The late emergence of socioeconomic mortality differentials: A micro-level study of adult mortality in southern Sweden 1815–1968

This paper deals with socioeconomic differences in adult mortality in southern Sweden 1815–1968, a period of transformation from an agricultural to a modern industrial society and increasing life expectancy. We use longitudinal micro-level data with information on demographic events, household structure and socioeconomic status. The main finding is that the socioeconomic gradient is a very recent phenomenon. While mortality fell in all socioeconomic groups it was not until the 1950s that a socioeconomic gradient appeared, and then only among adults in working ages. For the elderly, we find no significant mortality differentials between various social groups at any time. These results are consistent with the divergence hypothesis, although this process started much later than previously thought, and was not an immediate consequence of industrialization.     

Long-term changes in social mortality differentials, Geneva, 1625–2004

In this paper we argue that in order to test competing hypotheses on the emergence of social mortality differentials, one has to adopt a long-term perspective. Studying social inequality in mortality in Geneva from 1625 to 2005, we use historical mortality data published by different authors and contemporary data drawn from an ongoing research project. The comparison over four centuries gives evidence to both the constancy and convergence hypotheses. Mortality is systematically lower-than-average among elites on the one hand, but on the other hand the difference between the top and the bottom of the social ladder is decreasing over time.     

Once were farmers: Occupation, social mobility, and mortality during industrialization in Saguenay-Lac-Saint-Jean, Quebec 1840–1971

We study men's adult mortality and longevity by socio-occupational status during industrialization in Saguenay-Lac-Saint-Jean, Quebec. Data were extracted from the BALSAC database (Université du Québec à Chicoutimi), which comprehensively traces the demographic history of the region since the beginning of the French Canadian settlement in 1840 up to the early 1970s. Using five occupational classes and controlling for year, age at marriage, urban/rural residence, and literacy, we found no evidence for the emergence of a socioeconomic gradient in mortality. At least until the early 1970s, mortality in the region is the lowest for farmers and appears to be driven by occupational risk rather than fundamental social causes.     

Social class, social mobility and mortality in the Netherlands, 1850–2004

This study uses data from a random sample of births in the Netherlands during the period 1850–1922 to examine the relationships between social class, social mobility and mortality at middle and old age. Population registers and personal cards covering the period from 1850 to 2004 for all Dutch provinces were used to reconstruct individual life histories of 14,900 births. For men we did not find an effect of the social class of origin (using two different SES-classifications) on mortality in age group 18 to 35. We also did not observe an effect of own social class on mortality after age 35. For women effects of social class of origin and social class of husband were generally absent as well. Our conclusion is that the standard ideas about the negative effects of processes of industrialization and urbanization on the duration of life do not seem to apply to the Netherlands. Where one lived mattered more for survival than the social class one belonged to.     

The health cost of living in a city: The case of France at the end of the 19th century

Despite a long standing debate over urban living conditions during industrialization, the impact of rural–urban migrations on health and mortality remains an open question. We observe both mortality and geographical mobility in a large longitudinal dataset of French males and show that rural–urban migrants benefited from clear advantages over those who already lived in the city. However, this benefit fades in a few years. Further we find no evidence of a spike in mortality among rural migrants as they encountered the more severe disease environment of cities, instead it seems their initially superior physical human capital was depleted over time.     

Socioeconomic inequalities in death from past to present: An introduction

In the early postwar period, improvements in life expectancy in many Western countries made health authorities, health scientists and politicians believe that social differences in mortality converged. The assumption was that inequality, when measured as death rates, was on steady decline, possibly even on the brink of disappearing. The question is then, how far back in time can social differences in mortality be traced? Can they be traced back to the agricultural society or are they a result of industrialization? Whether or not these differences are the result of the industrial revolution became a lively debated issue at the time and has continued to be discussed to date. While many scholars have taken a Malthusian view, that mortality in the past was largely determined by economic factors, others argue that mortality was determined by non-economic factors, leaving little room for a social gradient in mortality. Due to lack of coherent data covering long time periods, our knowledge has been based on bits and pieces of evidence from various locations and time periods. The evidence used is not only fragmentary but furthermore only partly comparable as different definitions of social class and mortality have been used.Here we present results from seven new studies of locations in Western and Southern Europe, the US and Canada for which individual-level longitudinal data exists during the industrialization period. Most of these studies cover also the first part of the twentieth century, a period for which such microdata hitherto has largely been lacking. Taken together, they have a wide geographic coverage and a very long time horizon. Based on these studies, we argue that social differences appeared both long before and long after the industrial breakthrough, in both cases implying that these differences are not directly related to industrialization. We also argue that the association between income and mortality observed today most likely is a recent phenomenon. Overall, a causal link between income and mortality is put into question.     

Fertility decline and the heights of children in Britain, 1886–1938

In this paper we argue that the fertility decline that began around 1880 had substantial positive effects on the health of children, as the quality–quantity trade-off would suggest. We use microdata from a unique survey from 1930s Britain to analyse the relationship at the household level between the standardised heights of children and the number of children in the family. Our results suggest that heights are influenced positively by family income per capita and negatively by the number of children or the degree of crowding in the household. The evidence suggests that family size affected the health of children through its influence on both nutrition and disease. Applying our results to long-term trends, we find that rising household income and falling family size contributed significantly to improving child health between 1886 and 1938. Between 1906 and 1938 these variables account for 40% of the increase in heights, and much of this effect is due to falling family size. We conclude that the fertility decline is a neglected source of the rapid improvement in health in the first half of the twentieth century.     

Inequality and infant and childhood mortality in the United States in the twentieth century

This paper deals with the issue of using infant and childhood mortality as an indicator of inequality. The case is that of the United States in the 20th century. Using microdata from the 1900 and 1910 Integrated Public Use Microsamples (IPUMS), published data from the Birth Registration Area in the 1920s, results from a number of surveys, and the Linked Birth & Infant Death Files from the National Center for Health Statistics for 1991, infant and child mortality can be related to such other variables as occupation of father or mother, education of father or mother, family income, race, ethnicity, and residence. The evidence shows that, although there have been large absolute reductions in the level of infant and child mortality rates and also a reduction in the absolute levels of differences across socioeconomic groups, relative inequality has not diminished over the 20th century.     

Measuring living standards from the lowest: Height of the male Hangryu deceased in colonial Korea

The living standards in Korea during the colonial period (1910–1945) have been debated for a long time. We explored this problem using the height of the Hangryu deceased, a dead person who did not have any acquaintances to claim the body. We found that the height of male Hangryu deceased, ages 25 to 30, increased by 2.2 cm during the colonial period. This result is consistent with recent quantitative studies measuring income levels or demographic information. However, questions such as when this growth in height started and what initiated this pattern need further investigation.     

Effect of Stress on Later-Life Health: Evidence from the Vietnam War Draft

This article contributes to the literature examining how stress during the early stages of life impacts later-life health using a novel proxy for stress: risk of military induction during the Vietnam War. The article estimates that an increase in induction risk in young adulthood is associated with higher rates of obesity, endocrine disease, and hypertension later in life. These findings do not appear to be cohort effects; these associations exist only for men who did not serve in the war, not for same-aged women. These results suggest stress experienced during early adulthood can have adverse health consequences later in life.     

Was Malthus right? The relationship between population and real wages in Italian history, 1320 to 1870

In this article we investigate the relation between population and real wages in the Italian economy during the period 1320–1870. The main result is that the positive check is strong and statistically significant but the other equilibrating mechanism in the Malthusian model – the preventive check – based on the positive relationship between fertility and real wages does not operate in pre-industrial Italy. In contrast to the Malthusian hypothesis, we find a negative feedback from wage to population. The empirical result is clearly consistent with the theoretical framework of the “old age security motive”. We show, with a simple overlapping-generation model, that by allowing for substitution in a pre-industrial economy between child quantity and other assets (such as new seeds, better soybean quality, and new cultivation and irrigation methods) fertility may be negatively affected whenever income rises.     

Real interest parity: A note on Asian countries using panel stationarity tests

Existing panel data studies of real interest parity are either unable to identify which panel members are characterised by stationary real interest differentials, or are subject to size distortion resulting from the presence of structural breaks and cross-sectional dependencies. Using a panel stationarity testing procedure recently advocated by Hadri and Rao (2008) that allows for structural breaks and cross-sectional dependency, we are unable to reject the stationarity of Asian real interest rate differentials.     

Socioeconomic Status,Religion and Health in India: an Examination of Chronic and Communicable Diseases

The literature on socioeconomic status and health suggests that those in higher positions have better health, and those in lower positions have worse health. There is little evidence of an SES gradient in non-industrialized countries, however, and it is uncertain whether the health gradient established in many Western countries would apply in developing countries. In this study, the authors examine patterns in health outcomes by caste and religion in India, a developing country. Results from a nationally representative sample, the Indian Human Development Survey, suggest that while high SES social groups report less communicable disease, they report a higher prevalence of chronic diseases than low SES groups. This study demonstrates the need to examine diseases of affluence among high SES groups in developing countries while also identifying the particular health concerns that are prevalent among low SES groups.     

Mortality in South Africa: Socio-economic profile and association with self-reported health

This paper exploits the first two waves of the National Income Dynamics Study (NIDS) to describe the socio-economic profile of mortality and to assess whether self-rated health status is predictive of mortality between waves. Mortality rates in NIDS are in line with estimates from official death notification data and display the expected hump of excess mortality in early and middle adulthood due to AIDS, with the excess peaking earlier for women than for men. We find evidence of a socio-economic gradient in mortality, with higher rates of mortality for individuals from asset-poor households and with lower levels of education. Consistent with evidence from many industrialised countries and a few developing countries, we find self-rated health to be a significant predictor of two-year mortality, an association that remains after controlling for socio-economic status and several other subjective and objective measures of health.     

Infant Mortality Decline and Its Socioeconomic Correlates in New Zealand, 1873–1940

The popular view of New Zealand during the first half of the twentieth century is one of a healthy country with exceptionally low infant mortality rates. This article reviews the non-Māori ‘health transition’ and its determinants from a socioeconomic perspective and draws comparisons with Australia. Regional health inequalities are analysed through the lens of infant mortality. Socioeconomic correlates with infant mortality are investigated empirically. Panel regression estimates suggest that during the 1874–1919 period, improvements in real wages corresponded with falling infant deaths and thus better health outcomes, while increased housing density created unfavourable conditions for infant survival chances.     

A multidimensional analysis of poverty in China from 1991 to 2006

Most studies have reported non negligible improvements for China in terms of poverty during the last three decades. However, this result is potentially hampered by two limitations. First, it may be contingent to the specific choices made regarding the poverty line and the poverty indices used for the analysis. As a consequence, it may collapse if one uses alternative poverty lines or poverty measures. Second, it results from a focus on the sole monetary aspects of poverty. As income does not cover all facets of well-being and since the relationship between these two concepts are quite fuzzy, it may be worth using a broader view of well-being, hence opting for a multidimensional approach of poverty analysis. In the present paper, these two issues are addressed using multidimensional stochastic dominance procedures on the joint distribution of income, education and health in seven Chinese provinces.     

Globalization, industrialization and urbanization in Pre-World War II Southeast Asia

This article uses new data to analyze the impact on Southeast Asian urbanization of globalization and industrialization in the world economy's core countries between the 1870s and World War II. Dramatic falls in transport costs and free trade, enforced, if necessary, by colonial rule, combined to open vast frontier areas throughout Southeast Asia to global commerce and create a handful of large urban centres. These cities, through linking Southeast Asian primary commodity exporters to world markets, grew predominantly as part of the global economy. Our econometric analysis shows that measures of globalization — in particular industrial production in the world core and international transport costs — are much better predictors of the size of Southeast Asia's main cities than domestic factors such as total population, GDP per capita, land area or government expenditure.     

Income inequality in central Spain, 1690–1800

This paper studies the evolution of income inequality in central Spain during the late seventeenth and eighteenth centuries, taking as case study the province of Guadalajara. The first part of the paper presents the sources and the dataset that was created to estimate income inequality using grain tithes. The second section shows that through the period grain represented the lion share of total income and therefore that it can be used as a reliable proxy. The following part of the paper introduces an analysis of income inequality in the province during the period 1690–1800 and concludes that inequality decreased during the last third of the eighteenth century. Finally the paper addresses this unexpected result and concludes that it was consequence of the success of the land reform carried out by the central government in the late 1760s. The reform was a success in Guadalajara, thanks to the characteristics of its population and the lack of bargaining power of pressure groups.     

Commercialization as exogenous shocks: The effect of the soybean trade and migration in Manchurian villages, 1895–1934

The effects of commercialization and migration in traditional agrarian economies such as China's during the nineteenth and twentieth centuries have been a subject of ferocious debate. Using data from Manchuria on soybean cultivation and exports, we employ difference-in-differences and instrumental variable approaches to demonstrate a significantly positive relationship between growing soybeans for export and the returns to migration. Those who migrated to Manchuria in response to high market prices, and to villages more suitable for cultivating soy prospered most; they owned approximately two-thirds more of the arable land and one-third more of houses than those who failed to do so. Evidence suggests that the positive welfare effect of commercialization-cum-migration was confined not only to the rich, who seek to relieve the “land constraint” at home, but possibly also to the poor.     

The rise and fall of spatial inequalities in France: A long-run perspective

This paper studies the evolution and determinants of spatial inequalities in France. To this end, we use a unique database providing data on value-added, employment, and population over the entire set of French “Départements” in 1860, 1896, 1930, 1982, and 2000. These data cover three sectors: Agriculture, Manufacturing, and Services. Firstly, we confirm the existence of a bell-shaped process of spatial concentration in Manufacturing and Services over time. In contrast, labor productivity has been converging across departments. Secondly, we find considerable agglomeration economies over the whole period. The spatial distribution of these gains is determined mainly by market potential in the first sub-period, 1860–1930, and higher education in the second, 1930–2000.