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Title: Does government spending help to promote healthy behavior in the population? Evidence from 27 European countries
Authors: Lera-Lopez, Fernando
Wicker, Pamela
Downward, Paul
Keywords: Hierarchical model
Multi-level analysis
Physical activity
Public health policy
Sport
Issue Date: 2015
Publisher: Published by Oxford University Press on behalf of Faculty of Public Health (© The Authors 2015)
Citation: LERA-LOPEZ, F., WICKER, P. and DOWNWARD, P., 2015. Does government spending help to promote healthy behaviour in the population? Evidence from 27 European countries. Journal of Public Health, 38(2), pp. e5-e12.
Abstract: Background The aim of this study was to examine if government spending is associated with an individual’s decision to participate in physical activity and sport which is regarded as healthy behavior given the positive health effects documented in previous research. Methods Individual-level data (n ¼ 25 243) containing socio-demographic information are combined with national-level data on government spending (5-year average) in 27 European countries. Given the hierarchical data structure, i.e. individuals are nested within countries; multi-level analyses are applied. Results The multi-level models show that it is mainly education spending that has a significant positive association with participation in sport of various regularities. Health spending has some association with participation in other physical activity and sport of a lower regularity. Conclusions While health spending can be considered a relevant policy tool for increasing sport participation rates, education spending is required more since the effects are larger and it affects both physical activity and sport. This suggests that health spending will have most effect combined with earlier influences from education spending.
Description: This is a pre-copyedited, author-produced PDF of an article accepted for publication in Journal of Public Health following peer review. The version of record LERA-LOPEZ, F., WICKER, P. and DOWNWARD, P., 2015. Does government spending help to promote healthy behaviour in the population? Evidence from 27 European countries. Journal of Public Health, 38(2), pp. e5-e12. is available online at: http://dx.doi.org/10.1093/pubmed/fdv071
Version: Accepted version
DOI: 10.1093/pubmed/fdv071
URI: https://dspace.lboro.ac.uk/2134/18404
Publisher Link: http://dx.doi.org/10.1093/pubmed/fdv071
ISSN: 1741-3842
Appears in Collections:Published Articles (Sport, Exercise and Health Sciences)

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