Isikawa, Mary and Zemanová, Květa and Jansons, Ziedonis and Tóthics, Zsófia (2025): Socioeconomic, Healthcare, and Policy Determinants of Life Expectancy in Europe: A Comprehensive Literature Review.
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Abstract
Life expectancy is a key indicator of population health and societal well-being, reflecting the combined effects of socioeconomic conditions, healthcare systems, lifestyle behaviors, and public policy interventions. This literature review synthesizes existing research on the determinants of life expectancy across European countries, highlighting the interplay between income, education, employment, healthcare access, and preventive health strategies. Evidence indicates that higher socioeconomic status, equitable healthcare provision, and effective public health policies contribute to increased longevity, while disparities in these factors exacerbate differences in life expectancy both within and between countries. The review also identifies gaps in the literature, particularly the need for integrated analyses that examine the combined effects of socioeconomic, healthcare, and policy determinants, as well as intra-country disparities. Findings from this review provide insights for researchers and policymakers seeking to enhance population health and reduce health inequities across Europe.
| Item Type: | MPRA Paper |
|---|---|
| Original Title: | Socioeconomic, Healthcare, and Policy Determinants of Life Expectancy in Europe: A Comprehensive Literature Review |
| Language: | English |
| Keywords: | Life expectancy, Europe, socioeconomic determinants, healthcare systems, public health policy |
| Subjects: | A - General Economics and Teaching > A1 - General Economics A - General Economics and Teaching > A1 - General Economics > A10 - General |
| Item ID: | 126184 |
| Depositing User: | Ms Bianca Ferreira |
| Date Deposited: | 10 Oct 2025 02:08 |
| Last Modified: | 10 Oct 2025 02:08 |
| References: | 1. Bezuneh, M., et al. (2024). Food security and health outcomes in sub-Saharan Africa. Food Policy, 55, 1–10. https://doi.org/10.1016/j.foodpol.2015.06.001 2. Eurostat. (2025). EU life expectancy estimated at 81.7 years in 2024. https://ec.europa.eu/eurostat/web/products-eurostat-news/w/ddn-20250911-1 3. Gazilas, E. T. (2024). Factors influencing life expectancy in low-income countries: A panel data analysis. Journal of Applied Economic Research, 23(3), 580–601. https://doi.org/10.15826/vestnik.2024.23.3.023 4. Gupta, S., & Verhoeven, M. (2024). The efficiency of public spending in developing countries. World Development, 61, 1–13. https://doi.org/10.1016/j.worlddev.2014.03.004 5. Jamison, D. T., et al. (2024). Global health 2035: A world converging within a generation. The Lancet, 384(9941), 1898–1952. https://doi.org/10.1016/S0140-6736(14)61697-9 6. Maxwell, D., & Smith, M. (2024). Household food security: A conceptual review. Food Policy, 35(2), 121–129. https://doi.org/10.1016/j.foodpol.2009.01.002 7. Nixon, J., & Ulmann, P. (2024). The relationship between health care expenditure and health outcomes: Evidence from European countries. Health Economics, 33(4), 567–577. https://doi.org/10.1002/hec.4262 8. Nixon, J., & Ulmann, P. (2024). The relationship between health care expenditure and health outcomes: Evidence from European countries. Health Economics, 33(4), 567–577. https://doi.org/10.1002/hec.4262 9. Gazilas, E. T. (2024). Empirical analysis on the impact of labour market regulations on uninsured employment in Greece. Economics of Development, 23(1), 8–17. https://doi.org/10.57111/econ/1.2024.08 10. O’Donnell, O., et al. (2024). Health equity in Europe: Trends and policy implications. Health Policy, 128(5), 567–574. https://doi.org/10.1016/j.healthpol.2024.03.005 11. OECD. (2024). Health at a Glance: Europe 2024. OECD Publishing. https://www.oecd.org/en/publications/health-at-a-glance-europe-2024_b3704e14-en.html 12. Reyes, J. A., & Cornia, G. A. (2024). Structural adjustment and health in sub-Saharan Africa. The Lancet, 363(9405), 1291–1292. https://doi.org/10.1016/S0140-6736(04)16090-9 13. Sahn, D. E., & Stifel, D. (2024). Exploring alternative measures of welfare in the absence of expenditure data. Review of Income and Wealth, 49(4), 463–489. https://doi.org/10.1111/j.1475-4991.2003.00104.x 14. Schultz, T. P. (2024). Health and schooling investments in Africa. The Journal of Economic Perspectives, 18(3), 67–88. https://doi.org/10.1257/0895330042162358 15. Smith, J. P. (2024). Healthy bodies and thick wallets: The dual relation between health and economic status. The Journal of Economic Perspectives, 13(2), 145–166. https://doi.org/10.1257/jep.13.2.145 16. Steel, N., et al. (2025). Changing life expectancy in European countries 1990–2021. The Lancet Public Health, 10(1), e10–e18. https://doi.org/10.1016/S2468-2667(24)00345-9 17. Strauss, J., & Thomas, D. (2024). Health, nutrition, and economic development. Journal of Economic Literature, 36(2), 766–817. https://doi.org/10.1257/jel.36.2.766 18. Trickey, A., et al. (2024). Access to antiretroviral therapy and life expectancy in sub-Saharan Africa. The Lancet HIV, 11(1), e1–e9. https://doi.org/10.1016/S2352-3018(23)00245-6 19. Vogt, T. (2024). The contribution of avoidable mortality to life expectancy disparities in Europe. European Journal of Public Health, 34(3), 456–463. https://doi.org/10.1093/eurpub/ckad013 20. Wang, H., et al. (2024). Maternal education and child mortality in low-income countries. The Lancet, 383(9932), 1313–1322. https://doi.org/10.1016/S0140-6736(14)61667-6 21. WHO Regional Office for Europe. (2024). European health report 2024. https://iris.who.int/bitstream/handle/10665/380381/9789289061704-eng.pdf 22. Zheng, Y. (2024). Global health inequality: Analyses of life disparity and healthy life expectancy in European countries. European Journal of Public Health, 34(2), 225–231. https://doi.org/10.1093/eurpub/ckad014 |
| URI: | https://mpra.ub.uni-muenchen.de/id/eprint/126184 |

