Education is a key determinant of health in Europe: a comparative analysis of 11 countries
Education is a key determinant of health in Europe: a comparative analysis of 11 countries
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DOI：
10.1093/heapro/daq059
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发表时间：
2011-06-01
影响因子：
2.7
通讯作者：
Davia, Maria A.
中科院分区：
文献类型：
--
作者：
Albert, Cecilia;Davia, Maria A.
这份文件有助于确认发达国家教育与保健之间的联系。该分析基于11个欧盟国家。我们估计国家特定的健康功能，因变量是自我报告的健康状况和教育程度是主要的投入之一。欧洲共同体住户调查小组的所有八次调查（1994-2001年）都已部署。估计随机效应排序概率单位，以便在给定程度上控制未观察到的异质性。解释变量既有时间不变的（教育程度和性别），也有时间变化的（毛工资、工作时间、年龄和独居）。结果证实，中等教育对健康的积极影响，在大多数情况下，在所有情况下，高等教育，即使在控制其他投入的健康功能，并考虑到未观察到的异质性。在抽样调查的所有国家中，中等教育对健康都有影响，但荷兰和联合王国除外。在法国、爱尔兰和希腊，中等教育和高等教育之间的效果没有差别。教育与健康之间的相互关系被各种不同的方法以不同但互补的方式解释，我们可能无法从我们的结果中解开将健康与教育联系起来的确切机制。无论如何，显然需要更好地协调教育和卫生政策，以有效提高卫生知识水平。我们研究的其他相关结果是，妇女的健康状况比男子差，年龄导致健康状况恶化，工资对健康有积极影响。
This paper has contributed to confirming the link between education and health in developed countries. The analysis is based on 11 European Union countries. We estimate country-specific health functions, where the dependent variable is self-reported health status and the education attainment is one of the main inputs. All eight waves (1994-2001) of the European Community Household Panel are deployed. A random effects ordered probit is estimated in order to control, to a given extent, for unobserved heterogeneity. Explanatory variables are both time invariant (education attainment and gender) and time varying (gross wages, hours of work, age and living alone). Results confirm the positive impact of secondary education on health in most cases and tertiary education in all cases, even after controlling for other inputs in the health function and taking unobserved heterogeneity into account. Secondary education has an impact on health in all countries in the sample except for The Netherlands and UK. The effect does not differ between secondary and tertiary education in France, Ireland and Greece. The correlation between education and health is interpreted in different but complementary ways by diverse approaches and we may not disentangle the precise mechanism that connects health with education from our results. Anyway, it seems clear that better coordination is needed between education and health policies to effectively improve health literacy. Other relevant results from our study are that women register poorer health than men, age contributes to worsening health status and wages contribute positively to health.