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Glitch in the gradient: Additional education does not uniformly equal better health

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  • Zajacova, Anna
  • Rogers, Richard G.
  • Johnson-Lawrence, Vicki

Abstract

While the relationship between education and general health has been firmly established in the literature, surprisingly little research has analyzed individual components of the global health judgments, such as chronic conditions or pain. We present a systematic account of the health gradient for multiple health outcomes by detailed educational categories among U.S. working-age adults. Using the 1997–2010 National Health Interview Surveys (N = 204,764), we analyze individual health outcomes ranging from cardiovascular disease to vision problems with a series of logistic regression models. The results at the presecondary and baccalaureate levels are consistent with the health gradient. An unexpected finding occurs among adults with some college but no degree, and those with technical/vocational associate degrees: these groups report more pain and a higher prevalence of a broad range of conditions than high school graduates who never attended college. We discuss several explanations for the observed patterns. The findings challenge the broadly accepted educational gradient in health; additionally, the lower postsecondary groups comprise a quarter of American adults. Jointly, there is a clear research and policy impetus to understand the source of this ‘glitch’ in the health gradient.

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  • 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.
    • Handle: RePEc:eee:socmed:v:75:y:2012:i:11:p:2007-2012
    DOI: 10.1016/j.socscimed.2012.07.036
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    1. James P. Smith, 2009. "The Impact of Childhood Health on Adult Labor Market Outcomes," The Review of Economics and Statistics, MIT Press, vol. 91(3), pages 478-489, August.
    2. Stephen V. Cameron & James J. Heckman, 1999. "The Dynamics of Educational Attainment for Blacks, Hispanics, and Whites," NBER Working Papers 7249, National Bureau of Economic Research, Inc.
    3. James Smith, 2004. "Unravelling the SES health connection," IFS Working Papers W04/02, Institute for Fiscal Studies.
    4. Palloni, Alberto & Milesi, Carolina & White, Robert G. & Turner, Alyn, 2009. "Early childhood health, reproduction of economic inequalities and the persistence of health and mortality differentials," Social Science & Medicine, Elsevier, vol. 68(9), pages 1574-1582, May.
    5. Eide, Eric R. & Showalter, Mark H., 2011. "Estimating the relation between health and education: What do we know and what do we need to know?," Economics of Education Review, Elsevier, vol. 30(5), pages 778-791, October.
    6. 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.
    7. Elo, Irma T. & Preston, Samuel H., 1996. "Educational differentials in mortality: United States, 1979-1985," Social Science & Medicine, Elsevier, vol. 42(1), pages 47-57, January.
    8. Case, Anne & Fertig, Angela & Paxson, Christina, 2005. "The lasting impact of childhood health and circumstance," Journal of Health Economics, Elsevier, vol. 24(2), pages 365-389, March.
    9. Zajacova, Anna & Hummer, Robert A., 2009. "Gender differences in education effects on all-cause mortality for white and black adults in the United States," Social Science & Medicine, Elsevier, vol. 69(4), pages 529-537, August.
    10. Mezuk, B. & Eaton, W.W. & Golden, S.H. & Ding, Y., 2008. "The influence of educational attainment on depression and risk of type 2 diabetes," American Journal of Public Health, American Public Health Association, vol. 98(8), pages 1480-1485.
    11. Lantz, Paula M. & Lynch, John W. & House, James S. & Lepkowski, James M. & Mero, Richard P. & Musick, Marc A. & Williams, David R., 2001. "Socioeconomic disparities in health change in a longitudinal study of US adults: the role of health-risk behaviors," Social Science & Medicine, Elsevier, vol. 53(1), pages 29-40, July.
    12. Margot Jackson, 2009. "Understanding links between adolescent health and educational attainment," Demography, Springer;Population Association of America (PAA), vol. 46(4), pages 671-694, November.
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    3. von Hippel, Paul T. & Lynch, Jamie L., 2014. "Why are educated adults slim—Causation or selection?," Social Science & Medicine, Elsevier, vol. 105(C), pages 131-139.
    4. 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.
    5. Liliya Leopold & Thomas Leopold, 2016. "Education and Health across Lives and Cohorts: A Study of Cumulative Advantage in Germany," SOEPpapers on Multidisciplinary Panel Data Research 835, DIW Berlin, The German Socio-Economic Panel (SOEP).
    6. Anna Zajacova & Jennifer Karas Montez & Pamela Herd, 2014. "Socioeconomic Disparities in Health Among Older Adults and the Implications for the Retirement Age Debate: A Brief Report," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 69(6), pages 973-978.
    7. Topping, Michael & Fletcher, Jason, 2024. "Educational attainment, family background and the emergence of pain gradients in adulthood," Social Science & Medicine, Elsevier, vol. 346(C).
    8. Isaac Sasson, 2017. "Reply to Trends in Education-Specific Life Expectancy, Data Quality, and Shifting Education Distributions: A Note on Recent Research," Demography, Springer;Population Association of America (PAA), vol. 54(3), pages 1215-1219, June.

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