This paper investigates the social and economic circumstances of childhood that predict the probability of survival to age 85 among African-Americans. It uses a unique study design in which survivors are linked to their records in U.S. Censuses of 1900 and 1910. A control group of age and race-matched children is drawn from Public Use Samples for these censuses. It concludes that the factors most predictive of survival are farm background, having literate parents, and living in a two-parent household. Results support the interpretation that death risks are positively correlated over the life cycle.
The male disadvantage in infant mortality underwent a surprising rise and fall in the 20th century. Our analysis of 15 developed countries shows that, as infant mortality declined over two centuries, the excess male mortality increased from 10% in 1751 to >30% by approximately 1970. Remarkably, since 1970, the male disadvantage in most countries fell back to lower levels. The worsening male disadvantage from 1751 until 1970 may be due to differential changes in cause-specific infant mortality by sex. Declines in infant mortality from infections and the shift of deaths to perinatal conditions favored females. The reduction in male excess infant mortality after 1970 can be attributed to improved obstetric practices and neonatal care. The additional male infants who survived because of better conditions were more likely to be premature or have low birth weight, which could have implications for their health in later life. This analysis provides evidence of marked changes in the sex ratio of mortality at an age when behavioral differences should be minimal.birth weight ͉ sex differences ͉ mortality trends
Between 1960 and 1995 the black-white difference in male life expectancy in the United States increased from 6.7 years to 8.2 years. To provide insights into why mortality trends have been more adverse for black men than for white men, we investigate which causes of death were principally responsible for changes in the blackwhite difference in male mortality at ages 15-64 between 1960 and 1995. We find that black-white differences in male mortality varied substantially during this period. The gap increased in the 1960s, declined in the 1970s, and widened in the 1980s-early 1990s. Our findings reveal considerable variation in black-white disparities by cause of death and by age, as well as changes in the relative importance of various causes of death to the black-white male mortality disparity over time. The results suggest that consequences of black-white differences in socioeconomic status, access to quality health care, living conditions, and residential segregation vary by cause of death.
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