The Expansion of Higher Education and the Education-Health Gradient in the United States

The United States experienced a period of rapid higher education expansion between the mid-1940s and mid-1970s. Although this expansion likely improved the health of people able to take advantage of new education opportunities, expansion may have also intensified health inequalities between college-educated and non-college-educated people (1) through the compositional change in the relative (dis)advantage of these groups, (2) through the displacement of non-college-educated people in a more competitive post-expansion labor market, and (3) by increasing health returns to a college degree. Our analyses, rooted in a counterfactual perspective, draw on data from the Health and Retirement Study that spans birth cohorts who came of age before and after the period of expansion, allowing us to differentiate people who earned a degree because of expansion but would not otherwise (conditional-earners) from people who would or would not have earned a degree regardless of expansion (always-earners and never-earners, respectively). Comparing changes in the health of these three groups before and after education expansion permits us to individually evaluate how compositional change, displacement, and increasing returns to education exacerbated health inequalities. Our findings suggest that education expansion improved the health of conditional-earners and magnified health inequalities through the mechanism of displacement.

Health Returns to Birth Weight: Evidence from Developing Countries

This paper explores the effect of birth weight on a series of anthropometric outcomes among children. We use a panel of individual-level data from 39 developing countries covering the years 1999-2018 and attempt to solve the Endogeneity using mother fixed effect and twin fixed-effect strategies. The results suggest that improvements in birth weight result in statistically and economically significant improvements in children's anthropometric outcomes. An additional 100 grams birth weight is associated with a 0.43 and 0.25 units increase in weight for age percentile and height for age percentile, respectively. The links are stronger among low educated mothers and poorer households. The observed protective effect of birth weight on infant mortality suggests that the true effects of birth weight on children’s outcomes are larger and that the estimated effects probably understate the true effects.

Mothers’ Out-of-Sequence Postsecondary Education and Their Health and Health Behaviors

Ample research suggests that the links between higher education and heath are robust and growing in strength. This research, however, tends to assume education was completed prior to assuming other adult roles. Importantly, the life course framework raises the question of whether “out-of-sequence” college completion conveys similar health returns. I investigate this question among a population for whom out-of-sequence schooling has grown more common: lower-educated mothers. This focus is also important given the growing education gap in women’s health and the links between maternal and child health. Data come from the Fragile Families and Child Wellbeing Study (N = 4,898). Analyses involve random intercept and fixed effects models and diverse health measures. Findings suggest that postsecondary education does not improve mother’s health, except for reduced smoking among mothers with high school degrees or less that earned bachelor’s degrees. These findings inform health policy debates and theories linking education to health.

Beyond Net Worth: Racial Differences in Wealth Portfolios and Black–White Health Inequality across the Life Course

A large body of research links wealth and health, but most previous work focuses on net worth. However, the assets and debts that comprise wealth likely relate to health in different and meaningful ways. Furthermore, racial differences in wealth portfolios may contribute to racial health gaps. Using longitudinal data from the Panel Study of Income Dynamics (PSID) and mixed effects growth curve models, we examined the associations between various wealth components and multiple health outcomes. We also investigated whether black–white differences in wealth portfolios contributed to racial health inequality. We found that savings, stock ownership, and homeownership consistently improve health, but debt is associated with worse health, even after adjusting for total net worth. We found little evidence that home equity is associated with health. Findings also revealed differential health returns to assets by race. These findings provide new insights into the complex relationship among race, wealth, and health.

The Price of the Ticket: Health Costs of Upward Mobility among African Americans

There is a growing literature that has documented diminishing health returns on upward social mobility among Black Americans. Due to historical policies and practices, upward social mobility is often an arduous, isolating process for Black Americans, especially as they navigate predominately white educational and workplace settings. This paper advances the literature in several meaningful and innovative ways. The goal of this paper is to provide a qualitative account of the health costs of upward social mobility and describe how these costs could diminish health returns despite greater levels of socioeconomic resources. Focus groups and surveys were the data collection methods for the study. Inclusion criteria for the study were that respondents identified as African American or Black, were 24 years or older and had completed college. The total sample was 32 college-educated Black men (n = 12) and women (n = 20). The mean age for men was 39 (range = 26–50) and 33 years of age (range = 24–59) for women. Key findings highlighted in this paper include (1) hypervisibility and subsequent vigilance; (2) uplift stress; and (3) health costs associated with social mobility. The sum of these stressors is posited to affect multiple health outcomes and elucidate the mechanisms through which socioeconomic returns on health are diminished.

Following the Money

It is no exaggeration to say that American health policy is frequently subordinated to budgetary policies and procedures. The Affordable Care Act (ACA) was undeniably ambitious, reaching health care services and underlying health as well as health insurance. Yet fiscal politics determined the ACA’s design and guided its implementation, as well as sometimes assisting and sometimes constraining efforts to repeal or replace it. In particular, the ACA’s vulnerability to litigation has been the price its drafters paid in exchange for fiscal-political acceptability. Future health care reformers should consider whether the nation is well served by perpetuating such an artificial relationship between financial commitments and health returns.

Higher Education, Bigger Networks? Differences by Family Socioeconomic Background and Network Measures

Income or health returns linked to obtaining a college degree often are greatest for individuals who come from socioeconomically disadvantaged families. Although this importantly suggests that college lessens many forms of inequality linked to parental socioeconomic status, empirical knowledge about adult network inequality remains limited. Drawing on the 1972–2014 General Social Survey, the author finds that higher education associates on average with a greater number of nonkin and community ties. However, college gains in nonkin networks and capital exist mostly among those coming from disadvantaged families, suggesting that college may substitute or compensate for otherwise limited networks. In contrast, differences in frequency of socializing by higher education are not conditioned by parental background. As a whole, the present findings suggest that college attendance may lessen life-course network inequality within the general population.