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高等教育与死亡率:威权统治下大学收缩的遗产

Higher Education and Mortality: Legacies of an Authoritarian College Contraction
Journal of the European Economic Association · 2023 · Felipe González、Luis R. Martinez、Pablo Muñoz、Mounu Prem

中文摘要

我们为高等教育对死亡率的因果效应提供了新证据。我们的实证策略利用了皮诺切特政权在1973年智利政变后引入的大学招生名额削减,这一政策导致此后数年达到大学入学年龄的各出生队列的大学入学率出现明显的向下折点。利用生命统计的行政数据,我们记录了受影响出生队列个体分年龄别年度死亡率出现向上折点。我们估计,大学教育对34—74岁期间死亡率具有负向效应,该效应对男性更大,但对女性也相当可观。受影响出生队列的个体劳动力市场结果更差,更有可能被纳入公共医疗体系,且报告的医疗服务利用量更低。这表明,经济劣势和医疗服务可及性受限,在高等教育与死亡率之间的联系中发挥着重要的中介作用。

Abstract

Abstract We provide new evidence on the causal effect of higher education on mortality. Our empirical strategy exploits the reduction in college openings introduced by the Pinochet regime after the 1973 coup in Chile, which led to a sharp downward kink in college enrollment among those cohorts reaching college age in the following years. Using administrative data from the vital statistics, we document an upward kink in the age-specific yearly mortality rate of individuals in the affected cohorts. We estimate a negative effect of college on mortality between ages 34–74, which is larger for men, but also sizable for women. Individuals in the affected cohorts experience worse labor market outcomes, are more likely to be enrolled in the public health system, and report lower consumption of health services. This suggests that economic disadvantage and limited access to care play an important mediating role in the link between higher education and mortality.
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