Educational gains in cause-specific mortality : Accounting for cognitive ability and family-level confounders using propensity score weighting

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http://hdl.handle.net/10138/224242

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Bijwaard , G E , Myrskylä , M , Tynelius , P & Rasmussen , F 2017 , ' Educational gains in cause-specific mortality : Accounting for cognitive ability and family-level confounders using propensity score weighting ' , Social Science & Medicine , vol. 184 , pp. 49-56 . https://doi.org/10.1016/j.socscimed.2017.05.019

Title: Educational gains in cause-specific mortality : Accounting for cognitive ability and family-level confounders using propensity score weighting
Author: Bijwaard, Govert E.; Myrskylä, Mikko; Tynelius, Per; Rasmussen, Finn
Contributor: University of Helsinki, Department of Social Research (2010-2017)
Date: 2017-07
Language: eng
Number of pages: 8
Belongs to series: Social Science & Medicine
ISSN: 0277-9536
URI: http://hdl.handle.net/10138/224242
Abstract: A negative educational gradient has been found for many causes of death. This association may be partly explained by confounding factors that affect both educational attainment and mortality. We correct the cause-specific educational gradient for observed individual background and unobserved family factors using an innovative method based on months lost due to a specific cause of death re-weighted by the probability of attaining a higher educational level. We use data on men with brothers from the Swedish Military Conscription Registry (1951-1983), linked to administrative registers. This dataset of some 700,000 men allows us to distinguish between five education levels and many causes of death. The empirical results reveal that raising the educational level from primary to tertiary would result in an additional 20 months of survival between ages 18 and 63. This improvement in mortality is mainly attributable to fewer deaths from external causes. The highly educated gain more than nine months due to the reduction in deaths from external causes, but gain only two months due to the reduction in cancer mortality and four months due to the reduction in cardiovascular mortality. Ignoring confounding would lead to an underestimation of the gains by educational attainment, especially for the less educated. Our results imply that if the education distribution of 50,000 Swedish men from the 1951 cohort were replaced with that of the corresponding 1983 cohort, 22% of the person-years that were lost to death between ages 18 and 63 would have been saved for this cohort. (C) 2017 Elsevier Ltd. All rights reserved.
Subject: Sweden
Cause-specific mortality
Causal effect of education
Months lost analysis
Inverse probability weighting
Fixed effects
LIFE YEARS LOST
ADULT MORTALITY
HEALTH
INEQUALITIES
SURVIVAL
RETURNS
STATES
DEATH
TWINS
US
3142 Public health care science, environmental and occupational health
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