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Welfare state regimes and population health: Integrating the East Asian welfare states

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  • Abdul Karim, Syahirah
  • Eikemo, Terje A.
  • Bambra, Clare
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    Abstract

    Epidemiological studies have consistently shown that population health varies significantly by welfare state regime. However, these studies have focused exclusively on the welfare states of Europe, North America and Australasia. This focus ignores the existence of welfare states in other parts of the world, specifically in East Asia. This study therefore investigates whether the association between population health (Infant Mortality Rates and Life Expectancy at birth) and welfare state regimes is still valid when the welfare states of East Asia are added into the analysis. It also examines whether population health is worse in the East Asian welfare states. Infant Mortality Rates and Life Expectancy at birth as well as GDP per capita and social and health expenditures as a percentage of GDP were examined in 30 welfare states, categorised into six different regimes (Scandinavian, Anglo-Saxon, Bismarckian, Southern, Eastern European and East Asian). ANOVA analysis showed significant differences by welfare state regime in the magnitude of IMR, LE, SE, HE and GDP per capita. However, when controlling for GDP per capita in the ANCOVA analyses, only Life Expectancy (R2Â =Â 0.58, adjusted R2Â =Â 0.47, pÂ

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    Bibliographic Info

    Article provided by Elsevier in its journal Health Policy.

    Volume (Year): 94 (2010)
    Issue (Month): 1 (January)
    Pages: 45-53

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    Handle: RePEc:eee:hepoli:v:94:y:2010:i:1:p:45-53

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    Web page: http://www.elsevier.com/locate/healthpol

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    Keywords: Welfare states Welfare regimes Infant mortality rate East Asia GDP;

    References

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    1. Esping-Andersen, Gosta, 1999. "Social Foundations of Postindustrial Economies," OUP Catalogue, Oxford University Press, number 9780198742005, September.
    2. Wagstaff, Adam, 2005. "Health systems in East Asia : what can developing countries learn from Japan and the Asian tigers ?," Policy Research Working Paper Series 3790, The World Bank.
    3. Coburn, David, 2000. "Income inequality, social cohesion and the health status of populations: the role of neo-liberalism," Social Science & Medicine, Elsevier, vol. 51(1), pages 135-146, July.
    4. Eikemo, Terje Andreas & Bambra, Clare & Judge, Ken & Ringdal, Kristen, 2008. "Welfare state regimes and differences in self-perceived health in Europe: A multilevel analysis," Social Science & Medicine, Elsevier, vol. 66(11), pages 2281-2295, June.
    5. Navarro, Vicente & Shi, Leiyu, 2001. "The political context of social inequalities and health," Social Science & Medicine, Elsevier, vol. 52(3), pages 481-491, February.
    6. Macinko, James A. & Shi, Leiyu & Starfield, Barbara, 2004. "Wage inequality, the health system, and infant mortality in wealthy industrialized countries, 1970-1996," Social Science & Medicine, Elsevier, vol. 58(2), pages 279-292, January.
    7. Chung, Haejoo & Muntaner, Carles, 2006. "Political and welfare state determinants of infant and child health indicators: An analysis of wealthy countries," Social Science & Medicine, Elsevier, vol. 63(3), pages 829-842, August.
    8. Embry Howell & Beatrice Blondel, 1994. "International Infant Mortality Rates: Bias from Reporting Differences," Mathematica Policy Research Reports 2022, Mathematica Policy Research.
    9. Coburn, David, 2004. "Beyond the income inequality hypothesis: class, neo-liberalism, and health inequalities," Social Science & Medicine, Elsevier, vol. 58(1), pages 41-56, January.
    10. Chung, Haejoo & Muntaner, Carles, 2007. "Welfare state matters: A typological multilevel analysis of wealthy countries," Health Policy, Elsevier, vol. 80(2), pages 328-339, February.
    11. Martikainen, Pekka & Lahelma, Eero & Marmot, Michael & Sekine, Michikazu & Nishi, Nobuo & Kagamimori, Sadanobu, 2004. "A comparison of socioeconomic differences in physical functioning and perceived health among male and female employees in Britain, Finland and Japan," Social Science & Medicine, Elsevier, vol. 59(6), pages 1287-1295, September.
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    Cited by:
    1. Kim, Il-Ho & Muntaner, Carles & Vahid Shahidi, Faraz & Vives, Alejandra & Vanroelen, Christophe & Benach, Joan, 2012. "Welfare states, flexible employment, and health: A critical review," Health Policy, Elsevier, vol. 104(2), pages 99-127.
    2. Herian, Mitchel N. & Tay, Louis & Hamm, Joseph A. & Diener, Ed, 2014. "Social capital, ideology, and health in the United States," Social Science & Medicine, Elsevier, vol. 105(C), pages 30-37.

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