TY  - JOUR
T1  - Predictors of life expectancy at birth in Türkiye: A longitudinal study
AU  - Söyler, Sait
AU  - Çavmak, Doğancan
AU  - Beyaz Sipahi, Fatma Banu
PY  - 2024
DA  - August
Y2  - 2024
DO  - 10.20518/tjph.1359711
JF  - Turkish Journal of Public Health
JO  - TJPH
PB  - Halk Sağlığı Uzmanları Derneği
WT  - DergiPark
SN  - 1304-1088
SP  - 125
EP  - 135
VL  - 22
IS  - 2
LA  - en
AB  - Objective: The aim of this study is to examine the impact of social, behavioral, economic, and healthcare system-related factors on life expectancy at birth in Türkiye. Methods: Enrollment rate in tertiary education, tobacco consumption gram per capita, out-of-pocket payments (OOPHE), and Gross Domestic Product (GDP) per capita were included as predictors. The data were obtained from the database of the Organisation for Economic Co-Operation and Development (OECD), World Bank, and Health Statistics Yearbooks published by the Ministry of the Health in Türkiye for 2000-2019. Johansen Cointegration test was used to define the existence of the long-run statistical relationship between life expectancy at birth and the predictors. Results: Enrollment rate in tertiary education, GDP per capita, and out-of-pocket payments are positively associated with life expectancy, while tobacco consumption gram per capita has a negative association. It has been concluded that short-term deviations from the equilibrium, using an error correction model, will reach long-term equilibrium approximately one year later. Granger causality test and the estimation result revealed that enrollment rate in tertiary education, tobacco consumption, out-of-pocket health expenditure, and GDP per capita are the short-term and long-term determinants of life expectancy at birth. Conclusion: This study provides important evidence for policymakers to allocate resources to the social, behavioral, healthcare-related, and economic determinants of health status to increase life expectancy. In addition, the determination of out-of-pocket payments have a positive relationship with life expectancy gives a clue about the need to make more efforts regarding the economic accessibility of healthcare services in the Turkish health system.
KW  - Life Expectancy
KW  - Health Economics
KW  - Health Management
KW  - Johansen Cointegration Analysis
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UR  - https://doi.org/10.20518/tjph.1359711
L1  - https://dergipark.org.tr/en/download/article-file/3405414
ER  -