#11387. The relationship between educational attainment and hospitalizations among middle-aged and older adults in the United States

July 2026publication date
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Journal’s subject area:
Medicine
Education
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Abstract:
There has been little research on the relationship between education and healthcare utilization, especially for racial and ethnic minorities. This study aimed to examine the association between education and hospitalizations, investigate the mechanisms, and disaggregate the relationship by gender, race/ethnicity, and age groups. A retrospective cohort analysis was conducted using data from the 1992–20XX Health and Retirement Study. The analytic sample consists of 35,451 respondents with 215,724 person-year observations. We employed a linear probability model with standard errors clustered at the respondent level and accounted for attrition bias using an inverse probability weighting approach. The association was statistically significantly smaller for black college graduates than their white counterparts, even when health status is held constant. Educational attainment is a strong predictor of hospitalizations for middle-aged and older adults. Health mediates most of the education-hospitalization gradients. The heterogeneous results across age, gender, race, and ethnicity groups should inform further research on health disparities.
Keywords:
Education; Gender; Hospitalization; Race/ethnicity

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