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The Politics of Population Health in Canada: Testing Provincial Welfare Generosity and Leftist Politics as Macro-social Determinants of Population Health.

机译:加拿大的人口健康政治:将省级福利慷慨和左翼政治作为人口健康的宏观社会决定因素。

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摘要

This dissertation pools time-series and cross-section data among Canadian provinces to examine: (1) whether provincial welfare generosity (health, social services, and education expenditures), power resources and political parties (unions and left, centre, and right political parties), and political democracy (voter turnout and women in government) affects population health; (2) whether the effect of leftist politics channels through or combines with provincial welfare generosity to affect population health; and (3) whether provinces cluster into distinct political regimes which are predictive of population health.;Data is retrieved from the Canadian Socio-Economic Information Management System (CANSIM) II Tables from 1976 to 2008 and Canadian Parliamentary Guides from various years. Population health is measured using total, male, and female age-standardized mortality rates. Estimation techniques include Prais-Winsten regressions with panel-corrected standard errors (PCSE), a first-order autocorrelation correction model (AR1), and fixed unit effects. Hierarchical cluster analysis is used to identify how provinces cluster into distinct regimes.;Primary findings are three-fold. First, provincial welfare generosity has a significant impact in lowering mortality rates, net of other factors, such as demographic and economic variables. Second, the political power of left and centre political parties and women in government have significant negative effects on mortality rates. Whereas left political parties and women in government combine with provincial welfare generosity to improve population health, the effect of centre political parties is channeled through provincial expenditures. Third, provinces cluster into three distinct regimes based on left political party power and women in government: 1) leftist (Saskatchewan, British Columbia, and Manitoba); 2) centre-left (Ontario and Quebec); and 3) conservative (Alberta, Nova Scotia, New Brunswick, Prince Edward Island, and Newfoundland). Compared to the leftist regime, centre-left and conservative provinces have significantly higher mortality rates; however, provincial welfare generosity accounts for most of the observed inter-provincial differences in population health.
机译:本文汇集了加拿大各省之间的时间序列数据和横截面数据,以研究:(1)省级福利慷慨(卫生,社会服务和教育支出),权力资源和政党(工会和左,中,右政治党派)政党)和政治民主(选民投票和政府中的妇女)影响人口健康; (2)左翼政治渠道的影响是否通过或与省级福利慷慨相结合而影响人口健康; (3)省份是否聚集到可以预测人口健康的独特政治体制中;数据取自1976年至2008年的加拿大社会经济信息管理系统(CANSIM)II表以及不同年份的加拿大国会指南。人口健康使用总的,男性和女性的年龄标准化死亡率来衡量。估计技术包括采用面板校正的标准误差(PCSE)的Prais-Winsten回归,一阶自相关校正模型(AR1)和固定单位效应。层次聚类分析用于确定各省如何聚成不同的政权。主要研究结果是三方面的。首先,省级福利慷慨对降低死亡率具有重大影响,其中不包括其他因素,例如人口和经济变量。其次,左翼和中央政党以及政府中的妇女的政治权力对死亡率产生了重大的负面影响。左翼政党和政府中的妇女与省级福利机构相结合以改善人口健康,而中央政党的效果则通过省级支出来体现。第三,基于左翼政党权力和政府中的妇女,各省分为三个不同的政权:1)左翼分子(萨斯喀彻温省,不列颠哥伦比亚省和曼尼托巴省); 2)中左(安大略省和魁北克); 3)保守派(艾伯塔省,新斯科舍省,新不伦瑞克省,爱德华王子岛和纽芬兰)。与左翼政权相比,中左翼和保守省的死亡率要高得多。但是,省级福利的慷慨解释了所观察到的跨省人口健康差异的大部分。

著录项

  • 作者

    Ng, Edwin Yee-Hong.;

  • 作者单位

    University of Toronto (Canada).;

  • 授予单位 University of Toronto (Canada).;
  • 学科 Public health.;Political science.
  • 学位 Ph.D.
  • 年度 2013
  • 页码 364 p.
  • 总页数 364
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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