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Nexus Among Economic Growth, Education, Health, and Environment: Dynamic Analysis of World-Level Data.

ABSTRACT: The aim of current study is to examine the nexus among economic growth, education, health issues, and carbon emission for the panel of 161 countries. Education and health have confirmed insignificant coefficients for economic growth and carbon emission, which mention that higher education and better health conditions are not useful for boosting economic development and for controlling environmental degradation process. Empirical estimations have reported that higher capital investment leads to increase the economic process and carbon emission. Higher educational standard and capital investment helps to control the health issues, in the long- and short-run. On contrary, higher carbon emission creates health issues. The given results can provide support to the economic, social, and environmental policy makers during policy decisions. For example, the study suggests green financing and low carbon economy concept; the government and industries have to increase the investment on modern, energy efficient, and green technologies, which are useful for economic development, as well as to control the environmental degradation process.

SUBMITTER: Sarwar S

PROVIDER: S-EPMC6823185 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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Nexus Among Economic Growth, Education, Health, and Environment: Dynamic Analysis of World-Level Data.

Sarwar Suleman S Alsaggaf Majid Ibrahim MI Tingqiu Cao C

Frontiers in public health 20191025

The aim of current study is to examine the nexus among economic growth, education, health issues, and carbon emission for the panel of 161 countries. Education and health have confirmed insignificant coefficients for economic growth and carbon emission, which mention that higher education and better health conditions are not useful for boosting economic development and for controlling environmental degradation process. Empirical estimations have reported that higher capital investment leads to i ...[more]

PMID: 31709219

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Project description:BACKGROUND: As countries develop economically, an "epidemiological transition" occurs whereby a set of chronic diseases increasingly becomes a country's health challenge. Against this background, this paper examines the most common conditions associated with the prevalence of diabetes in Qatar, with a specific focus on the diabetes-obesity-hypertension nexus. METHODS: We analyzed data from the World Health Organization's World Health Survey conducted in the State of Qatar in 2006. The survey included demographic, anthropometric, and blood chemistry measurements. Using multivariate logistical regression analysis, we assessed the most common conditions associated with diabetes, using both objective and subjective measures of diabetes. The objective measures relied on random blood sugar tests, and the subjective measure included respondents who affirmatively answered the question on diabetes diagnosis. We repeated our analysis on respondents who had blood glucose levels high enough to be considered diabetic/glucose intolerant but did not answer affirmatively on the question of diabetes diagnosis. RESULTS: WHEN USING THE OBJECTIVE MEASURE OF DIABETES, THE FOLLOWING CONDITIONS APPEARED SIGNIFICANT: obesity (OR?=?1.5, 95% CI?=?1.2 - 1.9), higher income (OR?=?1.4, 95% CI?=?1.0 - 1.9), high cholesterol (OR?=?1.4, 95% CI?=?1.0 - 1.9), having Qatari origin (OR?=?1.3, 95% CI?=?1.0 - 1.7), and increasing systolic blood pressure (SBP) 120-139 mmHg (OR?=?1.5, 95% CI?=?1.2 - 2.0), SBP 140-159 mmHg (OR?=?2.2, 95% CI?=?1.6 - 3.1), SBP?>?160 mmHg (OR?=?3.2, 95% CI?=?2.0 - 5.3). Similar results were obtained using the subjective measure of diabetes as a dependent variable. When applied to the group of respondents that included pre-diabetics and those who did not know they were diabetic, obesity and hypertension appeared as the only statistically significant explanatory variables. CONCLUSION: High prevalence of diabetes, hypertension, and especially obesity is documented among residents of Qatar. Further steps are required to tackle the most common conditions associated with the rising diabetes epidemic in the country, which might also pose significant fiscal challenges in the future.

Project description:PurposeTo assess the change in quality of life (QOL) and costs for patients with rotator cuff tears after arthroscopic rotator cuff repair (aRCR) compared with continued nonoperative management, using real-world evidence.MethodsPatients indicated for aRCR were included in a prospective study and followed up to 2 years after surgery (postop) for all measurements. QOL (EQ-5D-5L) and shoulder function (Constant Score, Oxford Shoulder Score, subjective shoulder value) were assessed. Sixteen major insurance companies provided all-diagnoses direct medical costs in Swiss francs (CHF; 1 CHF = 1.03 USD). Baseline data at recruitment and costs sustained over 1 year before surgery (preop) served as a proxy for nonoperative management. Total direct medical costs to gain 1 extra quality-adjusted life year (QALY) were calculated as the incremental cost-effectiveness ratio (ICER; mean of 2 years postop compared with 1 year preop) from a societal perspective. Subgroup analyses were separately performed for traumatic (trauma-OP) and degenerative (degen-OP) rotator cuff tear patients. Sensitivity analyses for aRCR patients included more intensive nonoperative treatment with corresponding QOL gain. The relationship between QOL and shoulder function was explored using regression analysis.ResultsFor 153 aRCR patients (mean age 57 years; 63% male), the mean EQ-5D index improved from 0.71 (preop) to 0.94 (1 year postop) and 0.96 (2 years postop). Mean total costs increased from 5,499 CHF (preop) to 17,116 CHF (1 year postop), then decreased to 4,226 CHF (2 years postop). The ICER for all aRCR patients was 24,924 CHF/QALY (95% confidence interval [CI] 16,742 to 33,106) and 17,357 CHF/QALY (95% CI 10,951 to 23,763) and 36,474 CHF/QALY (95% CI 16,301 to 56,648) for the trauma-OP and degen-OP groups, respectively. QOL and shoulder function were significantly associated (P < .001).ConclusionsFor RC patients treated at a specialized Swiss orthopaedic clinic, aRCR is a cost-effective intervention associated with clinically relevant improvement in QOL up to 2 years after repair compared with prior nonoperative management.Level of evidenceEconomic Analyses - Developing an Economic Model, Level II.

Dataset Information

Nexus Among Economic Growth, Education, Health, and Environment: Dynamic Analysis of World-Level Data.

Publications

Nexus Among Economic Growth, Education, Health, and Environment: Dynamic Analysis of World-Level Data.

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