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

Author

Listed:
  • Aurélie Côté-Sergent
  • Raquel Fonseca
  • Erin C. Strumpf
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.

Suggested Citation

  • Aurélie Côté-Sergent & Raquel Fonseca & Erin C. Strumpf, 2018. "Comparing the Education Gradient in Chronic Disease Incidence Among the Elderly in Six OECD Countries," CIRANO Working Papers 2018s-11, CIRANO.
    • Handle: RePEc:cir:cirwor:2018s-11
    as

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    File URL: https://cirano.qc.ca/files/publications/2018s-11.pdf
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    References listed on IDEAS

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    1. Tatiana Andreyeva & Pierre-Carl Michaud & Arthur Van Soest, 2005. "Obesity and Health in Europeans Ages 50 and Above," Working Papers WR-331, RAND Corporation.
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    Cited by:

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    2. Aurea Grané & Irene Albarrán & Qi Guo, 2021. "Visualizing Health and Well-Being Inequalities Among Older Europeans," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 155(2), pages 479-503, June.

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    More about this item

    Keywords

    Disease incidence; Older ages; Education;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • I2 - Health, Education, and Welfare - - Education

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