IDEAS home Printed from
MyIDEAS: Log in (now much improved!) to save this article

School life expectancy and risk for tuberculosis in Europe

Listed author(s):
  • Kazuyo Machiyama

    (Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine)

  • Jan C. Semenza


    (European Centre for Disease Prevention and Control (ECDC))

  • R. J. Silverwood

    (Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine)

  • Melissa J. Palmer

    (Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine)

  • Tek-Ang Lim

    (European Centre for Disease Prevention and Control (ECDC))

  • Davide Manissero

    (European Centre for Disease Prevention and Control (ECDC))

  • Andreas Sandgren

    (European Centre for Disease Prevention and Control (ECDC))

  • George B. Ploubidis

    (University College London)

Registered author(s):

    Abstract Objective This study aims to investigate the effect of country-level school life expectancy on Tuberculosis (TB) incidence to gain further understanding of substantial variation in TB incidence across Europe. Methods An ecological study examined the prospective association between baseline country-level education in 2000 measured by school life expectancy and TB incidence in 2000–2010 in 40 countries of the WHO European region using quantile regression. Subsequently, to validate the ecological associations between education and TB incidence, an individual-level analysis was performed using case-based data in 29 EU/EEA countries from the European Surveillance System (TESSy) and simulating a theoretical control group. Results The ecological analysis showed that baseline school life expectancy had a negative prospective association with TB incidence. We observed consistent negative effects of school life expectancy on individuals’ TB infections prospectively. Conclusions These findings suggests that country-level education is an important determinant of individual-level TB infection in the region, and in the absence of a social determinants indicator that is routinely collected for reportable infectious diseases, the adoption of country-level education for reportable infectious diseases would significantly advance the field.

    If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.

    File URL:
    File Function: Abstract
    Download Restriction: Access to the full text of the articles in this series is restricted.

    As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.

    Article provided by Springer & Swiss School of Public Health (SSPH+) in its journal International Journal of Public Health.

    Volume (Year): 61 (2016)
    Issue (Month): 5 (June)
    Pages: 603-611

    in new window

    Handle: RePEc:spr:ijphth:v:61:y:2016:i:5:d:10.1007_s00038-015-0768-6
    DOI: 10.1007/s00038-015-0768-6
    Contact details of provider: Web page:

    Web page:

    Order Information: Web:

    References listed on IDEAS
    Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:

    in new window

    1. David P. Baker & Juan Leon & Emily G. Smith Greenaway & John Collins & Marcela Movit, 2011. "The Education Effect on Population Health: A Reassessment," Population and Development Review, The Population Council, Inc., vol. 37(2), pages 307-332, June.
    2. Grossman, Michael, 2006. "Education and Nonmarket Outcomes," Handbook of the Economics of Education, Elsevier.
    3. Petter Lundborg, 0000. "The Health Returns to Education - What can we learn from Twins?," Tinbergen Institute Discussion Papers 08-027/3, Tinbergen Institute.
    Full references (including those not matched with items on IDEAS)

    This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

    When requesting a correction, please mention this item's handle: RePEc:spr:ijphth:v:61:y:2016:i:5:d:10.1007_s00038-015-0768-6. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Sonal Shukla)

    or (Rebekah McClure)

    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 references are entirely missing, you can add them using this form.

    If the full references list an item that is present in RePEc, but the system did not link 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 profile, as there may be some citations waiting for confirmation.

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

    This information is provided to you by IDEAS at the Research Division of the Federal Reserve Bank of St. Louis using RePEc data.