Education and health: evidence on adults with diabetes.

TitleEducation and health: evidence on adults with diabetes.
Publication TypeJournal Article
Year of Publication2011
AuthorsAyyagari, P, Grossman, D, Sloan, FA
JournalInt J Health Care Finance Econ
Date Published2011 Mar
ISSN Number1573-6962
KeywordsAged, Cognition, Cross-Sectional Studies, Diabetes Complications, Diabetes Mellitus, Female, Health Behavior, Health Knowledge, Attitudes, Practice, Health Services, Humans, Male, Patient Education as Topic, Self Efficacy, Sex Factors, Socioeconomic factors, Time Factors

Although the education-health relationship is well documented, pathways through which education influences health are not well understood. This study uses data from a 2003-2004 cross sectional supplemental survey of respondents to the longitudinal Health and Retirement Study (HRS) who had been diagnosed with diabetes mellitus to assess effects of education on health and mechanisms underlying the relationship. The supplemental survey provides rich detail on use of personal health care services (e.g., adherence to guidelines for diabetes care) and personal attributes which are plausibly largely time invariant and systematically related to years of schooling completed, including time preference, self-control, and self-confidence. Educational attainment, as measured by years of schooling completed, is systematically and positively related to time to onset of diabetes, and conditional on having been diagnosed with this disease on health outcomes, variables related to efficiency in health production, as well as use of diabetes specialists. However, the marginal effects of increasing educational attainment by a year are uniformly small. Accounting for other factors, including child health and child socioeconomic status which could affect years of schooling completed and adult health, adult cognition, income, and health insurance, and personal attributes from the supplemental survey, marginal effects of educational attainment tend to be lower than when these other factors are not included in the analysis, but they tend to remain statistically significant at conventional levels.


Ayyagari, Padmaja Grossman, Daniel Sloan, Frank 2R37-AG-17473-05A1/AG/NIA NIH HHS/United States Research Support, N.I.H., Extramural United States International journal of health care finance and economics Int J Health Care Finance Econ. 2011 Mar;11(1):35-54. Epub 2011 Jan 7.

User Guide Notes

Endnote Keywords

Cognition/Cross-Sectional Studies/Diabetes Complications/epidemiology/Diabetes Complications/epidemiology/Diabetes Mellitus/ epidemiology/ psychology/Diabetes Mellitus/ epidemiology/ psychology/Female/Health Behavior/Health Knowledge, Attitudes, Practice/Health Knowledge, Attitudes, Practice/Health Services/ utilization/Health Services/ utilization/Humans/Patient Education as Topic/ statistics/Patient Education as Topic/ statistics/numerical data/Self Efficacy/Self Efficacy/Sex Factors/Socioeconomic Factors/Time Factors

Endnote ID


Alternate JournalInt J Health Care Finance Econ
Citation Key7657
PubMed ID21213044
PubMed Central IDPMC4176873
Grant ListR01 AG017473 / AG / NIA NIH HHS / United States
R37 AG017473 / AG / NIA NIH HHS / United States
2R37-AG-17473-05A1 / AG / NIA NIH HHS / United States