Education policies and health inequalities: Evidence from changes in the distribution of Body Mass Index in France, 1981-2003

Article dans une revue: This paper contributes to the debate over the effectiveness of education policies in reducing overall health inequalities as compared to public health actions directed at the less-educated. Recentered Influence Function (RIF) regressions are used to decompose the contribution of education to the changing distribution of Body Mass Index (BMI) in France, between 1981 and 2003, into a composition effect (the shift in population education due to a massive educational expansion), and a structure effect (a changing educational gradient in BMI). Educational expansion has reduced overall BMI inequality by 3.4% for women and 2.3% for men. However, the structure effect on its own has produced a 10.9% increase in overall inequality for women, due to a steeper education gradient starting from the second quartile of the distribution. This structure effect on overall inequality is also large (7.6%) for men, albeit insignificant as it remains concentrated in the last decile. Educational expansion policies can thus reduce overall BMI inequalities; but attention must still be paid to the BMI gradient in education even for policies addressing overall rather than socioeconomic health inequalities.

Auteur(s)

Fabrice Etilé

Revue
  • Economics and Human Biology
Date de publication
  • 2014
Mots-clés JEL
C1 I1
Mots-clés
  • Body Mass Index
  • Health inequality
  • Education
  • Decomposition analysis
  • Recentered Influence Function regressions
Pages
  • 46-65
Version
  • 1
Volume
  • 13