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Public Health, Democracy, and Transition: Global Evidence and Post-Communism
Purdue Univ, Doermer Sch Business, Dept Econ & Finance, Ft Wayne, IN 46805 USA..
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Institute for Russian and Eurasian Studies. HSE Univ, Ctr Inst Studies, Higher Sch Econ Univ, Moscow, Russia.;Spanish Council Sci Res IAE CSIC, Inst Econ Anal, Barcelona, Spain..ORCID iD: 0000-0001-5099-5294
2022 (English)In: Social Indicators Research, ISSN 0303-8300, E-ISSN 1573-0921, Vol. 160, no 1, p. 261-285Article in journal (Refereed) Published
Abstract [en]

Democracy is generally associated with governmental accountability, better public policy choices and public health. However, there is limited evidence about how political regime transition impacts public health. We use two samples of the states around the world to trace the impact of regime transition on public health: the first sample comprises 29 post-communist states, along with 20 consolidated democracies, for the period of 1970-2014; the second sample is a subsample of the same 29 post-communist states but only for the period of transition, 1990-2014. We find that the post-communist states experienced some decline in life expectancy in the first few years of transition (1990-1995). Yet, with a steady increase in the measure of democracy from 1995 onwards, life expectancy significantly improved and infant mortality decreased. Therefore, in the long run, democratization has had a positive impact on both the life expectancy and infant mortality of citizens of the post-communist states.

Place, publisher, year, edition, pages
Springer Nature, 2022. Vol. 160, no 1, p. 261-285
Keywords [en]
Public health, Life expectancy, Infant mortality, Democratization, Regime transition, Post-communism, Communism, Historical legacies
National Category
Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:uu:diva-478354DOI: 10.1007/s11205-021-02770-zISI: 000700773100001PubMedID: 34602704OAI: oai:DiVA.org:uu-478354DiVA, id: diva2:1675188
Available from: 2022-06-22 Created: 2022-06-22 Last updated: 2025-02-20Bibliographically approved

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Obydenkova, Anastassia

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