2023-09-28 14:46:10 +00:00
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abstract: 'Background Recent work in comparative social epidemiology uses an
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expenditures approach to examine the link between welfare states and
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population health. More work is needed that examines the impact of
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disaggregated expenditures within nations. This study takes advantage of
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provincial differences within Canada to examine the effects of
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subnational expenditures and a provincial welfare generosity index on
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population health.
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Methods Time-series cross-sectional data are retrieved from the Canadian
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Socio-Economic Information Management System II Tables for 1989-2009 (10
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provinces and 21 years=210 cases). Expenditures are measured using 20
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disaggregated indicators, total expenditures and a provincial welfare
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generosity index, a ombined measure of significant predictors. Health is
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measured as total, male and female age-standardised mortality rates per
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1000 deaths. Estimation techniques include the Prais-Winsten regressions
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with panel-corrected SEs, a first-order autocorrelation correction
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model, and fixed-unit effects, adjusted for alternative factors.
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Results Analyses reveal that four expenditures effectively reduce
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mortality rates: medical care, preventive care, other social services
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and postsecondary education. The provincial welfare generosity index has
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even larger effects. For an SD increase in the provincial welfare
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generosity index, total mortality rates are expected to decline by 0.44
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SDs. Standardised effects are larger for women (beta=-0.57, z(19)=-5.70,
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p<0.01) than for men (beta=-0.38, z(19)=-5.59, p<0.01).
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Conclusions Findings show that the expenditures approach can be
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effectively applied within the context of Canadian provinces, and that
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targeted spending on health, social services and education has salutary
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effects.'
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affiliation: 'Ng, E (Corresponding Author), St Michaels Hosp, Ctr Res Inner City Hlth,
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Li Ka Shing Knowledge Inst, 209 Victoria St,3rd Floor, Toronto, ON M5B 1C6, Canada.
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Ng, Edwin, St Michaels Hosp, Ctr Res Inner City Hlth, Li Ka Shing Knowledge Inst,
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Toronto, ON M5B 1C6, Canada.
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Muntaner, Carles, Univ Toronto, Bloomberg Sch Nursing, Toronto, ON, Canada.
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Muntaner, Carles, Univ Toronto, Dalla Lana Sch Publ Hlth, Toronto, ON, Canada.
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Muntaner, Carles, Korea Univ, Dept Publ Hlth Sci, Seoul, South Korea.'
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author: Ng, Edwin and Muntaner, Carles
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author-email: nged@smh.ca
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author_list:
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- family: Ng
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given: Edwin
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- family: Muntaner
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given: Carles
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da: '2023-09-28'
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doi: 10.1136/jech-2014-205385
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eissn: 1470-2738
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files: []
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issn: 0143-005X
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journal: JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH
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keywords-plus: 'PUBLIC-HEALTH; SERVICES EXPENDITURES; INCOME INEQUALITY; STATE;
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MORTALITY; POLITICS; BENEFITS; REGIMES; INFANT; EUROPE'
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language: English
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month: OCT
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number: '10'
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number-of-cited-references: '44'
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pages: 970-977
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papis_id: 73a6cb92e62c7cbd5e32f843744fcf74
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ref: Ng2015welfaregenerosity
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times-cited: '5'
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title: 'Welfare generosity and population health among Canadian provinces: a time-series
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cross-sectional analysis, 1989-2009'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000361045000009
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usage-count-last-180-days: '0'
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usage-count-since-2013: '15'
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volume: '69'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2015'
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