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Postsecondary Education and Adult Health Lifestyles

Examining Sources of Disparities

Bibliographic Data

ID15329787
AuthorsAnthony Jehn (0000-0002-7690-5960, Assistant Professor, St. Thomas University, Fredericton, NB, Canada, corresponding author), Greggory J Cullen (0000-0001-6743-2279, Mount Royal University), Greggory Cullen (Assistant Professor, Mount Royal University, Calgary, AB, Canada)
Year2025
Volume49
Issue5
Pages486-506
Publication date2025-10-31
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueAmerican Journal of Health Behavior (JOURNAL)
Journal identifiersISSN: 1087-3244 • E-ISSN: 1945-7359
PublisherPNG Publications (PUBLISHER • US)
DOI10.5993/ajhb.49.5.1
OpenAlexW7109334155
LanguageEN
References cited52

Objectives: Approximately 58.5 million Americans in their thirties and forties have some form of postsecondary education; however, health risk behaviors remain disproportionately concentrated among those with lower educational attainment. In this study, we examine and decompose disparities in adult health lifestyles by level of postsecondary education, identifying the underlying social and economic factors contributing to these differences. Methods: We drew data from Waves I (1995) and V (2018) of the National Longitudinal Study of Adolescent to Adult Health (Add Health). We analyzed a composite health behavior index, capturing binge drinking, smoking, marijuana use, physical activity, nutrition, and body mass index, using Poisson regression models and Kitagawa-Oaxaca-Blinder decomposition techniques. Explanatory factors include demographic characteristics, parental background, social context, economic well-being, and employment characteristics. Results: Economic well-being explained the largest share of the disparities in health behaviors by postsecondary education. Demographics, parental background, and social context also contributed significantly. However, after controlling for personal and household income, employment characteristics did not account for a notable portion of the observed behavioral disparities. Conclusions: Disparities in adult health lifestyles related to postsecondary education are mainly caused by structural socioeconomic factors. Addressing these underlying factors may be essential to reducing behavioral inequalities linked to educational attainment

Context (archaeology · Health equity · Inequality · Life course approach · Longitudinal study · Poisson regression · Social determinants of health · Socioeconomic status · Young adult · Food Security and Health in Diverse Populations · Health disparities and outcomes · Obesity, Physical Activity, Diet

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