Factor Roni, Kang Minah
Faculty of Law, Institute of Criminology, The Hebrew University of Jerusalem, Mt. Scopus, 91905, Jerusalem, Israel,
Int J Public Health. 2015 Sep;60(6):633-41. doi: 10.1007/s00038-015-0687-6. Epub 2015 May 21.
The current study aims to develop a theoretical framework for understanding the antecedents of corruption and the effects of corruption on various health indicators.
Using structural equation models, we analyzed a multinational dataset of 133 countries that included three main groups of variables--antecedents of corruption, corruption measures, and health indicators.
Controlling for various factors, our results suggest that corruption rises as GDP per capita falls and as the regime becomes more autocratic. Higher corruption is associated with lower levels of health expenditure as a percentage of GDP per capita, and with poorer health outcomes. Countries with higher GDP per capita and better education for women have better health outcomes regardless of health expenditures and regime type.
Our results suggest that there is no direct relationship between health expenditures and health outcomes after controlling for the other factors in the model. Our study enhances our understanding of the conceptual and theoretical links between corruption and health outcomes in a population, including factors that may mediate how corruption can affect health outcomes.
本研究旨在构建一个理论框架，以理解腐败的成因以及腐败对各项健康指标的影响。
我们使用结构方程模型，分析了一个包含133个国家的跨国数据集，该数据集包括三类主要变量——腐败的成因、腐败衡量指标以及健康指标。
在控制了各种因素后，我们的结果表明，腐败程度会随着人均国内生产总值的下降以及政权变得更加专制而上升。较高的腐败水平与较低的人均国内生产总值卫生支出占比以及较差的健康结果相关。无论卫生支出和政权类型如何，人均国内生产总值较高且女性受教育程度较好的国家健康结果更佳。
我们的结果表明，在控制模型中的其他因素后，卫生支出与健康结果之间不存在直接关系。我们的研究增进了我们对人群中腐败与健康结果之间概念和理论联系的理解，包括可能调节腐败如何影响健康结果的因素。
