The scoping reviews covered the political context and history, social determinants of health, civil society, and political participation in each country. Punching above or below weight status was calculated using life expectancy at birth and gross domestic product per capita for 2014–2018. We conducted a mixed-method study which included: analysis of life expectancy relative to income for all countries an expert opinion study and scoping reviews of literature and data to examine factors that may impact on life expectancy relative to income in three countries: Ethiopia, Brazil, and the United States. Discovering which conditions or policies contribute to this outcome is critical to improving population health globally. ![]() ![]() While in general a country’s life expectancy increases with national income, some countries “punch above their weight”, while some “punch below their weight” – achieving higher or lower life expectancy than would be predicted by their per capita income.
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