Evidence map›Paper›PMID 25440841›Full record

ArticleSocial science & medicine (1982)2015

Trends and group differences in the association between educational attainment and U.S. adult mortality: implications for understanding education's causal influence.

Mark D Hayward, Robert A Hummer, Isaac Sasson

Abstract read
In one paragraph

Article in Social science & medicine (1982), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 120 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
120citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

120 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Comparison of effectiveness of oral hygiene instruction methods in improving plaque scores among 8-9-year children: a randomized controlled trial.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2022
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  6. Diminishing Returns Among Black Patients With Cancer: The Intersection of Race and Neighborhood Socioeconomic Status.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026
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60 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Mark D HaywardPopulation Research Center and Department of Sociology, University of Texas at Austin, USA. Electronic address: mhayward@prc.utexas.edu.
Robert A HummerPopulation Research Center and Department of Sociology, University of Texas at Austin, USA.
Isaac SassonDepartment of Sociology & Anthropology, Hebrew University of Jerusalem, Israel.

Funding

Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
Population Research CenterR24HD042849 · NICHD · UNIVERSITY OF TEXAS AUSTIN · PI UMBERSON, DEBRA J. · 2002 to 2016
$8.4M
Educational Differences in U.S. Adult MortalityR01HD053696 · NICHD · UNIVERSITY OF TEXAS AT AUSTIN · PI HUMMER, ROBERT A · 2006 to 2008
$809k
NICHD NIH HHS P2C HD050924NICHD NIH HHS R01 HD053696NICHD NIH HHS R24 HD042849
6 · The paper itself

Abstract

Has the shape of the association between educational attainment and U.S. adult mortality changed in recent decades? If so, is it changing consistently across demographic groups? What can changes in the shape of the association tell us about the possible mechanisms in play for improving health and lowering mortality risk over the adult life course? This paper develops the argument that societal technological change may have had profound effects on the importance of educational attainment - particularly advanced education - in the U.S. adult population for garnering health advantages and that these changes should be reflected in changes in the functional form of the association between educational attainment and mortality. We review the historical evidence on the changing functional form of the association, drawing on studies based in the United States, to assess whether these changes are consistent with our argument about the role of technological change. We also provide an updated analysis of these functional form patterns and trends, contrasting data from the early 21st Century with data from the late 20th Century. This updated evidence suggests that the shape of the association between educational attainment and U.S. adult mortality appears to be reflecting lower and lower adult mortality for very highly educated Americans compared to their low-educated counterparts in the 21st Century. We draw on this review and updated evidence to reflect on the question whether education's association with adult mortality has become increasingly causal in recent decades, why, and the potential research, policy, and global implications of these changes.

Indexed as

CausalitySocial Determinants of HealthAdultAgedAged, 80 and overCross-Sectional StudiesEducational StatusHealth StatusHealth SurveysHumansMiddle AgedMortalityRacial GroupsSex FactorsSocioeconomic FactorsUnited StatesAdult mortalityCausal effectEducational disparitiesFunctional formHistorical trendsRace and gender differences

Identifiers

PMID25440841
PMCPMC4324094

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.