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Hierarchical cluster analysis of labour market regulations and population health: a taxonomy of low- and middle-income countries

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dc.contributor.author Muntaner, Carles, 1957-
dc.contributor.author Chung, Haejoo
dc.contributor.author Benach, Joan
dc.contributor.author Ng, Edwin
dc.date.accessioned 2015-03-10T10:40:23Z
dc.date.available 2015-03-10T10:40:23Z
dc.date.issued 2012
dc.identifier.citation Muntaner C, Chung H, Benach J, Ng E. Hierarchical cluster analysis of labour market regulations and population health: a taxonomy of low- and middle-income countries. BMC Public Health. 2012; 12: 286. DOI 10.1186/1471-2458-12-286
dc.identifier.issn 1471-2458
dc.identifier.uri http://hdl.handle.net/10230/23174
dc.description.abstract BACKGROUND:An important contribution of the social determinants of health perspective has been to inquire about non-medical determinants of population health. Among these, labour market regulations are of vital significance. In this study, we investigate the labour market regulations among low- and middle-income countries (LMICs) and propose a labour market taxonomy to further understand population health in a global context. METHODS: Using Gross National Product per capita, we classify 113 countries into either low-income (n = 71) or middle-income (n = 42) strata. Principal component analysis of three standardized indicators of labour market inequality and poverty is used to construct 2 factor scores. Factor score reliability is evaluated with Cronbach's alpha. Using these scores, we conduct a hierarchical cluster analysis to produce a labour market taxonomy, conduct zero-order correlations, and create box plots to test their associations with adult mortality, healthy life expectancy, infant mortality, maternal mortality, neonatal mortality, under-5 mortality, and years of life lost to communicable and non-communicable diseases. Labour market and health data are retrieved from the International Labour Organization's Key Indicators of Labour Markets and World Health Organization's Statistical Information System. RESULTS: Six labour market clusters emerged: Residual (n = 16), Emerging (n = 16), Informal (n = 10), Post-Communist (n = 18), Less Successful Informal (n = 22), and Insecure (n = 31). Primary findings indicate: (i) labour market poverty and population health is correlated in both LMICs; (ii) association between labour market inequality and health indicators is significant only in low-income countries; (iii) Emerging (e.g., East Asian and Eastern European countries) and Insecure (e.g., sub-Saharan African nations) clusters are the most advantaged and disadvantaged, respectively, with the remaining clusters experiencing levels of population health consistent with their labour market characteristics. CONCLUSIONS: The labour market regulations of LMICs appear to be important social determinant of population health. This study demonstrates the heuristic value of understanding the labour markets of LMICs and their health effects using exploratory taxonomy approaches.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher BioMed Central
dc.relation.ispartof BMC Public Health. 2012; 12: 286
dc.rights © 2011 Muntaner et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dc.rights.uri http://creativecommons.org/licenses/by/2.0
dc.subject.other Malalties professionals
dc.title Hierarchical cluster analysis of labour market regulations and population health: a taxonomy of low- and middle-income countries
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.1186/1471-2458-12-286
dc.rights.accessRights info:eu-repo/semantics/openAccess
dc.type.version info:eu-repo/semantics/publishedVersion


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