Punching above their weight: a network to understand broader determinants of increasing life expectancy

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Baum, Fran
Popay, Jennie
Delany-Crowe, Toni
Freeman, Toby
Musolino, Connie
Alvarez-Dardet, Carlos
Ariyaratne, Vinya
Baral, Kedar
Basinga, Paulin
Bassett, Mary
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Background Life expectancy initially improves rapidly with economic development but then tails off. Yet, at any level of economic development, some countries do better, and some worse, than expected – they either punch above or below their weight. Why this is the case has been previously researched but no full explanation of the complexity of this phenomenon is available. New research network In order to advance understanding, the newly formed Punching Above Their Weight Research Network has developed a model to frame future research. It provides for consideration of the following influences within a country: political and institutional context and history; economic and social policies; scope for democratic participation; extent of health promoting policies affecting socio-economic inequities; gender roles and power dynamics; the extent of civil society activity and disease burdens. Conclusion Further research using this framework has considerable potential to advance effective policies to advance health and equity.
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/ ), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/ ) applies to the data made available in this article, unless otherwise stated
life expectancy, health equity, Social determinants of health, politics of health, gender equity, civil society, health improvement
Baum, F., Popay, J., Delany-Crowe, T., Freeman, T., Musolino, C., Alvarez-Dardet, C., Ariyaratne, V., Baral, K., Basinga, P., Bassett, M., Bishai, D. M., Chopra, M., Friel, S., Giugliani, E., Hashimoto, H., Macinko, J., McKee, M., Nguyen, H. T., Schaay, N., Solar, O., Thiagarajan, S., Sanders, D., (2018). Punching above their weight: a network to understand broader determinants of increasing life expectancy. International Journal for Equity in Health 17(1):117.