Wirayuda Anak Agung Bagus, Al-Mahrezi Abdulaziz, Chan Moon Fai
Department of Family Medicine and Public Health, College of Medicine and Health Sciences, Sultan Qaboos University, Muscat 123, Oman.
Director General of Sultan Qaboos University Hospital, Sultan Qaboos University, Muscat 123, Oman.
Eur J Investig Health Psychol Educ. 2023 Jul 13;13(7):1293-1305. doi: 10.3390/ejihpe13070095.
Despite marked advancements, life expectancy (LE) growth in Saudi Arabia and the United Arab Emirates (UAE) has remained stagnant compared to other developed nations. This study aims to investigate the significant correlation between macroeconomic (ME), sociodemographic (SD), and health status and resources (HSR) factors and LE to formulate an explanatory model for Saudi Arabia and the UAE-a previously unexplored area. Utilizing an ecological, retrospective, time-series study design, we delved into secondary data on SD, ME, and HSR factors and LE of the populations of the UAE and Saudi Arabia spanning three decades (1980-2020). We employed partial least squares-structural equation modeling for statistical analysis. Our analysis revealed significant direct impacts of HSR factors on LE for Saudi Arabia (β = 0.958, < 0.001) and the UAE (β = 0.716, < 0.001). Furthermore, we discerned a notable indirect influence of ME factors on LE, mediated through SD and HSR factors for Saudi Arabia (β = 0.507, < 0.001) and the UAE (β = 0.509, < 0.001), along with a considerable indirect effect of SD factors on LE through HSR (Saudi: β = 0.529, < 0.001; UAE: β = 0.711, < 0.001). This study underscores the mediating role of a nexus of ME-SD-HSR factors on LE in Saudi Arabia and the UAE. Consequently, these findings signal an imperative need for holistic policy interventions addressing ME, SD, and HSR factors, aiming to alter health behaviors and improve LE projections for Saudi Arabia and the UAE in the long run.
尽管取得了显著进展，但与其他发达国家相比，沙特阿拉伯和阿拉伯联合酋长国（阿联酋）的预期寿命（LE）增长一直停滞不前。本研究旨在调查宏观经济（ME）、社会人口统计学（SD）、健康状况和资源（HSR）因素与预期寿命之间的显著相关性，以便为沙特阿拉伯和阿联酋构建一个解释模型——这是一个此前未被探索的领域。利用生态、回顾性、时间序列研究设计，我们深入研究了阿联酋和沙特阿拉伯人口在三十年（1980 - 2020年）期间关于SD、ME和HSR因素以及预期寿命的二手数据。我们采用偏最小二乘结构方程模型进行统计分析。我们的分析表明，HSR因素对沙特阿拉伯（β = 0.958，< 0.001）和阿联酋（β = 0.716，< 0.001）的预期寿命有显著的直接影响。此外，我们发现，对于沙特阿拉伯（β = 0.507，< 0.001）和阿联酋（β = 0.509，< 0.001），ME因素通过SD和HSR因素对预期寿命有显著的间接影响，同时SD因素通过HSR对预期寿命也有相当大的间接影响（沙特：β = 0.529，< 0.001；阿联酋：β = 0.711，< 0.001）。本研究强调了ME - SD - HSR因素之间的联系在沙特阿拉伯和阿联酋预期寿命方面的中介作用。因此，这些发现表明迫切需要针对ME、SD和HSR因素进行全面的政策干预，旨在改变健康行为并从长远来看改善沙特阿拉伯和阿联酋的预期寿命预测。
