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Public health policy pathways for balancing ecological challenges, healthcare systems, and social development in rapidly urbanizing economies

Xiulan Ge, Haiyu Wu · Frontiers in Public Health · 2025

Life expectancy is a key indicator of public health and human development, reflecting how environmental conditions and social structures shape population wellbeing. This study examines the determinants of life expectancy in the E-7 economies—Brazil, China, India, Indonesia, Mexico, Russia, and Turkey—from 2000 to 2022. Using panel data from the World Development Indicators, the analysis includes water resource stress, health expenditure, urbanization, education, greenhouse gas emissions, population density, sanitation access, and income inequality. The Cross-Sectionally Augmented Autoregressive Distributed Lag (CS-ARDL) model is employed to account for cross-sectional dependence, slope heterogeneity, and nonstationarity, with robustness checks conducted using Augmented Mean Group (AMG) and Common Correlated Effects Mean Group (CCEMG) estimators. The long-run CS-ARDL results reveal that water resource stress ( β  = −0.292, p <  0.01), urbanization ( β  = −0.144, p <  0.05), and greenhouse ga

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