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