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The impact of education and health heterogeneity on Generational Support Ratios: a cross-national comparison between Mexico and Korea

Published online by Cambridge University Press:  04 August 2016

ERIKA ARENAS ,
BONGOH KYE ,
GRACIELA TERUEL  and
LUIS RUBALCAVA
ERIKA ARENAS*
Affiliation:
University of California, Santa Barbara, Department of Sociology, USA.
BONGOH KYE
Affiliation:
Kookmin University, Department of Sociology, Seoul, South Korea.
GRACIELA TERUEL
Affiliation:
Universidad Iberoamericana, Instituto de Investigaciones para el Desarrollo con Equidad, México D.F., México.
LUIS RUBALCAVA
Affiliation:
Centro de Investigación y Docencia Económicas A.C., Departamento de Economía, México D.F., México.
*
Address for correspondence: Erika Arenas, Social Science and Media Studies Building Room 3123, University of California Santa Barbara, CA 93106-9430, USA E-mail: earenas@soc.ucsb.edu
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Abstract

Policy makers are concerned about the socio-economic consequences of population ageing. Policies often rely on estimations of support ratios based solely on the population age structure. We estimate Generational Support Ratios (GSRs) considering health heterogeneity of the population age 60+ and education heterogeneity of their offspring. We explore the effect of a public policy that changes the education of a targeted sub-group of women when they are young on their health once they become older, taking into account changes in demographic processes (i.e. marriage, fertility, offspring's education). We used the model presented by Kye et al. for the Korean context and examine the Mexican context. Our paper has three objectives. First, by applying this framework to the Mexican context we aim to find that improvements in women's education may mitigate the negative consequences of population ageing directly and indirectly through subsequent demographic behaviours that altogether affect GSRs. Second, by making a cross-national comparison between Korea and Mexico, we aim to quantify how policies of educational expansion have different impacts in contexts in which the population age 60+ have universal access to health care compared to contexts in which access to health care is selective. Third, by comparing cross-nationally we aim to show how differences in family processes across countries alter the pathways through which improvements in education affect GSRs.

Keywords

population ageingdependencysupport ratioseducation and healthMexicoKorea
Type
Articles
Information
Ageing & Society , Volume 37 , Issue 9 , October 2017 , pp. 1924 - 1961
Copyright
Copyright © Cambridge University Press 2016 

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References

Adler, N. E. and Ostrove, J. M. 1999. Socioeconomic status and health: what we know and what we don't. Annals of the New York Academy of Sciences, 896, 1, 3–15.CrossRefGoogle ScholarPubMed
Allison, P. 2001. Missing Data. Sage, Thousand Oaks, California.Google Scholar
Angrist, J. D. and Pischke, J. S. 2009. Mostly Harmless Econometrics: An Empiricist's Companion. Princeton University Press, Princeton, New Jersey.Google Scholar
Arenas, E., Parker, S., Rubalcava, L. and Teruel, G. M. 2015. Evaluación del Programa del Seguro Popular del 2002 al 2005: Impacto en la Utilización de Servicios Médicos, en el Gasto en Salud y en el Mercado Laboral. El Trimestre Económico, 82, 328, 807–45.Google Scholar
Barofsky, J. 2011. Estimating the Impact of Health Insurance in Developing Nations: Evidence from Mexico's Seguro Popular. Available online at http://isites.harvard.edu/fs/docs/icb.topic1126414.files/Barofsky%20J%20%20Estimating%20impact%20of%20health%20insurance%20in%20Mexico%209-27-2011.pdf [Accessed 15 January 2016].Google Scholar
Batljan, I., Lagergren, M. and Thorslund, M. 2009. Population ageing in Sweden: the effect of change in educational composition on the future number of older people suffering severe ill-health. European Journal of Ageing, 6, 3, 201–11.CrossRefGoogle ScholarPubMed
Batljan, I. and Thorslund, M. 2009. The effect of change in educational composition on population ageing. European Journal of Ageing, 6, 3, 191–200.Google Scholar
Becker, G. 1973. A theory of marriage: part I. Journal of Political Economy, 81, 4, 813–46.Google Scholar
Bherman, J. R., Gavira, A. and Székely, M. 2001. Intergenerational mobility in LatinAmerica. Report Number 452, Inter-American Development Bank, Washington DC, USA.Google Scholar
Bloom, D., Canning, D. and Sevilla, J. 2003. The Demographic Dividend, A New Perspective on the Economic Consequences of Population Change. Rand, Santa Monica, CA, USA.Google Scholar
Bongaarts, J. 2003. Completing the fertility transition in the developing world: the role of educational differences and fertility preferences. Population Studies, 57, 3, 321–35.Google Scholar
Bosma, H., Appels, A., Sturmans, F., Grabauskas, V. and Gostauta, A. 1995. Educational level of spouses and risk of mortality: the WHO Kaunas-Rotterdam intervention study (KRIS). International Journal of Epidemiology, 24, 1, 119–26.Google Scholar
Chandola, T., Clarke, P., Morris, J. N. and Blane, D. 2006. Pathways between education and health: a causal modelling approach. Journal of the Royal Statistical Society, A169, 2, 337–59.Google Scholar
Clark, M. and Huttlinger, K. 1998. Elder care among Mexican American families. Clinical Nursing Research, 7, 1, 64–81.Google Scholar
Consejo Nacional de Población 2000. Situación actual de la mujer en México: Diagnóstico socio-demográfico. Consejo Nacional de Población, México DF.Google Scholar
Cutler, D. and Llera-Muney, A. 2008. Education and health: evaluating theories and evidence. In Schoeni, R. F., House, J. S., Kaplan, G. A. and Pollack, H. (eds), Making Americans Healthier. Russell Sage Foundation, New York, 29–60.Google Scholar
De Vos, S., Solís, P. and Montes de Oca, V. 2004. Receipt of assistance and extended family residence among elderly men in Mexico. International Journal of Aging and Human Development, 58, 1, 1–27.Google Scholar
Dilworth-Anderson, P., Williams, I. C. and Gibson, B. E. 2002. Issues of race, ethnicity, and culture in caregiving research: a 20-year review (1980–2000). Gerontologist, 42, 2, 237–72.Google Scholar
Efron, B. and Tibshirani, R. J. 1993. An Introduction to the Bootstrap. Chapman and Hall, New York.Google Scholar
ENASEM 2004. Estudio Nacional de Salud y Envejecimiento en México 2001: Documento Metodológico, Reporte del Proyecto. Available online at http://www.mhas.pop.upenn.edu/english/documents/Methodological/Doc_metodologico-v2.pdf [Accessed 1 June 2015].Google Scholar
Engelman, M., Agree, E. M., Yount, K. M. and Bishai, D. 2010. Parity and parents’ health in later life: the gendered case of Ismailia, Egypt. Population Studies, 64, 2, 165–78.Google Scholar
Esteve, A., Garcia-Roman, J. and Lesthaeghe, R. 2012. The family context of cohabitation and single motherhood in Latin America. Population and Development Review, 38, 4, 707–27.Google Scholar
Esteve, A. and McCaa, R. 2007. Homogamia Educacional en México y Brasil, 1970–2000 Pautas y Tendencias. Latin American Research Review, 42, 2, 56–85.Google Scholar
Friedman, E. M. and Mare, R. D. 2014. The schooling of offspring and the survival of parents. Demography, 51, 4, 1271–93.Google Scholar
Gauthier, A. H. 2007. The impact of family policies on fertility in industrialized countries: a review of the literature. Population Research and Policy Review, 26, 3, 323–46.Google Scholar
Goldstein, J. R. 2009. How population age. In Uhlenberg, P. (ed.), International Handbook of Population Aging. Springer, New York, 7–18.Google Scholar
González, K. D. 2015. Envejecimiento demográfico en México: análisis comparativo entre entidades federativas. In Consejo Nacional de Población (ed.), La situación demográfica de México 2015. Consejo Nacional de Población, México DF, 113–29.Google Scholar
Grogger, J., Arnold, T., Leon, A. S., Ome, A. and Triyana, M. 2010. Identificación y análisis de los efectos del Seguro Popular en el gasto en salud de los afiliados. Discussion Paper, Centro de Investigación y Docencia Económicas, Evaluation commissioned by the Comision Nacional de Proteccion Social en Salud (CNPPS), México D.F., México.Google Scholar
Grundy, E. and Holt, G. 2000. Adult life experiences and health in early old age in Great Britain. Social Scicence Medicine, 51, 7, 1061–74.Google Scholar
Grundy, E. and Tomassini, C. 2005. Fertility history and health in later life: a record linkage study in England and Wales. Social Science and Medicine, 61, 1, 217–28.Google Scholar
Guo, G. and VanWey, L. K. 1999. Sibship size and intellectual development: is the relationship causal? American Sociological Review, 64, 2, 169–87.Google Scholar
Gutiérrez-Robledo, L. M. 2002. Looking at the future of geriatric care in developing countries. Journal of Gerontology, 57A, 3, M162–7.Google Scholar
Hank, K. 2010. Childbearing history, later-life health, and mortality in Germany. Population Studies, 64, 3, 275–91.Google Scholar
Hu, Y. and Goldman, N. 1990. Mortality differential by marital status: an international comparison. Demography, 27, 2, 233–50.Google Scholar
Huijts, T., Monden, C. W. S. and Kraaykamp, G. 2010. Education, educational heterogamy, and self-assessed health in Europe: a multilevel study of spousal effects in 29 European countries. European Sociological Review, 26, 3, 261–76.Google Scholar
Ikeda, A., Iso, H., Toyoshima, H., Fujino, Y., Mizoue, T., Yoshimura, T., Inaba, Y., Tamakoshi, A. and JACC Study Group 2007. Marital status and mortality among Japanese men and women: the Japan Collaborative Cohort Study. BMC Public Health, 7, 7–73.Google Scholar
Instituto Nacional de Estadística y Geografía (INEGI) 2010. Mujeres y hombres en México 2010. INEGI, Aguascalientes, Mexico.Google Scholar
Instituto Nacional de Estadística y Geografía (INEGI) 2015. Available online at http://www3.inegi.org.mx/sistemas/temas/default.aspx?s=est&c=25433&t=1 [Accessed 15 January 2016].Google Scholar
Jáuregui, B., Poblete, E. and Salgado-Snyder, V. N. 2006. El papel de la red familiar y social en el procesos de envejecimiento en cuatro ciudades de México. In Salgado de Snyder, V. N. and Wong, R. (eds), Envejecimiento, pobreza y salud en población urbana. Instituto Nacional de Salud Pública, Cuernavaca, Mexico, 85–96.Google Scholar
Jejeebhoy, S. 1995. Women's Education, Autonomy, and Reproductive Behaviour: Experiences from Developing Countries. Clarendon Press, Oxford.Google Scholar
Johnson, R. J. and Wolinsky, F. D. 1993. The structure of health status among older adults: disease, disability, functional limitation, and perceived health. Journal of Health and Social Behavior, 34, 2, 105–21.Google Scholar
Joung, I. M., Kunst, A. E., van Imhoff, E. and Mackenbach, J. P. 2000. Education, aging, and health: to what extent can the rise in educational level relieve the future health (care) burden associated with population aging in the Netherlands? Journal of Clinical Epidemiology, 53, 9, 955–63.Google Scholar
Kalwij, A. 2010. The impact of family policy expenditure on fertility in Western Europe. Demography, 47, 2, 503–19.CrossRefGoogle ScholarPubMed
Kapteyn, A. 2010. What can we learn from (and about) global aging. Demography, 47, supplement 1, s191–209.Google Scholar
Kington, R., Lillard, L. and Rogoswsk, J. 1997. Reproductive history, socioeconomic status, and self-reported health status of women aged 50 years or older. American Journal of Public Health, 87, 1, 33–7.Google Scholar
Knaul, F., González-Pier, E., Gómez-Dantés, O., García-Junco, D., Arreola-Ornelas, H., Barraza-Lloréns, M., Sandoval, R., Caballero, F., Hernández-Avila, M., Juan, M., Kershenobich, D., Nigenda, G., Ruelas, E., Sepúlveda, J., Tapia, R., Soberón, G., Chertorivski, S. and Frenk, J. 2012. The quest for universal health coverage: achieving social protection for all in Mexico. The Lancet, 380, 9849, 1259–79.Google Scholar
Krause, N. M. and Jay, G. M. 1994. What do global self-rated health items measure? Medical Care, 32, 9, 930–42.Google Scholar
Kye, B., Arenas, E., Teruel, G. and Rubalcava, L. 2014. Education, elderly health, and differential population aging in South Korea: a demographic approach. Demographic Research, 30, 753–94.Google Scholar
Lee, R. and Mason, A. 2010. Fertility, human capital, and economic growth over the emographic transition. European Journal of Population, 26, 2, 159–82.Google Scholar
Lee, R. and Tuljapurkar, S. 1997. Death and taxes: longer life, consumption, and social security. Demography, 34, 1, 67–81.Google Scholar
Lee, Y. J., Parish, W. L. and Willis, R. J. 1994. Sons, Daughters, and Intergenerational Support in Taiwan. American Journal of Sociology, 99, 4, 1010–41.Google Scholar
Logan, J. A., Hoff, P. D. and Newton, M. A. 2008. Two-sided estimation of mate preferences for similarities in age, education, and religion. Journal of the American Statistical Association, 103, 482, 559–69.Google Scholar
Lutz, W., Butz, W. and KC, S. (eds) 2014. World Population and Human Capital in the Twenty-First Century. Oxford University Press, Oxford.Google Scholar
Lutz, W., Cuaresma, J. C. and Sanderson, W. 2008. The demography of educational attainment and economic growth. Science, 319, 2, 1047–8.Google Scholar
Lutz, W., Goujon, A. and Wils, A. 2008. The population dynamics of human capital accumulation. Population and Development Review, 34, 149–87.Google Scholar
Lutz, W. and KC, S. 2011. Global human capital: integrating education and population. Science, 333, 29, 587–92.Google Scholar
Lutz, W., Sanderson, W. and Scherbov, S. (eds) 2004. The End of World Population Growth in the 21st Century: New Challenges for Human Capital Formation and Sustainable Development. Earthscan, New York.Google Scholar
Lutz, W., Sanderson, W. and Scherbov, S. 2008. The coming acceleration of global population ageing. Nature, 451, 7, 716–9.Google Scholar
Mare, R. D. 1981. Change and stability in educational stratification. American Sociological Review, 46, 1, 72–87.Google Scholar
Mare, R. D. 1991. Five decades of educational assortative mating. American Sociological Review, 56, 1, 15–32.Google Scholar
Martin, L., Schoeni, R. F. and Adnreski, P. M. 2010. Trends in health of older adults in the United States: past, present, and future. Demography, 47, supplement 1, s17–40.Google Scholar
McDonald, P. 2002. Sustaining fertility through public policy: the range of options. Population (English Edition), 57, 3, 417–46.Google Scholar
Mendez-Luck, C. A., Kennedy, D. P. and Wallace, S. P. 2009. Guardians of health: the dimensions of elder caregiving among women in a Mexico city neighbourhood. Social Science and Medicine, 68, 2, 228–34.Google Scholar
Monden, C. W. S., Van Lenthe, F., De Graaf, N. D. and Kraaykamp, G. 2003. Partner's and own education: does who you live with matter for self-assessed health, smoking and excessive alcohol consumption? Social Science and Medicine, 57, 10, 1901–12.Google Scholar
Ojeda, N. and González, E. 2008. Divorcio y separación conyugal en México en los albores del siglo XXI. Revista Mexicana de Sociología, 70, 1, 111–45.Google Scholar
Oppenheimer, V. K. 1988. A theory of marriage timing. American Journal of Sociology, 94, 3, 563–91.Google Scholar
Oreopoulos, P. 2007. Do dropouts drop out too soon? Wealth, health and happiness from compulsory schooling. Journal of Public Economics, 91, 11/12, 2213–29.Google Scholar
Oreopoulos, P., Page, M. E. and Stevens, A. H. 2006. Intergenerational effects of compulsory schooling. Journal of Labor Economics, 24, 4, 729–60.Google Scholar
Organisation for Economic Co-operation and Development (OECD) 2011. Society at a Glance 2011: OECD Social Indicator. Available online at http://www.oecd-ilibrary.org/social-issues-migration-health/society-at-a-glance-2011_soc_glance-2011-en [Accessed 15 January 2016].Google Scholar
Organisation for Economic Co-operation and Development (OECD) 2014. Social Expenditure Update – Social Spending is Falling in Some Countries, But in Many Others it Remains at Historically High Levels. Available online at http://www.oecd.org/els/soc/OECD2014-Social-Expenditure-Update-Nov2014-8pages.pdf [Accessed 15 January 2016].Google Scholar
Robles, L. and Pérez, A. C. 2012. Expectativas sobre la obligación filial: comparación de dos generaciones en México. Revista Latinoamericana de Ciencias Sociales, Niñez y Juventud, 10, 1, 527–40.Google Scholar
Rodríguez-Vignoli, J. 2005. Unión y cohabitación en América Latina: ¿modernidad, exclusión, diversidad? Serie Población y Desarrollo 57, Proyecto Regional de Población Centro Latinoamericano y Caribeño de Demografía (CELADE) – División de Población de la CEPAL and the UN Population Fund (UNFPA), New York.Google Scholar
Ross, C. E. and Wu, C. L. 1995. The links between education and health. American Sociological Review, 60, 5, 719–45.Google Scholar
Sanderson, W. C. and Scherbov, S. 2013. The characteristics approach to the measurement of population aging. Population and Development Review, 39, 4, 673–85.Google Scholar
Schmidt, L. 2008. Risk preferences and the timing of marriage and childbearing. Demography, 45, 2, 439–60.Google Scholar
Shavit, Y. and Blossfeld, H. P. (eds), 1993. Persistent Inequality. Westview Press, Boulder, Colorado.Google Scholar
Skirbekk, V. 2008. Fertility trends by social status. Demographic Research, 18, 145–80.Google Scholar
Smith, K. V. and Goldman, N. 2007. Socioeconomic differences in health among older adults in Mexico. Social Science and Medicine, 65, 7, 1372–85.Google Scholar
Smits, J., Ultee, W. and Lammers, J. 1998. Educational homogamy in 65 countries: an explanation of differences in openness using country-level explanatory variables. American Sociological Review, 63, 2, 264–85.Google Scholar
Sosa-Rubí, S. G., Galárraga, O. and López-Ridaura, R. 2011. Diabetes treatment and control: the effect of public health insurance for the poor in Mexico. Bulletin of the World Health Organization, 87, 7, 512–9.Google Scholar
Spasojevic, J. 2011. Effects of education on adult health in Sweden: results from a natural experiment. In Slottje, D. and Tchernis, R. (eds), Current Issues in Health Economic. Emerald Group Publishing, Bradford, UK, 179–99.Google Scholar
Spence, N. J. 2008. The long-term consequences of childbearing physical and psychological well-being of mothers in later life. Research on Aging, 30, 6, 722–51.Google Scholar
Sung, K. T. 2000. An Asian perspective on aging east and west: filial piety and changing families. In Bengtson, V. L., Kim, K.-D., Myers, G. C. and Eun, K.-S. (eds), Aging in the East and West: Families, States, and the Elderly. Springer, New York, 41–56.Google Scholar
Tafani, R., Gaspio, N. and Maldonado, R. 2005. Economía, Educación y Salud Materno Infantil. Revista Salud Pública, 9, 1, 24–53.Google Scholar
Torche, F. 2010. Movilidad Intergeneracional en México: Primeros Resultados de la Encuesta ESRU de Movilidad Social en México. Centro de Estudios Espinosa Iglesias, México D.F., México.Google Scholar
Wiener, J. M., Hanley, R. J., Clark, R. and Van Nostrand, J. F. 1990. Measuring the activities of daily living: comparisons across national surveys. Journals of Gerontology: Social Sciences, 45, 6, s229–37.Google Scholar
Wong, R. and Higgins, M. 2007. Dynamics of intergenerational assistance in middle- and old-age in Mexico in health of aging Hispanics. In Angel, J. L. and Whitfield, K. E. (eds), Springer, New York, 99–120.Google Scholar
Wong, R. and Palloni., A. 2009. Aging in Mexico and Latin America. In Uhlenberg, P. (ed.), International Handbook of Population Aging. Springer, New York, 231–52.CrossRefGoogle Scholar
Zimmer, Z., Hermalin, A. I. and Lin, H. S. 2002. Whose education counts? The added impact of adult-child education on physical functioning of older Taiwanese. Journal of Gerontology, 57, B1, S23–32.Google Scholar