IDEAS home Printed from https://ideas.repec.org/p/nbr/nberwo/20764.html
   My bibliography  Save this paper

The Impact of Education on Health and Health Behavior in a Middle-Income, Low-Education Country

Author

Listed:
  • Resul Cesur
  • Bahadir Dursun
  • Naci Mocan

Abstract

Although the impact of education on health is important for economic policy in developing countries, the overwhelming majority of research to identify the health returns to education has been done using data from developed countries. We use data from three waves of a nationally-representative health survey, conducted between 2008 and 2012 in Turkey, and exploit an education reform that increased the mandatory years of schooling from 5 to 8 years in 1997. Using exposure to the reform as an instrument for education, we find that for women ages 18-30, education has no impact on self-reported health, BMI, overweight, obesity, or on the propensity or intensity of smoking. Education does not influence women’s daily consumption of fruits, vegetables, or their propensity to get a flu shot either. The same results are obtained for men of the same age group with one exception: education increases men’s BMI and the propensity to be overweight and obese. Potential explanations for these findings are provided.

Suggested Citation

  • Resul Cesur & Bahadir Dursun & Naci Mocan, 2014. "The Impact of Education on Health and Health Behavior in a Middle-Income, Low-Education Country," NBER Working Papers 20764, National Bureau of Economic Research, Inc.
  • Handle: RePEc:nbr:nberwo:20764
    Note: CH DEV ED EH PE
    as

    Download full text from publisher

    File URL: http://www.nber.org/papers/w20764.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Osili, Una Okonkwo & Long, Bridget Terry, 2008. "Does female schooling reduce fertility? Evidence from Nigeria," Journal of Development Economics, Elsevier, vol. 87(1), pages 57-75, August.
    2. Meghir, Costas & Palme, Mårten & Simeonova, Emilia, 2012. "Education, Health and Mortality: Evidence from a Social Experiment," IZA Discussion Papers 6462, Institute of Labor Economics (IZA).
    3. Shin-Yi Chou & Jin-Tan Liu & Michael Grossman & Ted Joyce, 2010. "Parental Education and Child Health: Evidence from a Natural Experiment in Taiwan," American Economic Journal: Applied Economics, American Economic Association, vol. 2(1), pages 33-61, January.
    4. Melvin Stephens Jr. & Dou-Yan Yang, 2014. "Compulsory Education and the Benefits of Schooling," American Economic Review, American Economic Association, vol. 104(6), pages 1777-1792, June.
    5. 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.
    6. Christopher J. Boyce & Andrew J. Oswald, 2012. "Do people become healthier after being promoted?," Health Economics, John Wiley & Sons, Ltd., vol. 21(5), pages 580-596, May.
    7. Murat G. Kırdar & Meltem Dayıoğlu & İsmet Koç, 2016. "Does Longer Compulsory Education Equalize Schooling by Gender and Rural/Urban Residence?," The World Bank Economic Review, World Bank, vol. 30(3), pages 549-579.
    8. Resul Cesur & Naci H. Mocan, 2013. "Does Secular Education Impact Religiosity, Electoral Participation and the Propensity to Vote for Islamic Parties? Evidence from an Education Reform in a Muslim Country," NBER Working Papers 19769, National Bureau of Economic Research, Inc.
    9. John Cawley & John Moran & Kosali Simon, 2010. "The impact of income on the weight of elderly Americans," Health Economics, John Wiley & Sons, Ltd., vol. 19(8), pages 979-993, August.
    10. World Bank, 2011. "Learning for All," World Bank Publications - Books, The World Bank Group, number 27790, December.
    11. Quamrul Ashraf & Ashley Lester & David Weil, 2008. "When Does Improving Health Raise GDP?," Working Papers 2008-7, Brown University, Department of Economics.
    12. Barro, Robert J. & Lee, Jong Wha, 2013. "A new data set of educational attainment in the world, 1950–2010," Journal of Development Economics, Elsevier, vol. 104(C), pages 184-198.
    13. Giorgio Brunello & Daniele Fabbri & Margherita Fort, 2013. "The Causal Effect of Education on Body Mass: Evidence from Europe," Journal of Labor Economics, University of Chicago Press, vol. 31(1), pages 195-223.
    14. Peter Lorentzen & John McMillan & Romain Wacziarg, 2008. "Death and development," Journal of Economic Growth, Springer, vol. 13(2), pages 81-124, June.
    15. 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.
    16. 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.
    17. Jérôme Adda & James Banks & Hans-Martin von Gaudecker, 2009. "The Impact of Income Shocks on Health: Evidence from Cohort Data," Journal of the European Economic Association, MIT Press, vol. 7(6), pages 1361-1399, December.
    18. Anna Aizer & Laura Stroud, 2010. "Education, Knowledge and the Evolution of Disparities in Health," NBER Working Papers 15840, National Bureau of Economic Research, Inc.
    19. Quamrul H. Ashraf & Ashley Lester & David N. Weil, 2009. "When Does Improving Health Raise GDP?," NBER Chapters, in: NBER Macroeconomics Annual 2008, Volume 23, pages 157-204, National Bureau of Economic Research, Inc.
    20. Aysit Tansel & Deniz Karaoglan, 2014. "Health Behaviors and Education in Turkey," Koç University-TUSIAD Economic Research Forum Working Papers 1414, Koc University-TUSIAD Economic Research Forum.
    21. Burkhauser, Richard V. & Cawley, John, 2008. "Beyond BMI: The value of more accurate measures of fatness and obesity in social science research," Journal of Health Economics, Elsevier, vol. 27(2), pages 519-529, March.
    22. 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.
    23. Card, David, 2001. "Estimating the Return to Schooling: Progress on Some Persistent Econometric Problems," Econometrica, Econometric Society, vol. 69(5), pages 1127-1160, September.
    24. Altindag, Duha & Cannonier, Colin & Mocan, Naci, 2011. "The impact of education on health knowledge," Economics of Education Review, Elsevier, vol. 30(5), pages 792-812, October.
    25. Lindeboom, Maarten & Llena-Nozal, Ana & van der Klaauw, Bas, 2009. "Parental education and child health: Evidence from a schooling reform," Journal of Health Economics, Elsevier, vol. 28(1), pages 109-131, January.
    26. Hoyt Bleakley, 2007. "Disease and Development: Evidence from Hookworm Eradication in the American South," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(1), pages 73-117.
    27. Kemptner, Daniel & Jürges, Hendrik & Reinhold, Steffen, 2011. "Changes in compulsory schooling and the causal effect of education on health: Evidence from Germany," Journal of Health Economics, Elsevier, vol. 30(2), pages 340-354, March.
    28. WHO World Health Organization, 2013. "Who Report On The Global Tobacco Epidemic, 2013," University of California at San Francisco, Center for Tobacco Control Research and Education qt5t06910t, Center for Tobacco Control Research and Education, UC San Francisco.
    29. Stephen E. Snyder & William N. Evans, 2006. "The Effect of Income on Mortality: Evidence from the Social Security Notch," The Review of Economics and Statistics, MIT Press, vol. 88(3), pages 482-495, August.
    30. Daron Acemoglu & Simon Johnson, 2007. "Disease and Development: The Effect of Life Expectancy on Economic Growth," Journal of Political Economy, University of Chicago Press, vol. 115(6), pages 925-985, December.
    31. Justin McCrary & Heather Royer, 2011. "The Effect of Female Education on Fertility and Infant Health: Evidence from School Entry Policies Using Exact Date of Birth," American Economic Review, American Economic Association, vol. 101(1), pages 158-195, February.
    32. Leyla Mocan, 2014. "The Impact of Education on Wages: Analysis of an Education Reform in Turkey," Koç University-TUSIAD Economic Research Forum Working Papers 1424, Koc University-TUSIAD Economic Research Forum.
    33. Mathios, Alan D, 2000. "The Impact of Mandatory Disclosure Laws on Product Choices: An Analysis of the Salad Dressing Market," Journal of Law and Economics, University of Chicago Press, vol. 43(2), pages 651-677, October.
    34. Dinçer, Mehmet Alper & Kaushal, Neeraj & Grossman, Michael, 2014. "Women’s Education: Harbinger of Another Spring? Evidence from a Natural Experiment in Turkey," World Development, Elsevier, vol. 64(C), pages 243-258.
    35. 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.
    36. Akee, Randall K. Q. & Simeonova, Emilia & Copeland, William & Angold, Adrian & Costello, Jane E., 2010. "Does More Money Make You Fat? The Effects of Quasi-Experimental Income Transfers on Adolescent and Young Adult Obesity," IZA Discussion Papers 5135, Institute of Labor Economics (IZA).
    37. Maximilian D. Schmeiser, 2009. "Expanding wallets and waistlines: the impact of family income on the BMI of women and men eligible for the Earned Income Tax Credit," Health Economics, John Wiley & Sons, Ltd., vol. 18(11), pages 1277-1294, November.
    38. Michael Grossman, 1972. "The Demand for Health: A Theoretical and Empirical Investigation," NBER Books, National Bureau of Economic Research, Inc, number gros72-1, March.
    39. Naci H. Mocan & Colin Cannonier, 2012. "Empowering Women Through Education: Evidence from Sierra Leone," NBER Working Papers 18016, National Bureau of Economic Research, Inc.
    40. 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.
    41. Price, Joseph & Simon, Kosali, 2009. "Patient education and the impact of new medical research," Journal of Health Economics, Elsevier, vol. 28(6), pages 1166-1174, December.
    Full references (including those not matched with items on IDEAS)

    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. 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.
    2. Bahadir Dursun & Resul Cesur & Inas Rashad Kelly, 2017. "The Value of Mandating Maternal Education in a Developing Country," NBER Working Papers 23492, National Bureau of Economic Research, Inc.
    3. Naci Mocan & Luiza Pogorelova, 2014. "Compulsory Schooling Laws and Formation of Beliefs: Education, Religion and Superstition," NBER Working Papers 20557, National Bureau of Economic Research, Inc.
    4. Mocan, Naci & Pogorelova, Luiza, 2014. "Compulsory Schooling Laws and Formation of Beliefs: Education, Religion and Superstition," IZA Discussion Papers 8698, Institute of Labor Economics (IZA).
    5. Michael Grossman, 2015. "The Relationship between Health and Schooling: What’s New?," NBER Working Papers 21609, National Bureau of Economic Research, Inc.
    6. Bahadır Dursun & Resul Cesur, 2016. "Transforming lives: the impact of compulsory schooling on hope and happiness," Journal of Population Economics, Springer;European Society for Population Economics, vol. 29(3), pages 911-956, July.
    7. Naci Mocan & Luiza Pogorelova, 2014. "Compulsory Schooling Laws and Formation of Beliefs: Education, Religion and Superstition," Koç University-TUSIAD Economic Research Forum Working Papers 1423, Koc University-TUSIAD Economic Research Forum.
    8. Bahadır Dursun & Resul Cesur & Inas R. Kelly, 2022. "Mandatory Schooling of Girls Improved Their Children's Health: Evidence from Turkey's 1997 Education Reform," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 41(3), pages 824-858, June.
    9. Resul Cesur & Naci H. Mocan, 2013. "Does Secular Education Impact Religiosity, Electoral Participation and the Propensity to Vote for Islamic Parties? Evidence from an Education Reform in a Muslim Country," NBER Working Papers 19769, National Bureau of Economic Research, Inc.
    10. Baltagi, Badi H. & Flores-Lagunes, Alfonso & Karatas, Haci M., 2019. "The effect of education on health: Evidence from the 1997 compulsory schooling reform in Turkey," Regional Science and Urban Economics, Elsevier, vol. 77(C), pages 205-221.
    11. Dora L. Costa, 2015. "Health and the Economy in the United States from 1750 to the Present," Journal of Economic Literature, American Economic Association, vol. 53(3), pages 503-570, September.
    12. Hamad, Rita & Elser, Holly & Tran, Duy C. & Rehkopf, David H. & Goodman, Steven N., 2018. "How and why studies disagree about the effects of education on health: A systematic review and meta-analysis of studies of compulsory schooling laws," Social Science & Medicine, Elsevier, vol. 212(C), pages 168-178.
    13. 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.
    14. Gathmann, Christina & Jürges, Hendrik & Reinhold, Steffen, 2015. "Compulsory schooling reforms, education and mortality in twentieth century Europe," Social Science & Medicine, Elsevier, vol. 127(C), pages 74-82.
    15. 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).
    16. 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.
    17. 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.
    18. Mathias Huebener, 2017. "Intergenerational Effects of Education on Risky Health Behaviours and Long-Term Health," Discussion Papers of DIW Berlin 1709, DIW Berlin, German Institute for Economic Research.
    19. 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.
    20. 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).

    More about this item

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • I21 - Health, Education, and Welfare - - Education - - - Analysis of Education
    • I25 - Health, Education, and Welfare - - Education - - - Education and Economic Development
    • I26 - Health, Education, and Welfare - - Education - - - Returns to Education

    NEP fields

    This paper has been announced in the following NEP Reports:

    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:nbr:nberwo:20764. 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: the person in charge (email available below). General contact details of provider: https://edirc.repec.org/data/nberrus.html .

    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.