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- W3126912700 abstract "Background: Lower education is associated with an increased biological risk for allostatic load, but it remains unclear whether increasing years of schooling through policy interventions can reduce these risks.Methods: Using a regression discontinuity design (RDD), we assessed the causal effect of the compulsory education reform in China on biomarkers in the cardiovascular system, the metabolic system, the inflammation system, the urinary system, and the total allostatic load in middle adulthood.Findings: The reform resulted in a significant increase in years of education for those from communities with the middle 1/3 per capita income (PCI) (β 2·68, 95% CI 0·21–5·14). Eligibility to the reform had no impact on biomarkers for the total sample (β 0·11, 95% CI -0·70 – 0·91) and for those from communities with the lowest (β 0·31, 95% CI -0·84 – 1·46) or highest third of PCI (β 0·76, 95% CI -0·46 – 1·99), while it reduced the metabolic risk (β -0·13, 95% CI -0·26 – -0·01) and total allostatic load (β -1·73, 95% CI -3·22 – -0·25) among those from communities with the middle third PCI. These findings were robust across sensitivity analyses of different placebo cutoff points and bandwidths.Interpretation: Education led to better health to some extent, but the effect only manifested in people from communities with a moderate community PCI, and had little impact on affluent or disadvantaged groups. Our findings stressed that the institutional context and respondents’ socioeconomic environment must be taken into account when assessing the health impact of the compulsory education reform.Funding: None.Declaration of Interests: We declare no competing interests.Ethics Approval Statement: The researchers from the Carolina Population Center who are responsible for the collection of CHNS data had received ethic approval the University of North Carolina at Chapel Hill." @default.
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- W3126912700 date "2021-01-01" @default.
- W3126912700 modified "2023-10-18" @default.
- W3126912700 title "The Effect of the Compulsory Education Reform on Biomarkers for Allostatic Load in Middle Adulthood: A Natural Experiment from China" @default.
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- W3126912700 doi "https://doi.org/10.2139/ssrn.3759716" @default.
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