Hostname: page-component-76fb5796d-wq484 Total loading time: 0 Render date: 2024-04-25T17:24:31.964Z Has data issue: false hasContentIssue false

Educational inequalities in longevity in 18 OECD countries

Published online by Cambridge University Press:  26 August 2021

Fabrice Murtin*
Affiliation:
OECD Statistics and Data Directorate, Paris, France
Johan P. Mackenbach
Affiliation:
Department of Public Health, Erasmus MC, Rotterdam, The Netherlands
Domantas Jasilionis
Affiliation:
Max Planck Institute for Demographic Research, Rostock, Germany
Marco Mira d'Ercole
Affiliation:
OECD Statistics and Data Directorate, Paris, France
*
*Corresponding author. E-mail: Fabrice.Murtin@oecd.org
Get access

Abstract

This paper assesses inequality in longevity across education and gender groups in 23 OECD countries around 2011. Data on mortality rates by age, gender, educational attainment, and, for 17 countries, cause of death were collected from national sources, with similar treatment applied to all countries in order to derive comparable measures of longevity at age 25 and 65 by gender and education. These estimates show that, on average, the gap in life expectancy between high and low-educated people is 7.6 years for men and 4.8 years for women at age 25 years, and 3.6 years for men and 2.6 years for women at age 65. At the age of 25, the gap in life expectancy between high and low-educated people varies between 4.1 years (in Canada) and 13.9 years (in Hungary) for men, and between 2.5 years (in Italy) and 8.3 years (in Latvia) for women; in the United States, the gap is 10.0 years for men and 7.0 years for women. Cardiovascular diseases are the first cause of death for all gender and education groups after age 65 years, and the first cause of mortality inequality between the high and low-education elderly.

Type
Research Paper
Copyright
Copyright © Université catholique de Louvain 2021

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Banks, J., Marmot, M., Oldfield, Z. and Smith, J.P. (2006) Disease and disadvantage in the United States and in England. JAMA 295(17), 20372045.CrossRefGoogle ScholarPubMed
Bartley, Mel (2016) Health Inequality: An Introduction to Concepts, Theories and Methods. Cambridge, UK: Polity Press, IX-244 p.Google Scholar
Bassanini, A. and Caroli, E. (2015) Is work bad for health? The role of constraint versus choice. Annals of Economics and Statistics, CNGP-INSEE, pp. 1337.CrossRefGoogle Scholar
Blanpain, N. (2016) Les inégalités sociales face à la mort—Tables de mortalité par catégorie sociale et par diplôme, Insee Résultats, n° 177, Insee.Google Scholar
Case, A., and Deaton, A (2003) “Consumption, health, gender, and poverty”, Policy Research Working Paper No. 3020. World Bank, Washington, DC.CrossRefGoogle Scholar
Case, A. and Deaton, A. (2015) Rising morbidity and mortality in midlife among white non-Hispanic Americans in the 21st century. Proceedings of the National Academy of Sciences 112(49), 1507815083.CrossRefGoogle ScholarPubMed
Case, A. and Deaton, A. (2017) Mortality and morbidity in the 21st century. Brooking papers on Economic Activity. https://www.brookings.edu/bpea-articles/mortality-and-morbidity-in-the-21st-century/.CrossRefGoogle Scholar
Chetty, R., Stepner, M., Abraham, S., Lin, S., Scuderi, B., Turner, N., Bergeron, A. and Cutler, D. (2016) The association between income and life expectancy in the United States, 2001–2014. JAMA, Journal of the American Medical Association 315(16), 17501766.CrossRefGoogle ScholarPubMed
Chiang, C.L. (1984) The Life Table and Its Applications. Malabar, FL: Krieger.Google Scholar
Deaton, A. (2003) Health, inequality, and economic development. Journal of Economic Literature 41(1), 113158.CrossRefGoogle Scholar
Deaton, A. (2013) The Great Escape. Princeton: Princeton University Press.Google Scholar
Farrell, P. and Fuchs, V. (1982) Schooling and health: the cigarette connection. Journal of Health Economics 1(3), 217230.CrossRefGoogle ScholarPubMed
Gordis, L. (1982) Should dead cases be matched to dead controls? American Journal of Epidemiology 115, 15.CrossRefGoogle ScholarPubMed
Hendi, A.S. (2015) Trends in US life expectancy gradients: the role of changing educational composition. International Journal of Epidemiology 44(3), 946955.CrossRefGoogle Scholar
Hendi, A.S. (2017) Trends in US life expectancy, data quality, and shifting education distributions: a note on recent research. Demography 54, 12031213.CrossRefGoogle Scholar
Ho, J.Y. and Hendi, A.S. (2018) Recent trends in life expectancy across high income countries: retrospective observational study. BMJ 362, k2562.CrossRefGoogle ScholarPubMed
Hummer, A. and Hernandez, E.M. (2013) The effect of educational attainment on adult mortality in the United States. Population Bulletin 68(1), 116.Google ScholarPubMed
James, C., Devaux, M. and Sassi, F. (2017) “Inclusive growth and health”, OECD Health Working Papers, No. 103, OECD Publishing, Paris. https://doi.org/10.1787/93d52bcd-en.CrossRefGoogle Scholar
Jasilionis, D., et al. (2012) Ethnic mortality differentials in Lithuania: contradictory evidence from census-linked and unlinked mortality estimates. Journal of Epidemiology Community Health 66(7), 13.CrossRefGoogle ScholarPubMed
Jasilionis, D., Shkolnikov, V. and Andreev, E. (2009) Commentary: the study by Leinsalu et al. on mortality differentials in Eastern Europe highlights the need for better data. International Journal of Epidemiology 38, 525527.CrossRefGoogle Scholar
Kunst, A., et al. (1998) Socio-economic inequalities in mortality. Methodological problems illustrated with three examples from Europe. Revue d'Epidémiologie et de Santé Publique 46, 467479.Google ScholarPubMed
Lleras-Muney, A. (2005) The relationship between education and adult mortality in the U.S. Review of Economic Studies 72(1), 189221.CrossRefGoogle Scholar
Mackenbach, J.P., et al. (2008) Socioeconomic inequalities in health in 22 European countries. The New England Journal of Medicine 358, 24682481.CrossRefGoogle ScholarPubMed
Mackenbach, J.P. (2016) Health Inequalities in Europe. Rotterdam: Erasmus University Publishing.Google Scholar
Mackenbach, J.P. and Kunst, A.E. (1997) Measuring the magnitude of socio-economic inequalities in health: an overview of available measures illustrated with two examples from Europe. Social Science & Medicine 44(6), 757771.CrossRefGoogle ScholarPubMed
Mackenbach, J.P., Meerding, W.J. and Kunst, A.E. (2011) Economic costs of health inequalities in the European Union. Journal of Epidemiology and Community Health 65(5), 412419.CrossRefGoogle ScholarPubMed
Mackenbach, J.P., Valverde, J.R., Artnik, B., Bopp, M., Brønnum-Hansen, M., Deboosere, P., et al. (2018) Trends in health inequalities in 27 European countries. Proceedings of the National Academy of Sciences 115(25), 64406445.CrossRefGoogle ScholarPubMed
Marmot, M. and Wilkinson, R. (2006) Social Determinants of Health. 2nd edition, Oxford: Oxford University Press, http://ije.oxfordjournals.org/content/early/2006/07/17/ije.dyl121.Google Scholar
McInerney, M., Mellor, J.M. and Nicholas, L.H. (2013) Recession depression: mental health effects of the 2008 stock market crash. Journal of Health Economics 32(6), 10901104.CrossRefGoogle ScholarPubMed
Murphy, K. and Topel, R. (2005) The value of health and longevity, NBER Working Paper No. 11405.Google Scholar
Murray, C.J.L., et al. (2018) The state of US health, 1990–2016, JAMA, online.Google Scholar
Murthy, V.H. (2017) Facing addiction in the United States. JAMA 317(2), 133134.CrossRefGoogle Scholar
Murtin, F. (2013) Long-term determinants of the demographic transition. Review of Economics and Statistics 95(2), 617631.CrossRefGoogle Scholar
Murtin, F., et al. (2017) Inequalities in longevity by education in OECD countries: insights from new OECD estimates, OECD Statistics Working Papers, No. 2017/02, OECD Publishing, Paris.Google Scholar
Murtin, F. and Diaz, M. (2020) Socio-economic inequality in multidimensional living standards, OECD Statistics and Data Directorate Working Paper (forthcoming).Google Scholar
OECD (2015) In It Together: Why Less Inequality Benefits All. Paris: OECD Publishing.Google Scholar
Olshansky, S.J., et al. (2012) Differences in life expectancy due to race and educational differences are widening, and may not catch up. Health Affairs 31(8), 18031813.CrossRefGoogle Scholar
Rey, G., et al. (2013) Measuring social inequalities in cause-specific mortality in France: comparison between linked and unlinked approaches. Revue d'Epidémiologie et de Santé Publique 61, 221231.CrossRefGoogle ScholarPubMed
Rostron, B.L., Boies, J.L. and Arias, E. (2010) Education reporting and classification on death certificates in the United States. National Center for Health Statistics. Vital and Health Statistics 2(151), 121.Google Scholar
Sasson, I. (2016) Trends in life expectancy and lifespan variation by educational attainment: United States, 1990–2010. Demography 53, 269293.CrossRefGoogle ScholarPubMed
Sorlie, P. and Johnson, N. (1996) Validity of education information on the death certificate. Epidemiology 7(4), 437439.CrossRefGoogle ScholarPubMed
Tanaka, H., Nusselder, W.J., Bopp, M., Brønnum-Hansen, H., Kalediene, R., Lee, J.S., Leinsalu, M., P., , et al. 2019) Mortality inequalities by occupational class among men in Japan, South Korea and eight European countries: a national register-based study, 1990–2015. Journal of Epidemiology and Community Health 73(8), 750758.CrossRefGoogle ScholarPubMed
van Hedel, K., Avendano, M., Berkman, L.F., Bopp, M., Deboosere, P., Lundberg, O. and Mackenbach, J.P (2015) The contribution of national disparities to international differences in mortality between the United States and 7 European countries. American Journal of Public Health 105(4), e112e119.CrossRefGoogle ScholarPubMed
van Raalte, A., et al. (2011) More variation in lifespan in lower educated groups: evidence from 10 European countries. International Journal of Epidemiology 40, 17031714.CrossRefGoogle ScholarPubMed
van Raalte, A., et al. (2012) The contribution of educational inequalities to lifespan variation. Population Health Metrics 10, 3.CrossRefGoogle ScholarPubMed
WHO (2016) Global Health Data Repository, online statistics. http://apps.who.int/gho/data/node.main.121.Google Scholar
Woolf, S.H., Chapman, D., Buchanich, J.M., Bobby, K., Zimmerman, E.B., Blackburn, S.M., et al. (2018) Changes in midlife death rates across racial and ethnic groups in the United States: systematic analysis of vital statistics. BMJ 362, k3096.CrossRefGoogle ScholarPubMed