IDEAS home Printed from https://ideas.repec.org/p/qmw/qmwecw/965.html
   My bibliography  Save this paper

Higher education and mortality: legacies of an authoritarian college contraction

Author

Listed:
  • Felipe Gonzalez

    (Queen Mary University)

  • Luis R. Martinez

    (University of Chicago)

  • Pablo Munoz

    (University of Chile)

  • Mounu Prem

    (Einaudi Institute)

Abstract

We provide new evidence on the causal effect of higher education on mortality. Our empirical strategy exploits the reduction in college openings introduced by the Pinochet regime after the 1973 coup in Chile, which led to a sharp downward kink in college enrollment among those cohorts reaching college age in the following years. Using administrative data from the vital statistics, we document an upward kink in the age-specific yearly mortality rate of individuals in the affected cohorts. We estimate a negative effect of college on mortality between ages 34-74, which is larger for men, but also sizable for women. Individuals in the affected cohorts experience worse labor market outcomes, are more likely to be enrolled in the public health system, and report lower consumption of health services. This suggests that economic disad-vantage and limited access to care play an important mediating role in the link between higher education and mortality.

Suggested Citation

  • 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.
  • Handle: RePEc:qmw:qmwecw:965
    as

    Download full text from publisher

    File URL: https://www.qmul.ac.uk/sef/media/econ/research/workingpapers/wp965.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Victor R. Fuchs, 1982. "Economic Aspects of Health," NBER Books, National Bureau of Economic Research, Inc, number fuch82-1, March.
    2. repec:pri:cheawb:case_paxson_economic_status_paper is not listed on IDEAS
    3. Gary S. Becker & Casey B. Mulligan, 1997. "The Endogenous Determination of Time Preference," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 112(3), pages 729-758.
    4. 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.
    5. Sandra E. Black & Paul J. Devereux & Kjell G. Salvanes, 2007. "From the Cradle to the Labor Market? The Effect of Birth Weight on Adult Outcomes," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 122(1), pages 409-439.
    6. David Card & David S. Lee & Zhuan Pei & Andrea Weber, 2017. "Regression Kink Design: Theory and Practice," Advances in Econometrics, in: Regression Discontinuity Designs, volume 38, pages 341-382, Emerald Group Publishing Limited.
    7. 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.
    8. Joshua D. Angrist & Jörn-Steffen Pischke, 2009. "Mostly Harmless Econometrics: An Empiricist's Companion," Economics Books, Princeton University Press, edition 1, number 8769.
    9. A. Colin Cameron & Jonah B. Gelbach & Douglas L. Miller, 2008. "Bootstrap-Based Improvements for Inference with Clustered Errors," The Review of Economics and Statistics, MIT Press, vol. 90(3), pages 414-427, August.
    10. 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.
    11. Black, Dan A. & Hsu, Yu-Chieh & Taylor, Lowell J., 2015. "The effect of early-life education on later-life mortality," Journal of Health Economics, Elsevier, vol. 44(C), pages 1-9.
    12. Cameron, A. Colin & Gelbach, Jonah B. & Miller, Douglas L., 2011. "Robust Inference With Multiway Clustering," Journal of Business & Economic Statistics, American Statistical Association, vol. 29(2), pages 238-249.
    13. Adriana Lleras-Muney, 2005. "The Relationship Between Education and Adult Mortality in the United States," The Review of Economic Studies, Review of Economic Studies Ltd, vol. 72(1), pages 189-221.
    14. Jack Mountjoy, 2022. "Community Colleges and Upward Mobility," American Economic Review, American Economic Association, vol. 112(8), pages 2580-2630, August.
    15. Albouy, Valerie & Lequien, Laurent, 2009. "Does compulsory education lower mortality?," Journal of Health Economics, Elsevier, vol. 28(1), pages 155-168, January.
    16. Braakmann, Nils, 2011. "The causal relationship between education, health and health related behaviour: Evidence from a natural experiment in England," Journal of Health Economics, Elsevier, vol. 30(4), pages 753-763, July.
    17. Janet Currie & Hannes Schwandt, 2016. "Mortality Inequality: The Good News from a County-Level Approach," Journal of Economic Perspectives, American Economic Association, vol. 30(2), pages 29-52, Spring.
    18. Peter Arcidiacono & Michael Lovenheim, 2016. "Affirmative Action and the Quality-Fit Trade-Off," Journal of Economic Literature, American Economic Association, vol. 54(1), pages 3-51, March.
    19. Jason M. Fletcher & David E. Frisvold, 2009. "Higher Education and Health Investments: Does More Schooling Affect Preventive Health Care Use?," Journal of Human Capital, University of Chicago Press, vol. 3(2), pages 144-176.
    20. Bhashkar Mazumder, 2008. "Does education improve health? A reexamination of the evidence from compulsory schooling laws," Economic Perspectives, Federal Reserve Bank of Chicago, vol. 32(Q II), pages 2-16.
    21. 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.
    22. Arendt, Jacob Nielsen, 2005. "Does education cause better health? A panel data analysis using school reforms for identification," Economics of Education Review, Elsevier, vol. 24(2), pages 149-160, April.
    23. A'Hearn, Brian & Baten, Jörg & Crayen, Dorothee, 2009. "Quantifying Quantitative Literacy: Age Heaping and the History of Human Capital," The Journal of Economic History, Cambridge University Press, vol. 69(3), pages 783-808, September.
    24. 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.
    25. Jennifer Montez & Robert Hummer & Mark Hayward, 2012. "Educational Attainment and Adult Mortality in the United States: A Systematic Analysis of Functional Form," Demography, Springer;Population Association of America (PAA), vol. 49(1), pages 315-336, February.
    26. David Card & David S. Lee & Zhuan Pei & Andrea Weber, 2015. "Inference on Causal Effects in a Generalized Regression Kink Design," Econometrica, Econometric Society, vol. 83, pages 2453-2483, November.
    27. Lange, Fabian, 2011. "The role of education in complex health decisions: Evidence from cancer screening," Journal of Health Economics, Elsevier, vol. 30(1), pages 43-54, January.
    28. Jere R. Behrman & Mark R. Rosenzweig, 2004. "Returns to Birthweight," The Review of Economics and Statistics, MIT Press, vol. 86(2), pages 586-601, May.
    29. 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.
    30. Seth D. Zimmerman, 2014. "The Returns to College Admission for Academically Marginal Students," Journal of Labor Economics, University of Chicago Press, vol. 32(4), pages 711-754.
    31. 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.
    32. 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.
    33. Ivan A. Canay & Andres Santos & Azeem M. Shaikh, 2021. "The Wild Bootstrap with a “Small†Number of “Large†Clusters," The Review of Economics and Statistics, MIT Press, vol. 103(2), pages 346-363, May.
    34. Helena Skyt Nielsen & Torben Sørensen & Christopher Taber, 2010. "Estimating the Effect of Student Aid on College Enrollment: Evidence from a Government Grant Policy Reform," NBER Chapters, in: Income Taxation, Trans-Atlantic Public Economics Seminar (TAPES), pages 185-215, National Bureau of Economic Research, Inc.
    35. Adriana Lleras-Muney, 2022. "Education and Income Gradients in Longevity: The Role of Policy," NBER Working Papers 29694, National Bureau of Economic Research, Inc.
    36. Bo E. Honoré & Adriana Lleras-Muney, 2006. "Bounds in Competing Risks Models and the War on Cancer," Econometrica, Econometric Society, vol. 74(6), pages 1675-1698, November.
    37. Cristian Pardo & Whitney Schott, 2012. "Public versus private: evidence on health insurance selection," International Journal of Health Economics and Management, Springer, vol. 12(1), pages 39-61, March.
    38. Hungerford, Thomas & Solon, Gary, 1987. "Sheepskin Effects in the Returns to Education," The Review of Economics and Statistics, MIT Press, vol. 69(1), pages 175-177, February.
    39. repec:pri:cheawb:case_paxson_economic_status_paper.pdf is not listed on IDEAS
    40. Thomas Lemieux & David Card, 2001. "Going to College to Avoid the Draft: The Unintended Legacy of the Vietnam War," American Economic Review, American Economic Association, vol. 91(2), pages 97-102, May.
    41. O. Ashenfelter & D. Card (ed.), 1999. "Handbook of Labor Economics," Handbook of Labor Economics, Elsevier, edition 1, volume 3, number 3.
    42. 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.
    43. Philip Oreopoulos & Kjell G. Salvanes, 2011. "Priceless: The Nonpecuniary Benefits of Schooling," Journal of Economic Perspectives, American Economic Association, vol. 25(1), pages 159-184, Winter.
    44. Evelyn Kitagawa & Philip Hauser, 1968. "Education differentials in mortality by cause of death: United States, 1960," Demography, Springer;Population Association of America (PAA), vol. 5(1), pages 318-353, March.
    45. Xindong Xue & Mingmei Cheng & Wangyongxin Zhang, 2021. "Does Education Really Improve Health? A Meta‐Analysis," Journal of Economic Surveys, Wiley Blackwell, vol. 35(1), pages 71-105, February.
    46. Victor R. Fuchs, 1982. "Introduction to "Economic Aspects of Health"," NBER Chapters, in: Economic Aspects of Health, pages 1-12, National Bureau of Economic Research, Inc.
    47. Anne Case & Darren Lubotsky & Christina Paxson, 2002. "Economic Status and Health in Childhood: The Origins of the Gradient," American Economic Review, American Economic Association, vol. 92(5), pages 1308-1334, December.
    48. Ciprian Domnisoru, 2021. "Heterogeneity across Families in the Impact of Compulsory Schooling Laws," Economica, London School of Economics and Political Science, vol. 88(350), pages 399-429, April.
    49. Fuchs, Victor R. (ed.), 1982. "Economic Aspects of Health," National Bureau of Economic Research Books, University of Chicago Press, number 9780226267852, December.
    50. repec:ucn:wpaper:10197/317 is not listed on IDEAS
    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. 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. 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.
    3. Tatjana Begerow & Hendrik Jürges, 2022. "Does compulsory schooling affect health? Evidence from ambulatory claims data," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(6), pages 953-968, August.
    4. 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.
    5. Grytten, Jostein & Skau, Irene & Sørensen, Rune, 2020. "Who dies early? Education, mortality and causes of death in Norway," Social Science & Medicine, Elsevier, vol. 245(C).
    6. 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.
    7. Bijwaard, Govert E. & van Kippersluis, Hans & Veenman, Justus, 2015. "Education and health: The role of cognitive ability," Journal of Health Economics, Elsevier, vol. 42(C), pages 29-43.
    8. 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).
    9. Xindong Xue & Mingmei Cheng & Wangyongxin Zhang, 2021. "Does Education Really Improve Health? A Meta‐Analysis," Journal of Economic Surveys, Wiley Blackwell, vol. 35(1), pages 71-105, February.
    10. 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.
    11. 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.
    12. 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).
    13. 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).
    14. Grytten, Jostein & Skau, Irene, 2017. "The impact of education on the probability of receiving periodontal treatment. Causal effects measured by using the introduction of a school reform in Norway," Social Science & Medicine, Elsevier, vol. 188(C), pages 128-136.
    15. 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.
    16. Quis, Johanna Sophie & Reif, Simon, 2017. "Health effects of instruction intensity: Evidence from a natural experiment in German high-schools," BERG Working Paper Series 123, Bamberg University, Bamberg Economic Research Group.
    17. 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.
    18. 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.
    19. Quis, Johanna Sophie & Mehl, Simon, 2018. "Health Effects of Instruction Intensity: Evidence from a Natural Experiment in German High-Schools," VfS Annual Conference 2018 (Freiburg, Breisgau): Digital Economy 181619, Verein für Socialpolitik / German Economic Association.
    20. Andrew Halpern-Manners & Jonas Helgertz & John Robert Warren & Evan Roberts, 2020. "The Effects of Education on Mortality: Evidence From Linked U.S. Census and Administrative Mortality Data," Demography, Springer;Population Association of America (PAA), vol. 57(4), pages 1513-1541, August.

    More about this item

    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:qmw:qmwecw:965. 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: Nicholas Owen (email available below). General contact details of provider: https://edirc.repec.org/data/deqmwuk.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.