Skip to main content

Life Expectancy at Birth and Its Socioeconomic Determinants: An Application of Random Forest Algorithm

  • Chapter
  • First Online:
Algorithms as a Basis of Modern Applied Mathematics

Abstract

The objective of this chapter is the analysis of the socioeconomic determinants of life expectancy at birth in European countries from 2000 to 2017 by using not only “traditional” variables such as per capita income and education but also sociocultural differences and public expenditure on social protection. The methodology employed in this chapter is Random Forest algorithm to measure the importance of certain variables which are related to life expectancy at birth. Our findings conclude that the variables with the greatest relative importance in explaining life expectancy at birth are per capita income, the variable “Area” (representative of the sociocultural differences between Eastern and the rest of European countries), the educational level of the population, and public expenditure on social protection. Contrarily, the least important variables are inflation, public environmental expenditure and unemployment. These results highlight the importance of public expenditure on social protection in the composition of public budget in order to reach health outcomes.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Adamoniene, R.: Management presumptions and possibilities of human resources formation. In: Bekesiene S., Hoskova-Mayerova, S. (Eds.), Challenges to National Defence in Contemporary Geopolitical Situation (CNDCGS’ 2018), pp. 157–166 (2018)

    Google Scholar 

  2. Al-Hemoud, A., Gasana, J., Al-Dabbous, A.N., Al-Shatti, A., Al-Khayat, A. (2018) Disability Adjusted Life Years (DALYs) in Terms of Years of Life Lost (YLL) Due to Premature Adult Mortalities and Postneonatal Infant Mortalities Attributed to PM2.5 and PM10 Exposures in Kuwait. International Journal of Environmental Research and Public Health, 15, 2609.

    Google Scholar 

  3. Álvarez-Gálvez, J., Jaime-Castillo, A.M.: The impact of social expenditure on health inequalities in Europe. Soc. Sci. Med. 200, 9–18 (2018). https://doi.org/10.1016/j.socscimed.2018.01.006

  4. Álvarez-Gálvez, J., Rodero-Cosano, M.L., García-Alonso, C.R., Salvador-Carulla, L.: Changes in socioeconomic determinants of health: comparing the effect of social and economic indicators through European welfare state regimes. J. Public Health 22(4), 305–311 (2014)

    Article  Google Scholar 

  5. Amit, Y., Geman, D.: Shape quantization and recognition with randomized trees. Neural Comput. 9(7), 1545–1588 (1997)

    Article  Google Scholar 

  6. Auster, R., Levesoardln, I., Sarachek, S.: The production of health: an exploratory study. J. Hum. Res. 4, 411–436 (1969)

    Article  Google Scholar 

  7. Bai, R., Wei, J., An, R., Li, Y., Collett, L., Dang, S., Dong, W., Wang, D., Fang, Z., Zhao, Y., Wang, Y.: Trends in life expectancy and its association with economic factors in the belt and road countries-evidence from 2000–2014. Int. J. Environ. Res. Public Health 15, 2890 (2018)

    Google Scholar 

  8. Bambra, C.: Health status and the worlds of welfare. Soc. Policy Soc. 5, 53–62 (2006)

    Article  Google Scholar 

  9. Barr, B., Taylor-Robinson, D., Whitehead, M.: Impact on health inequalities of rising prosperity in England 1998–2007, and implications for performance incentives: longitudinal ecological study. BMJ 345, e7831 (2012)

    Article  Google Scholar 

  10. Bartoll, X., Marídell’Olmo, M.: Patterns of life expectancy before and during economic recession, 2003–12: A European regions panel approach. Eur. J. Pub. Health 26, 783–788 (2016)

    Article  Google Scholar 

  11. Beckfield, J., Morris, K.A., Bambra, C.: How social policy contributes to the distribution of population health: the case of gender health equity. Scandinavian J. Public Health 46(1), 6–17 (2017)

    Google Scholar 

  12. Berger, M., Messer, J.: Public financing of health expenditure, insurance, and health outcomes. Appl. Econ. 34(17), 2105–2113 (2002)

    Article  Google Scholar 

  13. Bergh, A., Nilsson, T.: Good for living? On the relationship between globalization and life expectancy. World Dev. 38(9), 1191–1203 (2010)

    Google Scholar 

  14. Bradley, E.H., Elkins, B.R., Herrin, J., Elbel, B.: Health and social services expenditures: associations with health outcomes. BMJ Qual. Safety 20(10), 826–831 (2011)

    Article  Google Scholar 

  15. Bradley, E.H., Canavan, M., Rogan, E., Talbert-Slagle, K., Ndumele, C., Taylor, L., Curry, L. A. (2016) Variation in health outcomes: the role of spending on social services, public health, and health care. Health Affairs, 35 (5), 760–768 (2000–09)

    Google Scholar 

  16. Breiman, L.: Bagging predictors. Mach. Learn. 24(2), 123–140 (1996)

    Article  MATH  Google Scholar 

  17. Breiman, L.: Random forests. Mach. Learn. 45(1), 5–32 (2001a)

    Article  MATH  Google Scholar 

  18. Breiman, L.: Random forests. University of California Berkeley, Statistics Department. Working Paper (2001b)

    Google Scholar 

  19. Chetty, R., Stepner, M., Abraham, S., Lin, S., Scuderi, B., Turner, N., Bergeron, A., Cutler, D.: The association between income and life expectancy in the United States, 2001–2014. JAMA 315, 1750–1766 (2016)

    Article  Google Scholar 

  20. Chung, H., Muntaner, C.: Political and welfare state determinants of infant and child health indicators: an analysis of wealthy countries. Soc. Sci. Med. 63(3), 829–842 (2006)

    Article  Google Scholar 

  21. Chung, H., Muntaner, C.: Welfare state matters: a typological multilevel analysis of wealthy countries. Health Policy 80(2), 328–339 (2007)

    Article  Google Scholar 

  22. Cochrane, A.L., St Ledger, A.S., Moore, F.: Health service ‘input’ and mortality ‘output’ in developed countries. J. Epidemiol. Community Health 32, 200–205 (1978)

    Article  Google Scholar 

  23. Costa-Font, J., Hernández-Quevedo, C.: Measuring inequalities in health: what do we know? what do we need to know? Health Policy 106, 195–206 (2012)

    Article  Google Scholar 

  24. Crémieux, P.Y., Ouellette, P., Pilon, C.: Health care spending as determinants of health outcomes. Health Econ. 8, 627–639 (1999)

    Article  Google Scholar 

  25. Crémieux, P.Y., Mieilleur, M.C., Ouellette, P., Petit, P., Zelder, P., Potvin, K.: Public and private pharmaceutical spending as determinants of health outcomes in Canada. Health Econ. 14, 107–116 (2005)

    Article  Google Scholar 

  26. Cutler, D.M., Lleras-Muney, A.: Understanding differences in health behaviors by education. J. Health Econ. 29(1), 1–28 (2010)

    Google Scholar 

  27. Cutler, A., Cutler, D.R., Stevens, J.R.: Random forests. (2011). https://doi.org/10.1007/978-1-4419-9326-7_5

  28. Cutler, D.M., Lleras–Muney, A.: Education and health: insights from international comparisons. NBERWorking Paper 17738, 1–30 (2012)

    Google Scholar 

  29. Cutler, A., Cutler, D.R., Stevens, J.R.: Random forests. In: Zhang, C., Ma, Y.Q. (eds.) Ensemble Machine Learning, pp. 157–175. Springer, New York (2012)

    Chapter  Google Scholar 

  30. DeLong, E.R., DeLong, D.M., Clarke-Pearson, D.L.: Comparing the areas under two or more correlated receiver operating characteristic curves: a nonparametric approach. Biometrics 44(3), 837–845 (1988)

    Article  MATH  Google Scholar 

  31. Eikemo, T.A., Bambra, C., Judge, K., Ringdal, K.: Welfare state regimes and differences in self-perceived health in Europe: a multilevel analysis. Soc. Sci. Med. 66, 2281–2295 (2008)

    Article  Google Scholar 

  32. Elola, J., Daponte, A., Navarro, V.: Health indicators and the organisation of health care systems in Western Europe. Am. J. Public Health 85(10), 1397–1401 (1995)

    Article  Google Scholar 

  33. Fisher, R.A.: The use of multiple measurements in taxonomic problems. Annals of Eugen. 7(2), 179–188 (1936)

    Article  Google Scholar 

  34. Freund, Y., Schapire, R.E.: Experiments with a New Boosting Algorithm, pp. 148–156. Morgan Kaufmann Publishers, San Francisco (1996)

    Google Scholar 

  35. Grubaugh, S.G., Rexford, E.S.: Comparing the performance of health–care systems: an alternative approach. South. Econ. J. 60, 1030–1042 (1994)

    Article  Google Scholar 

  36. Halicioglu, F.: Modeling life expectancy in Turkey. Econ. Model. 28, 2075–2082 (2011)

    Article  Google Scholar 

  37. Hartshorn, S.: Machine learning with random forests and decision trees. A visual guide for beginners, Amazon (2016)

    Google Scholar 

  38. Heijink, R., Koolman, X., Westert, G.P.: Spending more money, saving more lives? The relationship between avoidable mortality and healthcare spending in 14 countries. Eur. J. Health Econ. 14(5), 527–538 (2013)

    Article  Google Scholar 

  39. Hill, T.D., Jorgenson, A.: Bring out your dead!: A study of income inequality and life expectancy in the United States, 2000–2010. Health Place 49, 1–6 (2018)

    Article  Google Scholar 

  40. Hitiris, T., Posnett, J.: The determinants and effects of health expenditure in developed countries. J. Health Econ. 11, 173–181 (1992)

    Article  Google Scholar 

  41. Ho, T.K.: Random decision forests. In: Proceedings of the 3rd International Conference on Document Analysis and Recognition, Montreal, Canada, 264, 278–282. IEEE Computer Society (1995)

    Google Scholar 

  42. Ho, T.K.: The random subspace method for constructing decision forests. IEEE Trans. Pattern Anal. Mach. Intell. 20(8), 832–844 (1998)

    Article  Google Scholar 

  43. Jiang, J., Luo, L., Xu, P., Wang, P.: How does social development influence life expectancy? A geographically weighted regression analysis in China. Public Health 163, 95–104 (2018)

    Google Scholar 

  44. Joumard, I., André, C., Nicq, C., Chatal, O. (2008) Health status determinants: lifestyle, environment, health care resources and efficiency. OECD Economics Department Working Papers, No. 627, OECD Publishing, Paris. https://doi.org/10.1787/240858500130.

  45. Karim, S.A., Eikemo, T., Bambra, C.: Welfare state regimes and population health: integrating the East Asian welfare states. Health Policy 94(1), 45–53 (2010)

    Article  Google Scholar 

  46. Ketency, N., Murthy, V.N.R.: Some determinants of life expectancy in the United States: results from cointegration tests under structural breaks. J. Econ. Finance 42, 508–525 (2018)

    Google Scholar 

  47. Kujawska, J. (2017) The efficiency of post-communist countries’ health systems. In: Ubaldo Comite (ed.), Advances in Health Management, pp. 93–111. IntechOpen.

    Google Scholar 

  48. Laporte, A.: Do economic cycles have a permanent effect on population health? Revisiting the Brener hypothesis. Health Econ. 13, 767–779 (2004)

    Article  Google Scholar 

  49. Lawrence, R.L., Wood, S.D., Sheley, R.L.: Mapping invasive plants using hyperspectral imagery and Breiman Cutler classifications (RandomForest). Remote Sens. Environ. 100, 356–362 (2006)

    Article  Google Scholar 

  50. Lichtenberg, F.: Sources of U.S. longevity increase, 1960–1997, NBER Working Paper No. 8755 (2000)

    Google Scholar 

  51. Linden, M., Ray, D.: Life expectancy effects of public and private health expenditures in OECD countries 1970–2012: Panel time series approach. Econ. Anal. Policy 56, 101–113 (2017)

    Article  Google Scholar 

  52. Lotrič Dolinar, A., Došenović, B.P., Sambt, J.: Longevity in Slovenia: Past and potential gains in life expectancy by age and causes of death. Zdr Varst 56(2), 124–130 (2017)

    Google Scholar 

  53. McKee, M., Fister, K.: Post-communist transition and health in Europe: has yielded important insights, which need to be better documented. BMJ 329(7479), 1355–1356 (2004)

    Article  Google Scholar 

  54. Mackenbach, J.P., Looman, C.W.N.: Life expectancy and national income in Europe, 1900–2008: an update of Preston’s analysis. Int. J. Epidemiol. 42, 1100–1110 (2013)

    Article  Google Scholar 

  55. Mackenbach, J.P., Stirbu, I., Roskam, A.J., Schaap, M.M., Menvielle, G., Leinsalu, M., Kunst, A.E.: European Union working group on socioeconomic inequalities in health. Socioeconomic inequalities in health in 22 European countries. New England J. Med. 358, 2468–2481 (2008)

    Google Scholar 

  56. Mariani, F., Pérez-Barahona, A., Raffin, N.: Life expectancy and the environment. J. Econ. Dyn. Control 34, 798–815 (2010)

    Article  MathSciNet  MATH  Google Scholar 

  57. Martín-Cervantes, P., Rueda-López, N., Cruz-Rambaud, S.: A causal analysis of life expectancy at birth. Evidence from Spain. Int. J. Environ. Res. Public Health 16(13), 23–67 (2019)

    Google Scholar 

  58. Martín-Cervantes, P., Rueda-López, N., Cruz-Rambaud, S.: An analysis of the relative importance of social, educational and environmental expenditures on life expectancy at birth. Evidence from Europe. In: Flaut, D., Hoskova-Mayerova, S., Ispas, C., Maturo, F. (eds.), Decision Making In Social Sciences Between Traditions and Innovations. Studies in Systems, Decision and Control, Springer. Forthcoming (2021)

    Google Scholar 

  59. McAvinchey, I.D.: A comparison of unemployment, income and mortality interaction for five European countries. Appl. Econ. 20(4), 453–471 (1988)

    Article  Google Scholar 

  60. McCullough, J.M., Leider, J.P.: Government spending in health and nonhealth sectors associated with improvement in county health rankings. Health Aff. 35(11), 2037–2043 (2016)

    Article  Google Scholar 

  61. Miller, R.D., Frech, T.: The productivity of health care and pharmaceuticals: Quality of life, cause. University of California, Santa Barbara, UCSB Departmental Working Paper, No. 12–02 (2002)

    Google Scholar 

  62. Monsef, A., Mehrjardi, A.S.: Determinants of life expectancy: a panel data approach. Asian Econ. Financial Rev. 5(11), 1251–1257 (2015)

    Article  Google Scholar 

  63. Navarro, V., Muntaner, C., Borrell, C., Benach, J., Quiroga, A., Rodriguez-Sanz, M., Vergés, N., Pasarín, M.I.: Politics and health outcomes. Lancet 368(9540), 1033–1037 (2006)

    Article  Google Scholar 

  64. Navarro, V., Shi, L.Y.: The political context of social inequalities and health. Soc. Sci. Med. 52(3), 481–491 (2001)

    Article  Google Scholar 

  65. Nixon, J., Ullmann, P.: The relationship between health care expenditure and health outcomes—evidence and caveats for a causal link. Eur. J. Health Econ. 7(1), 7–19 (2006)

    Article  Google Scholar 

  66. Nummela, O.P., Sulander, T.T., Heinonen, H.S., Uutela, A.K.: Self-rated health and indicators of SES among the ageing in three types of communities. Scandinavian J. Public Health 35, 39–47 (2007)

    Article  Google Scholar 

  67. Or, Z.: Determinants of health outcomes in industrialised countries: a pooled, cross-country, time series analysis, OECD Economic Studies, No. 30, 2000/I (2000a)

    Google Scholar 

  68. Or, Z.: Exploring the effects of health care on mortality across OECD countries. OECD labour market and social policy, Occasional Paper No, , p. 46 (2000b)

    Google Scholar 

  69. Oulehlova, A., Malachova, H., Rezac, D.: Risks evaluation in preparation of crisis management exercise. In: Distance Learning, Simulation and Communication ‘DLSC 2017’, pp. 143–153 (2017)

    Google Scholar 

  70. Peltzman, S.: Regulation and health: the case of mandatory prescriptions and an extension. Manag. Decis. Econ. 8, 41–46 (1987)

    Article  Google Scholar 

  71. Preston, S.H.: The changing relation between mortality and level of economic development. Popul. Studies 29, 231–248 (1975)

    Article  Google Scholar 

  72. Reynolds, M.M., Avendano, M.: Social policy expenditures and life expectancy in high-income countries. Am. J. Prev. Med. 54(1), 72–79 (2018)

    Article  Google Scholar 

  73. Robalino, D.A., Oscar, F.P., Albertus, V.: Does fiscal decentralization improve health outcomes? Evidence from a cross–country analysis. World Bank Policy Research Working Paper series 2565, 1–14 (2001)

    Google Scholar 

  74. Rodgers, G.B.: Income and inequality as determinants of mortality: an international cross–sectional analysis. Popul. Studies 33, 343–351 (1979)

    Article  Google Scholar 

  75. Rosero-Bixby, L.: The exceptionally high life expectancy of Costa Rican nonagenarians. Demography 45, 673–691 (2008)

    Article  Google Scholar 

  76. Self, S., Grabowski, R.: How effective is public health expenditure in improving overall health? A cross–country analysis. Appl. Econ. 35, 835–845 (2003)

    Article  Google Scholar 

  77. Shaw, J.W., Horrace, W.C., Vogelf, R.J.: The determinants of life expectancy: an analysis of the OECD health data. South. Econ. J. 71(4), 768–783 (2005)

    Google Scholar 

  78. Shing-Jong, L.: Economic fluctuations and health outcome: a panel analysis of Asia-Pacific countries. Appl. Econ. 41, 519–530 (2009)

    Article  Google Scholar 

  79. Singh, G.K., Siahpush, M.: Inequalities in US life expectancy by area unemployment level, 1990–2010. Scientifica 2016, 8290435 (2016)

    Article  Google Scholar 

  80. Stuckler, D., Basu, S., McKee, M.: Budget crises, health, and social welfare programmes. BMJ Br. Med. J. 341(7763), 77–79 (2010)

    Google Scholar 

  81. Svarcova, I., Hoskova-Mayerova S., Navratil, J.: Crisis management and education in health. Eur. Proc. Soc. Behav. Sci. EpSBS XVI, 255–261 (2016). doi:10.15405/epsbs.2016.11.26

    Google Scholar 

  82. Tapia-Granados, J.A.: Recessions and mortality in Spain, 1980–1997. Eur. J. Popul. 21, 393–422 (2005)

    Google Scholar 

  83. Tiit, E.-M.: Changes of life expectancy in Estonia during the last 70 years. Papers Anthropol. XXV(1), 55–65 (2016)

    Google Scholar 

  84. Thornton, J.: Estimating a health production function for the US: some new evidence. Appl. Econ. 34(1), 59–62 (2002)

    Article  Google Scholar 

  85. Toader, E., Firtescu, B., Oprea, F.: Determinants of health status and public policies implications—lessons for Romania. Transylvanian Rev. Admin. Sci. 52 E, 128–147 (2017)

    Google Scholar 

  86. Urban, R., Hoskova-Mayerova, S.: Threat life cycle and its dynamics. Deturope 9(2), 93–109 (2017)

    Article  Google Scholar 

  87. Vallejo, A., Hoskova-Mayerova, S., Krahulec, J., Sarasola, J.L.: Risks associated with reality: how society views the current wave of migration: one common problem—two different solutions. In: Studies in Systems, Decision and Control 104, 283–305. Springer International Publishing (2017). https://doi.org/10.1007/978-3-319-54819-7_19.

  88. Van den Heuvel, W.J.A., Olaroiu, M.: How important are health care expenditures for life expectancy? A comparative, European analysis. J. Am. Med. Direct. Assoc. 18(3), 276.e9-276.e12 (2017)

    Google Scholar 

  89. Vavken, P., Pagenstert, G., Grimm, C., Dototka, R.: Does increased health care spending afford better health care outcomes? Evidence from Austrian health care expenditure since the initiations of DRGs. Swiss Medical Weekly 142, w13589 (2012)

    Google Scholar 

  90. Williams, G.J.: Some experiments in decision tree induction. Aust. Comput. J. 19(2), 84–91 (1987)

    Google Scholar 

  91. Williams, G.J.: Combining decision trees: initial results from the MIL algorithm. In: Gero, J.S., Stanton, R.B. (eds.), Artificial Intelligence Developments and Applications: Selected Papers from the First Australian Joint Artificial Intelligence Conference, Sydney, Australia, 2–4 November, pp. 273–289. Elsevier Science Publishers, North-Holland (1988)

    Google Scholar 

  92. Wolfe, B.L., Gabay, M.: Health status and medical expenditures: more evidence of a link. Soc. Sci. Med. 25, 883–888 (1987)

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Salvador Cruz Rambaud .

Editor information

Editors and Affiliations

Appendix

Appendix

See Table 4 and Fig. 6

Table 4 Life expectancy at birth performance along the analyzed period
Fig. 6
figure 6

Source Own elaboration

Variables correlation plot

Rights and permissions

Reprints and permissions

Copyright information

© 2021 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Martín Cervantes, P.A., Rueda López, N., Cruz Rambaud, S. (2021). Life Expectancy at Birth and Its Socioeconomic Determinants: An Application of Random Forest Algorithm. In: Hošková-Mayerová, Š., Flaut, C., Maturo, F. (eds) Algorithms as a Basis of Modern Applied Mathematics. Studies in Fuzziness and Soft Computing, vol 404. Springer, Cham. https://doi.org/10.1007/978-3-030-61334-1_19

Download citation

Publish with us

Policies and ethics