Democratic quality and excess mortality during the COVID-19 pandemic

© 2024. The Author(s)..

The aim of this study is to analyse the relationship between democratic quality and excess mortality produced in the year 2020 before COVID-19 vaccinations were generalised. Using cross-sectional data from 80 countries on five continents, multiple linear regression models between excess mortality, the general democracy index and its disaggregation into five categories: electoral process and pluralism, government functioning, political participation, political culture and civil liberties were estimated. The analysis also considered, public health spending per capita, overweight inhabitants, the average temperature of the country, population over 65 years of age, The KOF Globalisation Index, and the Gross National Income per capita as control variables. It was possible to establish a strong inverse association between excess mortality per million inhabitants and the general democracy index and four of its five categories. There was a particularly strong relationship between excess mortality and the political culture dimension (-326.50, p < 0.001). The results suggest that the higher the democratic quality of the political institutions of a State and particularly of their political culture the more improved the response and management of the pandemic was in preventing deaths and protecting their citizens more effectively. Conversely, countries with lower democracy index values have higher excess mortality. Quality democratic political institutions provide more effective public health policies in the face of the COVID-19 pandemic.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:14

Enthalten in:

Scientific reports - 14(2024), 1 vom: 04. Apr., Seite 7948

Sprache:

Englisch

Beteiligte Personen:

Martín-Martín, José-Jesús [VerfasserIn]
Correa, Manuel [VerfasserIn]
Rojo-Gallego-Burín, Araceli-María [VerfasserIn]
Sánchez-Martínez, María-Teresa [VerfasserIn]
Delgado-Márquez, Luisa [VerfasserIn]
Ortega-Almón, María-Ángeles [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
Coronavirus
Democracy index
Democratic quality
Efficient autocracies
Excess mortality
Journal Article

Anmerkungen:

Date Completed 08.04.2024

Date Revised 08.04.2024

published: Electronic

Citation Status MEDLINE

doi:

10.1038/s41598-024-55523-6

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM370650425