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Welfare state decommodification and population health
1Département de Gestion, Évaluation et Politique de Santé, École de Santé Publique, Université de Montréal, Montréal, Québec, Canada.
A strong welfare state improves population health by reducing market reliance and income inequality. This decommodification lowers death rates through better social protection and by mitigating labor market risks.
Area of Science:
- Socioeconomic Determinants of Health
- Public Health Policy
- Comparative Social Policy
Background:
- The welfare state's role in decommodification influences social relations and market dependency.
- Decommodification may impact population health through direct social protection and indirect labor market effects.
Purpose of the Study:
- To investigate the association between welfare state decommodification and population health.
- To examine the direct and indirect pathways through which decommodification affects health outcomes.
Main Methods:
- Time-series cross-sectional quantitative analysis.
- Utilized data from 21 OECD countries spanning 1971-2010.
- Analyzed correlates: income redistribution, labor market polarization, and risk reduction.
Main Results:
- A negative relationship was observed between decommodification and age-standardized death rates.
- Labor market polarization and risk reduction were significantly associated with population health.
- Higher labor market polarization correlated with increased death rates; risk reduction correlated with lower death rates, particularly for men.
Conclusions:
- Welfare state decommodification positively contributes to population health.
- Indirect effects via reduced labor market polarization and mitigated risks are key pathways.
- Policy implications suggest strengthening welfare states can improve public health outcomes.
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