Democratisation and health after the fall of the Wall

ABSTRACT: Objectives: The fall of the Wall in 1989 can be seen as a natural experiment in the epidemiological sense to further examine the relation between democracy and health. Design and setting: Ecological study in the 23 post-communist countries, during the last decade of the 20th century, explo...

Full description

Autores:
Franco Giraldo, Álvaro de Jesús
Álvarez Dardet, Carlos
Tipo de recurso:
Article of investigation
Fecha de publicación:
2006
Institución:
Universidad de Antioquia
Repositorio:
Repositorio UdeA
Idioma:
eng
OAI Identifier:
oai:bibliotecadigital.udea.edu.co:10495/40577
Acceso en línea:
https://hdl.handle.net/10495/40577
Palabra clave:
Salud Poblacional
Population Health
Esperanza de Vida Saludable
Healthy Life Expectancy
Coeficiente de Gini
Gini Coefficient
Estudio Observacional
Observational Study
Recién Nacido
Infant, Newborn
Mortalidad Infantil
Infant Mortality
Mortalidad Materna
Maternal Mortality
Democracia
Democracy
Europa (Continente)
Europe
https://id.nlm.nih.gov/mesh/D000075485
https://id.nlm.nih.gov/mesh/D000087508
https://id.nlm.nih.gov/mesh/D064888
https://id.nlm.nih.gov/mesh/D007231
https://id.nlm.nih.gov/mesh/D007226
https://id.nlm.nih.gov/mesh/D008428
https://id.nlm.nih.gov/mesh/D003709
https://id.nlm.nih.gov/mesh/D005060
Rights
openAccess
License
http://creativecommons.org/licenses/by-nc-nd/2.5/co/
id UDEA2_791cca4b2310612a0592efbb11e93d43
oai_identifier_str oai:bibliotecadigital.udea.edu.co:10495/40577
network_acronym_str UDEA2
network_name_str Repositorio UdeA
repository_id_str
dc.title.spa.fl_str_mv Democratisation and health after the fall of the Wall
title Democratisation and health after the fall of the Wall
spellingShingle Democratisation and health after the fall of the Wall
Salud Poblacional
Population Health
Esperanza de Vida Saludable
Healthy Life Expectancy
Coeficiente de Gini
Gini Coefficient
Estudio Observacional
Observational Study
Recién Nacido
Infant, Newborn
Mortalidad Infantil
Infant Mortality
Mortalidad Materna
Maternal Mortality
Democracia
Democracy
Europa (Continente)
Europe
https://id.nlm.nih.gov/mesh/D000075485
https://id.nlm.nih.gov/mesh/D000087508
https://id.nlm.nih.gov/mesh/D064888
https://id.nlm.nih.gov/mesh/D007231
https://id.nlm.nih.gov/mesh/D007226
https://id.nlm.nih.gov/mesh/D008428
https://id.nlm.nih.gov/mesh/D003709
https://id.nlm.nih.gov/mesh/D005060
title_short Democratisation and health after the fall of the Wall
title_full Democratisation and health after the fall of the Wall
title_fullStr Democratisation and health after the fall of the Wall
title_full_unstemmed Democratisation and health after the fall of the Wall
title_sort Democratisation and health after the fall of the Wall
dc.creator.fl_str_mv Franco Giraldo, Álvaro de Jesús
Álvarez Dardet, Carlos
dc.contributor.author.none.fl_str_mv Franco Giraldo, Álvaro de Jesús
Álvarez Dardet, Carlos
dc.contributor.researchgroup.spa.fl_str_mv Gestión y Políticas de Salud
dc.subject.decs.none.fl_str_mv Salud Poblacional
Population Health
Esperanza de Vida Saludable
Healthy Life Expectancy
Coeficiente de Gini
Gini Coefficient
Estudio Observacional
Observational Study
Recién Nacido
Infant, Newborn
Mortalidad Infantil
Infant Mortality
Mortalidad Materna
Maternal Mortality
Democracia
Democracy
Europa (Continente)
Europe
topic Salud Poblacional
Population Health
Esperanza de Vida Saludable
Healthy Life Expectancy
Coeficiente de Gini
Gini Coefficient
Estudio Observacional
Observational Study
Recién Nacido
Infant, Newborn
Mortalidad Infantil
Infant Mortality
Mortalidad Materna
Maternal Mortality
Democracia
Democracy
Europa (Continente)
Europe
https://id.nlm.nih.gov/mesh/D000075485
https://id.nlm.nih.gov/mesh/D000087508
https://id.nlm.nih.gov/mesh/D064888
https://id.nlm.nih.gov/mesh/D007231
https://id.nlm.nih.gov/mesh/D007226
https://id.nlm.nih.gov/mesh/D008428
https://id.nlm.nih.gov/mesh/D003709
https://id.nlm.nih.gov/mesh/D005060
dc.subject.meshuri.none.fl_str_mv https://id.nlm.nih.gov/mesh/D000075485
https://id.nlm.nih.gov/mesh/D000087508
https://id.nlm.nih.gov/mesh/D064888
https://id.nlm.nih.gov/mesh/D007231
https://id.nlm.nih.gov/mesh/D007226
https://id.nlm.nih.gov/mesh/D008428
https://id.nlm.nih.gov/mesh/D003709
https://id.nlm.nih.gov/mesh/D005060
description ABSTRACT: Objectives: The fall of the Wall in 1989 can be seen as a natural experiment in the epidemiological sense to further examine the relation between democracy and health. Design and setting: Ecological study in the 23 post-communist countries, during the last decade of the 20th century, exploring the relations between the level of democratisation and health, taking into account as relevant confounders wealth and the level of inequality. Main results: A significant correlation (p<0.01) was found of the democratic deficit of the countries with the health indicators circa 2000, with values of Pearson’s coefficient of −0.629 for life expectancy, 0.760 for infant mortality, and 0.555 for maternal mortality. These associations remain significant after adjustment by lineal regression for GNP per capita and the Gini coefficient, with R2 values of 0.336 for life expectancy, 0.575 for infant mortality, and 0.529 for maternal mortality. Conclusions: These findings add pieces of evidence to the previously reported cross sectional association between democracy and health.
publishDate 2006
dc.date.issued.none.fl_str_mv 2006
dc.date.accessioned.none.fl_str_mv 2024-07-12T22:17:38Z
dc.date.available.none.fl_str_mv 2024-07-12T22:17:38Z
dc.type.spa.fl_str_mv Artículo de investigación
dc.type.coar.spa.fl_str_mv http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.redcol.spa.fl_str_mv https://purl.org/redcol/resource_type/ART
dc.type.coarversion.spa.fl_str_mv http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.driver.spa.fl_str_mv info:eu-repo/semantics/article
dc.type.version.spa.fl_str_mv info:eu-repo/semantics/publishedVersion
format http://purl.org/coar/resource_type/c_2df8fbb1
status_str publishedVersion
dc.identifier.citation.spa.fl_str_mv Álvarez Daret C, Franco Giraldo A. Democratisation and health after the fall of the Wall. Estados Unidos. J Epidemiol Community Health. [Internet] 2006 [Consultado año mes día]; 60: 669 – 671. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2588082/pdf/669.pdf
dc.identifier.issn.none.fl_str_mv 0143-005X
dc.identifier.uri.none.fl_str_mv https://hdl.handle.net/10495/40577
dc.identifier.doi.none.fl_str_mv 10.1136 / jech.2005.038273
dc.identifier.eissn.none.fl_str_mv 1470-2738
identifier_str_mv Álvarez Daret C, Franco Giraldo A. Democratisation and health after the fall of the Wall. Estados Unidos. J Epidemiol Community Health. [Internet] 2006 [Consultado año mes día]; 60: 669 – 671. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2588082/pdf/669.pdf
0143-005X
10.1136 / jech.2005.038273
1470-2738
url https://hdl.handle.net/10495/40577
dc.language.iso.spa.fl_str_mv eng
language eng
dc.relation.ispartofjournalabbrev.spa.fl_str_mv J. Epidemiol. Community. Health.
dc.relation.citationendpage.spa.fl_str_mv 671
dc.relation.citationissue.spa.fl_str_mv 8
dc.relation.citationstartpage.spa.fl_str_mv 669
dc.relation.citationvolume.spa.fl_str_mv 60
dc.relation.ispartofjournal.spa.fl_str_mv Journal of Epidemiology and Community Health
dc.rights.uri.*.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/2.5/co/
dc.rights.uri.spa.fl_str_mv https://creativecommons.org/licenses/by/4.0/
dc.rights.accessrights.spa.fl_str_mv info:eu-repo/semantics/openAccess
dc.rights.coar.spa.fl_str_mv http://purl.org/coar/access_right/c_abf2
rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-nd/2.5/co/
https://creativecommons.org/licenses/by/4.0/
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.format.extent.spa.fl_str_mv 3 páginas
dc.format.mimetype.spa.fl_str_mv application/pdf
dc.publisher.spa.fl_str_mv BMJ publishing group
dc.publisher.place.spa.fl_str_mv Londres, Inglaterra
institution Universidad de Antioquia
bitstream.url.fl_str_mv https://bibliotecadigital.udea.edu.co/bitstreams/5bc4a2c8-2c2f-4d33-8674-5f6fc1716e97/download
https://bibliotecadigital.udea.edu.co/bitstreams/be661ef1-54f4-4424-b7e3-be2e21b0ee82/download
https://bibliotecadigital.udea.edu.co/bitstreams/a2f61054-490e-41a2-b2ff-9e0c2e1e78c9/download
https://bibliotecadigital.udea.edu.co/bitstreams/8f932f4f-15f4-4571-ab0f-8aab563f9b8d/download
https://bibliotecadigital.udea.edu.co/bitstreams/e4e30c9d-779e-4917-9f57-00bda1da5480/download
bitstream.checksum.fl_str_mv e92d9019effa55068a7f1eb5637ecb52
b88b088d9957e670ce3b3fbe2eedbc13
8a4605be74aa9ea9d79846c1fba20a33
87a76b6e67b6a33d2dfef4afd90da5bb
d81eccddbed325821cdcc307f0760fd8
bitstream.checksumAlgorithm.fl_str_mv MD5
MD5
MD5
MD5
MD5
repository.name.fl_str_mv Repositorio Institucional de la Universidad de Antioquia
repository.mail.fl_str_mv aplicacionbibliotecadigitalbiblioteca@udea.edu.co
_version_ 1851052630525083648
spelling Franco Giraldo, Álvaro de JesúsÁlvarez Dardet, CarlosGestión y Políticas de Salud2024-07-12T22:17:38Z2024-07-12T22:17:38Z2006Álvarez Daret C, Franco Giraldo A. Democratisation and health after the fall of the Wall. Estados Unidos. J Epidemiol Community Health. [Internet] 2006 [Consultado año mes día]; 60: 669 – 671. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2588082/pdf/669.pdf0143-005Xhttps://hdl.handle.net/10495/4057710.1136 / jech.2005.0382731470-2738ABSTRACT: Objectives: The fall of the Wall in 1989 can be seen as a natural experiment in the epidemiological sense to further examine the relation between democracy and health. Design and setting: Ecological study in the 23 post-communist countries, during the last decade of the 20th century, exploring the relations between the level of democratisation and health, taking into account as relevant confounders wealth and the level of inequality. Main results: A significant correlation (p<0.01) was found of the democratic deficit of the countries with the health indicators circa 2000, with values of Pearson’s coefficient of −0.629 for life expectancy, 0.760 for infant mortality, and 0.555 for maternal mortality. These associations remain significant after adjustment by lineal regression for GNP per capita and the Gini coefficient, with R2 values of 0.336 for life expectancy, 0.575 for infant mortality, and 0.529 for maternal mortality. Conclusions: These findings add pieces of evidence to the previously reported cross sectional association between democracy and health.COL00070143 páginasapplication/pdfengBMJ publishing groupLondres, Inglaterrahttp://creativecommons.org/licenses/by-nc-nd/2.5/co/https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Democratisation and health after the fall of the WallArtículo de investigaciónhttp://purl.org/coar/resource_type/c_2df8fbb1https://purl.org/redcol/resource_type/ARThttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionSalud PoblacionalPopulation HealthEsperanza de Vida SaludableHealthy Life ExpectancyCoeficiente de GiniGini CoefficientEstudio ObservacionalObservational StudyRecién NacidoInfant, NewbornMortalidad InfantilInfant MortalityMortalidad MaternaMaternal MortalityDemocraciaDemocracyEuropa (Continente)Europehttps://id.nlm.nih.gov/mesh/D000075485https://id.nlm.nih.gov/mesh/D000087508https://id.nlm.nih.gov/mesh/D064888https://id.nlm.nih.gov/mesh/D007231https://id.nlm.nih.gov/mesh/D007226https://id.nlm.nih.gov/mesh/D008428https://id.nlm.nih.gov/mesh/D003709https://id.nlm.nih.gov/mesh/D005060J. Epidemiol. Community. Health.671866960Journal of Epidemiology and Community HealthPublicationORIGINALAlvarezCarlos_2006_DemocratisationHealthAfter.pdfAlvarezCarlos_2006_DemocratisationHealthAfter.pdfArtículo de investigaciónapplication/pdf132899https://bibliotecadigital.udea.edu.co/bitstreams/5bc4a2c8-2c2f-4d33-8674-5f6fc1716e97/downloade92d9019effa55068a7f1eb5637ecb52MD51trueAnonymousREADCC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8823https://bibliotecadigital.udea.edu.co/bitstreams/be661ef1-54f4-4424-b7e3-be2e21b0ee82/downloadb88b088d9957e670ce3b3fbe2eedbc13MD52falseAnonymousREADLICENSElicense.txtlicense.txttext/plain; charset=utf-81748https://bibliotecadigital.udea.edu.co/bitstreams/a2f61054-490e-41a2-b2ff-9e0c2e1e78c9/download8a4605be74aa9ea9d79846c1fba20a33MD53falseAnonymousREADTEXTAlvarezCarlos_2006_DemocratisationHealthAfter.pdf.txtAlvarezCarlos_2006_DemocratisationHealthAfter.pdf.txtExtracted texttext/plain12169https://bibliotecadigital.udea.edu.co/bitstreams/8f932f4f-15f4-4571-ab0f-8aab563f9b8d/download87a76b6e67b6a33d2dfef4afd90da5bbMD54falseAnonymousREADTHUMBNAILAlvarezCarlos_2006_DemocratisationHealthAfter.pdf.jpgAlvarezCarlos_2006_DemocratisationHealthAfter.pdf.jpgGenerated Thumbnailimage/jpeg13738https://bibliotecadigital.udea.edu.co/bitstreams/e4e30c9d-779e-4917-9f57-00bda1da5480/downloadd81eccddbed325821cdcc307f0760fd8MD55falseAnonymousREAD10495/40577oai:bibliotecadigital.udea.edu.co:10495/405772025-03-27 01:19:24.172http://creativecommons.org/licenses/by-nc-nd/2.5/co/open.accesshttps://bibliotecadigital.udea.edu.coRepositorio Institucional de la Universidad de Antioquiaaplicacionbibliotecadigitalbiblioteca@udea.edu.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