Evidence map›Paper›PMID 31328170›Full record

ArticleSocius : sociological research for a dynamic world

Educational Disparities in Adult Health: U.S. States as Institutional Actors on the Association.

Jennifer Karas Montez, Mark D Hayward, Anna Zajacova

Abstract read
In one paragraph

Article in Socius : sociological research for a dynamic world. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed
–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

54 citing papers in PubMed.

  1. Disability trajectories in the last years of life: a Swedish longitudinal multi-cohort study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
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  18. Quantifying the Contribution of Work Characteristics to Educational Disparities in Health-Induced Work Limitations.The journals of gerontology. Series B, Psychological sciences and social sciences · 2023
    Article
  19. The Relationship between Body Weight and Primary Healthcare Visits.Population research and policy review · 2023
    Article
  20. Article
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.

Jennifer Karas MontezSyracuse University.
Mark D HaywardUniversity of Texas at Austin.
Anna ZajacovaWestern University.

Funding

Scientific & Technical CoreP2CHD042849 · NICHD · UNIVERSITY OF TEXAS AT AUSTIN · PI Elizabeth T. Gershoff · 2017 to 2026
$5.2M
Network on Life Course Health Dynamics and Disparities in 21st Century America RenewalR24AG045061 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI JENNIFER A AILSHIRE, Sarah A. Burgard · 2014 to 2026
$5.2M
Educational Attainment, Geography, and U.S. Adult Mortality RiskR01AG055481 · NIA · SYRACUSE UNIVERSITY · PI MONTEZ, JENNIFER KARAS · 2017 to 2021
$1.7M
Anomaly in the gradient: Health of U.S. adults with subbaccalaureate education.R03AG050130 · NIA · UNIVERSITY OF WYOMING · PI ZAJACOVA, ANNA · 2016 to 2017
$144k
NIA NIH HHS R01 AG055481NIA NIH HHS R03 AG050130NIA NIH HHS R24 AG045061NICHD NIH HHS P2C HD042849
6 · The paper itself

Abstract

Despite numerous studies on educational disparities in U.S. adult health, explanations for the disparities and their growth over time remain incomplete. We argue that this knowledge gap partly reflects an individualist paradigm in U.S. studies of educational disparities in health. These studies have largely focused on proximal explanations (e.g., individual behaviors) to the neglect of contextual explanations (e.g., economic policies). We draw on contextual theories of health disparities to illustrate how U.S. states, as institutional actors, shape the importance of education for health. Using two nationally-representative datasets and seven health measures for adults aged 45-89, we show that the size of the educational gradient in health varies markedly across states. The size varies because of variation in the health of lower-educated adults. We use state excise taxes on cigarettes to illustrate one way that states shape educational disparities in health. Our findings underscore the necessity of contextualizing these disparities.

Indexed as

educationhealthhealth disparitiessocial determinantsU.S. states

Identifiers

PMID31328170
PMCPMC6640858

What OpenQuestion holds

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Registered trials

None linked

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.