Health policy
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ngan_do_kim.jpg Ph.D.

Ngan Do is the Developing Asia Health Policy Postdoctoral Fellow for the 2016-17 academic year.  She is strongly interested in health system related issues, especially health financing, human resources for health, and health care service delivery. She implemented comparison studies at regional level as well as imposed herself to field work in Cambodia, Lao, Philippines, Korea, and Vietnam. At Stanford, Ngan will work on the public hospital reforms in Asia, focusing on dual practice of public hospital physicians and provider payment reforms. Ngan achieved her Ph.D. degree in health policy and management at the College of Medicine, Seoul National University. She earned her master degree on public policy at the KDI School of Public Policy and Management in Seoul, Korea and her bachelor degree on international relations at the Diplomacy Academy of Vietnam (previously the Institute for International Relations). 

Developing Asia Health Policy Postdoctoral Fellow, 2016-17
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Lisa Griswold
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A long line of research has shown that women live longer than men, yet according to Karen Eggleston, director of the Asia Health Policy Program, and four other Stanford health researchers, mortality rate differences between men and women are much more variable than previously thought, following predictable patterns. Life expectancy differs depending on time, location and socioeconomic circumstance, not on biological factors alone, according to their newly published findings.

The researchers found that women have greater resilience when faced with socioeconomic adversity in a developing country—living nearly 10 years longer than men on average—but this pattern changes as the country evolves. Developed countries typically have smaller gaps in mortality rates between men and women than developing countries do.

Japan and South Korea are outliers, however, with higher mortality rate differences between men and women than is average for developed countries. In addition to the prevalence of male smoking, one possible explanation they draw is the lack of career-related opportunities for women in Japan and South Korea, two countries that have low gender wage equity among Organisation of Economic Co-operation and Development members.

Eggleston, who is part of the core faculty at the Shorenstein Asia-Pacific Research Center, et al. suggested the idea that reducing gender inequality may help narrow the mortality gap: men increase years lived when fewer barriers for women exist, but concluded that their findings supporting this conclusion merit further inquiry.

Their findings were published in the August edition of SSM – Population Health and highlighted in an earlier column on Voxeu.

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A woman walking in Tokyo, Japan.
Getty Images/Kiyoshi Ota
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Sex differences in mortality vary over time and place as a function of social, health, and medical circumstances. The magnitude of these variations, and their response to large socioeconomic changes, suggest that biological differences cannot fully account for sex differences in survival. Drawing on a wide swath of mortality data across countries and over time, we develop a set of empiric observations with which any theory about excess male mortality and its correlates will have to contend. We show that as societies develop, M/F survival first declines and then increases, a “sex difference in mortality transition” embedded within the demographic and epidemiologic transitions. After the onset of this transition, cross-sectional variation in excess male mortality exhibits a consistent pattern of greater female resilience to mortality under socio-economic adversity. The causal mechanisms underlying these associations merit further research.

 

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SSM - Population Health
Authors
Karen Eggleston
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