A large body of research finds that the association between educational attainment and health is at historic highs for White women. Rapid changes in labor force participation, access to high-paying jobs, and gender attitudes have radically altered the meaning of education for women’s lives and their dependence on the socioeconomic attainments of their families. Drawing on three nationally representative longitudinal surveys conducted from 1967 to 2012, this study examines how personal, parental, and spousal attainments contribute to the widening education gap in health for successive cohorts of White women (N = 8,405). Overall, the health of women did not change substantially across cohorts, but results did uncover cohort differences among low-educated women that were linked to parental and spousal educational attainments and personal earnings. These findings confirm growing educational inequalities in health and demonstrate the importance of historical context and family attainments when examining cohort variation in the education–health relationship.
BellerE.HoutM. (2006). Intergeneratinoal social mobility: The United States in comparative perspective. The Future of Children, 16, 19–36.
2.
BreenR.JonssonJ. O. (2005). Inequality of opportunity in comparative perspective: Recent research on educational attainment and social mobility. Annual Review of Sociology, 31, 223–243.
3.
BrownD. C.HummerR. A.HaywardM. D. (2014). The importance of spousal education for the self-rated health of married adults in the United States. Population Research and Policy Review, 33, 127–151.
4.
BrownT. H.RichardsonL. J.HargroveT. W.ThomasC. S. (2016). Using multiple-hierarchy stratification and life course approaches to understand health inequalities: The intersecting consequences of race, gender, ses, and age. Journal of Health and Social Behavior, 57, 200–222.
5.
Bureau of Labor Statistics. (2016). U.S. Department of labor, occupational employment statistics. Retrieved July 22, 2016, fromwww.bls.gov/oes/
6.
CaseA.DeatonA. (2015). Rising morbidity and mortality in midlife among White non-Hispanic Americans in the 21st century. Proceedings of the National Academy of Sciences of the United States of America, 112, 15078–15083.
7.
ChouR.TurnerJ. A.DevineE. B.HansenR. N.SullivanS. D.BlazinaI…DeyoR. A. (2015). The effectiveness and risks of long-term opioid therapy for chronic pain: A systematic review for a national institutes of health pathways to prevention workshop. Annals of Internal Medicine, 162, 276–286.
8.
DelaruelleK.BuffelV.BrackeP. (2015). Educational expansion and the education gradient in health: A hierarchical age-period-cohort analysis. Social Science & Medicine, 145, 79–88.
9.
DowdJ. B.HamoudiA. (2014). Is life expectancy really falling for groups of low socio-economic status? Lagged selection bias and artefactual trends in mortality. International Journal of Epidemiology, 43, 983–988.
10.
DupreM. E. (2007). Educational differences in age-related patterns of disease: Reconsidering the cumulative disadvantage and age-as-leveler hypothesis. Journal of Health and Social Behavior, 48, 1–15.
11.
EddingsW.MarchenkoY. (2012). Diagnostics for multiple imputation in stata. Stata Journal, 12, 353–367.
12.
ElderG. H.GeorgeL. K. (2016). Age, cohorts, and the life course. In ShanahanJ. M.MortimerT. J.JohnsonM. K. (Eds.), Handbook of the life course: Volume II (pp. 59–85). Cham, Switzerland: Springer International Publishing.
13.
GoldinC. (2006). The quiet revolution that transformed women’s employment, education, and family. The American Economic Review, 96, 1–21.
14.
GoldinC. (2014). A grand gender convergence: Its last chapter. American Economic Review, 104, 1–30.
15.
GrahamJ. W.OlchowskiA. E.GilreathT. D. (2007). How many imputations are really needed? Some practical clarifications of multiple imputation theory. Prevention Science, 8, 206–213.
16.
GruskyD. B.WesternB.WimerC. (Eds.). (2011). The Great Recession. New York, NY: The Russell Sage Foundation.
17.
HaasS. A. (2006). Health selection and the process of social stratification: The effect of childhood health on socioeconomic attainment. Journal of Health and Social Behavior, 47, 339–354.
18.
HardinJ. W.HilbeJ. M. (2013). Generalized estimating equations. Boca Raton, FL: Taylor & Francis Group.
19.
HoJ. Y.FenelonA. (2015). The contribution of smoking to educational gradients in U.S. life expectancy. Journal of Health and Social Behavior, 56, 307–322.
20.
HouseJ. S.KesslerR. CHerzogA. R. (1990). Age, socioeconomic status, and health. The Milbank Quarterly, 68, 383–411.
21.
HoutM. (2012). Social and economic returns to college education in the United States. Annual Review of Sociology, 38, 379–400.
22.
HoutM. (2015). A summary of what we know about social mobility. The ANNALS of the American Academy of Political and Social Science, 657, 27–36.
23.
HubbardA. E.AhernJ.FleischerN. L.Van der LaanM.LippmanS. A.JewellN…SatarianoW. A. (2010). To gee or not to gee: Comparing population average and mixed models for estimating the associations between neighborhood risk factors and health. Epidemiology, 21, 467–474.
24.
IdlerE. L.RussellL. B.DavisD. (2000). Survival, functional limitations, and self-rated health in the NHANES I Epidemiologic Follow-up study, 1992. American Journal of Epidemiology, 152, 874–883.
25.
JacobsJ. A. (1996). Gender inequality and higher education. Annual Review of Sociology, 22, 153–185.
26.
LeeS. J.GoA. S.LindquistK.BertenthalD.CovinskyK. E. (2008). Chronic conditions and mortality among the oldest old. American Journal of Public Health, 98, 1209–1214.
27.
LongJ. S. (2009). Group comparisons in logit and probit using predicted probabilities. Unpublished manuscript (pp. 1–25). Retrieved on December 7, 2013, fromhttp://www.indiana.edu/∼jslsoc/research_groupdif.htm
28.
LuoL. (2013). Assessing validity and application scope of the intrinsic estimator approach to the age-period-cohort problem. Demography, 50, 1945–1967.
29.
LynchS. L. (2003). Cohort and life-course patterns in the relationship between education and health: A hierarchical approach. Demography, 40, 309–331.
30.
MastersR. K.HummerR. APowersD. (2012). Educational differences in U.S. Adult mortality: A cohort perspective. American Sociological Review, 77, 548–572.
31.
MontezJ. K.ZajacovaA. (2013a). Explaining the widening education gap in mortality among U.S. White women. Journal of Health and Social Behavior, 54, 166–182.
32.
MontezJ. K.ZajacovaA. (2013b). Trends in mortality risk by education level and cause of death among us White women from 1986 to 2006. American Journal of Public Health, 103, 473–479.
33.
MontezJ. K.BarnesK. (2016). The benefits of educational attainment for U.S. Adult mortality: Are they contingent on the broader environment?Population Research and Policy Review, 35, 73–100.
34.
MontezJ. K.ZajacovaA. (2014). Why is life expectancy declining among low-educated women in the United States. American Journal of Public Health, 104, e5–e7.
35.
MurtaghK. N.HubertH. B. (2004). Gender differences in physical disability among an elderly cohort. American Journal of Public Health, 94, 1406–1411.
36.
National Longitudinal Surveys. (2005). NLS handbook, 2005. National Longitudinal Surveys. Washington, DC: Bureau of Labor Statistics, Division of Information Services.
37.
NelsonL. S.JuurlinkD. N.PerroneJ. (2015). Addressing the opioid epidemic. Journal of the American Medical Association, 314, 1453–1454.
38.
PavalkoE. K.GongF.LongJ. S. (2007). Women’s work, cohort change, and health. Journal of Health and Social Behavior, 48, 352–368.
39.
PudrovskaT. (2014). Early-life socioeconomic status and mortality at three life course stages: An increasing within-cohort inequality. Journal of Health and Social Behavior, 55, 181–195.
40.
RossC. E.MastersR. K.HummerR. A. (2012). Education and the gender gaps in health and mortality. Demography, 49, 1157–1183.
SchwartzC. R.HanH. (2014). The reversal of the gender gap in education and trends in marital dissolution. American Sociological Review, 79, 605–629.
43.
SchwartzC. R.MareR. D. (2005). Trends in educational assortative marriage from 1940 to 2003. Demography, 42, 621–646.
44.
StataCorp. (2017). Stata Statistical Software: Release 15. College Station, TX: StataCorp LP.
45.
TorcheF. (2011). Is a college degree still the great equalizer? Intergenerational mobility across levels of schooling in the United States. American Journal of Sociology, 117, 763–807.
46.
UmbersonD. K.WilliamsP. A.ThomasH. L.ThomeerM. B. (2014). Race, gender, and chains of disadvantage: Childhood adversity, social relationships, and health. Journal of Health and Social Behavior, 55, 20–38.
47.
WillsonA. E.ShueyK. M. (2016). Life course pathways of economic hardship and mobility and midlife trajectories of health. Journal of Health and Social Behavior, 57, 407–422.
48.
WillsonA. E.ShueyK. M.ElderG. H. (2007). Cumulative advantage processes as mechanisms of inequality in life course health. American Journal of Sociology, 112, 1886–1924.
49.
ZegerS. L.LiangK.-Y.AlbertP. S. (1988). Models for longitudinal data: A generalized estimating equation approach. Biometrics, 44, 1049–1060.
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