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Educational expansion and the education gradient in health: A hierarchical age-period-cohort analysis

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  • Delaruelle, Katrijn
  • Buffel, Veerle
  • Bracke, Piet

Abstract

Researchers have recently been investigating the temporal variation in the educational gradient in health. While there is abundant literature concerning age trajectories, theoretical knowledge about cohort differences is relatively limited. Therefore, in analogy with the life course perspective, we introduce two contrasting cohort-specific hypotheses. The diminishing health returns hypothesis predicts a decrease in educational disparities in health across cohorts. By contrast, the cohort accretion hypothesis suggests that the education-health gap will be more pronounced among younger cohorts. To shed light on this, we perform a hierarchical age-period-cohort analysis (HAPC), using data from a subsample of individuals between 25 and 85 years of age (N = 232,573) from 32 countries in the European Social Survey (six waves: 2002–2012). The analysis leads to three important conclusions. First, we observe a widening health gap between different educational levels over the life course. Second, we find that these educational differences in the age trajectories of health seem to strengthen with each successive birth cohort. However, the two age-related effects disappear when we control for employment status, household income, and family characteristics. Last, when adjusting for these mediators, we reveal evidence to support the diminishing health returns hypothesis, implying that it is primarily the direct association between education and health that decreases across cohorts. This finding raises concerns about potential barriers to education being a vehicle for empowerment and the promotion of health.

Suggested Citation

  • Delaruelle, Katrijn & Buffel, Veerle & Bracke, Piet, 2015. "Educational expansion and the education gradient in health: A hierarchical age-period-cohort analysis," Social Science & Medicine, Elsevier, vol. 145(C), pages 79-88.
    • Handle: RePEc:eee:socmed:v:145:y:2015:i:c:p:79-88
    DOI: 10.1016/j.socscimed.2015.09.040
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    as
    1. Diane Lauderdale, 2001. "Education and survival: Birth cohort, period, and age effects," Demography, Springer;Population Association of America (PAA), vol. 38(4), pages 551-561, November.
    2. Montez, J.K. & Berkman, L.F., 2014. "Trends in the educational gradient of mortality among US adults aged 45 to 84 years: Bringing regional context into the explanation," American Journal of Public Health, American Public Health Association, vol. 104(1), pages 82-90.
    3. Laaksonen, M. & Rahkonen, O. & Martikainen, P. & Lahelma, E., 2005. "Socioeconomic position and self-rated health: The contribution of childhood socioeconomic circumstances, adult socioeconomic status, and material resources," American Journal of Public Health, American Public Health Association, vol. 95(8), pages 1403-1409.
    4. Sicherman, Nachum & Galor, Oded, 1990. "A Theory of Career Mobility," Journal of Political Economy, University of Chicago Press, vol. 98(1), pages 169-192, February.
    5. Chandola, Tarani & Bartley, Mel & Sacker, Amanda & Jenkinson, Crispin & Marmot, Michael, 2003. "Health selection in the Whitehall II study, UK," Social Science & Medicine, Elsevier, vol. 56(10), pages 2059-2072, May.
    6. Reither, Eric N. & Hauser, Robert M. & Yang, Yang, 2009. "Do birth cohorts matter? Age-period-cohort analyses of the obesity epidemic in the United States," Social Science & Medicine, Elsevier, vol. 69(10), pages 1439-1448, November.
    7. Fairbrother, Malcolm, 2014. "Two Multilevel Modeling Techniques for Analyzing Comparative Longitudinal Survey Datasets," Political Science Research and Methods, Cambridge University Press, vol. 2(1), pages 119-140, April.
    8. Scott Lynch, 2003. "Cohort and life-course patterns in the relationship between education and health: A hierarchical approach," Demography, Springer;Population Association of America (PAA), vol. 40(2), pages 309-331, May.
    9. Groot, Wim & Maassen van den Brink, Henriette, 2007. "The health effects of education," Economics of Education Review, Elsevier, vol. 26(2), pages 186-200, April.
    10. repec:bla:econom:v:70:y:2003:i:279:p:509-531 is not listed on IDEAS
    11. Baert, Stijn & Cockx, Bart & Verhaest, Dieter, 2013. "Overeducation at the start of the career: Stepping stone or trap?," Labour Economics, Elsevier, vol. 25(C), pages 123-140.
    12. Ross, Catherine E. & Mirowsky, John, 2011. "The interaction of personal and parental education on health," Social Science & Medicine, Elsevier, vol. 72(4), pages 591-599, February.
    13. Zajacova, Anna & Rogers, Richard G. & Johnson-Lawrence, Vicki, 2012. "Glitch in the gradient: Additional education does not uniformly equal better health," Social Science & Medicine, Elsevier, vol. 75(11), pages 2007-2012.
    14. Andrew Bell & Kelvyn Jones, 2014. "Current practice in the modelling of age, period and cohort effects with panel data: a commentary on Tawfik et al. (2012), Clarke et al. (2009), and McCulloch (2012)," Quality & Quantity: International Journal of Methodology, Springer, vol. 48(4), pages 2089-2095, July.
    15. Andrew Bell & Kelvyn Jones, 2014. "Another 'futile quest'? A simulation study of Yang and Land's Hierarchical Age-Period-Cohort model," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 30(11), pages 333-360.
    16. Knesebeck, Olaf von dem & Lüschen, Günther & Cockerham, William C. & Siegrist, Johannes, 2003. "Socioeconomic status and health among the aged in the United States and Germany: A comparative cross-sectional study," Social Science & Medicine, Elsevier, vol. 57(9), pages 1643-1652, November.
    17. David J. Spiegelhalter & Nicola G. Best & Bradley P. Carlin & Angelika Van Der Linde, 2002. "Bayesian measures of model complexity and fit," Journal of the Royal Statistical Society Series B, Royal Statistical Society, vol. 64(4), pages 583-639, October.
    18. Yang Yang & Kenneth C. Land, 2008. "Age–Period–Cohort Analysis of Repeated Cross-Section Surveys: Fixed or Random Effects?," Sociological Methods & Research, , vol. 36(3), pages 297-326, February.
    19. Catherine Ross & John Mirowsky, 1999. "Refining the association between education and health: The effects of quantity, credential, and selectivity," Demography, Springer;Population Association of America (PAA), vol. 36(4), pages 445-460, November.
    20. Daniel Stegmueller, 2013. "How Many Countries for Multilevel Modeling? A Comparison of Frequentist and Bayesian Approaches," American Journal of Political Science, John Wiley & Sons, vol. 57(3), pages 748-761, July.
    21. Groot, Wim & Maassen van den Brink, Henriette, 2000. "Overeducation in the labor market: a meta-analysis," Economics of Education Review, Elsevier, vol. 19(2), pages 149-158, April.
    22. Giuseppe Croce & Emanuela Ghignoni, 2012. "Demand and Supply of Skilled Labour and Overeducation in Europe: A Country-level Analysis," Comparative Economic Studies, Palgrave Macmillan;Association for Comparative Economic Studies, vol. 54(2), pages 413-439, June.
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    Cited by:

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    3. Liliya Leopold, 2018. "Education and Physical Health Trajectories in Later Life: A Comparative Study," Demography, Springer;Population Association of America (PAA), vol. 55(3), pages 901-927, June.
    4. 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.
    5. De Neve, Jan-Walter & Kawachi, Ichiro, 2017. "Spillovers between siblings and from offspring to parents are understudied: A review and future directions for research," Social Science & Medicine, Elsevier, vol. 183(C), pages 56-61.
    6. Zapata-Moya, Angel R. & Freese, Jeremy & Bracke, Piet, 2023. "Mechanism substitution in preventive innovations: Dissecting the reproduction of health inequalities in the United States," Social Science & Medicine, Elsevier, vol. 337(C).
    7. Yoonyoung Choi & Hui Zheng, 2023. "Onset and Cessation of Smoking: Temporal Dynamics and Racial Difference in Educational Smoking Disparities among Women," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 42(6), pages 1-26, December.
    8. Vonneilich, Nico & Lüdecke, Daniel & von dem Knesebeck, Olaf, 2020. "Educational inequalities in self-rated health and social relationships – analyses based on the European Social Survey 2002-2016," Social Science & Medicine, Elsevier, vol. 267(C).
    9. Myck, Michał & Oczkowska, Monika, 2022. "Healthier over time? Period effects in health among older Europeans in a step-wise approach to identification," Social Science & Medicine, Elsevier, vol. 297(C).

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