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Mediating Role Of Education And Lifestyles In The Relationship Between Early‐Life Conditions And Health: Evidence From The 1958 British Cohort

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  • Bruce Hollingsworth
  • Anthony Scott
  • Sandy Tubeuf
  • Florence Jusot
  • Damien Bricard

Abstract

The paper focuses on the long-term effects of early-life conditions with comparison to lifestyles and current socioeconomic factors on health status in a cohort of British people born in 1958. Using the longitudinal follow-up data at age 23, 33, 42 and 46, we build a dynamic model to investigate the influence of each determinant on health and the mediating role of education and lifestyles in the relationship between early-life conditions and later health. Direct and indirect effects of early-life conditions on adult health are explored using auxiliary linear regressions of education and lifestyles and panel Probit specifications of self-assessed health with random effects addressing individual unexplained heterogeneity. Our study shows that early-life conditions are important parameters for adult health, their contribution to health disparities increases from 17.8% to 23% when mediating effects are identified. They also shape other health determinants: the contribution of lifestyles reduces from 28% down to 22% when indirect effects of early-life conditions are distinguished. Noticeably, the absence of father at the time of birth and experience of financial hardships represent the lead factors for direct effects on health. The absence of obesity at 16 influences health both directly and indirectly working through lifestyles.
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Suggested Citation

  • Bruce Hollingsworth & Anthony Scott & Sandy Tubeuf & Florence Jusot & Damien Bricard, 2012. "Mediating Role Of Education And Lifestyles In The Relationship Between Early‐Life Conditions And Health: Evidence From The 1958 British Cohort," Health Economics, John Wiley & Sons, Ltd., vol. 21, pages 129-150, June.
  • Handle: RePEc:wly:hlthec:v:21:y:2012:i::p:129-150
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    Cited by:

    1. repec:eee:socmed:v:185:y:2017:i:c:p:147-157 is not listed on IDEAS
    2. Kjellsson, Gustav, 2014. "Extending Decomposition Analysis to Account for Socioeconomic Background: Income-Related Smoking Inequality among Swedish Women," Working Papers 2014:29, Lund University, Department of Economics.
    3. Deborah A. Cobb-Clark & Anna Zhu, 2017. "Childhood homelessness and adult employment: the role of education, incarceration, and welfare receipt," Journal of Population Economics, Springer;European Society for Population Economics, vol. 30(3), pages 893-924, July.
    4. Damien Bricard & Florence Jusot, 2012. "Intergenerational transmission of health care habits in France," Post-Print hal-01593803, HAL.
    5. Andrew Jones & John Roemer & Pedro Rosa Dias, 2014. "Equalising opportunities in health through educational policy," Social Choice and Welfare, Springer;The Society for Social Choice and Welfare, vol. 43(3), pages 521-545, October.
    6. Paolo Li Donni & Juan Rodríguez & Pedro Rosa Dias, 2015. "Empirical definition of social types in the analysis of inequality of opportunity: a latent classes approach," Social Choice and Welfare, Springer;The Society for Social Choice and Welfare, vol. 44(3), pages 673-701, March.
    7. Thomas Leoni, 2016. "Social investment: A guiding principle for welfare state adjustment after the crisis?," Empirica, Springer;Austrian Institute for Economic Research;Austrian Economic Association, vol. 43(4), pages 831-858, November.
    8. Thomas Leoni & Rainer Eppel, 2013. "Women's Work and Family Profiles over the Lifecourse and their Subsequent Health Outcomes. Evidence for Europe," WWWforEurope Working Papers series 28, WWWforEurope.
    9. Damien Bricard & Florence Jusot & François Beck & Myriam Khlat & Stéphane Legleye, 2016. "Educational inequalities in smoking over the life cycle: an analysis by cohort and gender," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 61(1), pages 101-109, January.
    10. repec:dau:papers:123456789/11716 is not listed on IDEAS
    11. Emma Gorman & Grant M Scobie & Andy Towers, 2012. "Health and Retirement of Older New Zealanders," Treasury Working Paper Series 12/02, New Zealand Treasury.
    12. Thomas Leoni, 2015. "Welfare state adjustment to new social risks in the post-crisis scenario. A review with focus on the social investment perspective," WWWforEurope Working Papers series 89, WWWforEurope.

    More about this item

    JEL classification:

    • D63 - Microeconomics - - Welfare Economics - - - Equity, Justice, Inequality, and Other Normative Criteria and Measurement
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior

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