The health returns of attending university for the marginally eligible student

Heckley, Gawain; Nordin, Martin; Gerdtham, Ulf G.

doi:10.1002/hec.4484

Cited by 3 publications

(2 citation statements)

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“…The study found that a 10% increase in university admission rates might lead to a 1% increase in hospital admissions for male students on the edge of admission eligibility, with the underlying reason being mental illnesses related to alcohol and narcotics. However, an opposite phenomenon was observed among female students, where university education reduced the probability of hospitalization due to mental health issues for female students (Heckley et al, 2022).…”

Section: Health Behaviormentioning

confidence: 94%

Investigating the Application of Regression Discontinuity in the Field of International Health Economics

Cao,

Tang,

Wang

2024

RHS

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As one of the most significant quasi-experimental research methods, with over eight decades of development, Regression Discontinuity Design (RDD) has garnered extensive attention within the field of international health economics. It has provided robust methodological support for causal inference in research conducted within this domain. This paper provides a comprehensive review and synthesis of the foundational concepts, origins, and evolutionary trajectory of the RDD. It systematically examines the relevant studies in the domain of international health economics, discusses the strengths and limitations of the RDD, and anticipates its future applications in the same field. The aim is to support the utilization of RDD in international health economic research. On a theoretical level, it has effectively enhanced the flexibility and applicability of research designs within the domain of international health economics, augmenting the economic efficiency and external validity of studies, and offering a versatile tool for related research on a global scale. On a practical level, RD accommodates the diverse policy needs of programs across various countries and regions. It provides a more robust and reliable empirical foundation for the formulation of pertinent health policies, aiming to improve the efficiency of health resource allocation and promote equity in health outcomes.

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Section: Health Behaviormentioning

confidence: 94%

Investigating the Application of Regression Discontinuity in the Field of International Health Economics

Cao,

Tang,

Wang

2024

RHS

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“…Specifically, we investigate the impact on mental ill‐health among young adults which is, around the world, seen as one of the largest public health challenges in modern times (United Nations Children's Fund, 2021 ). We hypothesize that over‐grading impacts the production of mental health through (1) a direct effect of performance feedback, (2) an impact on self‐efficacy beliefs by which positive feedback/re‐ranking increases self‐confidence, motivation and performance thereby positively affecting mental health, or (3) through the admission distortion which increases opportunities for higher education investments, of which both attendance and years completed have been found to causally affect health (Buckles et al., 2016 ; Heckley et al., 2022 ).…”

Section: Introductionmentioning

confidence: 99%

Grading bias and young adult mental health

et al. 2022

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Various grading reforms and trends of more lenient grading have contributed to grade inflation in Sweden and other countries. Previous research shows that over-grading increases higher education enrolment, achievements and earnings, but no study has yet addressed the potential impact of grading bias on health. In this paper, we hypothesize that over-grading has a protective impact on mental health, either through a direct effect of performance feedback, or through mechanisms such as self-efficacy and university admission distortions. We test this hypothesis using Swedish individual-level register data for individuals graduating from upper secondary school in the years 2001-2004. Grading bias, which we interpret as over-grading, is constructed as the residual of final upper secondary school grades having controlled for results in a standardised test, itself not subject to grading leniency. Over-grading is further isolated by considering only within-school variation in over-grading and controlling for prior grades and school production. We show that over-grading has substantial significant protective impacts on the mental health of young adults, but only among female students. That grades themselves, independent of knowledge, substantially impact the production of health highlights an important health production mechanism, and also implies that any changes to the design of grading systems must consider these wider health implications.

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The health returns of attending university for the marginally eligible student

2022

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A key policy question is whether continued expansion of university education is beneficial for the marginally eligible student. In this paper we exploit an arbitrary university eligibility rule combined with regression discontinuity design to estimate the causal effect of university attendance on healthcare utilization amongst young adults in Sweden. We find that the eligibility rule leads to a clear jump in university attendance of between 10% and 14% points for both males and females. 2SLS estimates find that a 10% point increase in university attendance causes a roughly one percentage point increase in hospital admissions due to mental ill health for males, almost exclusively related to alcohol and narcotics. Our findings for females, however, imply the opposite, suggesting that university attendance decreases hospital admissions related to mental health. The results for males sit in contrast to results from previous studies, and suggest that the effect of university education on health for the male student at the margin of eligibility is different to that of the average student.

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The health returns of attending university for the marginally eligible student

Cited by 3 publications

References 37 publications

Investigating the Application of Regression Discontinuity in the Field of International Health Economics

Investigating the Application of Regression Discontinuity in the Field of International Health Economics

Grading bias and young adult mental health

The health returns of attending university for the marginally eligible student

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