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Impact of Demographic Change, Socioeconomics, and Health Care Resources on Life Expectancy in Cambodia, Laos, and Myanmar

Authors

  • Moon Fai Chan Ph.D., C.Stat.,

    Corresponding author
    1. Alice Lee Centre for Nursing Studies, National University Health System, Singapore
    • Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore
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  • Beverly Joan Taylor Ph.D., M.Ed., R.N., R.M.

    1. Faculty of Medicine, Nursing and Health Sciences, School of Nursing and Midwifery, Monash University, Clayton, Victoria
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Correspondence to:

Moon Fai Chan, National University of Singapore, Level 2, MD11, CRC, 10 Medical Drive, Singapore 117597. E-mail: nurcmf@nus.edu.sg

Abstract

Objectives

Demographic and socioeconomic changes and the availability of health care resources were collected to examine the impacts on life expectancy in Cambodia, Laos, and Myanmar.

Design and Sample

An ecological design collecting 29 years (1980–2008) data for three Southeast Asian countries.

Measures

Life expectancy, demographics, socioeconomic status, and health care resources were collected.

Results

The structural equation model indicates that more available health care resources and socioeconomic advantages were more likely to increase life expectancy. By contrast, demographic change was more likely to increase life expectancy by way of health care resources.

Conclusions

Results show that factors that had direct impacts on life expectancy in all three countries were socioeconomic status and health care resources. Demographic changes had an indirect influence on life expectancy via health care resources. These findings suggest that policymakers should be focusing on how to remove the barriers that impede access to health care services during economic downturns. In addition, how to increase preventive care for the populations that have less access to health care in communities.

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