Main Article Content
Abstract
This systematic review examines factors influencing male life expectancy in Sub-Saharan Africa, offering a comprehensive analysis of 17 studies conducted over the past decade. Economic indicators, including GDP per capita, income inequality, and government health expenditure, consistently emerge as crucial determinants shaping male life expectancy. Socio-economic factors such as literacy rates, education, and access to safe water also significantly impact life expectancy outcomes, revealing a complex interplay between financial well-being and health. Both quantitative and qualitative studies were systematically searched and included in the study, and reported based on the PRISMA 2020 guideline. The quality of included studies was critically appraised using the Joanna Briggs Critical Appraisal Tool. Three independent reviewers screened and selected the studies included in the review. A search was conducted in five electronic databases – PubMed, PsychINFO, CINAHL, Google Scholar, and AJOL. Out of the 17 studies, 9 (52.9%) investigated the socio-economic, 10 (58.8%) explored healthcare access and expenditure, while 12 (70.6%) highlighted on environmental and globalization influences in shaping male life expectancy in sub-Saharan Africa. All 17 articles collectively demonstrate the complex collaboration of economic, environmental, and global factors in shaping male life expectancy in sub-Saharan Africa, emphasizing the need for holistic and region-specific policy approaches. The study highlights the importance of tailored interventions considering the specific contexts within Sub-Saharan Africa. It advocates for holistic and region-specific policy approaches, recognizing the intricate collaboration of economic, social, and environmental factors in shaping male life expectancy. The findings contribute essential insights for policymakers, urging comprehensive strategies to address the region's diverse nature of male health outcomes. Ultimately, the research underscores the dynamic and multifaceted nature of the factors influencing male life expectancy in Sub-Saharan Africa.
Keywords
Article Details

This work is licensed under a Creative Commons Attribution 4.0 International License.
References
- Abubakari, M., Owoob, N. S., & Nketiah-Amponsah, E. (2019). Socio-economic determinants of life expectancy in Sub-Saharan Africa. Ghanaian Journal of Economics, 7(1), 156-177.
- Aburto, J. M., Villavicencio, F., Basellini, U., Kjærgaard, S., & Vaupel, J. W. (2020). Dynamics of life expectancy and life span equality. Proceedings of the National Academy of Sciences, 117(10), 5250-5259.
- Adeyeye, S. A. O., Ashaolu, T. J., Bolaji, O. T., Abegunde, T. A., & Omoyajowo, A. O. (2023). Africa and the Nexus of poverty, malnutrition and diseases. Critical Reviews in Food Science and Nutrition, 63(5), 641-656.
- Agbatogun, K. K., Osinusi, B. K., & Opeloyeru, O. S. (2019). Socio-economic determinants of life expectancy in Nigeria. International Journal of Business & Management, 7(11), 263-269. https://doi.org/https://doi.10.24940/theijbm/2019/v7/i11/BM1911-064
- Aigheyisi, O. (2020). Determinants of Life Expectancy in Nigeria: Does Agricultural Productivity Matter? Aigheyisi, OS (2020). Determinants of Life Expectancy in Nigeria: Does Agricultural Productivity Matter, 194-210.
- Akbar, M., Hussain, A., Akbar, A., & Ullah, I. (2021). The dynamic association between healthcare spending, CO 2 emissions, and human development index in OECD countries: Evidence from panel VAR model. Environment, development and sustainability, 23, 10470-10489.
- Akintunde, T. S., Oladipo, A. D., & Oyaromade, R. (2019). Socioeconomic determinants of health status in Nigeria (1980-2014). African Review of Economics and Finance, 11(2), 365-388.
- Arikpo, D. I., Eke, F. A., & Obafemi, F. N. (2019). Determinants of life expectancy in Nigeria: A macroeconomic analysis. International Journal of Social Science and Economic Research, 4(4), 1-15.
- Bauer, G. R., & Scheim, A. I. (2019). Advancing quantitative intersectionality research methods: Intracategorical and intercategorical approaches to shared and differential constructs. Social Science & Medicine, 226, 260-262.
- Blum, R. W., & Qureshi, F. (2011). Morbidity and mortality among adolescents and young adults in the United States. Baltimore, MD.
- Cavusoglu, B., & Gimba, O. J. (2021). Life expectancy in Sub-Sahara Africa: An examination of long-run and short-run effects. Asian Development Policy Review, 9(1), 57-68.
- Collaborators, G., & Ärnlöv, J. (2020). Global age-sex-specific fertility, mortality, healthy life expectancy (HALE), and population estimates in 204 countries and territories, 1950–2019: a comprehensive demographic analysis for the Global Burden of Disease Study 2019. The Lancet, 396(10258), 1160-1203.
- Edwards, J. (2016). Fundamental facts about mental health 2016. Mental Health Foundation.
- Ezeabasili, I. E. (2023). Cross Border Migration and Life Expectancy in Nigeria and Benin Republic, 1999-2020. International Journal of Social Science and Human Research, 6(10), 5.
- Gajbhiye, S., Tripathi, R., Parmar, U., Khatri, N., & Potey, A. (2021). Critical appraisal of published research papers–A reinforcing tool for research methodology: Questionnaire-based study. Perspectives in Clinical Research, 12(2), 100.
- Garry, S., & Checchi, F. (2020). Armed conflict and public health: into the 21st century. Journal of public health, 42(3), e287-e298.
- Hossin, M. Z. (2021). The male disadvantage in life expectancy: can we close the gender gap? International Health, 13(5), 482-484.
- Islam, M. M. (2019). Social determinants of health and related inequalities: confusion and implications. Frontiers in public health, 7, 11.
- Joanna Briggs Institute. (2020). Critical Appraisal Tools. Joanna Briggs Institute. Retrieved 25th November from https://jbi.global/critical-appraisal-tools
- Keita, M. (2013). Standards of living and health status: the socioeconomic determinants of life expectancy gain in sub-Saharan Africa.
- Kim, S. W. (2015). Men's Health: What Should We Know? The World Journal of Men's Health, 33(2), 45-49.
- Methley, A. M., Campbell, S., Chew-Graham, C., McNally, R., & Cheraghi-Sohi, S. (2014). PICO, PICOS and SPIDER: a comparison study of specificity and sensitivity in three search tools for qualitative systematic reviews. BMC health services research, 14(1), 1-10.
- Modig, K., Rau, R., & Ahlbom, A. (2020). Communication: Life expectancy: what does it measure? BMJ open, 10(7).
- Montez, J. K., Beckfield, J., Cooney, J. K., Grumbach, J. M., Hayward, M. D., Koytak, H. Z., Woolf, S. H., & Zajacova, A. (2020). US state policies, politics, and life expectancy. The Milbank Quarterly, 98(3), 668-699.
- Moussa, R. K., & Diaby, V. (2020). Self-assessed life expectancy among older adults in Côte d’Ivoire. BMC public health, 20, 1-9.
- Nkemgha, G. Z., Tékam, H. O., & Belek, A. (2021). Healthcare expenditure and life expectancy in Cameroon. Journal of public health, 29, 683-691.
- Nolen-Hoeksema, S. (2004). Gender differences in risk factors and consequences for alcohol use and problems. Clinical psychology review, 24(8), 981-1010.
- OECD. (2019). Working better with age. Organisation for Economic Cooperation and Development.
- Ojo Olusoji, O., Nwosa Philip, I., Alake Olamide, J., & Adebanji Funmilola, B. (2020). Health expenditure and life expectancy in Nigeria. Lead City Journal of the Social Sciences, 5(1), 66-71.
- Onwube, O., Basil, C. A., Ahamba, K., Emenekwe, C., & Enyoghasim, M. (2021). Determinants of life expectancy in Nigeria: An autoregressive distributed Lag approach. Journal of Sustainability Science and Management, 16(8), 177-192.
- Owusu, A. Y. (2020). A gendered analysis of living with HIV/AIDS in the Eastern Region of Ghana. BMC public health, 20, 1-15.
- Peter, S. I., & Adediyan, A. R. (2019). Monetary policy and life expectancy in Sub-Saharan Africa. Academic journal of economic studies, 6(1), 61-69.
- Renzaho, A. M. (2020). The need for the right socio-economic and cultural fit in the COVID-19 response in sub-Saharan Africa: examining demographic, economic political, health, and socio-cultural differentials in COVID-19 morbidity and mortality. International journal of environmental research and public health, 17(10), 3445.
- Rico-González, M., Pino-Ortega, J., Clemente, F., & Los Arcos, A. (2022). Guidelines for performing systematic reviews in sports science. Biology of sport, 39(2), 463-471.
- Saadi, S., Ben Jomaa, S., Bel Hadj, M., Oualha, D., & Haj Salem, N. (2020). Sudden death in the young adult: a Tunisian autopsy-based series. BMC public health, 20, 1-9.
- Sakiru, O. A., & Isiaq, O. O. (2022). Effect of health aid on life expectancy in sub-Saharan Africa. Journal for the Advancement of Developing Economies, 11(1), 1-17.
- Sampaio, D. (2022). Migration, Diversity and Inequality in Later Life: Ageing at a Crossroads. Springer Nature.
- Sango-Coker, E. Y., & Bein, M. A. (2018). The impact of healthcare spending on life expectancy: evidence from selected West African countries. African Journal of Reproductive Health, 22(4), 64-71.
- Sani, M., & Abubakar, S. (2019). Determinants of life expectancy in Nigeria: Auto regressive distributive Lag (Ardl) model. East African Scholars Journal Economics Business Management, 2(4), 235-241.
- Sede, P. I., & Ohemeng, W. (2015). Socio-economic determinants of life expectancy in Nigeria (1980–2011). Health economics review, 5(1), 1-11.
- Sundler, A. J., Lindberg, E., Nilsson, C., & Palmér, L. (2019). Qualitative thematic analysis based on descriptive phenomenology. Nursing Open, 6(3), 733-739.
- Timothy, P. (2018). Impact of Economic Globalization on Life Expectancy in Nigeria. Health Economics & Outcome Research: Open Access, 4(2), 152.
- Vachon, P. J., & Sestier, F. (2013). Life expectancy determination. Physical Medicine and Rehabilitation Clinics, 24(3), 539-551.
- Woolf, S. H. (2023). Falling behind: the growing gap in life expectancy between the United States and other countries, 1933–2021. American Journal of Public Health(0), e1-e11.
- World Health Organization. (2016). World Health Statistics 2016 [OP]: Monitoring Health for the Sustainable Development Goals (SDGs). World Health Organization.
- World Health Organization. (2021). World Health Statistics 2021: Monitoring Health for SGDs, Sustainable Development Goals. World Health Organisation Retrieved 30/12/2023 from chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://iris.who.int/bitstream/handle/10665/342703/9789240027053-eng.pdf
- Yin, P., Brauer, M., Cohen, A. J., Wang, H., Li, J., Burnett, R. T., Stanaway, J. D., Causey, K., Larson, S., & Godwin, W. (2020). The effect of air pollution on deaths, disease burden, and life expectancy across China and its provinces, 1990–2017: an analysis for the Global Burden of Disease Study 2017. The Lancet Planetary Health, 4(9), e386-e398.
- Zarulli, V., Barthold Jones, J. A., Oksuzyan, A., Lindahl-Jacobsen, R., Christensen, K., & Vaupel, J. W. (2018). Women live longer than men even during severe famines and epidemics. Proceedings of the National Academy of Sciences, 115(4), E832-E840.
References
Abubakari, M., Owoob, N. S., & Nketiah-Amponsah, E. (2019). Socio-economic determinants of life expectancy in Sub-Saharan Africa. Ghanaian Journal of Economics, 7(1), 156-177.
Aburto, J. M., Villavicencio, F., Basellini, U., Kjærgaard, S., & Vaupel, J. W. (2020). Dynamics of life expectancy and life span equality. Proceedings of the National Academy of Sciences, 117(10), 5250-5259.
Adeyeye, S. A. O., Ashaolu, T. J., Bolaji, O. T., Abegunde, T. A., & Omoyajowo, A. O. (2023). Africa and the Nexus of poverty, malnutrition and diseases. Critical Reviews in Food Science and Nutrition, 63(5), 641-656.
Agbatogun, K. K., Osinusi, B. K., & Opeloyeru, O. S. (2019). Socio-economic determinants of life expectancy in Nigeria. International Journal of Business & Management, 7(11), 263-269. https://doi.org/https://doi.10.24940/theijbm/2019/v7/i11/BM1911-064
Aigheyisi, O. (2020). Determinants of Life Expectancy in Nigeria: Does Agricultural Productivity Matter? Aigheyisi, OS (2020). Determinants of Life Expectancy in Nigeria: Does Agricultural Productivity Matter, 194-210.
Akbar, M., Hussain, A., Akbar, A., & Ullah, I. (2021). The dynamic association between healthcare spending, CO 2 emissions, and human development index in OECD countries: Evidence from panel VAR model. Environment, development and sustainability, 23, 10470-10489.
Akintunde, T. S., Oladipo, A. D., & Oyaromade, R. (2019). Socioeconomic determinants of health status in Nigeria (1980-2014). African Review of Economics and Finance, 11(2), 365-388.
Arikpo, D. I., Eke, F. A., & Obafemi, F. N. (2019). Determinants of life expectancy in Nigeria: A macroeconomic analysis. International Journal of Social Science and Economic Research, 4(4), 1-15.
Bauer, G. R., & Scheim, A. I. (2019). Advancing quantitative intersectionality research methods: Intracategorical and intercategorical approaches to shared and differential constructs. Social Science & Medicine, 226, 260-262.
Blum, R. W., & Qureshi, F. (2011). Morbidity and mortality among adolescents and young adults in the United States. Baltimore, MD.
Cavusoglu, B., & Gimba, O. J. (2021). Life expectancy in Sub-Sahara Africa: An examination of long-run and short-run effects. Asian Development Policy Review, 9(1), 57-68.
Collaborators, G., & Ärnlöv, J. (2020). Global age-sex-specific fertility, mortality, healthy life expectancy (HALE), and population estimates in 204 countries and territories, 1950–2019: a comprehensive demographic analysis for the Global Burden of Disease Study 2019. The Lancet, 396(10258), 1160-1203.
Edwards, J. (2016). Fundamental facts about mental health 2016. Mental Health Foundation.
Ezeabasili, I. E. (2023). Cross Border Migration and Life Expectancy in Nigeria and Benin Republic, 1999-2020. International Journal of Social Science and Human Research, 6(10), 5.
Gajbhiye, S., Tripathi, R., Parmar, U., Khatri, N., & Potey, A. (2021). Critical appraisal of published research papers–A reinforcing tool for research methodology: Questionnaire-based study. Perspectives in Clinical Research, 12(2), 100.
Garry, S., & Checchi, F. (2020). Armed conflict and public health: into the 21st century. Journal of public health, 42(3), e287-e298.
Hossin, M. Z. (2021). The male disadvantage in life expectancy: can we close the gender gap? International Health, 13(5), 482-484.
Islam, M. M. (2019). Social determinants of health and related inequalities: confusion and implications. Frontiers in public health, 7, 11.
Joanna Briggs Institute. (2020). Critical Appraisal Tools. Joanna Briggs Institute. Retrieved 25th November from https://jbi.global/critical-appraisal-tools
Keita, M. (2013). Standards of living and health status: the socioeconomic determinants of life expectancy gain in sub-Saharan Africa.
Kim, S. W. (2015). Men's Health: What Should We Know? The World Journal of Men's Health, 33(2), 45-49.
Methley, A. M., Campbell, S., Chew-Graham, C., McNally, R., & Cheraghi-Sohi, S. (2014). PICO, PICOS and SPIDER: a comparison study of specificity and sensitivity in three search tools for qualitative systematic reviews. BMC health services research, 14(1), 1-10.
Modig, K., Rau, R., & Ahlbom, A. (2020). Communication: Life expectancy: what does it measure? BMJ open, 10(7).
Montez, J. K., Beckfield, J., Cooney, J. K., Grumbach, J. M., Hayward, M. D., Koytak, H. Z., Woolf, S. H., & Zajacova, A. (2020). US state policies, politics, and life expectancy. The Milbank Quarterly, 98(3), 668-699.
Moussa, R. K., & Diaby, V. (2020). Self-assessed life expectancy among older adults in Côte d’Ivoire. BMC public health, 20, 1-9.
Nkemgha, G. Z., Tékam, H. O., & Belek, A. (2021). Healthcare expenditure and life expectancy in Cameroon. Journal of public health, 29, 683-691.
Nolen-Hoeksema, S. (2004). Gender differences in risk factors and consequences for alcohol use and problems. Clinical psychology review, 24(8), 981-1010.
OECD. (2019). Working better with age. Organisation for Economic Cooperation and Development.
Ojo Olusoji, O., Nwosa Philip, I., Alake Olamide, J., & Adebanji Funmilola, B. (2020). Health expenditure and life expectancy in Nigeria. Lead City Journal of the Social Sciences, 5(1), 66-71.
Onwube, O., Basil, C. A., Ahamba, K., Emenekwe, C., & Enyoghasim, M. (2021). Determinants of life expectancy in Nigeria: An autoregressive distributed Lag approach. Journal of Sustainability Science and Management, 16(8), 177-192.
Owusu, A. Y. (2020). A gendered analysis of living with HIV/AIDS in the Eastern Region of Ghana. BMC public health, 20, 1-15.
Peter, S. I., & Adediyan, A. R. (2019). Monetary policy and life expectancy in Sub-Saharan Africa. Academic journal of economic studies, 6(1), 61-69.
Renzaho, A. M. (2020). The need for the right socio-economic and cultural fit in the COVID-19 response in sub-Saharan Africa: examining demographic, economic political, health, and socio-cultural differentials in COVID-19 morbidity and mortality. International journal of environmental research and public health, 17(10), 3445.
Rico-González, M., Pino-Ortega, J., Clemente, F., & Los Arcos, A. (2022). Guidelines for performing systematic reviews in sports science. Biology of sport, 39(2), 463-471.
Saadi, S., Ben Jomaa, S., Bel Hadj, M., Oualha, D., & Haj Salem, N. (2020). Sudden death in the young adult: a Tunisian autopsy-based series. BMC public health, 20, 1-9.
Sakiru, O. A., & Isiaq, O. O. (2022). Effect of health aid on life expectancy in sub-Saharan Africa. Journal for the Advancement of Developing Economies, 11(1), 1-17.
Sampaio, D. (2022). Migration, Diversity and Inequality in Later Life: Ageing at a Crossroads. Springer Nature.
Sango-Coker, E. Y., & Bein, M. A. (2018). The impact of healthcare spending on life expectancy: evidence from selected West African countries. African Journal of Reproductive Health, 22(4), 64-71.
Sani, M., & Abubakar, S. (2019). Determinants of life expectancy in Nigeria: Auto regressive distributive Lag (Ardl) model. East African Scholars Journal Economics Business Management, 2(4), 235-241.
Sede, P. I., & Ohemeng, W. (2015). Socio-economic determinants of life expectancy in Nigeria (1980–2011). Health economics review, 5(1), 1-11.
Sundler, A. J., Lindberg, E., Nilsson, C., & Palmér, L. (2019). Qualitative thematic analysis based on descriptive phenomenology. Nursing Open, 6(3), 733-739.
Timothy, P. (2018). Impact of Economic Globalization on Life Expectancy in Nigeria. Health Economics & Outcome Research: Open Access, 4(2), 152.
Vachon, P. J., & Sestier, F. (2013). Life expectancy determination. Physical Medicine and Rehabilitation Clinics, 24(3), 539-551.
Woolf, S. H. (2023). Falling behind: the growing gap in life expectancy between the United States and other countries, 1933–2021. American Journal of Public Health(0), e1-e11.
World Health Organization. (2016). World Health Statistics 2016 [OP]: Monitoring Health for the Sustainable Development Goals (SDGs). World Health Organization.
World Health Organization. (2021). World Health Statistics 2021: Monitoring Health for SGDs, Sustainable Development Goals. World Health Organisation Retrieved 30/12/2023 from chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://iris.who.int/bitstream/handle/10665/342703/9789240027053-eng.pdf
Yin, P., Brauer, M., Cohen, A. J., Wang, H., Li, J., Burnett, R. T., Stanaway, J. D., Causey, K., Larson, S., & Godwin, W. (2020). The effect of air pollution on deaths, disease burden, and life expectancy across China and its provinces, 1990–2017: an analysis for the Global Burden of Disease Study 2017. The Lancet Planetary Health, 4(9), e386-e398.
Zarulli, V., Barthold Jones, J. A., Oksuzyan, A., Lindahl-Jacobsen, R., Christensen, K., & Vaupel, J. W. (2018). Women live longer than men even during severe famines and epidemics. Proceedings of the National Academy of Sciences, 115(4), E832-E840.
