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Comparing the Education Gradient in Chronic Disease Incidence among the Elderly in Six OECD Countries

Aurélie Côté-Sergent, Raquel Fonseca () and Erin Strumpf ()

Cahiers de recherche from Chaire de recherche Industrielle Alliance sur les enjeux économiques des changements démographiques

Abstract: Inequalities in health by educational attainment are persistent both over time and across countries. However, their magnitudes, evolution, and main drivers are not necessarily consistent across jurisdictions. We examine the health-education gradient among older adults in the United States, Canada, France, the Netherlands, Spain and Italy, including how it changes over time between 2004 and 2010. Using longitudinal survey data, we assess how rates of incident poor health, incident difficulties with activities of daily living, and incident chronic conditions vary by educational attainment across countries. We also examine how potential confounders, including demographic characteristics, income, health care utilisation and health behaviours, affect the health-education gradient within countries over time. We find systematic differences in disease incidence, as well as in the health-education gradients, across countries. We also demonstrate that while adjusting for confounders generally diminishes the health-education gradient, the impacts of these variables vary somewhat across countries.

Keywords: disease incidence; older ages; education (search for similar items in EconPapers)
JEL-codes: I1 I2 (search for similar items in EconPapers)
New Economics Papers: this item is included in nep-age, nep-eur and nep-hea
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
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Working Paper: Comparing the Education Gradient in Chronic Disease Incidence Among the Elderly in Six OECD Countries (2018) Downloads
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Persistent link: https://EconPapers.repec.org/RePEc:lvl:criacr:1801

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