Is education a risk factor or social vaccine against HIV/AIDS in Sub-Saharan Africa? The effect of schooling across public health periods

Early in the 30-year HIV/AIDS pandemic in Sub-Saharan Africa, epidemiological studies identified formal education attainment as a risk factor: educated Sub-Saharan Africans had a higher risk of contracting HIV/AIDS than their less educated peers. Later demographic research reported that by the mid-1990s the education effect had reversed, and education began to function as a social vaccine. Recent counter-evidence finds a curvilinear pattern, with the association between educational attainment and HIV/AIDS infection changing from positive to negative across the education gradient. To reconcile these inconsistent conclusions, a hypothesis is developed and tested that education at early stages functioned as a risk factor and later functioned (and continues to function) as a social vaccine. We reason that this shift in the direction of the education effect was concurrent with changes in the public health environment in SSA that early on heightened material benefits from educational attainment but later heightened cognitive benefits from schooling. Using the 2003/2004 Demographic Health Surveys from four Sub-Saharan African countries (Cameroon, Ghana, Kenya and Tanzania), we tested this hypothesis (differential effects of schooling) using non-linear regression analysis (probit), identifying the different public health periods and controlling for confounding factors. The results support the hypothesis that the education effect shifted historically in the HIV/AIDS pandemic in SSA as we hypothesized.     

Intergenerational Profiles of Socioeconomic (Dis)advantage and Obesity During the Transition to Adulthood

Investigations of socioeconomic status (SES) and health during the transition to adulthood in the United States are complicated by the later and more varied transitions in residence, employment, schooling, and social roles compared with previous generations. Parental SES is an important influence during adolescence but cannot sufficiently capture the SES of the independent young adult. Typical, single SES indicators based on income or education likely misclassify the SES of young adults who have not yet completed their education or other training, or who have entered the labor force early with ultimately lower status attainment. We use a latent class analysis (LCA) framework to characterize five intergenerational SES groups, combining multidimensional SES information from two time points—that is, adolescent (parental) and young adult (self) SES data. Associations of these groups with obesity, a high-risk health outcome in young adults, revealed nuanced relationships not seen using traditional intergenerational SES measures. In males, for example, a middle-class upbringing in adolescence and continued material advantage into adulthood was associated with nearly as high obesity as a working poor upbringing and early, detrimental transitions. This intergenerational typology of early SES exposure facilitates understanding of SES and health during young adulthood.     

Parental wealth and children's outcomes over the life-course in Brazil: A propensity score matching analysis

Parental wealth – as distinct from income, education and other parental socioeconomic resources – may play a large role in children's socioeconomic outcomes, particularly in developing countries, characterized by economic volatility, a weak social safety net and limited access to credit. Using a propensity score matching approach, we examine the influence of parental wealth on adult children's schooling, school quality, occupational status, consumption level, and wealth holdings in Brazil. Findings suggest a substantial effect of parental wealth on all these outcomes, with a positive effect of even modest levels of wealth. The effect of parental wealth on occupational status is largely mediated by parental investment in more and better education for children. In contrast, the effect on children's consumption and wealth is largely unmediated by labor market resources and rewards, a pattern that is more pronounced for sons than for daughters. This suggests direct parental financial assistance. Sensitivity analysis indicates that hidden bias emerging from unobserved confounders should have to be unlikely large to question inference of a causal influence of high levels of parental wealth, although the influence of low levels of wealth may be more susceptible to hidden bias.     

Back to School: Racial and Gender Differences in Adults’ Participation in Formal Schooling, 1978–2013

Trends and gaps in educational attainment by race and gender have received much attention in recent years, but reports of these trends have generally focused on traditional-age college students. Little is known about whether and how enrollment in formal schooling among older adults (between 29 and 61 years old) has changed over time. In this article, I draw on Current Population Survey data from 1978 to 2013 to provide the most comprehensive analysis of trends in adults’ formal school enrollment by demographic group to date. Results indicate that adult black women in particular have seen relatively high growth rates in their enrollment. Black women were 85 % more likely to enroll in 2011 and 46 % more likely in 2013 than they were in 1978. Their growing advantage relative to other racial-gender groups owes largely to their increasing educational attainment rates overall, given the relationship between prior schooling and enrollment later in life. Taken together, this article’s findings suggest that adult enrollment is at once equalizing and disequalizing. On the one hand, it has the potential to narrow the gaps between those with some college experience and those with a four-year degree. On the other hand, patterns of adults’ participation in formal education are widening educational gaps between those with and without traditional-age college experience.     

Effects of education on reproductive behavior: lessons from Pakistan

Evidence from the Pakistan Demographic and Health Survey 1990/91 (PDHS) and a 1987 study by Zeba A. Sathar and Karen Oppenheim on women's fertility in Karachi and the impact of educational status, corroborates the correlation between improved education for women and fertility decline. PDHS revealed that current fertility is 5.4 children/ever married woman by the end of the reproductive period. 12% currently use a contraceptive method compared to 49% in India, 40% in Bangladesh, and 62% in Sri Lanka. The social environment of high illiteracy, low educational attainment, poverty, high infant and child and maternal mortality, son preference, and low status of women leads to high fertility. Fertility rates vary by educational status; i.e., women with no formal education have 2 more children than women with at least some secondary education. Education also affects infant and child mortality and morbidity. Literacy is 31% for women and 43% for men. 30% of all males and 20% of all females have attended primary school. Although most women know at least 1 contraceptive method, it is the urban educated woman who is twice as likely to know a source of supply and 5 times more likely to be a user. The Karachi study found that lower fertility among better educated urban women is an unintended consequence of women's schooling and deliberate effort to limit the number of children they have. Education-related fertility differentials could not be explained by the length of time women are at risk of becoming pregnant (late marriage age). Fertility limitation may be motivated by the predominant involvement in the formal work force and higher income. The policy implications are the increasing female schooling is a good investment in lowering fertility; broader improvements also need to be made in economic opportunities for women, particularly in the formal sector. Other needs are for increasing availability and accessibility of contraceptive and family planning services and increasing availability and accessibility of contraceptive and family planning services and increasing knowledge of contraception. The investment will impact development and demography and is an adjunct to child health an survival.     

Public Sector Employment Inequality in the United States and the Great Recession

Historically in the United States, the public sector has served as an equalizing institution through the expansion of job opportunities for minority workers. This study examines whether the public sector continues to serve as an equalizing institution in the aftermath of the Great Recession. Using data from the Current Population Survey, I investigate changes in public sector employment between 2003 and 2013. My results point to a post-recession double disadvantage for black public sector workers: they are concentrated in a shrinking sector of the economy, and they are more likely than white and Hispanic public sector workers to experience job loss. These two trends are a historical break for the public sector labor market. I find that race and ethnicity gaps in public sector employment cannot be explained by differences in education, occupation, or any of the other measurable factors that are typically associated with employment. Among unemployed workers who most recently worked for the public sector, black women are the least likely to transition into private sector employment.     

The “difference between heaven and earth”: Urban–rural disparities in well-being in China

Although China is a rapidly developing nation, rural–urban disparities in well-being remain large, and perhaps have become larger than in the early years of the Communist period because the urban sector has benefited from China's transition to a market economy much more than has the rural sector; or perhaps have become smaller as earning opportunities in the export-oriented manufacturing sector have increased for those from rural origins. Economic disparities are exacerbated by institutional arrangements that have created a two-class society based on registration (hukou) status with sharp rural–urban distinctions in the public provision of schooling, health care, housing, and retirement benefits. Indeed, it is fair to say that China built an urban welfare state on the backs of the peasants.     

Education Expansion, Educational Inequality, and Income Inequality: Evidence from Taiwan, 1976–2003

The expansion of higher education in Taiwan starting from the late 1980s has successfully raised the average level of education. Using the concept of the education Gini, we find that the educational inequality declined as average schooling rose during the period of 1976–2003. The impacts of a rising average schooling and a declining educational inequality are also tested empirically in this paper. The evidence supports that a higher level of average schooling will generate a lower income inequality. On the other hand, a lower educational inequality, as measured by education Gini coefficient, will also cause a lower income inequality. Skill-biased technological change that shifts the labor demand from unskilled workers toward skilled workers is the most likely cause for the rising income inequality in Taiwan. However, the trend of rising income inequality could be reversed due to possible future over-education and unemployment in the labor market.     

Family size and children’s education in Thailand: Evidence from a national sample

Analysis of a large, nationally representative survey shows that family size exerts a substantial negative influence on the probability that a child will attend secondary school in Thailand. The primary mechanism underlying this effect is most likely the dilution of familial resources available per child associated with larger numbers of children. The extent and the level of schooling at which this effect operates vary with the household level of wealth and with rural or urban residence. Because fertility decline is leading to a major increase in the proportion of children who come from small families, falling birth rates contribute to increasing educational attainment in Thailand.     

Trends in socioeconomic inequalities in mortality in developing countries: The case of child Survival in São Paulo,Brazil*

I examined trends in socioeconomic inequalities in under-five mortality for the state of São Paulo, Brazil, over a 21-year period from 1970 to 1991, during which much of the mortality transition unfolded. During this time, there was a decline in inequality in under-five mortality by household wealth but a substantial increase by mother’s education. Improvements in infrastructure and economic development were associated with lower levels of socioeconomic inequality in under-five mortality. Mother’s education emerged as the key factor underlying socioeconomic inequalities in under-five mortality even as levels of education for women increased and inequality in schooling fell.     

The Effect of Parental Education on Marital Fertility in Developing Countries

The effects of parents' education on marital fertility are analysed with data from 38 Surveys in the WFS programme, and a two-parameter model in which the age-dependent level of fertility and a duration-dependent slope of fertility are estimated. The level parameter reflects post-partum infecundity and, in some populations, contraceptive spacing of births. The slope parameter reflects parity-specific birth control. The effects of the husband's and of the wife's education are estimated, both before and after adjustment for other socio-economic factors. The schooling of the wife emerges as a more decisive influence on fertility than that of the husband, with substantial net effects even after controlling for urban-rural residence, husband's socio-economic status and wife's employment. In Latin America and the Arab states, monotonic declines in marital fertility are found, as the level of the wife's education increases. However, in many Asian and African populations, the highest fertility is observed among women with moderate exposure to schooling, because the relaxation of traditional spacing mechanisms is not matched by increased birth control. This regional diversity cannot be explained convincingly by national levels of economic development or efforts made to popularize contraception, but appears to relect ill-understood cultural factors.     

Educational attainment as a selective factor in marital status transitions in the United States

Data on marital status from the 1940, 1950, and 1960 censuses of the United States are organized to show (1) trends in percentages of men and women who were single, by age and education (grades of school completed); (2) relative education levels of husbands and wives for selected groups of couples in 1940 and I960 with comparisons for the two years; and (3) education levels of women in 1950 by marital status, controlling for age and year of entry into the 1950 marital status. The rate at which single persons married for the first time increased markedly during the decade of the 1940's but much less in the next decade. The 1940's increases occurred for both sexes at all educational levels and at all ages except the oldest. However, the rate of increase was greatest for both sexes in the ages from about 20 to 34 for women and 22 to S4for men (modal age for first marriage is 18 for women and 21 for men). The distribution of percents single by age was about the same in all three censuses for persons with elementary schooling.A trend toward smaller proportions of the single, both men and women, among young persons with college education continued for the entire twenty-year period, despite the lack of such a trend in the 1950's at other age and education levels. However, the available data on education of first-married husbands and wives indicate that the ratio of college-educated husbands to college-educated wives was higher in 1960 than in 1940. Part of the explanation may lie in the relatively high proportions of college-educated women found in the marital statuses "divorced" and "married more than once" in the 1950 Census, particularly at the younger ages and shorter durations; but the data are not adequate for a very satisfactory explanation. For the younger first-married for whom education of partners was cross-tabulated in 1940 and 1960, the proportions of college-educated persons were so much higher in 1960 than in 1940 that the proportions also increased of both husbands and wives at all educational levels who were married to college-educated partners. There was a marked decline in proportions of couples with only elementary schooling.Finally, based on data from the 1950 Census for women (15-59 years of age), the separated group included more with only elementary schooling, as did the widowed. Those remaining single and those married once usually included the highest proportions of college-educated women.     

Mother's education and effect of son preference on fertility in Matlab,Bangladesh

This analysis follows earlier research that hypothesized and substantiated that, in a society with strong son preference, its effect on fertility would be conditional on the level of contraceptive use. Present analysis of the prospective fertility experience of 22,819 women of reproductive age during 3.5 years in Matlab, Bangladesh, shows that this effect is higher among mothers with postprimary schooling versus those with primary or no education. The higher effect conforms with the known positive relationship of contraceptive use with maternal schooling. However, this increase when contrasted with the idea that education promotes modern values, including gender equality, suggests that education in Matlab, with its traditional slant, is not resistant to son preference. In a poor, traditional society with low status for women, schooling alone is not enough to motivate women to abandon low esteem for daughters though schooling promotes child survival. But if preference for smaller family size increases, promoted by education including such modern values as gender equality, then sex preference, although it cannot be completely removed, will have minimal effect on fertility as in most developed countries.Abbreviations DSS demographic surveillance system - ICDDR,B International Centre for Diarrhoeal Disease Research, Bangladesh - MCH-FP maternal/child health and family planning - SPEF sex preference effect on fertility     

Overeducation,Skills and Wage Penalty: Evidence for Spain Using PIAAC Data

Despite well documented high levels of socioeconomic inequalities, health gradients by socioeconomic status (SES) in contemporary China have been reported to be limited. Using data from the 2010–2012 China Family Panel Studies, we reexamine associations between three sets of SES—human capital, material conditions, and political capital—and self-rated health among Chinese adults 18–70 years old, capitalizing on anchoring vignette data to adjust for reporting heterogeneity. We find strong evidence of substantial variations in reporting behaviors by education, cognition, and family wealth but not by family income or political capital. Failing to correct for reporting heterogeneity can bias the estimates of SES gradients in self-rated health as much as nearly 40 %. After vignette adjustment, we find significantly positive associations of education, family income, wealth, and political capital with self-rated health. Individuals’ cognitive capacity, however, does not predict self-rated health.     

Mothers' Education and Survival of Female Children in a Rural Area of Bangladesh

In this paper it is investigated whether the positive effect of mothers' education on child survival is similar for boys and girls in Matlab, Bangladesh. The study is based on follow-up of 7,913 live births that occurred in the study area during the whole of 1982. The five independent variables included in the analysis are: sex of children, mother's education, mother's age at the time of birth, household economic condition, and health programme block. Hazard analysis shows that the positive effect of mother's education on child survival is different for boys and girls. For boys, a change in mother's education from no schooling to 1–5 years resulted in reducing the predicted risk of death by 45 per cent, while for the girls the reduction came to only seven per cent. Similarly, a change in mother's education from no schooling to six or more years of schooling resulted in a reduction of risk of 70 per cent for boys, while for girls it was only 32 per cent.     

Women in development: the road toward liberation

Although women in the Philippines traditionally enjoyed considerable independence and equality, 3 centuries of Spanish colonialism greatly effaced their rights. The importance of the role women can play in development was highlighted at a recent consultation-workshop jointly sponsored by the FAO and the Population Center Foundation. Although 82% of Philippine women are literate, female education is accorded much less importance than that of males, and girls are often forced to discontinue their schooling early to help in housework. Rural Filipino women marry younger than their urban counterparts, and their fertility is correspondingly higher. Only 13% of rural women practice birth control. Participation of Filipino women in community affairs is mostly in social activities, although a few privileged women have gained elective office. The legal status of Filipino women is inferior to that of men in the areas of mixed marriage, choice of residence, parental authority, property rights, right to work, court suits, legal separation, and widow's rights. Labor force participation among women is only 1/2 that of men. As of 1975 only 0.6% of women workers occupied administrative or managerial positions. The National Commission of the Role of Filipino Women was created in 1975 as a coordinating body to promote the advancement of women in all levels of society to enable them to contribute more effectively to the development process. Specific programs carried out by government and private sector groups include extension education for women, basic skills training for income generating projects, community development, and population and family planning projects.     

Changes in HIV/AIDS knowledge and testing behavior in Africa: how much and for whom?

Demographic and Health Survey data from nine African countries make it clear that HIV/AIDS prevention knowledge has been increasing. Still, in many cases, fewer than half of adult respondents can identify specific prevention behaviors. Knowledge is lowest in rural areas and among women. HIV testing generally remains rare but is highly variable across countries, likely reflecting differences in the supply of testing services. In most cases, schooling and wealth impacts on prevention knowledge have either been stable or have increased; hence, in the majority of contexts, initial disparities in knowledge by education and wealth levels have persisted or widened.

Correlates of subjective well-being in Northern Wisconsin

This paper presents the results of an attempt to relate socioeconomic status, family status, social participation and personal disruptions of statuses and roles to an index of life satisfaction in rural sectors of Northern Wisconsin. While income, education and occupational status and level of living explain very little of life satisfaction, social participation variables explain somewhat more and disruptions of marital ties, job, physical well-being and residence explain most. Analyses by age and sex show that contacts with friends, relatives and church attendance are more important for the young, employment for the middle-aged and village residence more important for the older persons. The analysis supports the notion that life satisfaction results from the discrepancy between the aspirations and expectations of the individual and his ability to satisfy them within his environment. Education is negatively associated with subjective well-being when other variables are controlled. The influence of social involvement upon life satisfaction suggests the need for a modification of the aspiration-attainment model to include the integrative-expressive as well as the adaptive-instrumental processes of the individual.     

Perception of HIV risk and the quantity and quality of children: the case of rural Malawi

The empirical literature on the impact of HIV on the quality (Q) and quantity (N) of children provides limited and somewhat mixed evidence. This study introduces individual HIV risk perceptions, as a predictor of mortality, into a Q–N investment model. In this model, higher maternal mortality predicts lower N, while higher child mortality predicts lower Q. Thus, the two effects together make likely negative associations between HIV and both Q and N. Based on longitudinal micro-data on mothers and their children in rural Malawi, our results suggest that higher mothers’ reported HIV risk reduces both child quality, as reflected in children’s schooling and health, and child quantity, when the perceived risk is already moderate or high. The effects are sizable and, in the case of Q (schooling and health), are found for children and teenagers, both boys and girls, while in the case of N, they are found for young and mature women.     

Indonesian survey looks at adolescent reproductive health

The Baseline Survey of Young Adult Reproductive Welfare in Indonesia, conducted from September to December 1998, provides information about young Indonesians on topics concerning work, education, marriage, family life, sexuality, fertility, and HIV/AIDS and other sexually transmitted diseases. The survey interviewed 4106 men and 3978 women aged 15-24 years in three provinces of Java. Survey findings showed that 42% of the women and 8% of the men are currently or have been married. There was a strong inverse relationship between marriage and schooling, which suggests that greater educational attainment and a higher average age at marriage are likely to go together. Although most young couples prefer to delay and space births, only half of currently married young women are using any type of contraception. These results indicate that there is a need for better reproductive health care as well as improved reproductive health education. Moreover, the current economic crisis has lead to a decline in the use of the private sector for health care. Instead, young people are using the less-expensive government services, and young women are turning to pharmacies and midwives rather than to private doctors to obtain contraceptives. These findings have several policy implications including the need for reproductive health programs that provide services needed by young people.