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A longitudinal ecological study of the influences of political, economic, and health services characteristics on under-five mortality in less-developed countries

机译：纵向生态研究，涉及欠发达国家五岁以下儿童的政治，经济和卫生服务特征的影响

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This study used a longitudinal dataset and lagged dependent-variable panel regression models to examine whether political and economic characteristics directly predict under-5-year mortality rates (U5MR), and moderate the effects of health services and environment on U5MR. We used a sample of 46 less-developed countries from 1980 to 2009. Our results showed that the effects of political and economic characteristics on U5MR varied by non-sub-Saharan and sub-Saharan countries. After controlling for baseline U5MR and other socioeconomic variables, while foreign investment and health services were negatively associated U5MR, democracy was positively associated with U5MR in nonsub-Saharan countries. In contrast, debt was positively associated with and democracy and foreign investment were negatively associated with U5MR in sub-Saharan countries. The interaction analyses indicated that for sub-Saharan countries, the effects of health services on U5MR only existed for countries with low foreign investment.
机译：这项研究使用纵向数据集和滞后因变量面板回归模型来检验政治和经济特征是否直接预测了5岁以下死亡率（U5MR），并缓和了卫生服务和环境对U5MR的影响。我们使用了1980年至2009年间46个欠发达国家的样本。我们的结果表明，政治和经济特征对U5MR的影响因非撒哈拉以南和撒哈拉以南国家而异。在控制了基线U5MR和其他社会经济变量之后，虽然外国投资和卫生服务与U5MR呈负相关，但在非撒哈拉以南国家，民主与U5MR呈正相关。相反，在撒哈拉以南国家，债务与U5MR呈正相关，而民主和外国投资与U5MR呈负相关。相互作用分析表明，对于撒哈拉以南国家，卫生服务对五岁以下儿童的影响仅存在于外国投资较低的国家。

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