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. 2015 Jul;105(Suppl 3):e48–e54. doi: 10.2105/AJPH.2014.302405

TABLE 3—

Multivariate Analysis of Infant Mortality Rates Used in Study of State Constitutional Provisions for Health and Health Care: United States

Main Specification, Estimate (SE)
With Per Capita Government Expenditure on Health and Hospitals, Estimate (SE)
Including Earlier Census Estimates, Estimate (SE)
Main Specification by Race, Estimate (SE)
1 2 3 4 5 6 7 8 9 10: Non-White 11: Non-White 12: Non-White 10: White 11: White 12: White
Constitutional provisions for health and health care –0.0150 (0.0256) –0.0075 (0.0246) –0.0340 (0.0354) –0.0561 (0.0417) 0.0093 (0.0319)
By level of commitment
Programmatic statement dummy 0.0087 (0.0170) 0.0245 (0.0406) 0.0337 (0.0201) –0.0083 (0.0472) –0.0290 (0.0283)
Public concern statement dummy –0.0117 (0.0506) 0.0293 (0.0390) –0.0028 (0.0412) –0.0816 (0.0774) –0.0124 (0.0651)
Individual right statement dummy 0.0086 (0.0561) –0.0335 (0.0497) –0.0240 (0.0575) 0.0106 (0.0441) 0.0244 (0.0317)
State duty statement dummy –0.0775** (0.0233) –0.0810* (0.0344) –0.2070* (0.0947) –0.1880** (0.0556) –0.0041 (0.0534)
By targeting populations
Healthy environment dummy 0.0062 (0.0610) –0.0116 (0.0548) –0.0011 (0.0600) –0.0585** (0.0187) 0.0607 (0.0599)
Public health dummy 0.0014 (0.0352) 0.0307 (0.0275) 0.0203 (0.0265) 0.0323 (0.0361) 0.0016 (0.0360)
Indigent access to health care dummy –0.0647** (0.0188) –0.0597** (0.0147) –0.2020** (0.0711) –0.2330** (0.0440) –0.0385 (0.0637)
Mental health population dummy –0.3710 (0.278)
No specific population dummy 0.0313 (0.0287) 0.0119 (0.0669) 0.0278 (0.0324) –0.0551 (0.0727) –0.0187 (0.0267)
Model statistics
Fa 3.1 3.34 1.95 5.31 2.06 2.57 2.96 6.17
Observations 3296 3296 3296 2544 2544 2544 3494 3494 3494 6502 6502 6502
R2 0.99 0.99 0.99 0.986 0.986 0.986 0.985 0.985 0.985 0.947 0.947 0.947

Note. All SEs are clustered at the state level. Tables A through C of Appendix A provide full regression results. In Columns 1 through 9, the data are constructed by years × states. In Columns 1 through 3, I used the data for the 50 states from 1929 to 2000. In Columns 4 through 6, because of the availability of government expenditure data, I used the data for the 50 states from 1942 to 2000 (every 2 years from 1942 to 1950). In Columns 7 through 9, I used the data for the 50 states from 1850 to 2000 (every 10 years from 1850 to 1900). All 9 regressions include year fixed effects, state fixed effects, state-specific time trends and their square terms, a dummy variable of constitutional provision of social welfare, a dummy variable of constitutional provision of environment, a dummy variable of constitutional duty to protect environment, a dummy variable of tax and expenditure limitations, a dummy variable of the supermajority requirement, log per capita state income, log average years of schooling, log population density, political competitiveness, a dummy variable for Democratic governor, and the composition of state legislatures. In addition, the specifications in columns 4 through 6 include log per capita state government expenditure on health and hospitals and the specifications in columns 7 through 9 include a dummy variable of constitutional duty to protect social welfare. In columns 10 through 12, the data are constructed by years × states × races (White and non-White populations). I used the data for the 50 states × 2 races from 1929 to 2000. All 3 regressions include year fixed effects, state × race fixed effects, state × race specific time trends and their square terms, a dummy variable of constitutional provision of social welfare, a dummy variable of constitutional provision of environment, a dummy variable of constitutional duty to protect environment, a dummy variable of tax and expenditure limitations, a dummy variable of the supermajority requirement, log per capita state income, log average years of schooling, log population density, political competitiveness, a dummy variable for Democratic governor, and the composition of state legislatures. There are 2 columns for each regression result (10 through 12). One is for White population; the other is for non-white population.

a

Joint F test for all constitutional provisions for health and health care variables.

*P < .05; **P < .01.