Mediating Role of Education and Lifestyles in the Relationship between Early-Life Conditions and Health: Evidence from the 1958 British Cohort

AUHE Working Paper Series WP11-06

36 Pages Posted: 3 Aug 2011

See all articles by Sandy Tubeuf

Sandy Tubeuf

Academic Unit of Health Economics

Florence Jusot

IRDES; Université Paris Dauphine - LEDA-LEGOS

Damien Bricard

LEDa-LEGOS, Université Paris-Dauphine

Date Written: June 1, 2011

Abstract

The paper focuses on the long-term effects of early-life conditions with comparison to lifestyles and current socioeconomic factors on health status in a cohort of British people born in 1958. Using the longitudinal follow-up data at age 23, 33, 42 and 46, we build a dynamic model to investigate the influence of each determinant on health and the mediating role of education and lifestyles in the relationship between early-life conditions and later health. Direct and indirect effects of early-life conditions on adult health are explored using auxiliary linear regressions of education and lifestyles and panel Probit specifications of self-assessed health with random effects addressing individual unexplained heterogeneity. Our study shows that early-life conditions are important parameters for adult health, their contribution to health disparities increases from 17.8% to 23% when mediating effects are identified. They also shape other health determinants: the contribution of lifestyles reduces from 28% down to 22% when indirect effects of early-life conditions are distinguished. Noticeably, the absence of father at the time of birth and experience of financial hardships represent the lead factors for direct effects on health. The absence of obesity at 16 influences health both directly and indirectly working through lifestyles.

Keywords: cohort, decomposition, early-life conditions, education, lifestyles

JEL Classification: D63, I12

Suggested Citation

Tubeuf, Sandy and Jusot, Florence and Bricard, Damien, Mediating Role of Education and Lifestyles in the Relationship between Early-Life Conditions and Health: Evidence from the 1958 British Cohort (June 1, 2011). AUHE Working Paper Series WP11-06, Available at SSRN: https://ssrn.com/abstract=1903859 or http://dx.doi.org/10.2139/ssrn.1903859

Sandy Tubeuf (Contact Author)

Academic Unit of Health Economics ( email )

Leeds Institute of Health Sciences
101 Clarendon Road
Leeds, LS2 9LJ
United Kingdom

HOME PAGE: http://https://medhealth.leeds.ac.uk/profile/647/302/sandy_tubeuf

Florence Jusot

IRDES ( email )

10 rue Vauvenargues
75018 Paris
France

Université Paris Dauphine - LEDA-LEGOS ( email )

Place du Maréchal de Lattre de Tassigny
Paris, Cedex 16 75 775
France

Damien Bricard

LEDa-LEGOS, Université Paris-Dauphine ( email )

Université Paris-Dauphine
Place de Lattre de Tassigny
Paris, 75016
France

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