Ruhr Graduate School in Economics, University of Duisburg-Essen, Schützenbahn 70, Essen 45127, Germany.
Int J Environ Res Public Health. 2013 Aug 13;10(8):3596-618. doi: 10.3390/ijerph10083596.
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.
从理论上讲,有几个原因可以预期教育对健康有积极影响。实证研究表明,教育可以成为一个重要的健康决定因素。然而,尚未确定教育和健康是否确实存在因果关系,并且之前研究中发现的影响可能部分归因于方法上的弱点。此外,关于教育与健康关系的现有证据通常使用最近的学校改革信息,这意味着健康结果仅在有限的时间内观察到。本文利用瑞典一项改革的全国推行信息,研究教育对死亡率的影响,该改革导致义务教育增加一年。1936 年,国家政府将第七学年定为义务教育;然而,实施是在学区一级决定的,改革在 12 年内实施。我们利用学区实施时间的变化,利用县一级改革区的比例、人口普查数据和行政死亡率数据,发现额外的义务教育学年降低了死亡率。事实上,死亡率的降低在 30 岁之前就已经显现出来,然后在 55-60 岁之前逐渐增大。