Patrick M. Krueger|Kathryn Dovel|Justin T. Denney
Democracy and self-rated health across 67 countries: A multilevel analysis
University of Colorado Boulder|University of Colorado Anschutz Medical Campus|University of Colorado Denver|University of Colorado Anschutz Medical Campus|University of Colorado Denver|Rice University
existing research found positive association countries level democratic governance health populations although research limited use data small numbers highincome countries aggregate data assess individuallevel health outcomes extend prior research using multilevel world health survey 20022004 data 313554 individuals 67 countries find positive association democratic governance selfrated health persists adjusting individual countrylevel confounders however mechanisms linking democracy selfrated health remain unclear individuallevel measures socioeconomic status countrylevel measures economic inequality investments public health education significantly mediate association democratic governance selfrated health persistent association democratic governance health suggests political organization societies may important upstream determinant population health