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

研究成果: 雜誌貢獻文章

5 引文 (Scopus)

摘要

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.
原文英語
頁(從 - 到)1-11
頁數11
期刊Health and Place
23
DOIs
出版狀態已發佈 - 九月 1 2013

指紋

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

ASJC Scopus subject areas

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

引用此文

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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}",
year = "2013",
month = "9",
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doi = "10.1016/j.healthplace.2013.05.007",
language = "English",
volume = "23",
pages = "1--11",
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TY - JOUR

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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