Disparities in death: Inequality in cause-specific infant and child mortality in Stockholm, 1878-1926
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Standard
Disparities in death : Inequality in cause-specific infant and child mortality in Stockholm, 1878-1926. / Molitoris, Joseph John.
I: Demographic Research, Bind 36, 15, 02.02.2017, s. 455-500.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Disparities in death
T2 - Inequality in cause-specific infant and child mortality in Stockholm, 1878-1926
AU - Molitoris, Joseph John
PY - 2017/2/2
Y1 - 2017/2/2
N2 - AbstractBACKGROUNDThe decline of child mortality during the late nineteenth century is one of the most significant demographic changes in human history. There is evidence, however, suggesting the substantial reductions in mortality during the era did little to reduce mortality inequality between socioeconomic groups.OBJECTIVEThe aim of this study is to examine the development of socioeconomic inequalities in cause-specific infant and child mortality during Stockholm’s demographic transition. METHODSUsing an individual-level longitudinal population register for Stockholm, Sweden between 1878 and 1926, I estimate Cox proportional hazards models to study how inequality in cause-specific hazards of dying from six categories of causes varied over time. The categories included (1) airborne and (2) food and waterborne infectious diseases, (3) other infectious diseases, (4) noninfectious diseases and accidents, (5) perinatal causes, and (6) unspecified causes.RESULTSThe results show that class differentials in nearly all causes of death converged during the demographic transition. The only exception to this was the airborne infectious disease category, for which the gap between white collar and unskilled blue collar workers widened over time.CONCLUSIONSThe results demonstrate that, even in a context of falling mortality and a changing epidemiological environment, higher socioeconomic groups were able to maintain a health advantage for their children by reducing their risks of dying from airborne disease to a greater extent than other groups. Potential explanations for these patterns are suggested as well as suggestions for future research.
AB - AbstractBACKGROUNDThe decline of child mortality during the late nineteenth century is one of the most significant demographic changes in human history. There is evidence, however, suggesting the substantial reductions in mortality during the era did little to reduce mortality inequality between socioeconomic groups.OBJECTIVEThe aim of this study is to examine the development of socioeconomic inequalities in cause-specific infant and child mortality during Stockholm’s demographic transition. METHODSUsing an individual-level longitudinal population register for Stockholm, Sweden between 1878 and 1926, I estimate Cox proportional hazards models to study how inequality in cause-specific hazards of dying from six categories of causes varied over time. The categories included (1) airborne and (2) food and waterborne infectious diseases, (3) other infectious diseases, (4) noninfectious diseases and accidents, (5) perinatal causes, and (6) unspecified causes.RESULTSThe results show that class differentials in nearly all causes of death converged during the demographic transition. The only exception to this was the airborne infectious disease category, for which the gap between white collar and unskilled blue collar workers widened over time.CONCLUSIONSThe results demonstrate that, even in a context of falling mortality and a changing epidemiological environment, higher socioeconomic groups were able to maintain a health advantage for their children by reducing their risks of dying from airborne disease to a greater extent than other groups. Potential explanations for these patterns are suggested as well as suggestions for future research.
KW - Faculty of Social Sciences
KW - Cause of Death
KW - Infant Mortality
KW - Child Mortality
KW - Socioeconomic inequalities
KW - Historical demography
KW - Health Transition
KW - Mortality Transition
U2 - 10.4054/DemRes.2017.36.15
DO - 10.4054/DemRes.2017.36.15
M3 - Journal article
VL - 36
SP - 455
EP - 500
JO - Demographic Research
JF - Demographic Research
SN - 1435-9871
M1 - 15
ER -
ID: 170743758