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美国的教育程度与死亡率:学位、受教育年限和证书的影响

Educational Attainment and Mortality in the United States: Effects of Degrees, Years of Schooling, and Certification.

作者信息

Lawrence Elizabeth M, Rogers Richard G, Zajacova Anna

机构信息

Carolina Population Center, University of North Carolina at Chapel Hill.

Department of Sociology and Population Program, University of Colorado Boulder.

出版信息

Popul Res Policy Rev. 2016 Aug;35(4):501-525. doi: 10.1007/s11113-016-9394-0. Epub 2016 May 3.

Abstract

Researchers have extensively documented a strong and consistent education gradient for mortality, with more highly educated individuals living longer than those with less education. This study contributes to our understanding of the education-mortality relationship by determining the effects of years of education and degree attainment on mortality, and by including nondegree certification, an important but understudied dimension of educational attainment. We use data from the mortality-linked restricted-use files of the Panel Study of Income Dynamics (PSID) sample (N=9,821) and Cox proportional hazards models to estimate mortality risk among U.S. adults. Results indicate that more advanced degrees and additional years of education are associated with reduced mortality risk in separate models, but when included simultaneously, only degrees remain influential. Among individuals who have earned a high school diploma only, additional years of schooling (beyond 12) and vocational school certification (or similar accreditation) are both independently associated with reduced risks of death. Degrees appear to be most important for increasing longevity; the findings also suggest that any educational experience can be beneficial. Future research in health and mortality should consider including educational measures beyond a single variable for educational attainment.

摘要

研究人员已经广泛记录了死亡率方面存在的强大且一致的教育梯度,即受教育程度较高的个体比受教育程度较低的个体寿命更长。本研究通过确定受教育年限和学位获得情况对死亡率的影响,并纳入非学位证书(这是教育程度一个重要但研究不足的维度),有助于我们理解教育与死亡率之间的关系。我们使用来自收入动态面板研究(PSID)样本(N = 9821)与死亡率相关的受限使用文件数据以及Cox比例风险模型来估计美国成年人的死亡风险。结果表明,在单独的模型中,更高的学位和更多的受教育年限与降低的死亡风险相关,但当同时纳入时,只有学位仍然具有影响力。在仅获得高中文凭的个体中,额外的受教育年限(超过12年)和职业学校证书(或类似认证)均与降低的死亡风险独立相关。学位对于延长寿命似乎最为重要;研究结果还表明,任何教育经历都可能有益。未来关于健康和死亡率的研究应考虑纳入除单一教育程度变量之外的教育衡量标准。

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