IDEAS home Printed from https://ideas.repec.org/a/wly/hlthec/v30y2021is1p105-118.html
   My bibliography  Save this article

The effect of college education on health and mortality: Evidence from Canada

Author

Listed:
  • Guy Lacroix
  • Francois Laliberté‐Auger
  • Pierre‐Carl Michaud
  • Daniel Parent

Abstract

We investigate the returns to college attendance in Canada in terms of health and mortality reduction. To do so, we first use a dynamic health microsimulation model to document how interventions that incentivize college attendance among high school graduates may impact their health trajectory, health care consumption, and life expectancy. We find large returns both in terms of evity (4.1 years additional years at age 51), reduction in the prevalence of various health conditions (10–15 percentage points reduction in diabetes and 5 percentage points for stroke), and health care consumption (27.3% reduction in lifetime hospital stays, 19.7 for specialists). We find that education impacts mortality mostly by delaying the incidence of health conditions as well as providing a survival advantage conditional on having diseases. Second, we provide quasi‐experimental evidence on the impact of college attendance on long‐term health outcomes by exploiting the Canadian Veteran's Rehabilitation Act, a program targeted towards returning WW‐II veterans and which incentivized college attendance. The impact on mortality is found to be larger than those estimated from the health microsimulation model (hazard ratio of 0.216 compared with 0.6 in the simulation model), which suggests substantial returns to college education in terms of healthy life extension which we estimate to be approximately one million canadian dollars.

Suggested Citation

  • Guy Lacroix & Francois Laliberté‐Auger & Pierre‐Carl Michaud & Daniel Parent, 2021. "The effect of college education on health and mortality: Evidence from Canada," Health Economics, John Wiley & Sons, Ltd., vol. 30(S1), pages 105-118, November.
  • Handle: RePEc:wly:hlthec:v:30:y:2021:i:s1:p:105-118
    DOI: 10.1002/hec.3975
    as

    Download full text from publisher

    File URL: https://doi.org/10.1002/hec.3975
    Download Restriction: no

    File URL: https://libkey.io/10.1002/hec.3975?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    Other versions of this item:

    References listed on IDEAS

    as
    1. Frenette, Marc, 2014. "An Investment of a Lifetime? The Long-term Labour Market Premiums Associated with a Postsecondary Education," Analytical Studies Branch Research Paper Series 2014359e, Statistics Canada, Analytical Studies Branch.
    2. Gabriella Conti & James J. Heckman & Rodrigo Pinto, 2016. "The Effects of Two Influential Early Childhood Interventions on Health and Healthy Behaviour," Economic Journal, Royal Economic Society, vol. 126(596), pages 28-65, October.
    3. Philip Oreopoulos, 2006. "Estimating Average and Local Average Treatment Effects of Education when Compulsory Schooling Laws Really Matter," American Economic Review, American Economic Association, vol. 96(1), pages 152-175, March.
    4. Viscusi, W Kip & Aldy, Joseph E, 2003. "The Value of a Statistical Life: A Critical Review of Market Estimates throughout the World," Journal of Risk and Uncertainty, Springer, vol. 27(1), pages 5-76, August.
    5. Costas Meghir & Mårten Palme & Emilia Simeonova, 2018. "Education and Mortality: Evidence from a Social Experiment," American Economic Journal: Applied Economics, American Economic Association, vol. 10(2), pages 234-256, April.
    6. Douglas Almond & Janet Currie & Valentina Duque, 2018. "Childhood Circumstances and Adult Outcomes: Act II," Journal of Economic Literature, American Economic Association, vol. 56(4), pages 1360-1446, December.
    7. Kelly Bedard & Olivier Deschênes, 2006. "The Long-Term Impact of Military Service on Health: Evidence from World War II and Korean War Veterans," American Economic Review, American Economic Association, vol. 96(1), pages 176-194, March.
    8. Kunst, A.E. & Mackenbach, J.P., 1994. "The size of mortality differences associated with educational level in nine industrialized countries," American Journal of Public Health, American Public Health Association, vol. 84(6), pages 932-937.
    9. Grimard, Franque & Parent, Daniel, 2007. "Education and smoking: Were Vietnam war draft avoiders also more likely to avoid smoking?," Journal of Health Economics, Elsevier, vol. 26(5), pages 896-926, September.
    10. Goldman, Dana & Smith, James P., 2011. "The increasing value of education to health," Social Science & Medicine, Elsevier, vol. 72(10), pages 1728-1737, May.
    11. Hans van Kippersluis, & Owen O’Donnell & Eddy van Doorslaer, 2011. "Long-Run Returns to Education: Does Schooling Lead to an Extended Old Age?," Journal of Human Resources, University of Wisconsin Press, vol. 46(4), pages 695-721.
    12. 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.
    13. repec:reg:rpubli:282 is not listed on IDEAS
    14. 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.
    15. 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.
    16. Buckles, Kasey & Malamud, Ofer & Morrill, Melinda Sandler & Wozniak, Abigail, 2012. "The Effect of College Education on Health," IZA Discussion Papers 6659, Institute of Labor Economics (IZA).
    17. Buckles, Kasey & Hagemann, Andreas & Malamud, Ofer & Morrill, Melinda & Wozniak, Abigail, 2016. "The effect of college education on mortality," Journal of Health Economics, Elsevier, vol. 50(C), pages 99-114.
    18. Imbens, Guido W & Angrist, Joshua D, 1994. "Identification and Estimation of Local Average Treatment Effects," Econometrica, Econometric Society, vol. 62(2), pages 467-475, March.
    19. Kevin Milligan & Tammy Schirle, 2021. "The evolution of longevity: Evidence from Canada," Canadian Journal of Economics/Revue canadienne d'économique, John Wiley & Sons, vol. 54(1), pages 164-192, February.
    20. Adriana Lleras-Muney, 2005. "The Relationship Between Education and Adult Mortality in the United States," Review of Economic Studies, Oxford University Press, vol. 72(1), pages 189-221.
    21. Albouy, Valerie & Lequien, Laurent, 2009. "Does compulsory education lower mortality?," Journal of Health Economics, Elsevier, vol. 28(1), pages 155-168, January.
    22. Victor R. Fuchs, 1982. "Time Preference and Health: An Exploratory Study," NBER Chapters, in: Economic Aspects of Health, pages 93-120, National Bureau of Economic Research, Inc.
    23. James P. Smith, 1999. "Healthy Bodies and Thick Wallets: The Dual Relation between Health and Economic Status," Journal of Economic Perspectives, American Economic Association, vol. 13(2), pages 145-166, Spring.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Franca Glenzer & Pierre-Carl Michaud & Stefan Staubli, 2023. "Frames, Incentives, and Education: Effectiveness of Interventions to Delay Public Pension Claiming," CIRANO Working Papers 2023s-05, CIRANO.
    2. Hamid Noghanibehambari & Farzaneh Noghani, 2023. "Long‐run intergenerational health benefits of women empowerment: Evidence from suffrage movements in the US," Health Economics, John Wiley & Sons, Ltd., vol. 32(11), pages 2583-2631, November.
    3. Vincenzo Atella & Dana Goldman & Daniel McFadden, 2021. "Disparate ageing: The role of education and socioeconomic gradients in future health and disability in an international context," Health Economics, John Wiley & Sons, Ltd., vol. 30(S1), pages 3-10, November.
    4. Jason Fletcher & Hamid Noghanibehambari, 2021. "The Effects of Education on Mortality: Evidence Using College Expansions," NBER Working Papers 29423, National Bureau of Economic Research, Inc.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Bautista, María Angélica & González, Felipe & Martinez, Luis R. & Muñoz, Pablo & Prem, Mounu, 2020. "Does Higher Education Reduce Mortality? Evidence from a Natural Experiment in Chile," SocArXiv 5s2px, Center for Open Science.
    2. Titus J. Galama & Adriana Lleras-Muney & Hans van Kippersluis, 2018. "The Effect of Education on Health and Mortality: A Review of Experimental and Quasi-Experimental Evidence," NBER Working Papers 24225, National Bureau of Economic Research, Inc.
    3. Jiang, Wei & Lu, Yi & Xie, Huihua, 2020. "Education and mental health: Evidence and mechanisms," Journal of Economic Behavior & Organization, Elsevier, vol. 180(C), pages 407-437.
    4. Felipe Gonzalez & Luis R. Martinez & Pablo Munoz & Mounu Prem, 2023. "Higher education and mortality: legacies of an authoritarian college contraction," Working Papers 965, Queen Mary University of London, School of Economics and Finance.
    5. Ma, Yuanyuan & Nolan, Anne & Smith, James P., 2018. "The value of education to health: Evidence from Ireland," Economics & Human Biology, Elsevier, vol. 31(C), pages 14-25.
    6. Fu, Hongqiao & Ge, Run & Huang, Jialin & Shi, Xinzheng, 2022. "The effect of education on health and health behaviors: Evidence from the college enrollment expansion in China," China Economic Review, Elsevier, vol. 72(C).
    7. Heckley, Gawain & Nordin, Martin & Gerdtham, Ulf-G., 2018. "Could Easier Access to University Improve Health and Reduce Health Inequalities?," Working Papers 2018:5, Lund University, Department of Economics.
    8. Atticus Bolyard & Peter Savelyev, 2021. "Understanding the Educational Attainment Polygenic Score and its Interactions with SES in Determining Health in Young Adulthood," Working Papers 2021-026, Human Capital and Economic Opportunity Working Group.
    9. Janke, Katharina & Johnston, David W. & Propper, Carol & Shields, Michael A., 2020. "The causal effect of education on chronic health conditions in the UK," Journal of Health Economics, Elsevier, vol. 70(C).
    10. Avendano, Mauricio & de Coulon, Augustin & Nafilyan, Vahé, 2020. "Does longer compulsory schooling affect mental health? Evidence from a British reform," Journal of Public Economics, Elsevier, vol. 183(C).
    11. Albarrán, Pedro & Hidalgo-Hidalgo, Marisa & Iturbe-Ormaetxe, Iñigo, 2020. "Education and adult health: Is there a causal effect?," Social Science & Medicine, Elsevier, vol. 249(C).
    12. Stephanie von Hinke, 2022. "Education, Dietary Intakes and Exercise," Oxford Bulletin of Economics and Statistics, Department of Economics, University of Oxford, vol. 84(1), pages 214-240, February.
    13. Savelyev, Peter A. & Ward, Benjamin C. & Krueger, Robert F. & McGue, Matt, 2022. "Health endowments, schooling allocation in the family, and longevity: Evidence from US twins," Journal of Health Economics, Elsevier, vol. 81(C).
    14. Jared C. Carbone & Snorre Kverndokk, 2016. "Individual Investments in Education and Health: Policy Responses and Interactions," CESifo Working Paper Series 6154, CESifo.
    15. Amin, Vikesh & Behrman, Jere R. & Kohler, Hans-Peter, 2015. "Schooling has smaller or insignificant effects on adult health in the US than suggested by cross-sectional associations: New estimates using relatively large samples of identical twins," Social Science & Medicine, Elsevier, vol. 127(C), pages 181-189.
    16. Evan Taylor, 2017. "The Impact of College Education on Old-Age Mortality: A Study of Marginal Treatment Effects," Working Papers 17-30, Center for Economic Studies, U.S. Census Bureau.
    17. Peter A. Savelyev, 2014. "Psychological Skills, Education, and Longevity of High-Ability Individuals," Vanderbilt University Department of Economics Working Papers 14-00007, Vanderbilt University Department of Economics.
    18. Markus Gehrsitz & Morgan C. Williams, "undated". "The Effects of Compulsory Schooling on Health and Hospitalization over the Life Cycle," Working Papers 2303, University of Strathclyde Business School, Department of Economics, revised May 2020.
    19. Janke, Katharina & Johnston, David W. & Propper, Carol & Shields, Michael A., 2018. "The Causal Effect of Education on Chronic Health Conditions," IZA Discussion Papers 11353, Institute of Labor Economics (IZA).
    20. Kai Hong & Peter A. Savelyev & Kegon T. K. Tan, 2020. "Understanding the Mechanisms Linking College Education with Longevity," Journal of Human Capital, University of Chicago Press, vol. 14(3), pages 371-400.

    More about this item

    JEL classification:

    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I26 - Health, Education, and Welfare - - Education - - - Returns to Education

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:hlthec:v:30:y:2021:i:s1:p:105-118. See general information about how to correct material in RePEc.

    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 CitEc recognized a bibliographic reference but did not link an item in RePEc 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 RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: http://www3.interscience.wiley.com/cgi-bin/jhome/5749 .

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

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.