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Political conditions and life expectancy in Europe, 1900–2008

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  • Mackenbach, Johan P.

Abstract

The rise of life expectancy in Europe has been a very uneven process, both in time and space. This paper aims to identify instances in which major political conditions are likely to have influenced the rise of life expectancy, focusing on formation and dissolution of states and supranational blocs and on differences between political regimes (democratic vs. authoritarian non-communist and communist rule). Data on life expectancy, cause-specific mortality and political conditions were compiled from existing data sources. Possible relations between political conditions and life expectancy were studied by direct comparisons of changes in life expectancy in countries with different political conditions but similar starting levels of life expectancy. We found that formation and dissolution of states often went together with convergence and divergence of life expectancy, respectively, and that otherwise similar countries that did or did not become part of the Soviet bloc had distinctly different life expectancy trajectories. Democratically governed states had higher life expectancies than authoritarian states throughout the 20th century. The gap narrowed between 1920 and 1960 due to rapid catching up of infectious disease control in both non-communist and communist authoritarian states. It widened again after 1960 due to earlier and more rapid progress in democratic states against cardiovascular disease, breast cancer, motor vehicle accidents and other causes of death that have become amenable to intervention. We conclude that the history of life expectancy in Europe contains many instances in which political conditions are likely to have had a temporary or more lasting impact on population health. This suggests that there is scope for further in-depth studies of the impact of specific political determinants on the development of population health in Europe.

Suggested Citation

  • Mackenbach, Johan P., 2013. "Political conditions and life expectancy in Europe, 1900–2008," Social Science & Medicine, Elsevier, vol. 82(C), pages 134-146.
    • Handle: RePEc:eee:socmed:v:82:y:2013:i:c:p:134-146
    DOI: 10.1016/j.socscimed.2012.12.022
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    1. Kunitz, S.J., 2004. "The making and breaking of Yugoslavia and its impact on health," American Journal of Public Health, American Public Health Association, vol. 94(11), pages 1894-1904.
    2. Jacques Vallin & France Meslé, 2009. "The Segmented Trend Line of Highest Life Expectancies," Population and Development Review, The Population Council, Inc., vol. 35(1), pages 159-187, March.
    3. France Meslé, 2004. "Mortality in Central and Eastern Europe," Demographic Research Special Collections, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 2(3), pages 45-70.
    4. France Meslé & Jacques Vallin, 2006. "Diverging Trends in Female Old‐Age Mortality: The United States and the Netherlands versus France and Japan," Population and Development Review, The Population Council, Inc., vol. 32(1), pages 123-145, March.
    5. Jacques Vallin & France Meslé, 2004. "Convergences and divergences in mortality," Demographic Research Special Collections, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 2(2), pages 11-44.
    6. Timothy Besley & Masayuki Kudamatsu, 2006. "Health and Democracy," American Economic Review, American Economic Association, vol. 96(2), pages 313-318, May.
    7. Baten, Jorg & Wagner, Andrea, 2003. "Autarchy, market disintegration, and health: the mortality and nutritional crisis in Nazi Germany, 1933-1937," Economics & Human Biology, Elsevier, vol. 1(1), pages 1-28, January.
    8. Jason Beckfield, 2006. "European Integration and Income Inequality," LIS Working papers 447, LIS Cross-National Data Center in Luxembourg.
    9. Klomp, Jeroen & de Haan, Jakob, 2009. "Is the political system really related to health?," Social Science & Medicine, Elsevier, vol. 69(1), pages 36-46, July.
    10. Granados, José A. Tapia, 2010. "Politics and health in eight European countries: A comparative study of mortality decline under social democracies and right-wing governments," Social Science & Medicine, Elsevier, vol. 71(5), pages 841-850, September.
    11. M. Happich & T. von Lengerke, 2007. "Convergence of life expectancy in the European Union: a Markov approach," Applied Economics Letters, Taylor & Francis Journals, vol. 14(3), pages 175-178.
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