Niccodemi Gianmaria, Bijwaard Govert
VIDAS, Milan, Italy.
Netherlands Interdisciplinary Demographic Institute (NIDI-KNAW)/University of Groningen, The Hague, The Netherlands.
Eur J Health Econ. 2024 Mar;25(2):333-361. doi: 10.1007/s10198-023-01586-7. Epub 2023 May 2.
We investigate the association between education and disease-specific medications in old age, prescribed by medical doctors, accounting for confounders and how this association is shaped by intelligence. We use administrative data on men including prescribed medication records. To account for endogeneity of education we estimate a structural model, consisting of (i) an ordered probit for educational attainment, (ii) a Gompertz mortality model for survival up to old age, (iii) a probit model for prescribed medications in old age, (iv) a measurement system using IQ tests to identify latent intelligence. The results suggest a strong effect of education on prescribed medications for most medications, except for prescribed medication for cardiac diseases and for depression and anxiety.
我们研究了老年时期由医生开具的特定疾病药物与教育之间的关联,同时考虑了混杂因素以及这种关联如何受到智力的影响。我们使用了包括处方药物记录在内的男性行政数据。为了解决教育的内生性问题,我们估计了一个结构模型,该模型包括:(i)一个用于教育程度的有序概率模型;(ii)一个用于活到老年的冈珀茨死亡率模型;(iii)一个用于老年处方药物的概率模型;(iv)一个使用智商测试来识别潜在智力的测量系统。结果表明,教育对大多数药物的处方有很强的影响,但心脏病以及抑郁症和焦虑症的处方药物除外。