Show simple item record

dc.contributor.authorCallander, Emily J
dc.contributor.authorTopp, Stephanie M
dc.date.accessioned2020-01-29T00:51:19Z
dc.date.available2020-01-29T00:51:19Z
dc.date.issued2020
dc.identifier.issn1876-3405
dc.identifier.doi10.1093/inthealth/ihz112
dc.identifier.urihttp://hdl.handle.net/10072/390940
dc.description.abstractBACKGROUND: It is known that health impacts economic performance. This article aims to assess the current state of health inequality in the tropics, defined as the countries located between the Tropic of Cancer and the Tropic of Capricorn, and estimate the impact of this inequality on gross domestic product (GDP). METHODS: We constructed a series of concentration indices showing between-country inequalities in disability-adjusted life years (DALYs), taken from the Global Burden of Disease Study. We then utilized a non-linear least squares model to estimate the influence of health on GDP and counterfactual analysis to assess the GDP for each country had there been no between-country inequality. RESULTS: The poorest 25% of the tropical population had 68% of the all-cause DALYs burden in 2015; 82% of the communicable, maternal, neonatal and nutritional DALYs burden; 55% of the non-communicable disease DALYs burden and 61% of the injury DALYs burden. An increase in the all-cause DALYs rate of 1/1000 resulted in a 0.05% decrease in GDP. If there were no inequality between countries in all-cause DALY rates, most high-income countries would see a modest increase in GDP, with low- and middle-income countries estimated to see larger increases. CONCLUSIONS: There are large and growing inequalities in health in the tropics and this has significant economic cost for lower-income countries.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherOxford University Press (OUP)
dc.relation.ispartofjournalInternational Health
dc.subject.fieldofresearchMedical and Health Sciences
dc.subject.fieldofresearchcode11
dc.subject.keywordsinequality
dc.subject.keywordsmacroeconomic costs
dc.subject.keywordstropics
dc.titleHealth inequality in the tropics and its costs: a Sustainable Development Goals alert
dc.typeJournal article
dc.type.descriptionC1 - Articles
dcterms.bibliographicCitationCallander, EJ; Topp, SM, Health inequality in the tropics and its costs: a Sustainable Development Goals alert., International Health, 2020
dcterms.dateAccepted2019-10-11
dcterms.licensehttps://creativecommons.org/licenses/by-nc/4.0/
dc.date.updated2020-01-28T22:52:08Z
dc.description.versionVersion of Record (VoR)
gro.rights.copyright© The Author(s) 2020. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
gro.hasfulltextFull Text
gro.griffith.authorCallander, Emily J.


Files in this item

This item appears in the following Collection(s)

  • Journal articles
    Contains articles published by Griffith authors in scholarly journals.

Show simple item record