Education and Health across Lives and Cohorts: A Study of Cumulative (Dis)advantage and Its Rising Importance in Germany

Abstract

Research from the United States has supported two hypotheses. First, educational gaps in health widen with age—the cumulative (dis)advantage hypothesis. Second, this relationship has intensified across cohorts—the rising importance hypothesis. In this article, we used 23 waves of panel data (Socio-Economic Panel Study, 1992–2014) to examine both hypotheses in the German context. We considered individual and contextual influences on the association between education and health, and we assessed gender differences in health trajectories over the life course (ages 23 to 84) and across cohorts (born between 1930 and 1969). For women, we found no support for either hypothesis, as educational gaps in self-rated health remained stable with age and across cohorts. Among men, we found support for both hypotheses, as educational gaps in self-rated health widened with age and increasingly in newer cohorts.