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Educational differences in age-related patterns of disease: reconsidering the cumulative disadvantage and age-as-leveler hypotheses.

Publication ,  Journal Article
Dupre, ME
Published in: J Health Soc Behav
March 2007

Some studies suggest that the relationship between education and health strengthens with age (cumulative disadvantage hypothesis), while other studies find that it weakens (age-as-leveler hypothesis). This research addresses this inconsistency by differentiating individual-level changes in health from those occurring at the aggregate level due to selective mortality. Using retrospective and prospective data from a nationally representative sample of US. adults, I examine educational differences in age-specific rates of disease prevalence, incidence, and survival. At the aggregate level, I find that educational differences in disease prevalence are largest at mid-life and then decline. At the individual level, however, disease incidence and mortality increase with age at a greater rate for less-educated persons compared to the well educated. These findings suggest that the cumulative disadvantage hypothesis explains how education affects the health of individuals with increasing age, whereas the leveling hypothesis describes the aggregated by-product of these educational disparities in health decline.

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Published In

J Health Soc Behav

DOI

ISSN

0022-1465

Publication Date

March 2007

Volume

48

Issue

1

Start / End Page

1 / 15

Location

United States

Related Subject Headings

  • United States
  • Social Class
  • Public Health
  • Nutrition Surveys
  • Mortality
  • Middle Aged
  • Male
  • Humans
  • Health Status
  • Female
 

Citation

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Dupre, M. E. (2007). Educational differences in age-related patterns of disease: reconsidering the cumulative disadvantage and age-as-leveler hypotheses. J Health Soc Behav, 48(1), 1–15. https://doi.org/10.1177/002214650704800101
Dupre, Matthew E. “Educational differences in age-related patterns of disease: reconsidering the cumulative disadvantage and age-as-leveler hypotheses.J Health Soc Behav 48, no. 1 (March 2007): 1–15. https://doi.org/10.1177/002214650704800101.
Dupre, Matthew E. “Educational differences in age-related patterns of disease: reconsidering the cumulative disadvantage and age-as-leveler hypotheses.J Health Soc Behav, vol. 48, no. 1, Mar. 2007, pp. 1–15. Pubmed, doi:10.1177/002214650704800101.
Journal cover image

Published In

J Health Soc Behav

DOI

ISSN

0022-1465

Publication Date

March 2007

Volume

48

Issue

1

Start / End Page

1 / 15

Location

United States

Related Subject Headings

  • United States
  • Social Class
  • Public Health
  • Nutrition Surveys
  • Mortality
  • Middle Aged
  • Male
  • Humans
  • Health Status
  • Female