IDEAS home Printed from
   My bibliography  Save this article

Democratization and life expectancy in Europe, 1960–2008


  • Mackenbach, Johan P.
  • Hu, Yannan
  • Looman, Caspar W.N.


Over the past five decades, two successive waves of political reform have brought democracy to, first, Spain, Portugal and Greece, and, more recently, Central and Eastern European countries. We assessed whether democratization was associated with improvements in population health, as indicated by life expectancy and cause-specific mortality rates.

Suggested Citation

  • Mackenbach, Johan P. & Hu, Yannan & Looman, Caspar W.N., 2013. "Democratization and life expectancy in Europe, 1960–2008," Social Science & Medicine, Elsevier, vol. 93(C), pages 166-175.
  • Handle: RePEc:eee:socmed:v:93:y:2013:i:c:p:166-175
    DOI: 10.1016/j.socscimed.2013.05.010

    Download full text from publisher

    File URL:
    Download Restriction: Full text for ScienceDirect subscribers only

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    1. 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.
    2. Granados, José A. Tapia, 2010. "Politics and health in eight European countries: A comparative study of mortality decline under social democracies and right-wing governments," Social Science & Medicine, Elsevier, vol. 71(5), pages 841-850, September.
    3. Koupilova, Ilona & McKee, Martin & Holcik, Jan, 1998. "Neonatal mortality in the Czech Republic during the transition," Health Policy, Elsevier, vol. 46(1), pages 43-52, October.
    4. 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.
    5. Casey B. Mulligan & Ricard Gil & Xavier Sala-i-Martin, 2004. "Do Democracies Have Different Public Policies than Nondemocracies?," Journal of Economic Perspectives, American Economic Association, vol. 18(1), pages 51-74, Winter.
    6. Timothy Besley & Masayuki Kudamatsu, 2006. "Health and Democracy," American Economic Review, American Economic Association, vol. 96(2), pages 313-318, May.
    7. Mackenbach, Johan P., 2013. "Political conditions and life expectancy in Europe, 1900–2008," Social Science & Medicine, Elsevier, vol. 82(C), pages 134-146.
    8. John Bongaarts & Griffith Feeney, 2002. "How Long Do We Live?," Population and Development Review, The Population Council, Inc., vol. 28(1), pages 13-29.
    Full references (including those not matched with items on IDEAS)


    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.

    Cited by:

    1. Luck, J. & Peabody, J.W. & DeMaria, L.M. & Alvarado, C.S. & Menon, R., 2014. "Patient and provider perspectives on quality and health system effectiveness in a transition economy: Evidence from Ukraine," Social Science & Medicine, Elsevier, vol. 114(C), pages 57-65.
    2. Vladimir A. Kozlov & Dina Y. Balalaeva, 2015. "Institutional Deficit and Health Outcomes in Post-Communist States," HSE Working papers WP BRP 25/PS/2015, National Research University Higher School of Economics.
    3. Krueger, Patrick M. & Dovel, Kathryn & Denney, Justin T., 2015. "Democracy and self-rated health across 67 countries: A multilevel analysis," Social Science & Medicine, Elsevier, vol. 143(C), pages 137-144.
    4. repec:eee:ecosys:v:42:y:2018:i:1:p:119-131 is not listed on IDEAS
    5. Mackenbach, Johan P. & McKee, Martin, 2015. "Government, politics and health policy: A quantitative analysis of 30 European countries," Health Policy, Elsevier, vol. 119(10), pages 1298-1308.
    6. 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.
    7. repec:eee:socmed:v:190:y:2017:i:c:p:237-246 is not listed on IDEAS
    8. Welander, Anna & Lyttkens, Carl Hampus & Nilsson, Therese, 2015. "Globalization, democracy, and child health in developing countries," Social Science & Medicine, Elsevier, vol. 136, pages 52-63.


    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:socmed:v:93:y:2013:i:c:p:166-175. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Dana Niculescu). General contact details of provider: .

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service hosted by the Research Division of the Federal Reserve Bank of St. Louis . RePEc uses bibliographic data supplied by the respective publishers.