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Corruption and use of antibiotics in regions of Europe

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  • Rönnerstrand, Björn
  • Lapuente, Victor

Abstract

The aim of this article is to investigate the association between corruption and antibiotic use at sub-national level. We explore the correlation between, on the one hand, two measures of corruption (prevalence of corruption in the health sector and prevalence of bribes in the society) at regional level from the European Quality of Government Index; and, on the other, the consumption of antibiotics in those European regions from a 2009 Special Euro Barometer. In a multivariate regression model, we control for potential confounders: purchasing power of standardized regional gross domestic product, inhabitants per medical doctor and age-standardized all-cause mortality rates. We find that there is a strong positive association between both measures of corruption (i.e. in the health sector, and in the society at large) and antibiotics use; and that this association is robust to the introduction of the control variables. These results support previous findings in the literature linking corruption to higher antibiotic use at cross-national level. We show that corruption does seem to account for some of the remarkable between-region variation in antibiotic consumption in Europe.

Suggested Citation

  • Rönnerstrand, Björn & Lapuente, Victor, 2017. "Corruption and use of antibiotics in regions of Europe," Health Policy, Elsevier, vol. 121(3), pages 250-256.
    • Handle: RePEc:eee:hepoli:v:121:y:2017:i:3:p:250-256
    DOI: 10.1016/j.healthpol.2016.12.010
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    References listed on IDEAS

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    1. Maureen Lewis, 2006. "Governance and Corruption in Public Health Care Systems," Working Papers 78, Center for Global Development.
    2. Holmberg, Sören & Rothstein, Bo, 2011. "Dying of corruption," Health Economics, Policy and Law, Cambridge University Press, vol. 6(4), pages 529-547, October.
    3. Licht, Amir N. & Goldschmidt, Chanan & Schwartz, Shalom H., 2007. "Culture rules: The foundations of the rule of law and other norms of governance," Journal of Comparative Economics, Elsevier, vol. 35(4), pages 659-688, December.
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    Cited by:

    1. Mavisakalyan, Astghik & Otrachshenko, Vladimir & Popova, Olga, 2021. "Can bribery buy health? Evidence from post-communist countries," Journal of Comparative Economics, Elsevier, vol. 49(4), pages 991-1007.
    2. Felicia Robertson & Sverker C. Jagers & Björn Rönnerstrand, 2018. "Managing Sustainable Use of Antibiotics—The Role of Trust," Sustainability, MDPI, vol. 10(1), pages 1-13, January.
    3. Ljungqvist, Gunnar & van Kessel, Robin & Mossialos, Elias & Saint, Victoria & Schmidt, Jelena & Mafi, Alexander & Shutt, Alison & Chatterjee, Anuja & Charani, Esmita & Anderson, Michael, 2025. "Mapping socioeconomic factors driving antimicrobial resistance in humans: an umbrella review," LSE Research Online Documents on Economics 127395, London School of Economics and Political Science, LSE Library.
    4. Carelli, Daniel, 2024. "From ignorance to awareness: Quality of collaborative governance enhances public awareness of AMR," Social Science & Medicine, Elsevier, vol. 361(C).

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