Abstract
Whether or not life expectancy at birth is related to the quality of life as expressed by global economical, environmental and nutritional measures is the primarily studied question in this article. Two models, set of independent variables and multivariate analysis was performed. An attempt to estimate the role of studied variables in overall life expectancy was done, too. A descriptive, ecological study design was used. The population of 156 countries have been taken into account, using data from published databases [7, 9]. Access to safe drinking water, per capita gross domestic product, literacy, calories available as percentage of needs and per capita public health expenditures were taken as exposure, and compared with life expectancy at birth. A linear regression model was used to estimate the role of different exposures on life expectancy at birth. A correlation matrix for all variables and life expectancy at birth is presented in the article. Literacy and access to safe drinking water are statistically significant variables (p < 0.001) also after fitting a linear regression model. The correlation coefficient for the linear model was 0.8823 (R 2 = 0.7784). Shares of years of life from overall life expectancy attributed to studied variables were 28.06, 9.42, 2.04 and 1.93% for literacy, access to safe drinking water, GDP and calories available as percentage of needs, respectively.
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References
Doll R. Health and the environment in the 1990s. Am J Public Health 1992; 82: 933–941.
Beaglehole R, Bonita R, Kjellstrom T. Basic Epidemiology. WHO, Geneva, 1993.
Briggs D, Corvalan C, Nurminen M. Linkage Methods for Environment and Health Analysis. WHO\EHG\95.26, WHO, Geneva, 1996.
Health for all Targets: The Health Policy for Europe; WHO, Regional Office for Europe, updated edition Sept 1991, WHO, Copenhagen, 1993.
Barendregt JJ, Bonneux L, van der Maas P. Health expectancy: An Indicator for Change? J Epidemiol and Community Health 1994; 10(5): 182–187.
Feacham R. Health decline in Eastern Europe. Nature 1994; 367: 313–314.
World Resources, A Guide To The Global Environment, The Urban Environment 1996–1997, World Resources Institute New York, 1996, ISBN 0–19–521160-X, ISSN 0887–0403.
Moeller Dade D. Environmental Health. Harward University Press, 1992.
Encyclopedia Britannica, Britannica World Data 1993, p. 877–881 and 888–893.
Elola J, Daponte A, Navarro V. Health indicators and the organisation of health care systems in Western Europe. Am J Public Health 1995; 85: 1397–1401.
Heysen S, Musgrove P. Interdepartmental differences in life expectancy at birth in Peru as it relates to income, household drinking-water, and provision of medical consultations, PAHO Bull.; 1986; 20(1): 31–44.
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Gulis, G. Life expectancy as an indicator of environmental health. Eur J Epidemiol 16, 161–165 (2000). https://doi.org/10.1023/A:1007629306606
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DOI: https://doi.org/10.1023/A:1007629306606