Welfare generosity and population health among Canadian provinces: A time-series cross-sectional analysis, 1989-2009

Edwin Ng, Carles Muntaner

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background Recent work in comparative social epidemiology uses an expenditures approach to examine the link between welfare states and population health. More work is needed that examines the impact of disaggregated expenditures within nations. This study takes advantage of provincial differences within Canada to examine the effects of subnational expenditures and a provincial welfare generosity index on population health. Methods Time-series cross-sectional data are retrieved from the Canadian Socio-Economic Information Management System II Tables for 1989-2009 (10 provinces and 21 years=210 cases). Expenditures are measured using 20 disaggregated indicators, total expenditures and a provincial welfare generosity index, a ombined measure of significant predictors. Health is measured as total, male and female age-standardised mortality rates per 1000 deaths. Estimation techniques include the Prais-Winsten regressions with panelcorrected SEs, a first-order autocorrelation correction model, and fixed-unit effects, adjusted for alternative factors. Results Analyses reveal that four expenditures effectively reduce mortality rates: medical care, preventive care, other social services and postsecondary education. The provincial welfare generosity index has even larger effects. For an SD increase in the provincial welfare generosity index, total mortality rates are expected to decline by 0.44 SDs. Standardised effects are larger for women (ß=-0.57, z(19)=-5.70, p

Original languageEnglish
Pages (from-to)970-977
Number of pages8
JournalJournal of Epidemiology and Community Health
Volume69
Issue number10
DOIs
Publication statusPublished - 2015 May 7

Fingerprint

Health Expenditures
Cross-Sectional Studies
Health
Population
Mortality
Management Information Systems
Preventive Medicine
Social Work
Canada
Epidemiology
Economics
Education

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Epidemiology

Cite this

Welfare generosity and population health among Canadian provinces : A time-series cross-sectional analysis, 1989-2009. / Ng, Edwin; Muntaner, Carles.

In: Journal of Epidemiology and Community Health, Vol. 69, No. 10, 07.05.2015, p. 970-977.

Research output: Contribution to journalArticle

@article{eaa4b781ee2541fc9f3207e6eb9df634,
title = "Welfare generosity and population health among Canadian provinces: A time-series cross-sectional analysis, 1989-2009",
abstract = "Background Recent work in comparative social epidemiology uses an expenditures approach to examine the link between welfare states and population health. More work is needed that examines the impact of disaggregated expenditures within nations. This study takes advantage of provincial differences within Canada to examine the effects of subnational expenditures and a provincial welfare generosity index on population health. Methods Time-series cross-sectional data are retrieved from the Canadian Socio-Economic Information Management System II Tables for 1989-2009 (10 provinces and 21 years=210 cases). Expenditures are measured using 20 disaggregated indicators, total expenditures and a provincial welfare generosity index, a ombined measure of significant predictors. Health is measured as total, male and female age-standardised mortality rates per 1000 deaths. Estimation techniques include the Prais-Winsten regressions with panelcorrected SEs, a first-order autocorrelation correction model, and fixed-unit effects, adjusted for alternative factors. Results Analyses reveal that four expenditures effectively reduce mortality rates: medical care, preventive care, other social services and postsecondary education. The provincial welfare generosity index has even larger effects. For an SD increase in the provincial welfare generosity index, total mortality rates are expected to decline by 0.44 SDs. Standardised effects are larger for women ({\ss}=-0.57, z(19)=-5.70, p",
author = "Edwin Ng and Carles Muntaner",
year = "2015",
month = "5",
day = "7",
doi = "10.1136/jech-2014-205385",
language = "English",
volume = "69",
pages = "970--977",
journal = "Journal of Epidemiology and Community Health",
issn = "0143-005X",
publisher = "BMJ Publishing Group",
number = "10",

}

TY - JOUR

T1 - Welfare generosity and population health among Canadian provinces

T2 - A time-series cross-sectional analysis, 1989-2009

AU - Ng, Edwin

AU - Muntaner, Carles

PY - 2015/5/7

Y1 - 2015/5/7

N2 - Background Recent work in comparative social epidemiology uses an expenditures approach to examine the link between welfare states and population health. More work is needed that examines the impact of disaggregated expenditures within nations. This study takes advantage of provincial differences within Canada to examine the effects of subnational expenditures and a provincial welfare generosity index on population health. Methods Time-series cross-sectional data are retrieved from the Canadian Socio-Economic Information Management System II Tables for 1989-2009 (10 provinces and 21 years=210 cases). Expenditures are measured using 20 disaggregated indicators, total expenditures and a provincial welfare generosity index, a ombined measure of significant predictors. Health is measured as total, male and female age-standardised mortality rates per 1000 deaths. Estimation techniques include the Prais-Winsten regressions with panelcorrected SEs, a first-order autocorrelation correction model, and fixed-unit effects, adjusted for alternative factors. Results Analyses reveal that four expenditures effectively reduce mortality rates: medical care, preventive care, other social services and postsecondary education. The provincial welfare generosity index has even larger effects. For an SD increase in the provincial welfare generosity index, total mortality rates are expected to decline by 0.44 SDs. Standardised effects are larger for women (ß=-0.57, z(19)=-5.70, p

AB - Background Recent work in comparative social epidemiology uses an expenditures approach to examine the link between welfare states and population health. More work is needed that examines the impact of disaggregated expenditures within nations. This study takes advantage of provincial differences within Canada to examine the effects of subnational expenditures and a provincial welfare generosity index on population health. Methods Time-series cross-sectional data are retrieved from the Canadian Socio-Economic Information Management System II Tables for 1989-2009 (10 provinces and 21 years=210 cases). Expenditures are measured using 20 disaggregated indicators, total expenditures and a provincial welfare generosity index, a ombined measure of significant predictors. Health is measured as total, male and female age-standardised mortality rates per 1000 deaths. Estimation techniques include the Prais-Winsten regressions with panelcorrected SEs, a first-order autocorrelation correction model, and fixed-unit effects, adjusted for alternative factors. Results Analyses reveal that four expenditures effectively reduce mortality rates: medical care, preventive care, other social services and postsecondary education. The provincial welfare generosity index has even larger effects. For an SD increase in the provincial welfare generosity index, total mortality rates are expected to decline by 0.44 SDs. Standardised effects are larger for women (ß=-0.57, z(19)=-5.70, p

UR - http://www.scopus.com/inward/record.url?scp=84945439802&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84945439802&partnerID=8YFLogxK

U2 - 10.1136/jech-2014-205385

DO - 10.1136/jech-2014-205385

M3 - Article

C2 - 25954023

AN - SCOPUS:84945439802

VL - 69

SP - 970

EP - 977

JO - Journal of Epidemiology and Community Health

JF - Journal of Epidemiology and Community Health

SN - 0143-005X

IS - 10

ER -