Skip to main content

Advertisement

Log in

Quality of schooling and inequality of opportunity in health

  • Published:
Empirical Economics Aims and scope Submit manuscript

Abstract

This paper explores the role of quality of schooling as a source of inequality of opportunity in health. Substantiating earlier literature that links differences in education to health disparities, the paper uses variation in quality of schooling to test for inequality of opportunity in health. Analysis of the 1958 NCDS cohort exploits the variation in type and quality of schools generated by the comprehensive schooling reforms in England and Wales. The analysis provides evidence of a statistically significant and economically sizable association between some dimensions of quality of education and a range of health and health-related outcomes. For some outcomes the association persists, over and above the effects of measured ability, social development, academic qualifications and adult socioeconomic status and lifestyle.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Alderman H, Hoddinott J, Kinsey B (2006) Long term consequences of early childhood malnutrition. Oxford Econ Pap 58: 450–474

    Article  Google Scholar 

  • Arendt JN (2005) Does education cause better health? A panel data analysis using school reforms for identification. Econ Educ 24: 149–160

    Article  Google Scholar 

  • Arendt JN (2008) In sickness and in health—Till education do us part: education effects on hospitalization. Econ Educ Rev 27: 161–172

    Article  Google Scholar 

  • Balia S, Jones AM (2011) Catching the habit: a study of inequality of opportunity in smoking-related mortality. J R Stat Soc Ser A 174: 175–194

    Article  Google Scholar 

  • Carneiro P, Crawford C, Goodman A (2007) The impact of cognitive and non-cognitive skills on later outcomes. CEE Discussion Papers, London

  • Case A, Ferting A, Paxon C (2005) The lasting impact of childhood health and circumstance. J Health Econ 24: 365–389

    Article  Google Scholar 

  • Contoyannis P, Dooley M (2009) The role of child health and economic status in educational, health and labour market outcomes in young adulthood. Can J Econ 43: 323–346

    Google Scholar 

  • Cowell F, Victoria-Feser M (2006) Distributional dominance with trimmed data. J Bus Econ Stat 24: 291–300

    Article  Google Scholar 

  • Currais L, Rivera B, Rungo P (2010) Effects of the complementarity of child nutrition and education on persistent deprivation. Econ Lett 106: 67–69

    Article  Google Scholar 

  • Cutler D, Lleras-Muney A (2008) Education and health: evaluating theories and evidence. In: Schoeni R, House J, Kaplan G, Pollack H (eds) Making Americans healthier: social and economic policy as health policy. Russell Sage Foundation, New York

    Google Scholar 

  • Cutler D, Lleras-Muney A (2010) Understanding differences in health behaviors by education. J Health Econ 29: 1–28

    Article  Google Scholar 

  • Davidson R, Duclos J (2000) Statistical inference for stochastic dominance and for the measurement of poverty and inequality. Econometrica 68: 1435–1464

    Article  Google Scholar 

  • Dearden L, Ferri J, Meghir C (2002) The effect of school quality on educational attainment and wages. Rev Econ Stat 84: 1–20

    Article  Google Scholar 

  • Dela Croix D, Doepke M (2003) Inequality and growth: why differential fertility matters. Am Econ Rev 93: 1090–1113

    Google Scholar 

  • Feinstein L (2000) The relative economic importance of academic, psychological, and behavioural attributes developed in childhood, CEP Discussion Paper, London

  • Foresi S, Peracchi F (1995) The conditional distribution of excess returns: an empirical analysis. J Am Stat Assoc 90: 451–466

    Article  Google Scholar 

  • Galindo-Rueda F, Vignoles A (2005) The declining relative importance of ability in predicting educational attainment. J Hum Resour 40: 335–353

    Google Scholar 

  • Heckman J, Rubinstein Y (2001) The importance of noncognitive skills: lessons from the GED testing program. Am Econ Rev 91: 45–49

    Article  Google Scholar 

  • Heckman J, Stixurd J, Urzua S (2006) The effects of cognitive and noncognitive abilities on labour market outcomes and social behavior. J Labor Econ 24: 411–482

    Article  Google Scholar 

  • Jones A, Rice N, Rosa Dias P (2010) Long-term effects of cognitive skills, social adjustment and schooling on health and lifestyle: evidence from a reform of selective schooling. Health Economics and Data Group (HEDG), University of York Working Paper 2010;10/11

  • Kuhn P, Weinberger C (2005) Leadership skills and wages. J Labor Econ 23: 395–436

    Article  Google Scholar 

  • Lefranc A, Pistolesi N, Trannoy A (2009) Equality of opportunity and luck: definitions and testable conditions, with an application to income in France. J Public Econ 93: 1189–1207

    Article  Google Scholar 

  • Lindeboom M, Llena-Nozal A, Van der Klaauw B (2009) Parental education and child health: evidence from a schooling reform. J Health Econ 28: 109–131

    Article  Google Scholar 

  • Lleras-Muney A (2005) The relationship between education and adult mortality in the United States. Rev Econ Stud 72: 189–221

    Article  Google Scholar 

  • Mayer-Foulkes D (2001) The long-term impact of health on economic growth in Mexico, 1950–1995. J Int Dev 13: 123–126

    Article  Google Scholar 

  • Mazumder B (2008) Does education improve health? A re-examination of the evidence from compulsory schooling laws. Econ Persp (Federal Reserve Bank of Chicago Economic Perspectives) 1: 2–16

    Google Scholar 

  • Miguel E, Kremer M (2004) Worms: identifying impacts on education and health in the presence of treatment externalities. Econometrica 72: 159–217

    Article  Google Scholar 

  • Oreopoulos P (2006) Estimating average and local average treatment effects of education when compulsory schooling laws really matter. Am Econ Rev 96: 152–175

    Article  Google Scholar 

  • Pischke S, Manning A (2006) Comprehensive versus selective schooling in England and Wales: what do we know? IZA DP No. 2072

  • Power C, Peckham C (1987) Childhood morbidity and adult ill-health, National Child Development Study User Support Working Paper No. 37

  • Roemer JE (2002) Equality of opportunity: a progress report. Soc Choice Welf 19: 455–471

    Article  Google Scholar 

  • Rosa Dias P (2009) Inequality of opportunity in health: evidence from a UK cohort study. Health Econ 18: 1057–1074

    Article  Google Scholar 

  • Silles M (2009) The causal effect of education on health: evidence from the United Kingdom. Econ Educ Rev 28: 122–128

    Article  Google Scholar 

  • Trannoy A, Tubeuf S, Jusot F, Devaux M (2010) Inequality of opportunities in health in France: a first pass. Health Econ 19: 921–938

    Article  Google Scholar 

  • Van Doorslaer E, Jones A (2003) Inequalities in self-reported health: validation of a new approach to measurement. J Health Econ 22: 61–87

    Article  Google Scholar 

  • Van Kippersluis H, O’Donnell O, Van Doorslaer E (2009) Long run returns to education: does schooling lead to an extended old age? Timbergen Institute Discussion Paper 037/3, Amsterdam

  • Wagstaff A, van Doorslaer E, Watanabe N (2003) On decomposing the causes of health sector inequalities with an application to malnutrition inequalities in Vietnam. J Econom 112: 207–223

    Article  Google Scholar 

  • World Food Programme: (2006) World Hunger Series 2006: hunger and learning. FAO—United Nations, Rome

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Andrew M. Jones.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jones, A.M., Rice, N. & Rosa Dias, P. Quality of schooling and inequality of opportunity in health. Empir Econ 42, 369–394 (2012). https://doi.org/10.1007/s00181-011-0471-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00181-011-0471-2

Keywords

JEL classification

Navigation