Evidence map›Paper›PMID 32183777›Full record

ArticleBMC public health2020

Determinants of life expectancy and clustering of provinces to improve life expectancy: an ecological study in Indonesia.

Sekar Ayu Paramita, Chiho Yamazaki, Hiroshi Koyama

Abstract read
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Sekar Ayu ParamitaDepartment of Public Health, Graduate School of Medicine, Gunma University, 3-39-22 Showa, Maebashi, Gunma, 371-8511, Japan.
Chiho YamazakiDepartment of Public Health, Graduate School of Medicine, Gunma University, 3-39-22 Showa, Maebashi, Gunma, 371-8511, Japan.
Hiroshi KoyamaDepartment of Public Health, Graduate School of Medicine, Gunma University, 3-39-22 Showa, Maebashi, Gunma, 371-8511, Japan. hkoyama@gunma-u.ac.jp.

Funding

Gunma University N/A
6 · The paper itself

Abstract

backgroundLife expectancy acts as a population measure of the performance of healthcare systems. Regional disparities on life expectancy in Indonesia has been persisted and become a public health policy challenge. A systematic clustering of provinces can be a valuable alternative for organizing cooperation that aimed to increase life expectancy and reduce disparities. This study aimed to identify determinants of life expectancy and designate clusters of Indonesian provinces with similar characteristics. This approach can be useful in generating alternative cooperation strategies to improve life expectancy.

methodsWe carefully selected variables that have been shown to impact life expectancy and gathered 2015 data from Indonesia's Ministry of Health. All 34 Indonesian provinces were included as analysis units. We performed structural equation modeling (SEM) to select domains that needed to work on from theoretical models. Based on SEM results, we performed cluster analysis to arrange cooperation groups.

resultsLife expectancy showed correlations with mean years of schooling, expenditure per capita, health workforce, healthcare facilities, and environment. Expenditure per capita also was the strongest of all constructs. Based on SEM results, we performed cluster analysis to arrange cooperation groups of total 34 provinces and generated five clusters of provinces.

conclusionsEnhancing the economy is the most effective approach for improving life expectancy and other constructs. These clusters can build cooperation that is new, within, and across clusters. These results may be useful in formulating cooperation strategies aimed at increasing life expectancy.

Indexed as

Life ExpectancyCluster AnalysisEcological and Environmental PhenomenaEducational StatusHealth ExpendituresHealth FacilitiesHealth WorkforceHumansIndonesiaCluster analysisIndonesiaLife expectancy

Identifiers

PMID32183777
PMCPMC7079535

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.