The relationship between corruption and chronic diseases: evidence from Europeans aged 50 years and older

Int J Public Health. 2020 Apr;65(3):345-355. doi: 10.1007/s00038-020-01347-w. Epub 2020 Mar 26.

Abstract

Objectives: Do people living in more corrupted countries report worse health? We answer this question by investigating the relationship between country-level corruption and the number of chronic diseases for a sample of Europeans aged above 50.

Methods: We link a rich panel dataset on individual health and socio-demographic characteristics with two country-level corruption indices, analyse the overall relationship with pooled ordinary least squares and fixed-effect models, explore heterogeneous effects driven by country and individual factors, and disentangle the effect across different public sectors.

Results: Individuals living in more corrupted countries suffer from a higher number of chronic diseases. The heterogeneity analysis shows that (1) health outcomes are worsened especially for respondents living in relatively low-income countries; (2) the health of females and people with poor socio-economic status is more affected by corruption; (3) the corruption-health negative link mainly occurs for cardiovascular diseases and ulcers; (4) only corrupted sectors linked with healthcare are associated with poorer health.

Conclusions: We inform the policy debate with novel results in establishing a nexus between corruption and morbidity indicators.

Keywords: Chronic diseases; Corruption; Europe; Public health.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Chronic Disease / epidemiology*
  • Chronic Disease / psychology*
  • Crime Victims / psychology*
  • Crime Victims / statistics & numerical data
  • Delivery of Health Care / statistics & numerical data*
  • Ethnicity / psychology*
  • Ethnicity / statistics & numerical data
  • Europe / epidemiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Poverty / psychology*
  • Poverty / statistics & numerical data
  • Social Class*