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Karunarathne M, Buddhika P, Priyamantha A, Mayogya P, Jayathilaka R, Dayapathirana N. Restoring life expectancy in low-income countries: the combined impact of COVID-19, health expenditure, GDP, and child mortality. BMC Public Health 2025; 25:894. [PMID: 40050818 PMCID: PMC11884026 DOI: 10.1186/s12889-025-22109-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2024] [Accepted: 02/26/2025] [Indexed: 03/10/2025] Open
Abstract
BACKGROUND Life expectancy is a vital indicator of a country's health and progress. Low-income countries face uncertainty regarding the long-term impact of the COVID-19 pandemic, driven by health expenditure levels, concerns over rising child mortality rates, and decreasing per capita income. These factors challenge life expectancy and demand urgent attention. This study aims to identify patterns, challenges, and opportunities to improve life expectancy in these countries through better health policies and resource allocation. METHODS The research investigates the impact of the COVID-19 pandemic, health expenditure, per capita income, and child mortality rates on life expectancy in low-income countries. By examining 22 years of data from 20 countries, using a comprehensive dataset from the Our World in Data database, this study employs panel regression and time series analysis to explore how these factors influence life expectancy. RESULTS The findings indicate a significant negative effect of COVID-19 on life expectancy, while health expenditure and per capita income show a positive impact. Conversely, child mortality rates exert a negative effect on life expectancy in low-income countries. CONCLUSION This research contributes to the existing body of knowledge by analysing how COVID-19, health expenditure, per capita income, and child mortality collectively affect life expectancy in low-income countries. The insights gained may inform policymakers and health consultants about the need for targeted interventions, prioritising healthcare investment and child health. By addressing these critical areas, it may be possible to improve life expectancy and overall health outcomes, thus contributing to global health equity.
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Affiliation(s)
- Manohara Karunarathne
- Department of Information Management, SLIIT Business School, Sri Lanka Institute of Information Technology, New Kandy Road, Malabe, Sri Lanka
| | - Pasindu Buddhika
- Department of Information Management, SLIIT Business School, Sri Lanka Institute of Information Technology, New Kandy Road, Malabe, Sri Lanka
| | - Avishka Priyamantha
- Department of Information Management, SLIIT Business School, Sri Lanka Institute of Information Technology, New Kandy Road, Malabe, Sri Lanka
| | - Pubudunie Mayogya
- Department of Information Management, SLIIT Business School, Sri Lanka Institute of Information Technology, New Kandy Road, Malabe, Sri Lanka
| | - Ruwan Jayathilaka
- Department of Information Management, SLIIT Business School, Sri Lanka Institute of Information Technology, New Kandy Road, Malabe, Sri Lanka.
| | - Nirmani Dayapathirana
- Department of Business Management, SLIIT Business School, Sri Lanka Institute of Information Technology, New Kandy Road, Malabe, Sri Lanka
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Singh S, Kaul M, Chandra S, J Rawandale C. The impact of renewable energy, carbon emissions, and fossil fuels on health outcomes: a study of West African countries. INTERNATIONAL JOURNAL OF ENVIRONMENTAL HEALTH RESEARCH 2025:1-13. [PMID: 39838579 DOI: 10.1080/09603123.2025.2454365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/03/2024] [Accepted: 01/13/2025] [Indexed: 01/23/2025]
Abstract
This study analyses the panel data for the 19 countries of West Africa and employed the Grossman health production function, which is estimated using the regression model with Driscoll Kraay standard error and the robustness of the result is evaluated using Common Correlated Mean Group estimator. Current health expenditure, per capita income, and C02 emissions are significantly associated with an improvement in life expectancy and a reduction in under-5 mortality. Per capita income and fossil fuel are associated with significant reductions in mortality from chronic conditions. However, while fossil fuel is significantly associated with a reduced life span, there is no significant evidence that renewable energy improves life expectancy. Moreover, renewable energy and fossil fuels are not associated with a significant reduction in under-5 mortality. Finally, though insignificant, renewable energy and public expenditure on education are associated with mortality reductions for people with chronic conditions.
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Affiliation(s)
- Shailender Singh
- Symbiosis Law School, Noida, India
- Symbiosis International Deemed University, Pune, India
| | - Meenakshi Kaul
- Symbiosis Law School, Noida, India
- Symbiosis International Deemed University, Pune, India
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Dhungana BR, Singh JK, Dhungana S. Life expectancy and health care spending in South Asia: An econometric analysis. PLoS One 2024; 19:e0310153. [PMID: 39715239 DOI: 10.1371/journal.pone.0310153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2024] [Accepted: 08/25/2024] [Indexed: 12/25/2024] Open
Abstract
Affordable health care is often a result of increased government spending on the health sector. Out-of-pocket expenses remain the primary health care funding source in many South Asian nations. Lack of adequate public funding for health services, difficulty in obtaining health insurance, and high out-of-pocket costs can result in indebtedness, reductions in actual consumption, and decreased access to health care services. The study examines life expectancy and health care spending in South Asian countries. The life expectancy of South Asian countries is studied as a health outcome in relation to health care spending, gross national income per capita, and expected years of schooling. This study is based on secondary data from World Bank statistics that covers eight South Asian countries from 2000 to 2021, for a total of 176 pooled time series and cross-sectional observations. The data were analysed using econometric models, including the cross sectional dependency test, panel unit root test, panel co-integration test, vector error correction model, pair-wise Granger causality test, and Wald test statistics. The vector error correction model results indicate that health care spending, anticipated years of schooling, and gross national income per capita have a long-run association with health outcomes. Health care spending, per capita gross national income, and expected years of education have all greatly enhanced life expectancy in South Asian countries. An effective health strategy is necessary to increase people's healthy life expectancy and well-being. To accomplish this, government may need to promote school enrolment to help people become more health literate and aware of their health outcomes. As a result, persons with more years of schooling have better health, higher levels of well-being, healthier habits, and ultimately, a longer life expectancy. This study will provide an important insight to policymakers in improving health outcomes through targeted and sustained health care spending in South Asia.
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Affiliation(s)
| | - Jitendra Kumar Singh
- Department of Community Medicine, Janaki Medical College, Tribhuvan University, Janakpur, Madhesh Province, Nepal
- Faculty of Health Sciences, Rajarshi Janak University, Janakpur, Madhesh Province, Nepal
| | - Samrat Dhungana
- Faculty of Arts and Sciences, Harvard University, Boston, Massachusetts, United States of America
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Sampene AK, Li C, Wiredu J. Environmental technology to stimulate life expectancy: A deep dive into the role of PM2.5 and carbon emission. ENVIRONMENT INTERNATIONAL 2024; 193:109118. [PMID: 39536661 DOI: 10.1016/j.envint.2024.109118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/07/2024] [Revised: 10/03/2024] [Accepted: 10/31/2024] [Indexed: 11/16/2024]
Abstract
As the Latin American economies contend with improving public health while simultaneously dealing with ecological issues, understanding the determinant of life expectancy becomes imperative. This study explores the interaction among environmental technology, economic development, cleaner energy transitions, industrial growth, particulate Matter 2.5 (PM2.5), carbon emission, and their collective impact on life expectancy across Latin American nations. The research incorporates advanced econometric approaches comprising Mean Group (MG), Pooled Mean Group (PMG), and Method of Moments Quantile Regression (MMQR). The study's outcome established that cleaner energy transitions, Gross Domestic Product (GDP), industrialization and environmental technologies significantly improve life expectancy, especially at higher quantiles. However, the outcome highlighted that PM2.5 and carbon emissions reduce life expectancy. Additionally, this study supports the unidirectional connection between environmental technology, economic development, cleaner energy transitions, industrial growth, life expectancy, and the bidirectional connection flowing from carbon emission PM2.5 to life expectancy. The study offers a roadmap for Latin America and global economies to invest in technology, cleaner power supply and industrialization to provide a route toward sustainable development and better public health that will eventually improve their citizens' life expectancy.
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Affiliation(s)
| | - Cai Li
- School of Management, Jiangsu University, Zhenjiang, Jiangsu, 212013, PR China.
| | - John Wiredu
- School of Management, Northwestern Polytechnical University, Xi'an, Shaanxi 710072, PR China.
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Muradov AJ, Aydin M, Bozatli O, Tuzcuoglu F. Air pollution and life expectancy in the USA: Do medical innovation, health expenditure, and economic complexity matter? THE SCIENCE OF THE TOTAL ENVIRONMENT 2024; 946:174441. [PMID: 38960168 DOI: 10.1016/j.scitotenv.2024.174441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/26/2024] [Revised: 06/28/2024] [Accepted: 06/30/2024] [Indexed: 07/05/2024]
Abstract
Regardless of a country's income level, air pollution poses a significant environmental threat to human health. Long-term exposure to air pollution often triggers cardiovascular and respiratory diseases. Thus, air pollution significantly reduces life expectancy worldwide. The USA is one of the world's largest polluters of CO2 emissions, often used to represent air pollution. In this context, the main objective of this study is to examine the relationship between air pollution and life expectancy in the USA. In doing so, we control for the role of medical innovation, health expenditures, economic complexity, and government effectiveness using data for the period 1995-2019. The results indicate the existence of a cointegration relationship in the proposed model. The long-run coefficients are statistically positive for medical innovation and negative for CO2 emissions, economic complexity, and government effectiveness. On the other hand, health expenditures are ineffective in terms of life expectancy. Accordingly, medical innovation raises life expectancy, whereas CO2 emissions, economic complexity, and government effectiveness decrease it. Higher economic prosperity and health expenditures are not always beneficial to life expectancy. Therefore, policymakers need to take action to reduce air pollution and increase the comprehensiveness of economic prosperity benefits and health expenditure efficiency.
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Affiliation(s)
| | - Mucahit Aydin
- Faculty of Political Sciences, Department of Econometrics, Sakarya University, Esentepe Campus, Serdivan/Sakarya, Turkey; UNEC Research Methods Application Center, Azerbaijan State University of Economics (UNEC), Istiqlaliyyat Str. 6, Baku 1001, Azerbaijan; Sakarya University Technology Developing Zones Manager Company, 54050, Sakarya, Turkiye.
| | - Oguzhan Bozatli
- UNEC Research Methods Application Center, Azerbaijan State University of Economics (UNEC), Istiqlaliyyat Str. 6, Baku 1001, Azerbaijan; Osmaniye Korkut Ata University, Kadirli Vocational School, Department of Accounting and Taxation, Osmaniye, Turkey; Economics and Business, Western Caspian University, Baku, Azerbaijan.
| | - Ferruh Tuzcuoglu
- UNEC Research Methods Application Center, Azerbaijan State University of Economics (UNEC), Istiqlaliyyat Str. 6, Baku 1001, Azerbaijan; Faculty of Political Sciences, Department of Political Science and Public Administration, Sakarya University, Esentepe Campus, Serdivan/Sakarya, Turkey.
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Barkat K, Alsamara M, Mimouni K, Jarallah S. The effects of food affordability on life expectancy in emerging countries. AGRICULTURAL ECONOMICS 2024; 55:795-822. [DOI: 10.1111/agec.12850] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/16/2023] [Accepted: 06/13/2024] [Indexed: 01/03/2025]
Abstract
AbstractThe relationship between food prices and life expectancy in emerging countries has significant implications for public health and socioeconomic development in these regions. This study examines this relationship using a dataset of 120 emerging economies over the period 2000–2021, employing the dynamic panel threshold and system generalized method of moments (GMM) models. Our findings reveal a nonlinear inverted U‐shaped relationship where beyond a specific threshold, higher food prices tend to shorten life expectancy. We also reveal the disproportionate burden placed on low‐income countries when food prices rise, in comparison to middle‐income countries and highlight the profound impact of economic disparities on public health. Moreover, we identify several channels through which food prices affect life expectancy. Specifically, we reveal that income, undernutrition, and mental health disorders represent potential mediating factors affecting food prices–life expectancy nexus. We also shed light on the severe implications of economic crises on public health, emphasizing the close connection between economic events and indicators of human health. These insights have direct implications for policymakers, offering valuable guidance in the context of fluctuating food prices.
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Affiliation(s)
- Karim Barkat
- College of Business & Economics Department of Finance and Economics Qatar University Doha Qatar
| | - Mouyad Alsamara
- College of Business & Economics Department of Finance and Economics Qatar University Doha Qatar
| | - Karim Mimouni
- College of Business & Economics Department of Finance and Economics Qatar University Doha Qatar
| | - Shaif Jarallah
- College of Business & Economics Department of Finance and Economics Qatar University Doha Qatar
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Global evidence of environmental and lifestyle effects on medical expenditures across 154 countries. Prev Med Rep 2022; 30:102036. [DOI: 10.1016/j.pmedr.2022.102036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2022] [Revised: 10/25/2022] [Accepted: 10/27/2022] [Indexed: 11/07/2022] Open
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