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dc.contributor.authorLamu, Admassu Nadew
dc.contributor.authorChen, Gang
dc.contributor.authorOlsen, Jan Abel
dc.date.accessioned2023-09-01T07:37:52Z
dc.date.available2023-09-01T07:37:52Z
dc.date.issued2023-03-11
dc.description.abstractPositive associations between own educational attainment and own health have been extensively documented. Studies have also shown spousal educational attainment to be associated with own health. This paper investigates the extent to which spousal education contributes to the social gradient in health, net of own education; and whether parts of a seeming spousal education effect are attributable to differences in early-life human capital, as measured by respondents' height and childhood living standard. Furthermore, we investigate the relative contribution of predictors in the regression analysis by use of Shapley value decomposition. We use data from a comprehensive health survey from Northern Norway (conducted in 2015/16, N = 21,083, aged 40 and above). We apply three alternative health outcome measures: the EQ-5D-5L index, a visual analogue scale (EQ-VAS) and self-rated health. In all models considered, spousal education is generally positively significant for both men and women. The results also suggest that spousal education is generally more important for men than women. In the sub-sample of individuals having a spouse, decomposition analyses showed that the relative contribution of spousal education to the goodness-of-fit in men's (women's) health was 13% (14%) with the EQ-5D-5L; 25% (20%) with the EQ-VAS and; 30% (21%) with self-rated health. Heterogeneity analyses showed stronger spousal education effects in younger age groups. In conclusion, we have provided empirical evidence that spousal education may contribute to explaining the amplified health gradient in an egalitarian country like Norway.en_US
dc.identifier.citationLamu, Chen, Olsen. Amplified disparities: The association between spousal education and own health. Social Science and Medicine. 2023;323en_US
dc.identifier.cristinIDFRIDAID 2139408
dc.identifier.doi10.1016/j.socscimed.2023.115832
dc.identifier.issn0277-9536
dc.identifier.issn1873-5347
dc.identifier.urihttps://hdl.handle.net/10037/30607
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.relation.journalSocial Science and Medicine
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2023 The Author(s)en_US
dc.rights.urihttps://creativecommons.org/licenses/by/4.0en_US
dc.rightsAttribution 4.0 International (CC BY 4.0)en_US
dc.titleAmplified disparities: The association between spousal education and own healthen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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Attribution 4.0 International (CC BY 4.0)
Except where otherwise noted, this item's license is described as Attribution 4.0 International (CC BY 4.0)