Education, cognitive ability, and cause-specific mortality : A structural approach

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Bijwaard , G E , Tynelius , P & Myrskylae , M 2019 , ' Education, cognitive ability, and cause-specific mortality : A structural approach ' , Population Studies , vol. 73 , no. 2 , pp. 217-232 . https://doi.org/10.1080/00324728.2018.1493135

Title: Education, cognitive ability, and cause-specific mortality : A structural approach
Author: Bijwaard, Govert E.; Tynelius, Per; Myrskylae, Mikko
Contributor: University of Helsinki, University Management
Date: 2019-05-04
Language: eng
Number of pages: 16
Belongs to series: Population Studies
ISSN: 0032-4728
URI: http://hdl.handle.net/10138/303893
Abstract: Education is negatively associated with most major causes of death. Prior work ignores the premise that cause-specific hazards are interdependent and that both education and mortality depend on cognitive ability. We analyse Swedish men aged 18-63, focusing on months lost due to specific causeswhich solves the interdependence problemand use a structural model that accounts for confounding due to cognitive ability. In a standard Cox model controlling for Intelligence Quotient, improving education is associated with large decreases in mortality for major causes of death. In the structural model, improving education is associated with a small decrease in months lost for most causes and education levels. Among the least educated, however, improving education strongly reduces the months lost, mainly those lost from external causes, such as accidents and suicide. Results suggest that conventional analysis of education and mortality may be biased, even if accounting for observed cognition.
Subject: cause-specific mortality
causal effect of education
cognitive ability
ADULT MORTALITY
INJURY MORTALITY
UNITED-STATES
LIFE-COURSE
MIDDLE-AGE
ALL-CAUSE
HEALTH
INEQUALITIES
INTELLIGENCE
COHORT
5141 Sociology
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