Association between the rule of law and health-related sustainable development goals
An ecological study
Bibliographic Data
| ID | 15354978 |
|---|---|
| Authors | Pingping Yu (0000-0001-5469-6646, Harbin Medical University), Ziyu Wang (0000-0002-6751-2444, Harbin Medical University), Zeyu Yan (0000-0003-2110-9315, Harbin Medical University), Kai Zheng (0000-0003-4121-4948, Harbin Medical University), Runyu Guo (0000-0001-8820-0821, Harbin Medical University), Feng Chen (0000-0002-9129-7895, Harbin Medical University), Chen Feng (0000-0003-3151-9406), Chaoyi Chen (0000-0001-7732-6621, Harbin Medical University), Wenqian Zhang (0000-0002-2901-4743, The Supreme People's Procuratorate of the People's Republic of China), Junying Sun (0000-0003-1064-9017, First Affiliated Hospital of Harbin Medical University, corresponding author), Jiali Sun, Yanhua Hao (0000-0002-0841-2291, Harbin Medical University) |
| Year | 2025 |
| Volume | 26 |
| Issue | 1 |
| Pages | 70-70 |
| Publication date | 2025-12-02 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | BMC Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1471-2458 • E-ISSN: 1471-2458 |
| Publisher | BioMed Central (PUBLISHER • GB) |
| DOI | 10.1186/s12889-025-25817-z |
| PMID | 41331804 |
| OpenAlex | W4416898782 |
| Language | EN |
| References cited | 66 |
In the context of ongoing global challenges, such as pandemics, climate change, and armed conflicts, the achievement of Sustainable Development Goal 3 (SDG 3) is confronted with multiple risks. Effectively addressing these challenges has become a pivotal issue in global health governance. This study seeks to analyze the association between the rule of law (ROL) and health-related Sustainable Development Goals (SDGs). A cross-sectional ecological design was employed to investigate the association between the ROL Index and health-related indicators, including life expectancy, healthy life expectancy, and 13 indicators under SDG 3. Multiple linear regression analyses were conducted, adjusting for gross national income (GNI) per capita, current health expenditure (CHE), total population, urbanization, and the Gender Gap Index (GGI). Subgroup analyses were further performed to assess the potential influence of national income levels on these associations. The Pearson correlation analysis showed that the ROL Index was markedly correlated with 15 health-related indicators. After adjusting for confounders, the ROL Index was positively associated with life expectancy, healthy life expectancy, DTP3 immunization coverage, and the density of medical doctors, nursing and midwifery personnel, and pharmacists. It was also negatively associated with adolescent birth rate. Subgroup analyses further revealed that the associations of the ROL Index with DTP3 immunization coverage, adolescent birth rate, and the density of nursing and midwifery personnel varied across national income levels. This study is the first to identify the significant associations between the ROL and critical health outcomes, the health workforce, and immunization service indicators under the SDG 3 framework. It suggests that the ROL is an effective yet underestimated and underutilized tool for advancing global health. Policymakers should prioritize strengthening national legal frameworks and integrating ROL principles into health systems. These integrated efforts should focus on tackling corruption, executing public legal education, protecting the rights of health workers, eradicating workplace discrimination, and improving sexuality education and reproductive healthcare in low- and lower-middle-income countries
Biostatistics · Context (archaeology · Ecological study · Human Development Index · Index (typography · Public health · Regression analysis · Sustainable development · Human Rights and Development · Public Health Policies and Education · Viral Infections and Outbreaks Research
The legal determinants of health
Human resources and health outcomes
Global age-sex-specific mortality, life expectancy, and population estimates in 204 countries and territories and 811 subnational locations, 1950–2021, and the impact of the Covid-19 pandemic
Governance Indicators
Parental education and inequalities in child mortality
Contributing factors to suicide
Our future
The global health workforce stock and distribution in 2020 and 2030
Gender Inequality and the Rule of Law
The role of governance in the health expenditure–health outcomes nexus
Minimum Marriage Age Laws and the Prevalence Of Child Marriage and Adolescent Birth
Public health law coverage in support of the health-related sustainable development goals (SDGs) among 33 Western Pacific countries
Health expenditure, governance and SDG3 nexus
Evaluating implementation of International Health Regulations core capacities
Anti-corruption, transparency and accountability in health
Gender gap matters in maternal mortality in low and lower-middle-income countries
Corruption and Population Health in the European Union Countries—An Institutionalist Perspective
The trend of unintentional injury-related mortality among children aged under-five years in China, 2010–2020
Factors associated with pregnancy among adolescents in low-income and lower middle-income countries
Governance commitment to reduce maternal mortality. A political determinant beyond the wealth of the countries
The Association between Health Workforce and Health Outcomes
The effect of changes in health sector resources on infant mortality in the short-run and the long-run
| Citation velocity | historical |
|---|---|
| Highly cited | No |