More

Featuring fresh takes and real-time analysis from HuffPost's signature lineup of contributors
Wray Herbert

GET UPDATES FROM Wray Herbert
 

The Link Between Education and Living Longer

Posted: 09/24/10 10:14 AM ET

People who go to school lead healthier, longer lives. That connection is well documented and unsurprising. But as obvious as this link is to us, the fact is we don't really know why that's the case. What is it about formal education that translates -- sometimes way down the road -- into better health choices? What's going on in the mind, at the basic cognitive level, that gives rise to lasting life skills?

One possibility is that schooling simply conveys knowledge about illness and disease prevention, and that better informed people make sounder judgments. But there is good reason to doubt this explanation. For example, massive and expensive public information campaigns aimed at smoking and drug use have for the most part failed to reduce such risky choices.

Another possibility is that formal schooling teaches people to think -- not about any health issue in particular but simply to think -- and that these cognitive skills endure into adulthood and lead to healthier life choices. According to this theory, formal education sharpens skills like working memory, self-control and attention -- all skills that are needed for intelligent decisions. This is the explanation favored by Ellen Peters, a psychological scientist at Decision Research in Oregon, who with her colleagues decided to test the idea in a real life setting.

They chose rural Ghana, for a number of reasons. First, like many sub-Saharan African nations, Ghana has a huge problem with HIV/AIDS infection. Secondly, general access to schooling is a recent development in rural Ghana, and about half of all adults are still unschooled. Peters decided to compare the schooled and the unschooled Ghanaians on a number of basic cognitive abilities, and to see if those abilities diminished risky choices related to AIDS.

Even a small amount of formal education seems to lead to better health, and indeed rural Ghanaians don't get much in the way of schooling. Peters studied middle-aged adults in four agrarian villages -- mostly subsistence farmers -- who had a little over six years of schooling on average. But their education levels varied widely. Peters gave men and women volunteers a variety of cognitive tests, including measures of working memory, planning ability, attention-shifting ability and ability with numbers or numeracy.

One of the numeracy tests related directly to HIV infection risk. The so-called Stickman task presents two hypothetical villages as circles, each populated with stick figures: red stick figures are HIV-infected, and black stick figures are not. The idea is to judge the risk associated with a randomly selected villager based on the population of stick figures. One village might have four red figures out of eight, for instance, and another three red figures out of four. Those with poor numeracy skills will look at the absolute number of infected villagers (four is greater than three) rather than the percentage -- the real indicator of risk. We all make the same mistake -- sometimes called "denominator neglect." I discuss this kind of innumeracy at length in my new book, "On Second Thought: Outsmarting Your Mind's Hard-Wired Habits." But in rural Ghana, this cognitive quirk can be a deadly miscalculation.

Peters combined numeracy and all the other cognitive test scores for each volunteer, and then she measured their actual knowledge of AIDS and HIV prevention: do condoms protect against the disease? Is it okay to wash and reuse a condom? Can AIDS be transmitted by a blood transfusion? By witchcraft? And so forth.

Finally, she interviewed each volunteer about his or her actual protective behaviors, including: going to AIDS classes, talking with one's sexual partner about HIV and AIDS, getting tested, or urging a partner to get tested and condom use.

Then she crunched all the data together, and the results were unambiguous. As reported online in the journal Psychological Science, schooling led to sharper cognitive skills across the board, and these enhanced intellectual abilities in turn led to more protective health behavior. But here's the important part: mere knowledge of HIV and AIDS facts did not in itself predict healthy living. It appears that cognitive abilities like numeracy and working memory better equip people to use their basic knowledge, to extrapolate to new situations and reason statistically in everyday life.

These findings have implications, especially for sub-Saharan African nations. Over the past decade, an estimated $8.9 billion has been spent in the region to disseminate basic knowledge about AIDS, in an effort to stem the ravages of the disease. These findings suggest that these efforts may not be enough -- that they must also include interventions to help at-risk adults reason with the facts they have. Put another way, it may not be a coincidence that this part of Africa is home to both the largest unschooled population in the world and the largest AIDS-infected population.

 
 
 
People who go to school lead healthier, longer lives. That connection is well documented and unsurprising. But as obvious as this link is to us, the fact is we don't really know why that's the case.
People who go to school lead healthier, longer lives. That connection is well documented and unsurprising. But as obvious as this link is to us, the fact is we don't really know why that's the case.
 
 
  • Comments
  • 7
  • Pending Comments
  • 0
  • View FAQ
Comments are closed for this entry
View All
Favorites
Recency  | 
Popularity
photo
HUFFPOST SUPER USER
Dolphinfan65
The Revolution is happening NOW!!
11:40 AM on 09/26/2010
First blame ourselves!
Second Blame the media!!
Third Then the government!!!
Then back to ourselves because it's never too late to go back to healthy ea........ LIFESTYLES!!!
08:30 AM on 09/25/2010
Correlation does not equal causation. The book, The Bell Curve, has it right. People who have higher IQ's tend to achieve higher education levels. People who have higher IQ's, on the whole, tend to do smarter things, including things that make them tend to live longer. Formal education is, to a large extent, just along for the ride. Do a study of IQ vs. longevity and the correlation will be just as strong, if not stronger.
HUFFPOST SUPER USER
davidword
davidword
12:20 AM on 09/25/2010
Variables, variables, you've got to control for variables.
From the description here - and it could be that the experiment itself was more careful - there is no allowance for the effect of income on health, and the effect of education on income. The whole idea of an experiment is to try to measure one thing at a time, so you can be reasonably sure it's one thing and not the other causing the effect. Using sloppy control for variables, canny statisticians in England, were able to "prove" conclusively that single mothers caused the bad weather in Birmingham. (Actually, I just made that up, because I've forgotton the details, but it was something like that.)
HUFFPOST SUPER USER
KayAch7
Lets Be Pragmatic
10:18 PM on 09/24/2010
Yes, having a formal education is a prerequisite for self-discipline and sound judgement BUT I don't think a formal education leads to a longer life itself, UNLESS by having a college degree you get a career which means better health insurance and economic stability....WHICH means a happier lifestyle and higher self-esteem...WHICH leads to possibly a longer life....thats the reality. I can't say to myself "Oh, I have bachelor's degree so....I will never be struck with cancer and die early." That doesn't make sense.
08:43 PM on 09/24/2010
one matter this study needs to consider presence and absence of traditional knowledge [[ similar to India's Gurukul system ]]

traditional knowledge like parent teaching basic knowledge to children about use of ecology matters of organic food production of seasons seed times harvest times all these things are numeracy and working memory etc and knowledge of local herbs and spices with known medicinal properties

some of these things were lost due to colonialism missionaries due to cold war and its spinoff civil wars

NGOs
arnt adequate to makeup fro these things especially if their university training ha smade them into star trek missionaries

what is more than adequate is supporting " consciousnesss-based education (CBE tm )"help President Chissano to built a Maharishi invincibility school for 1000 students in Mozambique and everywhere evrywhere
HUFFPOST SUPER USER
Joye
02:00 PM on 09/24/2010
I applaud those who have an education, but I don't think this article is true. Both my grandmother (who only had a high school education) and my mom (who had a Bachelor's Degree AND a Master's Degree) both lived to be in their 80's.. I think it is in the genes...
photo
HUFFPOST SUPER USER
awarg
03:20 PM on 09/24/2010
I totally agree with you. My grandparents dropped out of 5th grade to work to help thier parents and they both lived to be 83 and 85 repectively.