The value of education to health: Evidence from Ireland

Econ Hum Biol. 2018 Sep;31:14-25. doi: 10.1016/j.ehb.2018.07.006. Epub 2018 Jul 23.


Does education have a causal impact on health? The existing literature presents mixed results. More evidence is required from contexts that have not been explored in the literature, and using clinically-measured health outcomes. Using data from the Irish Longitudinal Study on Ageing (TILDA), and exploiting a policy change in the 1960s that eliminated public secondary school fees, we investigate whether additional years of schooling for those with lower socio-economic status (SES) have a causal effect on the prevalence of cardiovascular disease in later life. We find significant sizable effects of education on the prevalence of both hypertension and diabetes. An additional year of schooling decreases the probability of having hypertension by approximately 3% points, and decreases the probability of having diabetes by approximately 1% point, effects that are large given existing prevalence. Further analysis of possible mechanisms shows that additional schooling increases the probability of engaging in high levels of physical activity and refraining from smoking. In the context of an increasing focus on strategies to prevent chronic disease, evidence such as this provides important insights for policymakers tasked with designing public health interventions targeting risk factors for chronic disease.

Keywords: Diabetes; Education; Hypertension; Instrumental variables; Ireland.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Chronic Disease
  • Diabetes Mellitus / epidemiology*
  • Educational Status*
  • Exercise
  • Female
  • Health Behavior
  • Health Status*
  • Humans
  • Hypertension / epidemiology*
  • Ireland / epidemiology
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Prevalence
  • Risk Factors
  • Schools
  • Self Report
  • Smoking / epidemiology
  • Socioeconomic Factors