Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Comparing Life Expectancy Determinants between Saudi Arabia and United Arab Emirates from 1980-2020

Version 1 : Received: 19 June 2023 / Approved: 20 June 2023 / Online: 20 June 2023 (11:44:24 CEST)

A peer-reviewed article of this Preprint also exists.

Wirayuda, A.A.B.; Al-Mahrezi, A.; Chan, M.F. Comparing Life Expectancy Determinants between Saudi Arabia and United Arab Emirates from 1980–2020. Eur. J. Investig. Health Psychol. Educ. 2023, 13, 1293-1305. Wirayuda, A.A.B.; Al-Mahrezi, A.; Chan, M.F. Comparing Life Expectancy Determinants between Saudi Arabia and United Arab Emirates from 1980–2020. Eur. J. Investig. Health Psychol. Educ. 2023, 13, 1293-1305.

Abstract

Despite marked advancements, life expectancy (LE) growth in Saudi Arabia and the United Arab Emirates (UAE) has remained stagnant compared to other developed nations. This study aims to investigate the significant correlation between macroeconomic (ME), sociodemographic (SD), and health status-resources (HSR) factors and LE to formulate an explanatory model for Saudi Arabia and the UAE – a previously unexplored area. Utilizing an ecological, retrospective, time-series study design, we delved into secondary data on SD, ME, HSR, and LE of the UAE population spanning three decades (1980-2020). We employed the partial least squares-structural equation modeling for statistical analysis. Our analysis revealed significant direct impacts of HSR on LE for Saudi Arabia (Beta=0.958, p<0.001) and the UAE (Beta=0.716, p<0.001). Furthermore, we discerned a notable indirect influence of ME on LE, mediated through SD and HSR for Saudi Arabia (Beta=0.507, p<0.001) and UAE (Beta=0.509, p<0.001), along with a considerable indirect effect of SD on LE through HSR (Saudi Arabia: Beta=0.529, p<0.001; UAE: Beta=0.711, p<0.001). This study underscores the mediating role of a nexus of ME-SD-HSR factors on LE in Saudi Arabia and the UAE. Consequently, these findings signal an imperative need for holistically policy interventions addressing ME, SD, and HSR factors, aiming to alter health behaviors and improve LE projections for Saudi Arabia and the UAE in the long run.

Keywords

Life expectancy; Saudi Arabia; United Arab Emirates; Structural equation model; Macroeconomic; Sociodemographic; Health status resources

Subject

Public Health and Healthcare, Public Health and Health Services

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