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Education policies and health inequalities: Evidence from changes in the distribution of Body Mass Index in France, 1981-2003

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  • Fabrice Etilé

    (PSE - Paris School of Economics - UP1 - Université Paris 1 Panthéon-Sorbonne - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - EHESS - École des hautes études en sciences sociales - ENPC - École des Ponts ParisTech - CNRS - Centre National de la Recherche Scientifique - INRAE - Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement, PSE - Paris-Jourdan Sciences Economiques - ENS-PSL - École normale supérieure - Paris - PSL - Université Paris Sciences et Lettres - INRA - Institut National de la Recherche Agronomique - EHESS - École des hautes études en sciences sociales - ENPC - École des Ponts ParisTech - CNRS - Centre National de la Recherche Scientifique, ALISS - Alimentation et sciences sociales - INRA - Institut National de la Recherche Agronomique)

Abstract

This paper contributes to the debate over the effectiveness of education policies in reducing overall health inequalities as compared to public health actions directed at the less-educated. Recentered Influence Function (RIF) regressions are used to decompose the contribution of education to the changing distribution of Body Mass Index (BMI) in France, between 1981 and 2003, into a composition effect (the shift in population education due to a massive educational expansion), and a structure effect (a changing educational gradient in BMI). Educational expansion has reduced overall BMI inequality by 3.4% for women and 2.3% for men. However, the structure effect on its own has produced a 10.9% increase in overall inequality for women, due to a steeper education gradient starting from the second quartile of the distribution. This structure effect on overall inequality is also large (7.6%) for men, albeit insignificant as it remains concentrated in the last decile. Educational expansion policies can thus reduce overall BMI inequalities; but attention must still be paid to the BMI gradient in education even for policies addressing overall rather than socioeconomic health inequalities.

Suggested Citation

  • Fabrice Etilé, 2014. "Education policies and health inequalities: Evidence from changes in the distribution of Body Mass Index in France, 1981-2003," PSE-Ecole d'économie de Paris (Postprint) halshs-00978423, HAL.
    • Handle: RePEc:hal:pseptp:halshs-00978423
    DOI: 10.1016/j.ehb.2013.01.002
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    2. Trinh Thi, Huong & Simioni, Michel & Thomas-Agnan, Christine, 2018. "Decomposition of changes in the consumption of macronutrients in Vietnam between 2004 and 2014," Economics & Human Biology, Elsevier, vol. 31(C), pages 259-275.
    3. Duncan, Roberto & Toledo, Patricia, 2018. "Long-run overweight levels and convergence in body mass index," Economics & Human Biology, Elsevier, vol. 31(C), pages 26-39.
    4. Apouey, Bénédicte H. & Geoffard, Pierre-Yves, 2016. "Parents’ education and child body weight in France: The trajectory of the gradient in the early years," Economics & Human Biology, Elsevier, vol. 20(C), pages 70-89.
    5. Fatiha Bennia & Nicolas Gravel & Brice Magdalou & Patrick Moyes, 2022. "Is body weight better distributed among men than among women? A robust normative analysis for France, the UK, and the US," Scandinavian Journal of Economics, Wiley Blackwell, vol. 124(1), pages 69-103, January.
    6. Dang, Rui, 2015. "Explaining the body mass index gaps between Turkish immigrants and Germans in West Germany 2002-2012: A decomposition analysis of socio-economic causes," Ruhr Economic Papers 580, RWI - Leibniz-Institut für Wirtschaftsforschung, Ruhr-University Bochum, TU Dortmund University, University of Duisburg-Essen.
    7. Dursun, Bahadır & Cesur, Resul & Mocan, Naci, 2018. "The Impact of Education on Health Outcomes and Behaviors in a Middle-Income, Low-Education Country," Economics & Human Biology, Elsevier, vol. 31(C), pages 94-114.
    8. Averett, Susan L. & Stacey, Nicholas & Wang, Yang, 2014. "Decomposing race and gender differences in underweight and obesity in South Africa," Economics & Human Biology, Elsevier, vol. 15(C), pages 23-40.
    9. Duncan, Roberto & Toledo, Patricia, 2019. "Inequality in body mass indices across countries: Evidence from convergence tests," Economics & Human Biology, Elsevier, vol. 33(C), pages 40-57.

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    More about this item

    Keywords

    Body Mass Index; Health inequality; Education; Decomposition analysis; Recentered Influence Function regressions;
    All these keywords.

    JEL classification:

    • C1 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods and Methodology: General
    • I1 - Health, Education, and Welfare - - Health

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