Skip to main content
Erschienen in: International Journal of Public Health 6/2015

01.09.2015 | Original Article

Corruption and population health outcomes: an analysis of data from 133 countries using structural equation modeling

verfasst von: Roni Factor, Minah Kang

Erschienen in: International Journal of Public Health | Ausgabe 6/2015

Einloggen, um Zugang zu erhalten

Abstract

Objectives

The current study aims to develop a theoretical framework for understanding the antecedents of corruption and the effects of corruption on various health indicators.

Methods

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.

Results

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.

Conclusions

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.
Literatur
Zurück zum Zitat Aísa R, Clemente J, Pueyo F (2014) The influence of (public) health expenditure on longevity. Int J Public Health 59(5):867–875CrossRefPubMed Aísa R, Clemente J, Pueyo F (2014) The influence of (public) health expenditure on longevity. Int J Public Health 59(5):867–875CrossRefPubMed
Zurück zum Zitat Akçay S (2006) Corruption and human development. Cato J 26:29 Akçay S (2006) Corruption and human development. Cato J 26:29
Zurück zum Zitat Muldoon KA et al (2011) Health system determinants of infant, child and maternal mortality: a cross-sectional study of UN member countries. Global Health 7:42 Muldoon KA et al (2011) Health system determinants of infant, child and maternal mortality: a cross-sectional study of UN member countries. Global Health 7:42
Zurück zum Zitat Arbuckle JL (1996) Full information estimation in the presence of incomplete data. In: Marcoulides GA, Schumacker RE (eds) Advanced structural equation modeling: issues and techniques. Erlbaum, Mahwah, pp 243–277 Arbuckle JL (1996) Full information estimation in the presence of incomplete data. In: Marcoulides GA, Schumacker RE (eds) Advanced structural equation modeling: issues and techniques. Erlbaum, Mahwah, pp 243–277
Zurück zum Zitat Batley R, Mcloughlin C (2010) Engagement with non-state service providers in fragile states: reconciling state-building and service delivery. Dev Policy Rev 28(2):131–154CrossRef Batley R, Mcloughlin C (2010) Engagement with non-state service providers in fragile states: reconciling state-building and service delivery. Dev Policy Rev 28(2):131–154CrossRef
Zurück zum Zitat Byrne BM (2009) Structural equation modeling with AMOS: basic concepts, applications, and programming, 2nd edn. Routledge, New York Byrne BM (2009) Structural equation modeling with AMOS: basic concepts, applications, and programming, 2nd edn. Routledge, New York
Zurück zum Zitat Gupta S, Davoodi H, Alonso-Terme R (1998) Does corruption affect income inequality and poverty? IMF working paper no 79. International Monetary Fund, Washington Gupta S, Davoodi H, Alonso-Terme R (1998) Does corruption affect income inequality and poverty? IMF working paper no 79. International Monetary Fund, Washington
Zurück zum Zitat Gupta S, De Mello L, Saharan R (2001) Corruption and military spending. Eur J Polit Econ 17:749–777CrossRef Gupta S, De Mello L, Saharan R (2001) Corruption and military spending. Eur J Polit Econ 17:749–777CrossRef
Zurück zum Zitat Gupta S, Davoodi HR, Tiongson E (2002) Corruption and the provision of health care and education services. In: Amed G, Gupta S (eds) Governance, corruption, and economic performance. International Monetary Fund, Washington, DC, pp 245–279 Gupta S, Davoodi HR, Tiongson E (2002) Corruption and the provision of health care and education services. In: Amed G, Gupta S (eds) Governance, corruption, and economic performance. International Monetary Fund, Washington, DC, pp 245–279
Zurück zum Zitat Kassirer J (2006) The corrupting influence of money in medicine. Transparency International Global Corruption Report Kassirer J (2006) The corrupting influence of money in medicine. Transparency International Global Corruption Report
Zurück zum Zitat Kaufmann D, Kraay A, Mastruzzi M (2009) The Worldwide Governance Indicators (WGI) project. The World Bank Kaufmann D, Kraay A, Mastruzzi M (2009) The Worldwide Governance Indicators (WGI) project. The World Bank
Zurück zum Zitat Kirigia JM, Diarra-Nama AJ (2008) Can countries of the WHO African Region wean themselves off donor funding for health? Bull World Health Organ 86(11):889–892PubMedCentralCrossRefPubMed Kirigia JM, Diarra-Nama AJ (2008) Can countries of the WHO African Region wean themselves off donor funding for health? Bull World Health Organ 86(11):889–892PubMedCentralCrossRefPubMed
Zurück zum Zitat Louise S (2005) The unholy trinity: transnational crime, corruption, and terrorism. Brown J World Aff 6(2):101–111 Louise S (2005) The unholy trinity: transnational crime, corruption, and terrorism. Brown J World Aff 6(2):101–111
Zurück zum Zitat Mackey TK, Liang BA (2012) Combating healthcare corruption and fraud with improved global health governance. BMC Int Health Human Right 12(1):23CrossRef Mackey TK, Liang BA (2012) Combating healthcare corruption and fraud with improved global health governance. BMC Int Health Human Right 12(1):23CrossRef
Zurück zum Zitat Marshall MG, Jaggers K, Robert Gurr T (2011) Polity IV project: political regime characteristics and transitions, 1800–2011. Dataset users’ manual. Center for Systemic Peace Marshall MG, Jaggers K, Robert Gurr T (2011) Polity IV project: political regime characteristics and transitions, 1800–2011. Dataset users’ manual. Center for Systemic Peace
Zurück zum Zitat Novignon J (2015) On the efficiency of public health expenditure in Sub-Saharan Africa: Does corruption and quality of public institutions matter? Munich Personal RePEc Archive, no 39195 Novignon J (2015) On the efficiency of public health expenditure in Sub-Saharan Africa: Does corruption and quality of public institutions matter? Munich Personal RePEc Archive, no 39195
Zurück zum Zitat Quintana SM, Maxwell SE (1999) Implications of recent developments in structural equation modeling for counseling psychology. Couns Psychol 27(4):485–527CrossRef Quintana SM, Maxwell SE (1999) Implications of recent developments in structural equation modeling for counseling psychology. Couns Psychol 27(4):485–527CrossRef
Zurück zum Zitat Savedoff W, Hussmann K (2006) Why are health systems prone to corruption? Global Corruption Report 2006:4–16 Savedoff W, Hussmann K (2006) Why are health systems prone to corruption? Global Corruption Report 2006:4–16
Zurück zum Zitat Sequeira S (2012) Advances in measuring corruption in the field, vol 15. Emerald Group Publishing Limited, UK Sequeira S (2012) Advances in measuring corruption in the field, vol 15. Emerald Group Publishing Limited, UK
Zurück zum Zitat Stipčić A, Ćorić T, Erceg M, Mihanović F, Kolčić I, Polašek O (2015) Socioeconomic inequalities show remarkably poor association with health and disease in Southern Croatia. Int J Public Health. doi:10.1007/s00038-015-0667-x PubMed Stipčić A, Ćorić T, Erceg M, Mihanović F, Kolčić I, Polašek O (2015) Socioeconomic inequalities show remarkably poor association with health and disease in Southern Croatia. Int J Public Health. doi:10.​1007/​s00038-015-0667-x PubMed
Zurück zum Zitat Stolen Asset Recovery (2007) Initiative: challenges, opportunities, and action plan. The World Bank, UN Office on Drugs and Crime, USA Stolen Asset Recovery (2007) Initiative: challenges, opportunities, and action plan. The World Bank, UN Office on Drugs and Crime, USA
Zurück zum Zitat Tanzi V (1998) Corruption around the world—causes, consequences, scope, and cures. Int Monet Fund Staff Pap 45(4):559–594CrossRef Tanzi V (1998) Corruption around the world—causes, consequences, scope, and cures. Int Monet Fund Staff Pap 45(4):559–594CrossRef
Zurück zum Zitat Transparency International (2006) Global corruption report 2006: corruption and health. Pluto Press, London Transparency International (2006) Global corruption report 2006: corruption and health. Pluto Press, London
Zurück zum Zitat World Bank (2011) World Development Indicators 2011. World Bank, USA World Bank (2011) World Development Indicators 2011. World Bank, USA
Zurück zum Zitat World Health Organization (2011) Causes of death 2008: data sources and methods. World Health Organization, Geneva World Health Organization (2011) Causes of death 2008: data sources and methods. World Health Organization, Geneva
Metadaten
Titel
Corruption and population health outcomes: an analysis of data from 133 countries using structural equation modeling
verfasst von
Roni Factor
Minah Kang
Publikationsdatum
01.09.2015
Verlag
Springer Basel
Erschienen in
International Journal of Public Health / Ausgabe 6/2015
Print ISSN: 1661-8556
Elektronische ISSN: 1661-8564
DOI
https://doi.org/10.1007/s00038-015-0687-6

Weitere Artikel der Ausgabe 6/2015

International Journal of Public Health 6/2015 Zur Ausgabe