• Moon Fai Chan and Beverly Joan Taylor.
• Alice Lee Centre for Nursing Studies, National University of Singapore, Singapore. nurcmf@nus.edu.sg
• Public Health Nurs. 2013 May 1; 30 (3): 183-92.

ObjectivesDemographic and socioeconomic changes and the availability of health care resources were collected to examine the impacts on life expectancy in Cambodia, Laos, and Myanmar.Design And SampleAn ecological design collecting 29 years (1980-2008) data for three Southeast Asian countries.MeasuresLife expectancy, demographics, socioeconomic status, and health care resources were collected.ResultsThe structural equation model indicates that more available health care resources and socioeconomic advantages were more likely to increase life expectancy. By contrast, demographic change was more likely to increase life expectancy by way of health care resources.ConclusionsResults show that factors that had direct impacts on life expectancy in all three countries were socioeconomic status and health care resources. Demographic changes had an indirect influence on life expectancy via health care resources. These findings suggest that policymakers should be focusing on how to remove the barriers that impede access to health care services during economic downturns. In addition, how to increase preventive care for the populations that have less access to health care in communities.© 2012 Wiley Periodicals, Inc.

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