TY - JOUR
T1 - Education and medication use later in life and the role of intelligence
AU - Niccodemi, Gianmaria
AU - Bijwaard, Govert
N1 - Publisher Copyright:
© The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023.
PY - 2024/3
Y1 - 2024/3
N2 - We investigate the association between education and disease-specific medications in old age, prescribed by medical doctors, accounting for confounders and how this association is shaped by intelligence. We use administrative data on men including prescribed medication records. To account for endogeneity of education we estimate a structural model, consisting of (i) an ordered probit for educational attainment, (ii) a Gompertz mortality model for survival up to old age, (iii) a probit model for prescribed medications in old age, (iv) a measurement system using IQ tests to identify latent intelligence. The results suggest a strong effect of education on prescribed medications for most medications, except for prescribed medication for cardiac diseases and for depression and anxiety.
AB - We investigate the association between education and disease-specific medications in old age, prescribed by medical doctors, accounting for confounders and how this association is shaped by intelligence. We use administrative data on men including prescribed medication records. To account for endogeneity of education we estimate a structural model, consisting of (i) an ordered probit for educational attainment, (ii) a Gompertz mortality model for survival up to old age, (iii) a probit model for prescribed medications in old age, (iv) a measurement system using IQ tests to identify latent intelligence. The results suggest a strong effect of education on prescribed medications for most medications, except for prescribed medication for cardiac diseases and for depression and anxiety.
KW - C35
KW - C38
KW - Educational inequality
KW - I14
KW - I24
KW - Intelligence
KW - Medication use
KW - Structural equation model
UR - http://www.scopus.com/inward/record.url?scp=85156144107&partnerID=8YFLogxK
U2 - 10.1007/s10198-023-01586-7
DO - 10.1007/s10198-023-01586-7
M3 - Article
C2 - 37129670
AN - SCOPUS:85156144107
SN - 1618-7598
VL - 25
SP - 333
EP - 361
JO - European Journal of Health Economics
JF - European Journal of Health Economics
IS - 2
ER -