A broader perspective on education and mortality: Are we influenced by other people's education?
A broader perspective on education and mortality: Are we influenced by other people's education?
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DOI：
10.1016/j.socscimed.2007.10.009
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发表时间：
2008-02-01
影响因子：
5.4
通讯作者：
Kravdal, Oystein
中科院分区：
文献类型：
--
作者：
Kravdal, Oystein
这项研究的目的是找出家庭成员和城市居民的教育成就是否对一个人的死亡率有影响，除了众所周知的他或她自己的教育的强大影响。利用登记数据，估计了1950年至1973年之间出生的所有挪威男性和女性（即30-53岁）1980-2003年全因死亡率的离散时间风险模型。在1910万人年的随访中，有23,692人死亡。前任或现任配偶的受教育程度最明显，尽管自己的受教育程度更重要。死亡率也与最年长的兄弟姐妹的受教育程度呈负相关，与姐夫和岳父的受教育程度的负相关程度较小。该市的平均教育程度与死亡率一般没有关系，但在受过大学教育的男性中可以看到有益的影响。与此相反，父母的教育对死亡率有不利影响，特别是对妇女而言。这些数据不能确定因果关系，但讨论了可能的机制。例如，有人认为，他人的教育可能通过知识的传播、行为的模仿、经济支持和保健服务的质量对死亡率产生有利影响。在一些社会中，儿童健康也可能是一个问题。另一方面，拥有受过更好教育的家庭成员，或者生活在一个有很多受过更好教育的人的社区，这些人通常也有更高的收入，可能会引发社会心理压力。然而，人们应该小心地将观察到的关系解释为反映纯粹的因果效应。各种未观察到的因素可能影响一个人对配偶和居住地的选择以及死亡率，父母受教育程度较高（较低）可能表明这个人在童年或青春期有特殊问题（资源），这也可能对以后的健康产生影响。(c) 2007 Elsevier Ltd.版权所有。
The objective of this study was to find out whether the educational achievements of family members and people in the, municipality have an impact on a person's mortality, net of the well-known strong influence of his or her own education. Using register data, discrete-time hazard models for all-cause mortality in 1980-2003 were estimated for all Norwegian men and women born between 1950 and 1973 (i.e. age 30-53). There were 23,692 deaths during the 19.1 million person-years of follow-up. The education of a former or current spouse had the clearest beneficial effect, although own education was more important. Mortality was also negatively associated with the education of the oldest sibling and to a lesser extent with that of the sibling-in-law and father-in-law. The average education in the municipality was not generally related to mortality, but a beneficial effect was seen among men with college education. In contrast to this, parents' education affected mortality adversely, especially among women. The data did not allow causal pathways to be identified, but possible mechanisms were discussed. For example, it was argued that others' education may affect mortality favourably through transmission of knowledge, imitation of behaviour, economic support, and the quality of health services. In some societies, childhood health might also be an issue. On the other hand, having better-educated family members or living in a community with many better-educated people, who typically also have higher incomes, may trigger psychosocial stress. However, one should be careful to interpret the observed relationships as reflecting purely causal effects. Various unobserved factors may influence the person's choice of spouse and place of residence as well as mortality, and having parents with higher (lower) education may signal that the person has had special problems (resources) during childhood or adolescence, which also may have implications for later health. (c) 2007 Elsevier Ltd. All rights reserved.