Association of education level with mortality in United States - A cross-sectional study

Datos Bibliográficos

ID7145487
AutoresWeihong Chang (Beijing Tsinghua Chang Gung Hospital), Qingping Zeng (0000-0001-8615-0373, Beijing Tsinghua Chang Gung Hospital), Boda Zhou (0000-0001-8207-7367, Tsinghua University, autor de correspondencia)
Año2025
Volumen253
Páginas104774-104774
Fecha de publicación2025-02-01
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaActa Psychologica (JOURNAL)
Identificadores de la revistaISSN: 0001-6918 • E-ISSN: 1873-6297
EditorialElsevier BV (PUBLISHER)
DOI10.1016/j.actpsy.2025.104774
PMID39893793
OpenAlexW4407117811
IdiomaEN
Citas recibidas4
Referencias citadas14

Educational level (EL), an important component for socioeconomic status, can potentially influence health, disease or mortality. Unfortunately, the detailed relationship between educational level and all cause or disease specific mortality in general population has not been elucidated, especially in Americans, which could impact public health policy. Here we analyzed association of EL with mortality in a nationally representative cohort from NHANES. This cohort study used National Health and Nutrition Examination Survey data from 1999 through 2018 and linked mortality information until 2019. Data were analyzed from April 1 through July 15, 2024. This study included 34,673 American adults aged 20-80 years old. During a median (IQR) follow-up of 9.9 (5.2-15.2) years, 5663 deaths were recorded. We found that higher EL was associated with mortality reduction in all cause, CVD, diabetes, Chronic Lower Respiratory Disease (CLRD), cancer and kidney disease mortality. Stratified analysis revealed that in subgroups <65 years, protection of higher EL was greater for all cause, CVD and cancer mortality. Higher EL was associated with reduction in male, while a risk factor in female for Alzheimer Disease, Influenza and Pneumonia Mortality. Higher EL was associated with mortality reduction in <65 subgroup, while a risk factor in ≥65 for Accidents Mortality. We found higher EL was associated with reduction in all cause, CVD, diabetes, Chronic Lower Respiratory Disease (CLRD), cancer and kidney disease mortality in a representative cohort in U.S. This study proved clear association between education level and disease specific mortality in a large nationally representative cohort in U.S., which may impact future public health policy making

Cause of death · Cohort · Cohort study · Disease · Environmental health · Kidney disease · National Health and Nutrition Examination Survey · Population · Risk factor · Demography · Employment and Welfare Studies · Global Health Care Issues · Health disparities and outcomes · Internal Medicine · Medicine · Gerontology