Sultan Qaboos University, Muscat, Oman.
Asia Pac J Public Health. 2021 May;33(4):335-356. doi: 10.1177/1010539520983671. Epub 2021 Jan 7.
This review was aimed at systematically synthesizing and appraising the existing literature of sociodemographic, macroeconomic, and health resources factors on life expectancy. A systematic literature search of English databases, that is, PubMed/MEDLINE were scrutinized for exploring sociodemographic, macroeconomic, and health resources factors on life expectancy. The literature search was conducted in January 2020, covering a total of 46 articles from 2004 to 2019 met the review criteria, which were fully discussed subsequently. Among sociodemographic factors, infant mortality rate, literacy rate, education level, socioeconomic status, population growth, and gender inequality have a significant impact on life expectancy. Gross domestic product, Gini, income level, unemployment rate, and inflation rate are the main macroeconomic factors that significantly correlated with life expectancy. Among various health care resources, health care facilities, the number of the health care profession, public health expenditure, death rates, smoking rate, pollution, and vaccinations had a significant correlation with life expectancy. The systematic review showed general conformity of different studies, with a significant association between life expectancy and factors comprising several sociodemographic, macroeconomic, and various health care variables. This review found that only one study examined factors affecting life expectancy in Arabic countries. More studies on this region to fill this research gap were highly recommended.
本综述旨在系统地综合和评价现有关于预期寿命的社会人口学、宏观经济和卫生资源因素的文献。系统地检索了英文数据库,即 PubMed/MEDLINE,以探讨社会人口学、宏观经济和卫生资源因素对预期寿命的影响。文献检索于 2020 年 1 月进行,共检索到 2004 年至 2019 年的 46 篇符合审查标准的文章,随后对这些文章进行了全面讨论。在社会人口学因素中,婴儿死亡率、识字率、教育水平、社会经济地位、人口增长和性别不平等对预期寿命有重大影响。国内生产总值、基尼系数、收入水平、失业率和通货膨胀率是与预期寿命显著相关的主要宏观经济因素。在各种医疗保健资源中,医疗设施、医疗保健专业人员数量、公共卫生支出、死亡率、吸烟率、污染和疫苗接种与预期寿命有显著相关性。系统综述显示,不同研究之间具有总体一致性,预期寿命与包含多个社会人口学、宏观经济和各种医疗变量的因素之间存在显著关联。本综述发现,只有一项研究检查了影响阿拉伯国家预期寿命的因素。强烈建议对该地区进行更多的研究,以填补这一研究空白。