111 lines
3.6 KiB
YAML
111 lines
3.6 KiB
YAML
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abstract: 'Although there has been substantial debate and research concerning the
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economic impact of neo-liberal practices, there is a paucity of research
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about the potential relation between neo-liberal economic practices and
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population health. We assessed the extent to which neo-liberal policies
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and practices are associated with population health at the national
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level. We collected data on 119 countries between 1980 and 2004. We
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measured neo-liberalism using the Fraser Institute''s Economic Freedom of
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the World (EFW) Index, which gives an overall score as well as a score
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for each of five different aspects of neo-liberal economic practices:
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(1) size of government, (2) legal structure and security of property
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rights, (3) access to sound money, (4) freedom to exchange with
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foreigners and (5) regulation of credit, labor and business. Our measure
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of population health was under-five mortality. We controlled for
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potential mediators (income distribution, social capital and openness of
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political institutions) and confounders (female literacy, total
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population, rural population, fertility, gross domestic product per
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capita and time period). In longitudinal multivariable analyses, we
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found that the EFW index did not have an effect on child mortality but
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that two of its components: improved security of property rights and
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access to sound money were associated with lower under-five mortality (p
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= 0.017 and p = 0.024, respectively). When stratifying the countries by
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level of income, less regulation of credit, labor and business was
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associated with lower under-five mortality in high-income countries (p =
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0.001). None of the EFW components were significantly associated with
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under-five mortality in low-income countries. This analysis suggests
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that the concept of `neo-liberalism'' is not a monolithic entity in its
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relation to health and that some `neo-liberal'' policies are consistent
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with improved population health. Further work is needed to corroborate
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or refute these findings.'
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affiliation: 'Galea, S (Corresponding Author), Univ Michigan, Ctr Global Hlth, 109
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Observ St,Room 3663, Ann Arbor, MI 48109 USA.
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Galea, Sandro, Univ Michigan, Ctr Global Hlth, Ann Arbor, MI 48109 USA.
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Tracy, Melissa; Harper, Christine, Univ Michigan, Sch Publ Hlth, Dept Epidemiol,
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Ann Arbor, MI 48109 USA.'
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author: Tracy, Melissa and Kruk, Margaret E. and Harper, Christine and Galea, Sandro
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author-email: sgalea@umich.edu
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author_list:
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- family: Tracy
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given: Melissa
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- family: Kruk
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given: Margaret E.
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- family: Harper
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given: Christine
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- family: Galea
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given: Sandro
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da: '2023-09-28'
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doi: 10.1017/S1744133109990181
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files: []
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issn: 1744-1331
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journal: HEALTH ECONOMICS POLICY AND LAW
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keywords-plus: 'WELFARE-STATE INSTITUTIONS; LESS-DEVELOPED-COUNTRIES; INFANT-MORTALITY
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RATES; INCOME INEQUALITY; CHILD-MORTALITY; SOCIAL COHESION; LIFE
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EXPECTANCY; DETERMINANTS; POLICIES; NEOLIBERALISM'
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language: English
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month: APR
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number: '2'
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number-of-cited-references: '85'
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orcid-numbers: 'Kruk, Margaret E/0000-0002-9549-8432
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Galea, Sandro/0000-0002-7534-0945'
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pages: 171-199
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papis_id: 64a30c1d22c94ef4c926c4b452f48bf0
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ref: Tracy2010neoliberaleconomic
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researcherid-numbers: 'Galea, Sandro/GLR-6066-2022
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Kruk, Margaret E/E-3058-2010
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'
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times-cited: '3'
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title: 'Neo-liberal economic practices and population health: a cross-national analysis,
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1980-2004'
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type: Article
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unique-id: WOS:000293187200003
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usage-count-last-180-days: '0'
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usage-count-since-2013: '21'
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volume: '5'
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web-of-science-categories: Health Policy \& Services
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year: '2010'
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