Abstract

Theoretically, there are several reasons to expect education to have a positive effect on health. Empirical research suggests that education can be an important health determinant. However, it has not yet been established whether education and health are indeed causally related, and the effects found in previous studies may be partially attributable to methodological weaknesses. Moreover, existing evidence on the education-health relationship generally uses information of fairly recent schooling reforms, implying that health outcomes are observed only over a limited time period. This paper examines the effect of education on mortality using information on a national roll-out of a reform leading to one extra year of compulsory schooling in Sweden. In 1936, the national government made a seventh school year compulsory; however, the implementation was decided at the school district level, and the reform was implemented over 12 years. Taking advantage of the variation in the timing of the implementation across school districts, by using county-level proportions of reformed districts, census data and administrative mortality data, we find that the extra compulsory school year reduced mortality. In fact, the mortality reduction is discernible already before the age of 30 and then grows in magnitude until the age of 55–60.

Highlights

  • There is a well-known empirical association between education and health

  • The estimates yield a conservative bound for the direct effect of the changes in compulsory schooling on mortality rates

  • Several x-year death-rates are regressed on the share of school districts within a county treated by an extended compulsory schooling

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Summary

Introduction

There is a well-known empirical association between education and health. It has been observed in several countries and time periods and for a wide range of health measures. Using a host of compulsory education laws from the 1915–1939 period in instrumental variable (IV) estimations, Lleras-Muney concludes that an additional year of schooling led to reductions in 10-year mortality rates by as much as 60%. A recent paper by Meghir et al [14] considers the effect of the Swedish 1949–1962 expansion of compulsory schooling on mortality, hospitalizations and labor market transitions. Their estimates for mortality suggest that there was a substantial reduction in male mortality up to the age of 50, but that these gains were erased by elevated mortality at higher ages.

Main Results
Background on the Educational System and the Reform
Data and Sample Selection
Variable Definitions
Computing Mortality Rates
Treatment Indicator
Empirical Strategy
Results and Discussion
Conclusions
Education at a Glance 2012 OECD Indicators

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