Pennsylvania State University.
Popul Dev Rev. 2011;37(2):307-32. doi: 10.1111/j.1728-4457.2011.00412.x.
Demographic research frequently reports consistent and significant associations between formal educational attainment and a range of health risks such as smoking, drug abuse, and accidents, as well as the contraction of many diseases, and health outcomes such as mortality—almost all indicating the same conclusion: better-educated individuals are healthier and live longer. Despite the substantial reporting of a robust education effect, there is inadequate appreciation of its independent influence and role as a causal agent. To address the effect of education on health in general, three contributions are provided: 1) a macro-level summary of the dimensions of the worldwide educational revolution and a reassessment of its causal role in the health of individuals and in the demographic health transition are carried out; 2) a meta-analysis of methodologically sophisticated studies of the effect of educational attainment on all-cause mortality is conducted to establish the independence and robustness of the education effect on health; and 3) a schooling-cognition hypothesis about the influence of education as a powerful determinant of health is developed in light of new multidisciplinary cognitive research.
人口研究经常报告正规教育程度与一系列健康风险之间存在一致且显著的关联,如吸烟、药物滥用和事故,以及许多疾病的发生和健康结果,如死亡率——几乎所有这些都表明了相同的结论:受教育程度较高的人更健康,寿命更长。尽管大量报告了教育效果的稳健性,但人们对其独立影响及其作为因果因素的作用认识不足。为了全面探讨教育对健康的影响,提供了以下三个方面的贡献:1)对全球教育革命的各个维度进行了宏观层面的总结,并重新评估了其在个体健康和人口健康转型中的因果作用;2)对教育程度对全因死亡率影响的方法学上复杂的研究进行了荟萃分析,以确定教育对健康的影响的独立性和稳健性;3)根据新的多学科认知研究,提出了关于教育作为健康的有力决定因素的影响的教育-认知假说。