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Is the political system really related to health?

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  • Klomp, Jeroen
  • de Haan, Jakob

Abstract

We analyze whether the political system and its stability are related to cross-country differences in health. We apply factor analysis on various national health indicators for a large sample of countries over the period 2000-2005 and use the outcomes of the factor analysis to construct two new health measures, i.e., the health of individuals and the quality of the health care sector. Using a cross-country structural equation model with various economic and demographic control variables, we examine the relationship between the type of regime and political stability on the one hand and health on the other. The political variables and the control variables are measured as averages over the period 1980-1999. Our results suggest that democracy has a positive relationship with the health of individuals, while regime instability has a negative relationship with the health of individuals. Government instability is negatively related to individual health via its link with the quality of the health care sector, while democracy is positively related with individual health through its link with income. Our main findings are confirmed by the results of a panel model and various sensitivity tests.

Suggested Citation

  • Klomp, Jeroen & de Haan, Jakob, 2009. "Is the political system really related to health?," Social Science & Medicine, Elsevier, vol. 69(1), pages 36-46, July.
    • Handle: RePEc:eee:socmed:v:69:y:2009:i:1:p:36-46
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    References listed on IDEAS

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    1. Jakob De Haan & Erik Leertouwer & Erik Meijer & Tom Wansbeek, 2003. "Measuring central bank independence: a latent variables approach," Scottish Journal of Political Economy, Scottish Economic Society, vol. 50(3), pages 326-340, August.
    2. Zeynep Or, 2001. "Exploring the Effects of Health Care on Mortality Across OECD Countries," OECD Labour Market and Social Policy Occasional Papers 46, OECD Publishing.
    3. Quan Li & Ming Wen, 2005. "The Immediate and Lingering Effects of Armed Conflict on Adult Mortality: A Time-Series Cross-National Analysis," Journal of Peace Research, Peace Research Institute Oslo, vol. 42(4), pages 471-492, July.
    4. R. Frey & Ali Al-Roumi, 1999. "Political Democracy and the Physical Quality of Life: The Cross-National Evidence," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 47(1), pages 73-97, May.
    5. Shawn Treier & Simon Jackman, 2008. "Democracy as a Latent Variable," American Journal of Political Science, John Wiley & Sons, vol. 52(1), pages 201-217, January.
    6. Meltzer, Allan H & Richard, Scott F, 1981. "A Rational Theory of the Size of Government," Journal of Political Economy, University of Chicago Press, vol. 89(5), pages 914-927, October.
    7. Shandra, John M. & Nobles, Jenna & London, Bruce & Williamson, J.B.John B., 2004. "Dependency, democracy, and infant mortality: a quantitative, cross-national analysis of less developed countries," Social Science & Medicine, Elsevier, vol. 59(2), pages 321-333, July.
    8. Jong-A-Pin, Richard, 2009. "On the measurement of political instability and its impact on economic growth," European Journal of Political Economy, Elsevier, vol. 25(1), pages 15-29, March.
    9. Timothy Besley & Masayuki Kudamatsu, 2006. "Health and Democracy," American Economic Review, American Economic Association, vol. 96(2), pages 313-318, May.
    10. Elola, J. & Daponte, A. & Navarro, V., 1995. "Health indicators and the organization of health care systems in Western Europe," American Journal of Public Health, American Public Health Association, vol. 85(10), pages 1397-1401.
    11. World Bank, 2006. "World Development Indicators 2006," World Bank Publications - Books, The World Bank Group, number 8151, April.
    12. Ghobarah, H.A.Hazem Adam & Huth, Paul & Russett, Bruce, 2004. "The post-war public health effects of civil conflict," Social Science & Medicine, Elsevier, vol. 59(4), pages 869-884, August.
    13. Ann L. Owen & Stephen Wu, 2007. "Is Trade Good for Your Health?," Review of International Economics, Wiley Blackwell, vol. 15(4), pages 660-682, September.
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