0.20-0.38 additional QALYs over the 23-year study period. These estimates are considerably larger than looking at quality-unadjusted life years. We estimate that an additional year of schooling is associated with an incremental discounted lifetime value of $26,000-$49,000 of health. To the extent that our results approximate causal estimates, increasing education may be a cost-effective way to improve population health.

Suggested Citation

  • Golberstein Ezra & Hirth Richard A. & Lantz Paula M., 2012. "Estimating the Education-Health Relationship: A Cost-Utility Approach," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 11(3), pages 1-27, March.
    • Handle: RePEc:bpj:bejeap:v:11:y:2012:i:3:n:7
    DOI: 10.1515/1935-1682.2838
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    References listed on IDEAS

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    1. Thomas Dohmen & Armin Falk & David Huffman & Uwe Sunde, 2012. "The Intergenerational Transmission of Risk and Trust Attitudes," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 79(2), pages 645-677.
    2. Kenneth Land & Jack Guralnik & Dan Blazer, 1994. "Estimating Increment-Decrement Life Tables with Multiple Covariates from Panel Data: The Case of Active Life Expectancy," Demography, Springer;Population Association of America (PAA), vol. 31(2), pages 297-319, May.
    3. John DiNardo & Justin L. Tobias, 2001. "Nonparametric Density and Regression Estimation," Journal of Economic Perspectives, American Economic Association, vol. 15(4), pages 11-28, Fall.
    4. Diane Lauderdale, 2001. "Education and survival: Birth cohort, period, and age effects," Demography, Springer;Population Association of America (PAA), vol. 38(4), pages 551-561, November.
    5. Black, Sandra E. & Devereux, Paul J. & Salvanes, Kjell G., 2009. "Like father, like son? A note on the intergenerational transmission of IQ scores," Economics Letters, Elsevier, vol. 105(1), pages 138-140, October.
    6. Schoeni, R.F. & Martin, L.G. & Andreski, P.M. & Freedman, V.A., 2005. "Persistent and growing socioeconomic disparities in disability among the elderly: 1982-2002," American Journal of Public Health, American Public Health Association, vol. 95(11), pages 2065-2070.
    7. Susan M. Dynarski, 2003. "Does Aid Matter? Measuring the Effect of Student Aid on College Attendance and Completion," American Economic Review, American Economic Association, vol. 93(1), pages 279-288, March.
    8. 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.
    9. Scott Lynch, 2003. "Cohort and life-course patterns in the relationship between education and health: A hierarchical approach," Demography, Springer;Population Association of America (PAA), vol. 40(2), pages 309-331, May.
    10. Webbink, Dinand & Martin, Nicholas G. & Visscher, Peter M., 2010. "Does education reduce the probability of being overweight?," Journal of Health Economics, Elsevier, vol. 29(1), pages 29-38, January.
    11. Elo, Irma T. & Preston, Samuel H., 1996. "Educational differentials in mortality: United States, 1979-1985," Social Science & Medicine, Elsevier, vol. 42(1), pages 47-57, January.
    12. Bound, John & Solon, Gary, 1999. "Double trouble: on the value of twins-based estimation of the return to schooling," Economics of Education Review, Elsevier, vol. 18(2), pages 169-182, April.
    13. 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.
    14. Damon Clark & Heather Royer, 2010. "The Effect of Education on Adult Health and Mortality: Evidence from Britain," NBER Working Papers 16013, National Bureau of Economic Research, Inc.
    15. 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.
    16. de Walque, Damien, 2007. "Does education affect smoking behaviors?: Evidence using the Vietnam draft as an instrument for college education," Journal of Health Economics, Elsevier, vol. 26(5), pages 877-895, September.
    17. Manning, Willard G. & Mullahy, John, 2001. "Estimating log models: to transform or not to transform?," Journal of Health Economics, Elsevier, vol. 20(4), pages 461-494, July.
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