Department of Sociology, Western University, London, Ontario N6A 5C2, Canada; email:
Department of Sociology, University of Nevada, Las Vegas, Nevada 89154, USA; email:
Annu Rev Public Health. 2018 Apr 1;39:273-289. doi: 10.1146/annurev-publhealth-031816-044628. Epub 2018 Jan 12.
Adults with higher educational attainment live healthier and longer lives compared with their less educated peers. The disparities are large and widening. We posit that understanding the educational and macrolevel contexts in which this association occurs is key to reducing health disparities and improving population health. In this article, we briefly review and critically assess the current state of research on the relationship between education and health in the United States. We then outline three directions for further research: We extend the conceptualization of education beyond attainment and demonstrate the centrality of the schooling process to health; we highlight the dual role of education as a driver of opportunity but also as a reproducer of inequality; and we explain the central role of specific historical sociopolitical contexts in which the education-health association is embedded. Findings from this research agenda can inform policies and effective interventions to reduce health disparities and improve health for all Americans.
与受教育程度较低的同龄人相比,受教育程度较高的成年人生活更健康,寿命更长。这种差距很大且在不断扩大。我们认为,了解这种关联发生的教育和宏观环境对于减少健康差距和改善人口健康至关重要。在本文中,我们简要回顾和批判性评估了当前美国教育与健康之间关系的研究现状。然后,我们概述了进一步研究的三个方向:我们将教育的概念扩展到获得之外,并展示学校教育过程对健康的核心作用;我们强调教育既是机会的驱动因素,也是不平等的再生产者;我们解释了具体的历史社会政治背景在其中的核心作用教育与健康的关联被嵌入。这项研究议程的结果可以为减少健康差距和改善所有美国人的健康的政策和有效干预措施提供信息。