Pathways between education and health: a causal modelling approach


Chandola, T; Clarke, P; Morris, JN; Blane, D; (2006) Pathways between education and health: a causal modelling approach. Journal of the Royal Statistical Society Series A, (Statistics in Society), 169. pp. 337-359. ISSN 0964-1998

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Abstract

The association of poor education and poor health has been consistently observed in many studies and in various countries. Thus far, studies examining the mechanisms underlying this association have looked at only a limited set of potential pathways. This study simultaneously examines six distinctive pathways, which have been hypothesized to link education and health and found support from previous studies. A causal analysis of education and health was performed using structural equation models. Data were used from six phases of the National Child Development Study, which is based on following up an initial sample of 17416 children who were born in 1958. The association between education and health appears to be explained by a combination of mechanisms: adolescent health and adult health behaviours for men and women, adult social class among men and parental social class among women. We conclude that improvements in population educational attainment may not automatically lead to improvements in population health, and that health policies for improving health and reducing health inequalities need to target specific causal pathways.

Item Type: Article
Keywords: education, health, pathways, structural equation modelling, NATIONAL BIRTH COHORT, PERSONAL CONTROL, SOCIAL-CLASS, EARLY-LIFE, CHILDHOOD, INTELLIGENCE, MORTALITY, RISK, INEQUALITIES, DEPRIVATION
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Infectious Disease Epidemiology
Faculty of Public Health and Policy > Dept of Social and Environmental Health Research
Web of Science ID: 235333700010
URI: http://researchonline.lshtm.ac.uk/id/eprint/6483

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