Abstract
Education was added to the U.S. Standard Certificate of Death in 1989. The current study uses Michigan’s 1989–1991 death certificates, together with the 1990 Census, to evaluate the quality of data on education from death certificates and to examine educational differences in mortality rates. With log-rates modeling, we systematically analyze the variability in educational differences in mortality by race and sex across the adult life cycle. The relative differences in mortality rates between educational levels decline with age at the same pace for all sex and race categories. Women gain a slightly greater reduction in mortality than men by reaching the secondary-education level, but a modestly smaller reduction by advancing beyond it. Blacks show a reduction in predicted mortality rates comparable to whites’ by moving from the secondary to the postsecondary level of education but experience less reduction than whites by moving from the primary to the secondary level. Thus, the secular decline in mortality rates that generally accompanies historical improvements in education might actually be associated with an increase in the relative differences between blacks’ and whites’ mortality. We discuss limitations of the data and directions for future research.
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References
Agresti, A. 1990. Categorical Data Analysis. New York: Wiley.
Antonovsky, A. 1967. “Social Class, Life Expectancy, and Overall Mortality.” Milbank Memorial Fund Quarterly 45(2):31–73.
Bianchi, S. M., and D. Spain. 1986. American Women in Transition. New York: Russell Sage.
Coale, A. J., and E. E. Kisker. 1986. “Mortality Crossovers: Reality or Bad Data?” Population Studies 40:389–401.
Davey Smith, G., M. Bartley, and D. Blane. 1990. “The Black Report on Socioeconomic Inequality in Health 10 Years On.” British Medical Journal 301:373–77.
Elo, I. T., and S. H. Preston. 1994. “Educational Differentials in Mortality: United States, 1979-85.” Unpublished manuscript.
Farley, R., and W. R. Allen. 1987. The Color Line and the Quality of Life in America. New York: Russell Sage.
Featherman, D. L., and R. M. Hauser. 1978. Opportunity and Change. New York: Academic Press.
Fein, D. J. 1990. “Racial and Ethnic Differences in U.S. Census Omission Rates.” Demography 27:285–302.
Feinleib, M. 1983. “Risk Assessment, Environmental Factors, and Coronary Heart Disease.” Journal of the American College of Toxicology 2:91–104.
Feldman, J. J., D. M. Makuc, J. C. Kleinman, and J. Camoni-Huntley. 1989. “National Trends in Educational Differentials in Mortality.” American Journal of Epidemiology 129:919–33.
Haan, M., G. A. Kaplan, and T. Camacho. 1987. “Prospective Evidence from the Alameda County Study.” American Journal of Epidemiology 125:989–98.
Hu, Y., and N. Goldman. 1990. “Mortality Differentials by Marital Status: An International Comparison.” Demography 27:233–50.
Kitagawa, E. M., and P. M. Hauser. 1973. Differential Mortality in the United States: A Study in Socioeconomic Epidemiology. Cambridge, MA: Harvard University Press.
Manton, K. G., S. S. Poss, and S. Wing. 1979. “The BlacklWhite Mortality Crossover: Investigation from the Perspective of the Components of Aging.” The Gerontologist 19:291–300.
Marmot, M.G., A.M. Adelstein, N. Robinson, and G.A. Rose. 1978a. “Changing Social-Class Distribution of Heart Disease.” British Medical Journal 2:1109–12.
Marmot, M.G., and M.E. McDowall. 1986. “Mortality Decline and Widening Social Inequalities.” The Lancet 2:274–5.
Marmot, M.G., G. Rose, M. Shipley, and P.J.S. Hamilton. 1978b. “Employment Grade and Coronary Heart Disease in British Civil Servants.” Journal of Epidemiology and Community Health 32:244–49.
Marmot, M.G., M.J. Shipley, and G. Rose. 1984. “Inequalities in Death: Specific Explanations of a General Pattern?” Lancet I: 1003–1006.
Omran, A. R. 1977. “Epidemiologic Transition in the U.S.” Population Bulletin 32:1–42.
Pappas, G., S. Queen, W. Hadden, and G. Fisher. 1993. “The Increasing Disparity in Mortality between Socioeconomic Groups in the United States, 1960 and 1986.” New England Journal of Medicine 329:103–09.
Passel, J. S. 1991. “What Census Adjustment Would Mean.” Population Toda 19:6–7.
Passel, J., J. Siegel, and G. Robinson. 1982. “Coverage of the National Population in the 1980 Census by Age, Sex, and Race: Preliminary Estimates by Demographic Analysis.” Current Population Reports, Series P-23, No. 115. Washington, DC: U.S. Bureau of the Census.
Pendleton, B. F., and H.C. Chang. 1979. “Ecological and Social Differentials in Mortality: Inequalities by Metropolitan-Nonmetropolitan Residency and Racial Composition.” Sociological Focus 12:21–35.
Potter, L. B. 1991. “Socioeconomic Determinants of White-Black Male Life Expectancy Differentials, 1980.” Demography 28: 303–22.
Rafferty, A. 1986. “Choosing Models for Cross-Classifications (Comment on Grusky and Hauser).” American Sociological Review 51:145–46.
Riley, J.C. 1990. “Morbidity Trends in Four Countries.” Population and Development Review 16:403–32.
Rogers, R.G. 1992. “Living and Dying in the USA: Sociodemographic Determinants of Death among Blacks and Whites.” Demography 29:287–303.
Rogot, E., P.D. Sorlie, and N.J. Johnson. 1992a. “Life Expectancy by Employment Status, Income, and Education in the National Longitudinal Mortality Study.” Public Health Reports 107:457–61.
Rogot, E., P.D. Sorlie, N.J. Johnson, and C. Schmitt. 1992b. A Mortality Study of 1.3 Million Persons by Demographic, Social, and Economic Factors: 1979-85 Follow-Up. Bethesda, MD: National Heart, Lung, and Blood Institute.
Siegel, J.S. 1974. “Estimates of Coverage of the Population by Sex, Race, and Age in the 1970 Census.” Demography 11:1–23.
Susser, M., W. Watson, and K. Hopper. 1985. Sociology in Medicine. Oxford: Oxford University Press.
Townsend, P., N. Davidson, and M. Whitehead. 1988. Inequalities in Health. London: Penguin.
Treiman, D.J., and K. Terrell. 1975. “Sex and the Process of Status Attainment.” American Sociological Review 40: 174–200.
Winkleby, M., S. Fortmann, and D. Barrett. 1990. “Social Class Disparities in Risk Factors for Disease: Eight-Year Prevalence Patterns by Level of Education.” Preventive Medicine 19:1–12.
Xie, Y. 1989. “Measuring Regional Variation in Sex Preference in China: A Cautionary Note.” Social Science Research 18:291–305.
1990. “What Is Natural Fertility? The Remodelling of a Concept.” Population Index 54:4–20.
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We have shared equally in the production of this manuscript and have listed our names alphabetically. This work was funded by the Population Studies Center of the University of Michigan and by All-University Research Initiation Grant 61-6663 from Michigan State University. We thank Lori P. Wibert for research assistance and Charles B. Nam, William F. Stinner, and two anonymous reviewers for helpful comments. An earlier draft was presented at the intercongress seminar of the International Sociological Association’s Research Committee 41 (Population), held in Montreal on August 24, 1993.
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Christenson, B.A., Johnson, N.E. Educational Inequality in Adult Mortality: An Assessment with Death Certificate Data from Michigan. Demography 32, 215–229 (1995). https://doi.org/10.2307/2061741
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DOI: https://doi.org/10.2307/2061741