IDEAS home Printed from https://ideas.repec.org/a/sae/sagope/v9y2019i2p2158244019854496.html
   My bibliography  Save this article

National Level Social Determinants of Health and Outcomes: Longitudinal Analysis of 27 Industrialized Countries

Author

Listed:
  • Myung-Bae Park
  • Eun Woo Nam

Abstract

To improve health, it is important to understand the social determinants of health (SDH). This study aimed to identify the SDH through national-level indices in industrialized countries. To examine the SDH, we conducted a longitudinal analysis using a panel regression. We sampled from 27 Organisation for Economic Co-operation and Development (OECD) member countries. We chose 19 indices across four categories of health outcomes, which are the socioeconomic environment, the physical environment, health behavior, and health services. Japan ranked in the highest tier for all outcome categories, followed by Iceland, Sweden, and Switzerland. Gross domestic product (GDP, per capita), unemployment, nitrogen oxides (NO X , kilograms per capita), tobacco consumption (SMO, grams per capita [15+]), sugar intake, fat intake, and number of doctors (DOC, per 1,000) had statistically significant effects on life expectancy at birth. GDP, NO X , alcohol consumption, SMO, DOC, total health expenditure (THE, GDP percent), and vaccination coverage for measles (VACCINE, percent) were associated with mortality. In the case of potential years of life lost (PYLL), GDP, NO X , alcohol consumption (ALC, liters per capita [15+]), SMO, DOC, THE, and VACCINE were statistically significant. GDP, school life expectancy, wastewater treatment rate, and VACCINE were associated with the infant mortality rate (IMR). Combining all of the results shows that to improve national-level health outcomes, tobacco and alcohol controls and nutritional policies should be strengthened first, as they will contribute more to mortality and PYLL. Vaccinations will contribute more to IMR and PYLL reductions.

Suggested Citation

  • Myung-Bae Park & Eun Woo Nam, 2019. "National Level Social Determinants of Health and Outcomes: Longitudinal Analysis of 27 Industrialized Countries," SAGE Open, , vol. 9(2), pages 21582440198, June.
    • Handle: RePEc:sae:sagope:v:9:y:2019:i:2:p:2158244019854496
    DOI: 10.1177/2158244019854496
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/2158244019854496
    Download Restriction: no
    File URL: https://libkey.io/10.1177/2158244019854496?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Quamrul H. Ashraf & Ashley Lester & David N. Weil, 2009. "When Does Improving Health Raise GDP?," NBER Chapters, in: NBER Macroeconomics Annual 2008, Volume 23, pages 157-204, National Bureau of Economic Research, Inc.
    2. John Nixon & Philippe Ulmann, 2006. "The relationship between health care expenditure and health outcomes," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 7(1), pages 7-18, March.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Ledesma-Cuenca, Ana & Montañés, Antonio & Simón-Fernández, María Blanca, 2022. "Disparities in premature mortality: Evidence for the OECD countries," Social Science & Medicine, Elsevier, vol. 307(C).

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ledesma-Cuenca, Ana & Montañés, Antonio & Simón-Fernández, María Blanca, 2022. "Disparities in premature mortality: Evidence for the OECD countries," Social Science & Medicine, Elsevier, vol. 307(C).
    2. Iseghohi Judith Omon, 2021. "Migrant Remittances and Health Outcomes in the West Africa Monetary Zones (WAMZ)," Romanian Economic Journal, Department of International Business and Economics from the Academy of Economic Studies Bucharest, vol. 24(81), pages 15-32, September.
    3. Ana Poças & Elias Soukiazis, 2010. "Health Status Determinants in the OECD Countries. A Panel Data Approach with Endogenous Regressors," GEMF Working Papers 2010-04, GEMF, Faculty of Economics, University of Coimbra.
    4. Becchetti, Leonardo & Conzo, Pierluigi & Salustri, Francesco, 2017. "The impact of health expenditure on the number of chronic diseases," Health Policy, Elsevier, vol. 121(9), pages 955-962.
    5. Stephen Martin & Nigel Rice & Peter C Smith, 2007. "The Link Between Health Care Spending and Health Outcomes: Evidence from English Programme Budgeting Data," Working Papers 024cherp, Centre for Health Economics, University of York.
    6. Jagrič, Timotej & Brown, Christine & Boyce, Tammy & Jagrič, Vita, 2021. "The impact of the health-care sector on national economies in selected European countries," Health Policy, Elsevier, vol. 125(1), pages 90-97.
    7. Parida Wubulihasimu & Werner Brouwer & Pieter van Baal, 2016. "The Impact of Hospital Payment Schemes on Healthcare and Mortality: Evidence from Hospital Payment Reforms in OECD Countries," Health Economics, John Wiley & Sons, Ltd., vol. 25(8), pages 1005-1019, August.
    8. Jaison Chireshe & Matthew K. Ocran, 2020. "Health care expenditure and health outcomes in sub‐Saharan African countries," African Development Review, African Development Bank, vol. 32(3), pages 349-361, September.
    9. Livio Di Matteo & Thomas Barbiero, 2020. "Spend Less, Get More? Explaining Health Spending and Outcome Differences Between Canada and Italy," Review of Economic Analysis, Digital Initiatives at the University of Waterloo Library, vol. 12(4), pages 403-438, December.
    10. David E. Bloom & David Canning & Günther Fink, 2014. "Disease and Development Revisited," Journal of Political Economy, University of Chicago Press, vol. 122(6), pages 1355-1366.
    11. Channing Arndt & Sam Jones & Finn Tarp, 2016. "What Is the Aggregate Economic Rate of Return to Foreign Aid?," World Bank Economic Review, World Bank Group, vol. 30(3), pages 446-474.
    12. Kenneth Kuttner & Adam Posen, 2011. "How Flexible Can Inflation Targeting Be and Still Work?," Department of Economics Working Papers 2011-10, Department of Economics, Williams College, revised Sep 2011.
    13. Théophile Azomahou & Bity Diene & Mbaye Diene & Luc Soete, 2015. "Optimal health investment and preference structure," Economic Theory, Springer;Society for the Advancement of Economic Theory (SAET), vol. 60(3), pages 521-565, November.
    14. Baldanzi, Annarita & Bucci, Alberto & Prettner, Klaus, 2021. "Children’S Health, Human Capital Accumulation, And R&D-Based Economic Growth," Macroeconomic Dynamics, Cambridge University Press, vol. 25(3), pages 651-668, April.
    15. Matthias Cinyabuguma & Bill Lord & Christelle Viauroux, 2009. "Schooling, Fertility, and Married Female Labor Supply: What Role for Health?," UMBC Economics Department Working Papers 09-108, UMBC Department of Economics.
    16. Hilaire Gbodja Houeninvo, 2022. "Effects of health expenditures on infant and child mortality rates: A dynamic panel data analysis of 37 African countries," African Development Review, African Development Bank, vol. 34(2), pages 255-267, June.
    17. Rahul A. Sirohi, 2014. "Child Labour, Human Capital Accumulation and Foreign Aid," Journal of Economic Development, Chung-Ang Unviersity, Department of Economics, vol. 39(3), pages 1-14, September.
    18. Martin, Stephen & Rice, Nigel & Smith, Peter C., 2008. "Does health care spending improve health outcomes? Evidence from English programme budgeting data," Journal of Health Economics, Elsevier, vol. 27(4), pages 826-842, July.
    19. Ekaterini Panopoulou & Theologos Pantelidis, 2012. "Convergence in per capita health expenditures and health outcomes in the OECD countries," Applied Economics, Taylor & Francis Journals, vol. 44(30), pages 3909-3920, October.
    20. David Bruce Matchar & Wei Xuan Lai & Ashish Kumar & John Pastor Ansah & Yeuk Fan Ng, 2023. "A Causal View of the Role and Potential Limitations of Capitation in Promoting Whole Health System Performance," IJERPH, MDPI, vol. 20(5), pages 1-13, March.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:sagope:v:9:y:2019:i:2:p:2158244019854496. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.