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Association of rule of law and health outcomes : An ecological study

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dc.creatorPinzón Rondón, Ángela María
dc.creatorAltaran, Amir
dc.creatorBotero, Juan Carlos
dc.creatorRuíz Sternberg, Ángela María
dc.creator.googlePinzon-Rondon, Angela Maríaspa
dc.creator.googleAttaran, Amirspa
dc.creator.googleBotero, Juan Carlosspa
dc.creator.googleRuiz-Sternberg, Angela Maríaspa
dc.date.accessioned2020-04-19T22:18:24Z
dc.date.available2020-04-19T22:18:24Z
dc.date.created2015
dc.date.issued2015
dc.description.abstractObjectives: To explore whether the rule of law is a foundational determinant of health that underlies other socioeconomic, political and cultural factors that have been associated with health outcomes. Setting: Global project. Participants: Data set of 96 countries, comprising 91% of the global population. Primary and secondary outcome measures: The following health indicators, infant mortality rate, maternal mortality rate, life expectancy, and cardiovascular disease and diabetes mortality rate, were included to explore their association with the rule of law. We used a novel Rule of Law Index, gathered from survey sources, in a cross-sectional and ecological design. The Index is based on eight subindices: (1) Constraints on Government Powers; (2) Absence of Corruption; (3) Order and Security; (4) Fundamental Rights; (5) Open Government; (6) Regulatory Enforcement, (7) Civil Justice; and (8) Criminal Justice. Results: The rule of law showed an independent association with infant mortality rate, maternal mortality rate, life expectancy, and cardiovascular disease and diabetes mortality rate, after adjusting for the countries' level of per capita income, their expenditures in health, their level of political and civil freedom, their Gini measure of inequality and women's status (p<0.05). Rule of law remained significant in all the multivariate models, and the following adjustment for potential confounders remained robust for at least one or more of the health outcomes across all eight subindices of the rule of law. Findings show that the higher the country's level of adherence to the rule of law, the better the health of the population. Conclusions: It is necessary to start considering the country's adherence to the rule of law as a foundational determinant of health. Health advocates should consider the improvement of rule of law as a tool to improve population health. Conversely, lack of progress in rule of law may constitute a structural barrier to health improvement.eng
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.1136/bmjopen-2014-007004
dc.identifier.issn2044-6055
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/21683
dc.language.isoengspa
dc.relation.citationIssueNo. 10
dc.relation.citationTitleBMJ Open
dc.relation.citationVolumeVol. 5
dc.relation.ispartofBMJ Open, ISSN: 2044-6055 Vol. 5, No. 10 (2015)spa
dc.relation.urihttps://bmjopen.bmj.com/content/5/10/e007004.full.pdfspa
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.rights.accesoAbierto (Texto Completo)spa
dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subjectEnfermedad cardiovascularspa
dc.subjectMortalidad cardiovascularspa
dc.subjectDerechos civilesspa
dc.subjectDiebetes mellitusspa
dc.subjectInvestigación exploratoriaspa
dc.subject.ddcPromoción de saludspa
dc.subject.keywordCardiovascular diseasespa
dc.subject.keywordCardiovascular mortalityspa
dc.subject.keywordCivil rightsspa
dc.subject.lembMortalidad infantilspa
dc.subject.lembDiabetesspa
dc.titleAssociation of rule of law and health outcomes : An ecological studyspa
dc.typearticleeng
dc.type.hasVersioninfo:eu-repo/semantics/publishedVersion
dc.type.spaArtículospa
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