A longitudinal ecological study of the influences of political, economic, and health services characteristics on under-five mortality in less-developed countries

Ying Chih Chuang, Pei Wei Sung, Hsing Jasmine Chao, Chyi Huey Bai, Chia Jung Chang

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5 Citations (Scopus)

Abstract

This study used a longitudinal dataset and lagged dependent-variable panel regression models to examine whether political and economic characteristics directly predict under-5-year mortality rates (U5MR), and moderate the effects of health services and environment on U5MR. We used a sample of 46 less-developed countries from 1980 to 2009. Our results showed that the effects of political and economic characteristics on U5MR varied by non-sub-Saharan and sub-Saharan countries. After controlling for baseline U5MR and other socioeconomic variables, while foreign investment and health services were negatively associated U5MR, democracy was positively associated with U5MR in nonsub-Saharan countries. In contrast, debt was positively associated with and democracy and foreign investment were negatively associated with U5MR in sub-Saharan countries. The interaction analyses indicated that for sub-Saharan countries, the effects of health services on U5MR only existed for countries with low foreign investment.

Original languageEnglish
Pages (from-to)1-11
Number of pages11
JournalHealth and Place
Volume23
DOIs
Publication statusPublished - Sep 1 2013

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health services
Developing Countries
Health Services
Longitudinal Studies
health service
mortality
Economics
Mortality
economics
foreign investment
Democracy
democracy
less developed country
debt
indebtedness
regression
interaction
effect

Keywords

  • Democracy
  • Health services
  • Less-developed countries
  • Longitudinal data
  • Under-5-year mortality rate

ASJC Scopus subject areas

  • Health(social science)
  • Geography, Planning and Development
  • Public Health, Environmental and Occupational Health

Cite this

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title = "A longitudinal ecological study of the influences of political, economic, and health services characteristics on under-five mortality in less-developed countries",
abstract = "This study used a longitudinal dataset and lagged dependent-variable panel regression models to examine whether political and economic characteristics directly predict under-5-year mortality rates (U5MR), and moderate the effects of health services and environment on U5MR. We used a sample of 46 less-developed countries from 1980 to 2009. Our results showed that the effects of political and economic characteristics on U5MR varied by non-sub-Saharan and sub-Saharan countries. After controlling for baseline U5MR and other socioeconomic variables, while foreign investment and health services were negatively associated U5MR, democracy was positively associated with U5MR in nonsub-Saharan countries. In contrast, debt was positively associated with and democracy and foreign investment were negatively associated with U5MR in sub-Saharan countries. The interaction analyses indicated that for sub-Saharan countries, the effects of health services on U5MR only existed for countries with low foreign investment.",
keywords = "Democracy, Health services, Less-developed countries, Longitudinal data, Under-5-year mortality rate",
author = "Chuang, {Ying Chih} and Sung, {Pei Wei} and {Jasmine Chao}, Hsing and Bai, {Chyi Huey} and Chang, {Chia Jung}",
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T1 - A longitudinal ecological study of the influences of political, economic, and health services characteristics on under-five mortality in less-developed countries

AU - Chuang, Ying Chih

AU - Sung, Pei Wei

AU - Jasmine Chao, Hsing

AU - Bai, Chyi Huey

AU - Chang, Chia Jung

PY - 2013/9/1

Y1 - 2013/9/1

N2 - This study used a longitudinal dataset and lagged dependent-variable panel regression models to examine whether political and economic characteristics directly predict under-5-year mortality rates (U5MR), and moderate the effects of health services and environment on U5MR. We used a sample of 46 less-developed countries from 1980 to 2009. Our results showed that the effects of political and economic characteristics on U5MR varied by non-sub-Saharan and sub-Saharan countries. After controlling for baseline U5MR and other socioeconomic variables, while foreign investment and health services were negatively associated U5MR, democracy was positively associated with U5MR in nonsub-Saharan countries. In contrast, debt was positively associated with and democracy and foreign investment were negatively associated with U5MR in sub-Saharan countries. The interaction analyses indicated that for sub-Saharan countries, the effects of health services on U5MR only existed for countries with low foreign investment.

AB - This study used a longitudinal dataset and lagged dependent-variable panel regression models to examine whether political and economic characteristics directly predict under-5-year mortality rates (U5MR), and moderate the effects of health services and environment on U5MR. We used a sample of 46 less-developed countries from 1980 to 2009. Our results showed that the effects of political and economic characteristics on U5MR varied by non-sub-Saharan and sub-Saharan countries. After controlling for baseline U5MR and other socioeconomic variables, while foreign investment and health services were negatively associated U5MR, democracy was positively associated with U5MR in nonsub-Saharan countries. In contrast, debt was positively associated with and democracy and foreign investment were negatively associated with U5MR in sub-Saharan countries. The interaction analyses indicated that for sub-Saharan countries, the effects of health services on U5MR only existed for countries with low foreign investment.

KW - Democracy

KW - Health services

KW - Less-developed countries

KW - Longitudinal data

KW - Under-5-year mortality rate

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