Journal
ASIA-PACIFIC JOURNAL OF PUBLIC HEALTH
Volume 27, Issue 2, Pages 136-146Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/1010539512454163
Keywords
life expectancy; health care resources; Southeast Asia; Singapore; Malaysia; Thailand
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Funding
- Mitsui Sumitomo Insurance Welfare Foundation (MSIWF) [WBS: R-545-000-016-720]
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The authors aim to examine the impact of demographic changes, socioeconomic inequality, and the availability of health care resources on life expectancy in Singapore, Malaysia, and Thailand. This is a cross-country study collecting annual data from 3 Southeast Asian countries from 1980 to 2008. Life expectancy is the dependent variable with demographics, socioeconomic status, and health care resources as the 3 main determinants. A structural equation model is used, and results show that the availability of more health care resources and higher levels of socioeconomic advantages are more likely to increase life expectancy. In contrast, demographic changes are more likely to increase life expectancy by way of health care resources. The authors suggest that more effort should be taken to expand and improve the coverage of health care programs to alleviate regional differences in health care use and improve the overall health status of people in these 3 Southeast Asian countries.
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