Educational expansion and its population-level health returns
摘要
While the individual health benefits of education are well-established, the population-level health returns of educational expansion remain underexplored. This study examined how Germany's educational expansion over two decades has been associated with population health changes.
Subject and methodsUsing data from the German General Social Survey (ALLBUS) spanning 2004-2023 (N = 33,956 aged 20+), we calculated the Prevented Fraction for the Population (PFP) for poor self-rated health, estimating the proportion of poor health cases prevented by higher education in the population over time.
ResultsHigher education was associated with a reduced risk of poor health that remained relatively constant, whereas the prevalence of higher education doubled over time. Thus, overall PFP increased from 6.5% to 26.2%, indicating that higher education in the population was associated with preventing more than a fourth of poor health cases in 2023. Age-stratified analyses revealed the strongest effects among younger adults (20-39 years), where PFP increased from 16.3% to 53.3% over the study period, with more moderate effects in middle-aged adults and smaller effects in older adults.
ConclusionEducational expansion has been associated with substantial population health returns, with benefits accumulating as educational attainment increases across cohorts. While these findings are associative in nature, they align with a growing body of causal evidence supporting education's protective health effects. Educational policies should be recognized as integral components of public health strategy.