Democracy and self-rated health across 67 countries: A multilevel analysis
Existing research has found a positive association between countries' level of democratic governance and the health of their populations, although that research is limited by the use of data from small numbers of high-income countries or aggregate data that do not assess individual-level health...
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| Veröffentlicht in: | Social science & medicine (1982) 2015-10, Vol.143, p.137-144 |
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| creator | Krueger, Patrick M. Dovel, Kathryn Denney, Justin T. |
| description | Existing research has found a positive association between countries' level of democratic governance and the health of their populations, although that research is limited by the use of data from small numbers of high-income countries or aggregate data that do not assess individual-level health outcomes. We extend prior research by using multilevel World Health Survey (2002–2004) data on 313,554 individuals in 67 countries, and find that the positive association between democratic governance and self-rated health persists after adjusting for both individual- and country-level confounders. However, the mechanisms linking democracy and self-rated health remain unclear. Individual-level measures of socioeconomic status, and country-level measures of economic inequality and investments in public health and education, do not significantly mediate the association between democratic governance and self-rated health. The persistent association between democratic governance and health suggests that the political organization of societies may be an important upstream determinant of population health.
•We use multilevel World Health Survey data with individuals nested within countries.•Democracy has a strong, positive association with better self-rated health.•Country-level variables do not mediate the democracy and health association.•Individual-level SES do not mediate or modify the democracy and health association. |
| doi_str_mv | 10.1016/j.socscimed.2015.08.047 |
| format | Article |
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•We use multilevel World Health Survey data with individuals nested within countries.•Democracy has a strong, positive association with better self-rated health.•Country-level variables do not mediate the democracy and health association.•Individual-level SES do not mediate or modify the democracy and health association.</description><subject>Adult</subject><subject>Corruption</subject><subject>Democracy</subject><subject>Diagnostic Self Evaluation</subject><subject>Female</subject><subject>Global Health</subject><subject>Governance</subject><subject>Health</subject><subject>Health education</subject><subject>Health problems</subject><subject>Health Status</subject><subject>Health Status Disparities</subject><subject>Humans</subject><subject>Income</subject><subject>Inequality</subject><subject>Male</subject><subject>Multilevel Analysis</subject><subject>Political epidemiology</subject><subject>Public health</subject><subject>Self-rated health</subject><subject>Social Class</subject><subject>Socioeconomic Factors</subject><subject>Socioeconomic status</subject><subject>Surveys and Questionnaires</subject><subject>World health survey</subject><issn>0277-9536</issn><issn>1873-5347</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFkUuPFCEUhYnROO3oX9BK3LipkkdRgAuTzvjOJG50TSi42HSoYoSqTvrfy0yPHXXjBhZ853DPPQi9ILgjmAyv911JttgwgesoJrzDssO9eIA2RArWctaLh2iDqRCt4my4QE9K2WOMCZbsMbqgA-ODpHyDvryDKdls7LExs2sKRN9ms4BrdmDismuMzamUZhCNTeu85ADlTbNtpjUuIcIBYtWZeCyhPEWPvIkFnt3fl-j7h_ffrj61118_fr7aXreWY7a0XnjwI4yOck6VI_VkUhI8GkO4k2T0TAqgpheKYWZUzcCldd4LPipnLbtEb0--N-tY81uoU5mob3KYTD7qZIL--2UOO_0jHXQvCFGKVoNX9wY5_VyhLHoKxUKMZoa0Fk0EJYoIpfqKvvwH3ac118B3FMOUSkoqJU7U3a4y-PMwBOvbvvRen_vSt31pLHXtqyqf_5nlrPtdUAW2JwDqRg8Bsq4uMFtwIYNdtEvhv5_8AvgPq7Y</recordid><startdate>20151001</startdate><enddate>20151001</enddate><creator>Krueger, Patrick M.</creator><creator>Dovel, Kathryn</creator><creator>Denney, Justin T.</creator><general>Elsevier Ltd</general><general>Pergamon Press Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>8BJ</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FQK</scope><scope>JBE</scope><scope>K9.</scope><scope>WZK</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0246-4004</orcidid></search><sort><creationdate>20151001</creationdate><title>Democracy and self-rated health across 67 countries: A multilevel analysis</title><author>Krueger, Patrick M. ; Dovel, Kathryn ; Denney, Justin T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c503t-f7fefbebd25529d155238810baa15d81bf387e2a479303a927758cdff75b9dcc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Adult</topic><topic>Corruption</topic><topic>Democracy</topic><topic>Diagnostic Self Evaluation</topic><topic>Female</topic><topic>Global Health</topic><topic>Governance</topic><topic>Health</topic><topic>Health education</topic><topic>Health problems</topic><topic>Health Status</topic><topic>Health Status Disparities</topic><topic>Humans</topic><topic>Income</topic><topic>Inequality</topic><topic>Male</topic><topic>Multilevel Analysis</topic><topic>Political epidemiology</topic><topic>Public health</topic><topic>Self-rated health</topic><topic>Social Class</topic><topic>Socioeconomic Factors</topic><topic>Socioeconomic status</topic><topic>Surveys and Questionnaires</topic><topic>World health survey</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Krueger, Patrick M.</creatorcontrib><creatorcontrib>Dovel, Kathryn</creatorcontrib><creatorcontrib>Denney, Justin T.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>International Bibliography of the Social Sciences</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Social science & medicine (1982)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Krueger, Patrick M.</au><au>Dovel, Kathryn</au><au>Denney, Justin T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Democracy and self-rated health across 67 countries: A multilevel analysis</atitle><jtitle>Social science & medicine (1982)</jtitle><addtitle>Soc Sci Med</addtitle><date>2015-10-01</date><risdate>2015</risdate><volume>143</volume><spage>137</spage><epage>144</epage><pages>137-144</pages><issn>0277-9536</issn><eissn>1873-5347</eissn><coden>SSMDEP</coden><abstract>Existing research has found a positive association between countries' level of democratic governance and the health of their populations, although that research is limited by the use of data from small numbers of high-income countries or aggregate data that do not assess individual-level health outcomes. 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| subjects | Adult Corruption Democracy Diagnostic Self Evaluation Female Global Health Governance Health Health education Health problems Health Status Health Status Disparities Humans Income Inequality Male Multilevel Analysis Political epidemiology Public health Self-rated health Social Class Socioeconomic Factors Socioeconomic status Surveys and Questionnaires World health survey |
| title | Democracy and self-rated health across 67 countries: A multilevel analysis |
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