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Has mortality risen disproportionately for the least educated?

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  • Leive, Adam A.
  • Ruhm, Christopher J.

Abstract

We examine whether the least educated population groups experienced the worst mortality trends at the beginning of the 21st century by measuring changes in mortality across education quartiles. We document sharply differing gender patterns. Among women, mortality trends improved fairly monotonically with education. Conversely, male trends for the lowest three education quartiles were often similar. For both sexes, the gap in mortality between the top 25 percent and the bottom 75 percent is growing. However, there are many groups for whom these patterns are reversed – with better experiences for the less educated – or where the differences are statistically indistinguishable.

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  • Leive, Adam A. & Ruhm, Christopher J., 2021. "Has mortality risen disproportionately for the least educated?," Journal of Health Economics, Elsevier, vol. 79(C).
    • Handle: RePEc:eee:jhecon:v:79:y:2021:i:c:s0167629621000795
    DOI: 10.1016/j.jhealeco.2021.102494
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    1. Goldring, Thomas & Lange, Fabian & Richards-Shubik, Seth, 2016. "Testing for changes in the SES-mortality gradient when the distribution of education changes too," Journal of Health Economics, Elsevier, vol. 46(C), pages 120-130.
    2. 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.
    3. David Autor & David Dorn & Gordon Hanson, 2019. "When Work Disappears: Manufacturing Decline and the Falling Marriage Market Value of Young Men," American Economic Review: Insights, American Economic Association, vol. 1(2), pages 161-178, September.
    4. John Bound & Arline T. Geronimus & Javier M. Rodriguez & Timothy A. Waidmann, "undated". "Measuring Recent Apparent Declines in Longevity: The Role of Increasing Educational Attainment," Mathematica Policy Research Reports 0c715b1386df45edb4d21d33c, Mathematica Policy Research.
    5. Samuel Preston & Haidong Wang, 2006. "Sex mortality differences in The United States: The role of cohort smoking patterns," Demography, Springer;Population Association of America (PAA), vol. 43(4), pages 631-646, November.
    6. Cutler, David M. & Lange, Fabian & Meara, Ellen & Richards-Shubik, Seth & Ruhm, Christopher J., 2011. "Rising educational gradients in mortality: The role of behavioral risk factors," Journal of Health Economics, Elsevier, vol. 30(6), pages 1174-1187.
    7. 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.
    8. Anne Case & Angus Deaton, 2017. "Mortality and Morbidity in the 21st Century," Brookings Papers on Economic Activity, Economic Studies Program, The Brookings Institution, vol. 48(1 (Spring), pages 397-476.
    9. Kaestner, Robert & Schiman, Cuiping & Ward, Jason, 2020. "Education and health over the life cycle," Economics of Education Review, Elsevier, vol. 76(C).
    10. 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.
    11. 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.
    12. 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.
    13. Anne Case & Angua Deaton, 2015. "Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century," Working Papers 15078.full.pdf, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
    14. Isaac Sasson, 2016. "Trends in Life Expectancy and Lifespan Variation by Educational Attainment: United States, 1990–2010," Demography, Springer;Population Association of America (PAA), vol. 53(2), pages 269-293, April.
    15. Jennifer Karas Montez & Anna Zajacova & Mark D. Hayward & Steven H. Woolf & Derek Chapman & Jason Beckfield, 2019. "Educational Disparities in Adult Mortality Across U.S. States: How Do They Differ, and Have They Changed Since the Mid-1980s?," Demography, Springer;Population Association of America (PAA), vol. 56(2), pages 621-644, April.
    16. 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.
    17. Courtney C. Coile & Mark G. Duggan, 2019. "When Labor's Lost: Health, Family Life, Incarceration, and Education in a Time of Declining Economic Opportunity for Low-Skilled Men," Journal of Economic Perspectives, American Economic Association, vol. 33(2), pages 191-210, Spring.
    18. Damien de Walque, 2010. "Education, Information and Smoking Decisions: Evidence from Smoking Histories in the United States, 1940–2000," Journal of Human Resources, University of Wisconsin Press, vol. 45(3).
    19. James Vaupel & Kenneth Manton & Eric Stallard, 1979. "The impact of heterogeneity in individual frailty on the dynamics of mortality," Demography, Springer;Population Association of America (PAA), vol. 16(3), pages 439-454, August.
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    Cited by:

    1. Angus Deaton, 2022. "The great divide: education, despair, and death," Business Economics, Palgrave Macmillan;National Association for Business Economics, vol. 57(4), pages 161-168, October.
    2. Paul Novosad & Charlie Rafkin & Sam Asher, 2022. "Mortality Change among Less Educated Americans," American Economic Journal: Applied Economics, American Economic Association, vol. 14(4), pages 1-34, October.
    3. Michael Cauvel & Miguel Alejandro Sanchez, 2023. "Life Expectancy and the Labor Share in the U.S," Working Papers PKWP2308, Post Keynesian Economics Society (PKES).
    4. Bavafa, Hessam & Mukherjee, Anita & Welch, Tyler Q., 2023. "Inequality in the golden years: Wealth gradients in disability-free and work-free longevity in the United States," Journal of Health Economics, Elsevier, vol. 92(C).

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    More about this item

    Keywords

    Mortality; Death rates; Education gradients; Education quartiles;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I24 - Health, Education, and Welfare - - Education - - - Education and Inequality
    • J10 - Labor and Demographic Economics - - Demographic Economics - - - General

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