IDEAS home Printed from https://ideas.repec.org/p/yor/hectdg/19-05.html
   My bibliography  Save this paper

Education and life-expectancy and how the relationship is mediated through changes in behaviour: a principal stratification approach for hazard rates

Author

Listed:
  • Bijwaard, G.E.;
  • Jones, A.M.;

Abstract

We investigate the causal impact of education on life-expectancy using data for England and Wales from the Health and Lifestyles Survey and how that impact is mediated through changes in health behaviour (smoking, exercise, having breakfast). For identification of the educational gain in mortality we employ a Regression Discontinuity Design implied by an increase in the minimum school leaving age in 1947 (from 14 to 15) together with a principal stratification method for the mortality hazard rate. This method allows us to derive the direct and indirect (through one or more mediators) effect of education on the implied life-expectancy. Basic maximum likelihood estimation of a standard Gompertz hazard model for the mortality rate suggests that staying in school beyond age 15 years significantly increases life-expectancy by more than 14 years, with large indirect effects running through smoking and exercise. In contrast, estimates from the principal strata method indicate that the educational gain is much smaller (and statistically insignificant) for those who were induced to remain in school beyond age 15. The direct effect of education is even negative for females (but statistically insignificant). Neither, do we find statistically significant indirect effects of education on mortality running through health behaviour.

Suggested Citation

  • Bijwaard, G.E.; & Jones, A.M.;, 2019. "Education and life-expectancy and how the relationship is mediated through changes in behaviour: a principal stratification approach for hazard rates," Health, Econometrics and Data Group (HEDG) Working Papers 19/05, HEDG, c/o Department of Economics, University of York.
  • Handle: RePEc:yor:hectdg:19/05
    as

    Download full text from publisher

    File URL: https://www.york.ac.uk/media/economics/documents/hedg/workingpapers/1905.pdf
    File Function: Main text
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Govert E. Bijwaard & Andrew M. Jones, 2019. "An IPW estimator for mediation effects in hazard models: with an application to schooling, cognitive ability and mortality," Empirical Economics, Springer, vol. 57(1), pages 129-175, July.
    2. 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.
    3. Fletcher, Jason M., 2015. "New evidence of the effects of education on health in the US: Compulsory schooling laws revisited," Social Science & Medicine, Elsevier, vol. 127(C), pages 101-107.
    4. Johnston, David W. & Lordan, Grace & Shields, Michael A. & Suziedelyte, Agne, 2015. "Education and health knowledge: Evidence from UK compulsory schooling reform," Social Science & Medicine, Elsevier, vol. 127(C), pages 92-100.
    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. 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.
    7. Basu, Anirban & Jones, Andrew M. & Dias, Pedro Rosa, 2018. "Heterogeneity in the impact of type of schooling on adult health and lifestyle," Journal of Health Economics, Elsevier, vol. 57(C), pages 1-14.
    8. Albouy, Valerie & Lequien, Laurent, 2009. "Does compulsory education lower mortality?," Journal of Health Economics, Elsevier, vol. 28(1), pages 155-168, January.
    9. Bijwaard, Govert E. & Myrskylä, Mikko & Tynelius, Per & Rasmussen, Finn, 2017. "Educational gains in cause-specific mortality: Accounting for cognitive ability and family-level confounders using propensity score weighting," Social Science & Medicine, Elsevier, vol. 184(C), pages 49-56.
    10. Imbens, Guido W. & Lemieux, Thomas, 2008. "Regression discontinuity designs: A guide to practice," Journal of Econometrics, Elsevier, vol. 142(2), pages 615-635, February.
    11. Govert E. Bijwaard & Per Tynelius & Mikko Myrskylä, 2019. "Education, cognitive ability, and cause-specific mortality: A structural approach," Population Studies, Taylor & Francis Journals, vol. 73(2), pages 217-232, May.
    12. Andrew Gelman & Guido Imbens, 2019. "Why High-Order Polynomials Should Not Be Used in Regression Discontinuity Designs," Journal of Business & Economic Statistics, Taylor & Francis Journals, vol. 37(3), pages 447-456, July.
    13. Markus Frölich & Martin Huber, 2017. "Direct and indirect treatment effects–causal chains and mediation analysis with instrumental variables," Journal of the Royal Statistical Society Series B, Royal Statistical Society, vol. 79(5), pages 1645-1666, November.
    14. Michael Grossman, 2015. "The Relationship between Health and Schooling: What’s New?," NBER Working Papers 21609, National Bureau of Economic Research, Inc.
    15. Mealli Fabrizia & Mattei Alessandra, 2012. "A Refreshing Account of Principal Stratification," The International Journal of Biostatistics, De Gruyter, vol. 8(1), pages 1-19, April.
    16. Christian Dippel & Robert Gold & Stephan Heblich & Rodrigo Pinto, 2017. "Instrumental Variables and Causal Mechanisms: Unpacking the Effect of Trade on Workers and Voters," CESifo Working Paper Series 6816, CESifo.
    17. 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.
    18. Jack Cuzick & Peter Sasieni & Jonathan Myles & Jonathan Tyrer, 2007. "Estimating the effect of treatment in a proportional hazards model in the presence of non‐compliance and contamination," Journal of the Royal Statistical Society Series B, Royal Statistical Society, vol. 69(4), pages 565-588, September.
    19. Constantine E. Frangakis & Donald B. Rubin, 2002. "Principal Stratification in Causal Inference," Biometrics, The International Biometric Society, vol. 58(1), pages 21-29, March.
    20. David S. Lee & Thomas Lemieux, 2010. "Regression Discontinuity Designs in Economics," Journal of Economic Literature, American Economic Association, vol. 48(2), pages 281-355, June.
    21. Trifon Missov, 2013. "Gamma-Gompertz life expectancy at birth," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 28(9), pages 259-270.
    22. Hendrik Jürges & Eberhard Kruk & Steffen Reinhold, 2013. "The effect of compulsory schooling on health—evidence from biomarkers," Journal of Population Economics, Springer;European Society for Population Economics, vol. 26(2), pages 645-672, April.
    23. J.J. Heckman & E.E. Leamer (ed.), 2001. "Handbook of Econometrics," Handbook of Econometrics, Elsevier, edition 1, volume 5, number 5.
    24. McCartney, Gerry & Collins, Chik & Mackenzie, Mhairi, 2013. "What (or who) causes health inequalities: Theories, evidence and implications?," Health Policy, Elsevier, vol. 113(3), pages 221-227.
    25. Andrew M. Jones & Nigel Rice & Pedro Rosa Dias, 2011. "Long-Term Effects of School Quality on Health and Lifestyle: Evidence from Comprehensive Schooling Reforms in England," Journal of Human Capital, University of Chicago Press, vol. 5(3), pages 342-376.
    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. Govert E. Bijwaard & Andrew M. Jones, 2024. "Regression discontinuity design with principal stratification in the mixed proportional hazard model: an application to the long-run impact of education on longevity," Empirical Economics, Springer, vol. 67(1), pages 197-223, July.
    2. 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.
    3. 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.
    4. Bijwaard, Govert & Jones, Andrew M., 2016. "Cognitive Ability and the Mortality Gradient by Education: Selection or Mediation?," IZA Discussion Papers 9798, Institute of Labor Economics (IZA).
    5. 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).
    6. Bijwaard, Govert E. & Myrskylä, Mikko & Tynelius, Per & Rasmussen, Finn, 2017. "Educational gains in cause-specific mortality: Accounting for cognitive ability and family-level confounders using propensity score weighting," Social Science & Medicine, Elsevier, vol. 184(C), pages 49-56.
    7. Bijwaard, Govert, 2021. "Educational Differences in Mortality and Hospitalisation for Cardiovascular Diseases for Males," IZA Discussion Papers 14507, Institute of Labor Economics (IZA).
    8. 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.
    9. 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.
    10. Avendano, M.; de Coulon, A.; Nafilyan, V.;, 2017. "Does more education always improve mental health? Evidence from a British compulsory schooling reform," Health, Econometrics and Data Group (HEDG) Working Papers 17/10, HEDG, c/o Department of Economics, University of York.
    11. 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).
    12. 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.
    13. 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.
    14. Bijwaard, Govert E., 2022. "Educational differences in mortality and hospitalisation for cardiovascular diseases," Journal of Health Economics, Elsevier, vol. 81(C).
    15. 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.
    16. Govert e. Bijwaard & Hans Van Kippersluis, 2016. "Efficiency of Health Investment: Education or Intelligence?," Health Economics, John Wiley & Sons, Ltd., vol. 25(9), pages 1056-1072, September.
    17. 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.
    18. 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).
    19. 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).
    20. 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).

    More about this item

    Keywords

    regression discontinuity design; education; mortality; principal strata;
    All these keywords.

    JEL classification:

    • C41 - Mathematical and Quantitative Methods - - Econometric and Statistical Methods: Special Topics - - - Duration Analysis; Optimal Timing Strategies
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I24 - Health, Education, and Welfare - - Education - - - Education and Inequality

    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:yor:hectdg:19/05. 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: Jane Rawlings (email available below). General contact details of provider: https://edirc.repec.org/data/deyoruk.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.