Volume 65 - Number 4 - Winter 1999

E. Mortality

Studies that treat quantitative mortality data analytically. Methodological studies primarily concerned with mortality are cited in this division and cross-referenced to N. Methods of Research and Analysis Including Models, if necessary. The main references to crude data are in the vital statistics items in S. Official Statistical Publications.

E.1. General Mortality

Studies of overall mortality and comparisons of several types of mortality. Studies dealing with two or more of the topics listed in this division are classified under the major section covered, or, if this is not self-evident, included here under General Mortality.

65:40209 Andreev, Evgueni. The dynamics of mortality in the Russian Federation. In: Health and mortality: issues of global concern. Proceedings of the Symposium on Health and Mortality, Brussels, 19-22 November 1997, edited by J. Chamie and R. L. Cliquet. 1999. 262-90 pp. Centrum voor Bevolkings- en Gezinsstudiën [CBGS]: Brussels, Belgium; UN Department of Economic and Social Affairs: New York, New York. In Eng.
The three stated purposes of this paper are to describe mortality trends in Russia since World War II, to analyze those factors that explain the differences in mortality between Russia and the developed countries of the West, and to assess the prospects for further mortality decline in the country. Topics covered include trends in age-specific mortality, causes of death, mortality differentials by educational status, and regional differences in mortality. "A decline in the expectation of life of Russia's population has been observed for a period of more than 30 years. Under the circumstances, the pessimistic but most likely prospect is that the decline will continue." On the more positive side, the author notes an improvement in the quality and accessibility of vital statistics data, and the beginnings of a more constructive social response to these negative mortality trends.
Correspondence: E. Andreev, Research Institute of Statistics Goskomstat of Russia, Department of Demography, Izmailovskoe Shosse 44, 105679 Moscow, Russia. Location: Princeton University Library (SPR).

65:40210 Barlow, Robin; Vissandjée, Bilkis. Determinants of national life expectancy. Canadian Journal of Development Studies, Vol. 20, No. 1, 1999. 9-29 pp. Ottawa, Canada. In Eng. with sum. in Fre.
"This paper presents a multivariate cross-national analysis of life expectancy at birth in 1990. A model of life expectancy is used which distinguishes between proximate and distal determinants, and measures the direct and indirect effects of the distal variables. It is found that literacy, per capita income, and access to safe water supplies have significantly positive effects on life expectancy. Fertility and tropical location have significant negative effects, and per capita food consumption of animal products shows an inverted-U relationship with life expectancy. Per capita health expenditure and the urbanization rate appear to be weak determinants."
Correspondence: R. Barlow, University of Michigan, Department of Epidemiology, Ann Arbor, MI 48109-2029. Location: Princeton University Library (SF).

65:40211 Bopp, M.; Gutzwiller, F. All-cause mortality trends in Switzerland since 1950. [Entwicklung der Mortalität in der Schweiz seit 1950.] Schweizerische Medizinische Wochenschrift/Journal Suisse de Médecine/Swiss Medical Weekly, Vol. 129, No. 20-21, May 1999. 760-71; 799-809 pp. Basel, Switzerland. In Ger. with sum. in Eng.
This two-part article analyzes trends in all-cause mortality in Switzerland since 1950. In the first part, the authors examine differences in mortality by sex, age, and nationality and make comparisons with other European countries. In the second part, they look at geographical differences in mortality within Switzerland. Problems concerning data on mortality for foreigners are noted, which need to be taken into account when making international comparisons. "Geographical differences in mortality risks within Switzerland, as well as international disparities, suggest that there is a need for preventive measures in Switzerland, first and foremost concerning males aged 15-49 years and deaths from `external' causes."
Correspondence: M. Bopp, Universität Zurich, Institut für Sozial- und Präventivmedizin, Sumatrastrasse 30, 8006 Zurich, Switzerland. Location: Princeton University Library (SPR).

65:40212 Cárdenas, Rosario. The epidemiological transition in Mexico: what the data on cause of death reveal. In: Health and mortality: issues of global concern. Proceedings of the Symposium on Health and Mortality, Brussels, 19-22 November 1997, edited by J. Chamie and R. L. Cliquet. 1999. 158-80 pp. Centrum voor Bevolkings- en Gezinsstudiën [CBGS]: Brussels, Belgium; UN Department of Economic and Social Affairs: New York, New York. In Eng.
Recent mortality trends in Mexico are examined. "By analysing cause of death data, this paper aims at identifying: (a) the main characteristics of the epidemiological profile of Mexico; (b) causes for changes in life expectancy; and (c) the main causes of premature mortality." The results suggest that, despite a long period of economic recession which started in 1982, mortality has steadily declined over time. "The results reported in this paper have been brought about mainly by a combination of factors. They include sustained public health efforts such as the immunization campaigns which resulted in the eradication of polio; a demographic change in the age-structure, which is a consequence in turn of the increase in life expectancy; and to a certain extent, the wider availability of medical services."
Correspondence: R. Cárdenas, Universidad Autónoma Metropolitana, Unidad Xochimilco, Calz. del Hueso 1100, Col. Villa Quietud, 04960 Mexico City, DF, Mexico. Location: Princeton University Library (SPR).

65:40213 Chackiel, Juan. Mortality in Latin America. In: Health and mortality: issues of global concern. Proceedings of the Symposium on Health and Mortality, Brussels, 19-22 November 1997, edited by J. Chamie and R. L. Cliquet. 1999. 132-57 pp. Centrum voor Bevolkings- en Gezinsstudiën [CBGS]: Brussels, Belgium; UN Department of Economic and Social Affairs: New York, New York. In Eng.
This is a review of the general situation concerning mortality in Latin America. The emphasis is on developments in adult mortality. There are sections on the availability and quality of data; mortality trends; mortality by sex, age and cause of death; mortality transition and epidemiological transition; and mortality differentials according to socioeconomic variables.
Correspondence: J. Chackiel, UN Centro Latinoamericano y Caribeño de Demografía, Edificio Naciones Unidas, Avenida Dag Hammarskjold, Casilla 91, Santiago, Chile. Location: Princeton University Library (SPR).

65:40214 Charbit, Yves; Régnard, Corinne. Population dynamics and geographical patterns of African populations. [Dynamiques démographiques et dimensions géographiques des populations africaines.] Espace, Populations, Sociétés, No. 1, 1999. 13-27 pp. Villeneuve d'Ascq, France. In Fre. with sum. in Eng.
"This paper assesses changes in the trends of mortality and fertility and the influence of urbanization on both variables [in Sub-Saharan Africa]. A regional analysis shows that [contrary] to the theory of demographic transition, urbanization does not necessarily induce a decline of fertility and of mortality. Other factors must be taken into account, for instance the supply of health care."
Correspondence: Y. Charbit, Centre d'Etudes et de Recherches sur les Populations Africaines et Asiatiques, 45 rue des Saints Pères, 75005 Paris, France. Location: Princeton University Library (SPR).

65:40215 Doblhammer, Gabriele. Longevity and month of birth: evidence from Austria and Denmark. Demographic Research, Vol. 1, 1999. Rostock, Germany. In Eng.
"This article shows that in two European countries, Austria and Denmark, a person's life span correlates with his or her month of birth. It presents evidence that this pattern is not the result of the seasonal distribution of death. It also shows that the seasonal pattern in longevity cannot be explained by the so-called birthday effect--the alleged tendency of people to die shortly after their birthday. The article concludes with a discussion of possible social and biological mechanisms related to a person's season of birth that might influence life expectancy."
Correspondence: G. Doblhammer, Max Planck Institute for Demographic Research, Doberaner Straße 114, 18057 Rostock, Germany.

65:40216 Ecclestone, Martin. Mortality of rural landless men before the Black Death: the Glastonbury head-tax lists. Local Population Studies, No. 63, Autumn 1999. 6-29 pp. Colchester, England. In Eng.
An attempt is made to estimate mortality among landless rural men in fourteenth-century England using data from court rolls of manors owned by Glastonbury Abbey.
Location: Princeton University Library (SPR).

65:40217 Edmondson, Brad. The facts of death. American Demographics, Vol. 19, No. 4, Apr 1997. 46-53 pp. Stamford, Connecticut. In Eng.
The author briefly characterizes recent mortality trends in the United States. Aspects considered include sex, time of year, place of death, date of birth and age, city and state of birth, race, Hispanic origin, education, marital status, cause of death, and autopsy incidence.
Location: Princeton University Library (SPR).

65:40218 Gerylovová, Anna; Holcík, Jan. Life expectancy in regions and districts of the Czech Republic. [Strední délka zivota v krajích a okresech Ceské republiky.] Demografie, Vol. 41, No. 3, 1999. 184-92 pp. Prague, Czech Republic. In Cze. with sum. in Eng.
The authors provide a regional analysis of life expectancy at birth in the Czech Republic from 1981 to 1995. Particular attention is paid to differences by sex, age, and district.
Location: Princeton University Library (SPR).

65:40219 Hanzek, Matjaz; Turnsek, Nada. Lifestyles and mortality in European countries. [Zivljenjski slog in umrljivost v evropskih drzavah.] Druzboslovne Razprave, Vol. 13, No. 24-25, 1997. 118-32, 207 pp. Ljubljana, Slovenia. In Slv. with sum. in Eng.
An analysis of the relationship between lifestyle and mortality is presented using data on the countries of Europe. "Using the method of multi-dimensional cluster analysis...[the authors] identified 12 groups of countries in Europe--six in the East and six in the West--which resemble each other in terms of causes of death and mortality patterns. The border between an eastern and a western lifestyle runs through the countries of the former Austro-Hungarian Empire."
Correspondence: N. Turnsek, Univerza v Ljubljani, Pedagoska Fakulteta, Kardeljeva Ploscad 16, 1000 Ljubljana, Slovenia. Location: Princeton University Library (SPR).

65:40220 Hill, Kenneth. The measurement of adult mortality: an assessment of data availability, data quality and estimation methods. In: Health and mortality: issues of global concern. Proceedings of the Symposium on Health and Mortality, Brussels, 19-22 November 1997, edited by J. Chamie and R. L. Cliquet. 1999. 72-83 pp. Centrum voor Bevolkings- en Gezinsstudiën [CBGS]: Brussels, Belgium; UN Department of Economic and Social Affairs: New York, New York. In Eng.
"This paper first reviews data sources relevant to the measurement of adult mortality, then data availability from each source, and finally the analytical methods available to use the data from these sources. The paper concludes with a discussion of appropriate strategies for countries in order to improve their adult mortality estimates." The primary focus is on the situation in developing countries.
Correspondence: K. Hill, Johns Hopkins University, School of Hygiene and Public Health, Population Center, 615 North Wolfe Street, Room 2300, Baltimore, MD 21205-2179. Location: Princeton University Library (SPR).

65:40221 Horiuchi, Shiro. Epidemiological transitions in human history. In: Health and mortality: issues of global concern. Proceedings of the Symposium on Health and Mortality, Brussels, 19-22 November 1997, edited by J. Chamie and R. L. Cliquet. 1999. 54-71 pp. Centrum voor Bevolkings- en Gezinsstudiën [CBGS]: Brussels, Belgium; UN Department of Economic and Social Affairs: New York, New York. In Eng.
"This paper has presented a five-stage model of the epidemiological transition of human mortality, and also describes some possible reverse transitions. The model is a combination of a generalisation of past patterns and a prospect of future changes. Since the actual pattern of historical mortality change varies among countries and regions, it may not be difficult to find specific cases that do not fit the model well. The main purpose of this model, however, is to provide a bird's-eye view of a typical course of mortality history in human societies. The model can be used as a conceptual framework for describing, analysing, and predicting actual mortality trends in the past and future."
Correspondence: S. Horiuchi, Rockefeller University, Laboratory of Population, New York, NY 10021-6399. Location: Princeton University Library (SPR).

65:40222 Hoyert, Donna L.; Kochanek, Kenneth D.; Murphy, Sherry L. Deaths: final data for 1997. NCHS National Vital Statistics Reports, Vol. 47, No. 19, Jun 30, 1999. 104 pp. U.S. National Center for Health Statistics [NCHS]: Hyattsville, Maryland. In Eng.
"This report presents final 1997 data on U.S. deaths and death rates according to demographic and medical characteristics such as age, sex, race, Hispanic origin, marital status, educational attainment, injury at work, State of residence, and cause of death. Trends and patterns in general mortality, life expectancy, and infant and maternal mortality are also described."
Correspondence: U.S. National Center for Health Statistics, 6525 Belcrest Road, Hyattsville, MD 20782-2003. E-mail: nchsquery@cdc.gov. Location: Princeton University Library (SPR).

65:40223 Johansson, Sven-Erik; Sundquist, Jan. Change in lifestyle factors and their influence on health status and all-cause mortality. International Journal of Epidemiology, Vol. 28, No. 6, Dec 1999. 1,073-80 pp. Oxford, England. In Eng.
"The purpose of this study was to analyse both cross-sectional associations and how longitudinal changes in lifestyle factors from one state in 1980-1981 to another in 1988-1989 influence self-reported health status. Another aim was to estimate the hazard ratios for all-cause mortality for the changes in lifestyle factors and self-reported hypertension during the same period of time. The cross-sectional and the longitudinal analyses are based on the same simple random sample of 3,843 adults, aged 25-74, interviewed in 1980-1981 and 1988-1989 and is part of the Swedish Annual Level-of-Living Survey." Factors considered include physical activity, smoking, and body mass index (BMI). The results suggest that "physical activity protects against poor health irrespective of an increased BMI and smoking. The major clinical implications are the long-standing benefits of physical activity and not smoking."
Correspondence: S.-E. Johansson, Statistics Sweden, Department of Welfare and Social Statistics, Box 24300, 104 51 Stockholm, Sweden. E-mail: svenerik.johansson@scb.se. Location: Princeton University Library (SPR).

65:40224 Kunst, Anton E.; Wolleswinkel-van den Bosch, Judith H.; Mackenbach, Johan P. Medical demography in the Netherlands: recent advances, future challenges. In: Population issues: an interdisciplinary focus, edited by Leo J. G. van Wissen and Pearl A. Dykstra. 1999. 187-228 pp. Kluwer Academic/Plenum Publishers: New York, New York/Dordrecht, Netherlands. In Eng.
"This chapter provides an overview of medical demographic research conducted in the Netherlands during the 1990s. The methods and principal findings are discussed of studies on: (a) past trends in mortality, (b) current mortality differentials, (c) future trends in mortality, (d) future trends in morbidity, and (e) the consequences of these trends for health care demand, cost and financing. Compared with the late 1980s, significant advances have been made in all these fields of research. Studies that combined advanced data acquisition with multivariate statistical techniques have succeeded to move from description to explanation of mortality trends or differentials. Studies that applied sophisticated population-based models have greatly improved the projection of future trends in mortality and morbidity."
Correspondence: A. E. Kunst, Erasmus University, Department of Public Health, P.O. Box 1738, 3000 DR Rotterdam, Netherlands. Location: Princeton University Library (SPR).

65:40225 Mansfield, Christopher J.; Wilson, James L.; Kobrinski, Edward J.; Mitchell, Jim. Premature mortality in the United States: the roles of geographic area, socioeconomic status, household type, and availability of medical care. American Journal of Public Health, Vol. 89, No. 6, Jun 1999. 893-8 pp. Washington, D.C. In Eng.
"This study examined premature mortality by county in the United States and assessed its association with metro/urban/rural geographic location, socioeconomic status, household type, and availability of medical care.... Premature mortality was greatest in rural counties in the South-east and Southwest.... Community structure factors explained more than availability of medical care. The proportions of female-headed households and Black populations were the strongest predictors...."
Correspondence: C. J. Mansfield, East Carolina University, Center for Health Services Research and Development, Building N, Physicians Quadrangle, Greenville, NC 27858. E-mail: mansfield@brody.med.ecu.edu. Location: Princeton University Library (SZ).

65:40226 Michel, Harald. Mortality decline in eighteenth-century Germany--component, prerequisite, or precursor of the demographic transition? [Sterblichkeitsrückgang im 18. Jahrhundert in Deutschland--Bestandteil, Voraussetzung oder Vorläufer der demographischen Transition?] Wissenschaftliche Zeitschrift der Humboldt-Universität zu Berlin: Reihe Gesellschaftswissenschaften, Vol. 39, No. 4, 1990. 367-9 pp. Berlin, Germany. In Ger.
The temporary mortality decline that occurred in Germany between 1700 and 1750 is discussed in relation to the permanent demographic transition that took place a century later. Its primary cause seems to have been improved agricultural productivity and absence of pandemics in this period. The author argues that the resulting moderate population increase was a factor in stimulating the industrial revolution and thereby the demographic transition proper.
Correspondence: H. Michel, Humboldt-Universität zu Berlin, Sektion Wirtschaftwissenschaften, Spandauer Straße 1, Berlin 1020, Germany. Location: Princeton University Library (SPR).

65:40227 Ngongo, Kypa N.; Nante, Nicola; Chenet, Laurent; McKee, Martin. What has contributed to the change in life expectancy in Italy between 1980 and 1992? Health Policy, Vol. 48, No. 1, Jul 1999. 1-12 pp. Limerick, Ireland. In Eng.
"Life expectancy at birth in southern Europe is known to be greater than expected in comparison with levels of economic development. This has been attributed to the `Mediterranean diet'. There are, however, concerns that this comparative advantage is being lost. This paper examines the factors underlying changing life expectancy in Italy since 1980. The subjects of this analysis are obtained from data on all deaths in Italy between 1980 and 1992. Change in age specific death rates is calculated from selected causes and, using the method developed by Pollard, the contribution of deaths from different causes and at different ages to changing life expectancy at birth is estimated."
Correspondence: M. McKee, London School of Hygiene and Tropical Medicine, European Center for Health on Societies in Transition, Keppel Street, London WC1E 7HT, England. E-mail: M.McKee@lshtm.ac.uk. Location: Princeton University Library (SPR).

65:40228 Park, Kyung-Ae. Recent trends and patterns of mortality in Korea. Development and Society, Vol. 27, No. 2, Dec 1998. 67-81 pp. Seoul, Korea. In Eng.
"Korea continues to experience rapid demographic transition and population aging. This study examines mortality trends and patterns [in South Korea] between 1985-1995. Various death rates and ratios are calculated using death registration data. Mortality trends are analyzed by regression analysis, and life tables are constructed." Trends are examined according to causes of death, sex, and age.
Correspondence: K.-A. Park, National Statistical Office, Vital Statistics Division, 647-15 Yoksam-dong, Ilangnam-gu, Seoul, Republic of Korea. E-mail: kap@nso.go.kr. Location: Princeton University Library (SPR).

65:40229 Shkolnikov, Vladimir M. The Russian health crisis of the 1990s in mortality dimensions. Harvard Center for Population and Development Studies Working Paper Series, No. 97.01, Mar 1997. Harvard University, Center for Population and Development Studies: Cambridge, Massachusetts. In Eng.
This paper focuses on the increase in Russian mortality during the 1990s. This "is primarily related to enormous increases in mortality from external causes of death and premature deaths from cardiovascular diseases in adult ages. Sharp rises in mortality from homicides, accidental poisonings by alcohol, and suicides suggest growing alcoholism and criminal activity in the country. Reversals in mortality due to infectious diseases and some avoidable causes of death indicate degradation in health sanitary systems. Upturns in mortality rates for ill-defined categories and in deaths with unspecified age are probably linked with incomplete recording of violent death and growing number of deaths of homeless or marginal people. Mortality increase was steeper in towns than in rural areas. Regional differences in life expectancy became substantially wider due to greater decreases in many territories of the North and Siberia and also in Moscow and St. Petersburg. Mortality increase was probably more pronounced among the less educated people."
Correspondence: Harvard University, Center for Population and Development Studies, 9 Bow Street, Cambridge, MA 02138.

65:40230 Smith, Betty L.; Martin, Joyce A.; Ventura, Stephanie J. Births and deaths: preliminary data for July 1997-June 1998. NCHS National Vital Statistics Reports, Vol. 47, No. 22, Jul 29, 1999. 31 pp. U.S. National Center for Health Statistics [NCHS]: Hyattsville, Maryland. In Eng.
"This report presents preliminary data on births and deaths in the United States from the National Center for Health Statistics (NCHS) for the 12 months ending June 1998. U.S. data on births are shown by age, race, and Hispanic origin of mother. Natality data on marital status, prenatal care, cesarean delivery, and low birthweight are also presented. Mortality data presented include leading causes of death and infant mortality."
Correspondence: U.S. National Center for Health Statistics, 6525 Belcrest Road, Hyattsville, MD 20782-2003. E-mail: nchsquery@cdc.gov. Location: Princeton University Library (SPR).

65:40231 Tabeau, Ewa; Ekamper, Peter; Huisman, Corina; Bosch, Alinda. Improving overall mortality forecasts by analysing cause-of-death, period and cohort effects in trends. European Journal of Population/Revue Européenne de Démographie, Vol. 15, No. 2, Jun 1999. 153-83 pp. Dordrecht, Netherlands. In Eng. with sum. in Fre.
"The major goal of this study is to propose improvements in the methods for forecasting overall mortality. In order to reach this goal, three types of trend-oriented forecasts have been studied. Each type of forecast is conditional on developments in one of the three factors, period, cohort and cause of death, which are know to represent symptomatic measures of certain causal mechanisms. Mortality projections have been made for four developed European countries: France, Italy, the Netherlands and Norway. The projections are based on observed mortality data over the years 1950-1994 and cohorts born in the nineteenth and twentieth century. The results of the analyses do not show a best solution, though the cause-of-death approach looks the most promising. However, the period and cohort approaches certainly have additional value in the forecasting process."
Correspondence: E. Tabeau, Netherlands Interdisciplinary Demographic Institute, Lange Houtstraat 19, Postbus 11650, 2502 AR The Hague, Netherlands. E-mail: tabeau@nidi.nl. Location: Princeton University Library (SPR).

65:40232 Timæus, Ian M. Mortality in Sub-Saharan Africa. In: Health and mortality: issues of global concern. Proceedings of the Symposium on Health and Mortality, Brussels, 19-22 November 1997, edited by J. Chamie and R. L. Cliquet. 1999. 110-31 pp. Centrum voor Bevolkings- en Gezinsstudiën [CBGS]: Brussels, Belgium; UN Department of Economic and Social Affairs: New York, New York. In Eng.
This is a general review of the situation concerning mortality in Africa south of the Sahara. There are sections on availability of data, infant and child mortality, and adult mortality. The author notes an improvement in data availability because of the Demographic and Health Survey program, although major gaps in the available data on adult mortality, and in particular on AIDS mortality, still persist.
Correspondence: I. M. Timæus, London School of Hygiene and Tropical Medicine, Centre for Population Studies, Department of Epidemiology and Population Sciences, 49-51 Bedford Square, London WC1B 3DP, England. Location: Princeton University Library (SPR).

65:40233 United States. Centers for Disease Control and Prevention [CDC] (Atlanta, Georgia). Mortality patterns--United States, 1997. Morbidity and Mortality Weekly Report, Vol. 48, No. 30, Aug 6, 1999. 664-8 pp. Atlanta, Georgia. In Eng.
"In 1997, a total of 2,314,245 deaths were registered in the United States--445 fewer than the record high of 2,314,690 in 1996. The overall age-adjusted death rate was 479.1 per 100,000 standard (1940) population, the lowest ever recorded. In 1997, nearly two thirds of deaths resulted from heart disease, cancer, and stroke. This report summarizes mortality patterns in 1997 and compares them with patterns in 1996."
Correspondence: Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30333. Location: Princeton University Library (SPR).

65:40234 Valkovics, Emil. On some properties of mortality rates. Hungarian Statistical Review, Vol. 77, No. 3, 1999. 95-115 pp. Budapest, Hungary. In Eng.
"The first part of the paper underlines the [need] to consider in the analysis of mortality the double nature of general age-specific mortality rates: they determine with the number and age distribution of persons exposed to the risk of dying the number and the age distribution of the deceased. An attempt is made to separate the impact of these two roles. The second part of the contribution describes the method of decomposition of the differences between the life expectancies at birth (and at higher ages) elaborated and used in the Demographic Research Institute of the [Hungarian Central Statistical Office], based on the evidence that the life expectancy at birth may be defined...as the mean age of all the deceased of the life table and this mean age is equal to the weighted arithmetic mean of the mean ages of victims of different causes of death."
Correspondence: E. Valkovics, Kozponti Statisztikai Hivatal, Institute of Demographic Research, Keleti Karoly U.5-7, 1525 Budapest II, Hungary. Location: Princeton University Library (SPR).

65:40235 Wilmoth, John R.; Horiuchi, Shiro. Rectangularization revisited: variability of age at death within human populations. Demography, Vol. 36, No. 4, Nov 1999. 475-95 pp. Silver Spring, Maryland. In Eng.
"Rectangularization of human survival curves is associated with decreasing variability in the distribution of ages at death. This variability, as measured by the interquartile range of life table ages at death, has decreased from about 65 years to 15 years since 1751 in Sweden. Most of this decline occurred between the 1870s and the 1950s. Since then, variability in age at death has been nearly constant in Sweden, Japan, and the United States, defying predictions of a continuing rectangularization. The United States is characterized by a relatively high degree of variability, compared with both Sweden and Japan. We suggest that the historical compression of mortality may have had significant psychological and behavioral impacts."
Correspondence: J. R. Wilmoth, University of California, Department of Demography, 2232 Piedmont Avenue, Berkeley, CA 94720. E-mail: jrw@demog.berkeley.edu. Location: Princeton University Library (SPR).

65:40236 Yan, Yuk Yee. The influence of weather on human mortality in Hong Kong. Social Science and Medicine, Vol. 50, No. 3, Feb 2000. 419-27 pp. Oxford, England. In Eng.
"This study is the first attempt to investigate mortality seasonality and weather-mortality relationships in Hong Kong from 1980 to 1994. Monthly mortality data from all causes of death, neoplasm, circulatory and respiratory diseases were obtained from the Census and Statistics Department and the weather data were obtained from the Hong Kong Observatory. Regression analyses and ANOVA were employed. Significant winter peaks in sex specific and total deaths from all causes, circulatory and respiratory diseases were ascertained. Cancer mortality, however, was not seasonal. Mortality seasonality only existed in age groups 45-64 and greater than 65.... A significant negative association between minimum temperature and a positive relationship between cloud and deaths were found. This suggests that colder and cloudy conditions may heighten mortality."
Correspondence: Y. Y. Yan, Hong Kong Baptist University, Kowloon Tong, Hong Kong, China. E-mail: yyan@ctsc.hkbu.edu.hk. Location: Princeton University Library (PR).

65:40237 Zatonski, Witold. The dynamics of mortality in Poland. In: Health and mortality: issues of global concern. Proceedings of the Symposium on Health and Mortality, Brussels, 19-22 November 1997, edited by J. Chamie and R. L. Cliquet. 1999. 227-61 pp. Centrum voor Bevolkings- en Gezinsstudiën [CBGS]: Brussels, Belgium; UN Department of Economic and Social Affairs: New York, New York. In Eng.
An analysis of mortality trends in Poland from 1988 to 1994, based on official data, is presented. Two main phases are identified. "The increase in mortality from non-medical causes in 1988-1991, especially among young men, seems to have been chiefly the result of a sudden increase in alcohol consumption and its consequences. More impressive and positive is the second phase, involving the large decline in mortality in 1991-1996, principally involving premature deaths from cardiovascular diseases. This process, although difficult to interpret definitively, is probably chiefly due to the changes in the dietary patterns of the Polish population that followed the introduction of a market economy."
Correspondence: W. Zatonski, Maria Sklodowska-Curie Memorial Cancer Centre and Institute of Oncology, Department of Epidemiology and Cancer Prevention, 02-781 Warsaw, Poland. E-mail: zatonskiw@coi.waw.pl. Location: Princeton University Library (SPR).

E.2. Prenatal and Perinatal Mortality

Studies dealing primarily with fetal and neonatal mortality, except those dealing with spontaneous abortions, which are classified under F.3. Sterility and Other Pathology, and those studies dealing with induced abortions, which are classified under F.4.5. Induced Abortion. Perinatal mortality is defined as mortality occurring between the twenty-eighth week of gestation and the seventh day of life.

65:40238 Alexander, Greg R.; Tompkins, Mark E.; Allen, Marilee C.; Hulsey, Thomas C. Trends and racial differences in birth weight and related survival. Maternal and Child Health Journal, Vol. 3, No. 1, Jun 1999. 71-9 pp. New York, New York. In Eng.
"In the past two decades, infant mortality rates in the United States declined in African-American and White populations. Despite this, racial disparities in infant mortality rates have increased and rates of low birth weight deliveries have shown little change. In this study, we examine temporal changes in birth weight distributions, birth weight specific neonatal mortality, and the birth weight threshold for an adverse risk of survival within both racial groups in order to explore the mechanisms for the disparities in infant mortality rates.... Single live births born to South Carolina resident mothers between 1975 and 1994 and considered White or African-American based on the mother's report of maternal race on the birth certificate were selected for investigation.... Despite significant increases in very low birth weight percentages, neonatal mortality rates markedly declined. Birth weight specific neonatal mortality decreased for both races, although greater reductions accrued to White low birth weight infants."
Correspondence: G. R. Alexander, University of Alabama, School of Public Health, Department of Maternal and Child Health, 320A Ryals Building, 1665 University Boulevard, Birmingham, AL 35294-0022. E-mail: greg.alexander@uab.edu. Location: Princeton University Library (SPR).

65:40239 Gourbin, Catherine. Fetal mortality: definitions and levels. [La mortalité foetale: définitions et niveaux.] In: Morbidité, Mortalité: Problèmes de Mesure, Facteurs d'Evolution, Essai de Prospective. Colloque international de Sinaia (2-6 septembre 1996). 1998. 91-107 pp. Association Internationale des Démographes de Langue Française [AIDELF]: Paris, France; Presses Universitaires de France: Paris, France. In Fre.
The author examines some of the problems associated with measuring fetal mortality. Some of the differences in the criteria for registering fetal deaths in European countries are described, and the impacts of the methods chosen on levels of fetal mortality are noted. The chapter ends with an analysis of the quality of the Hungarian data, which are available for fetal deaths regardless of length of gestation.
Correspondence: C. Gourbin, Université Catholique de Louvain, Institut de Démographie, 1 place Montesquieu, B.P. 17, 1348 Louvain-la-Neuve, Belgium. Location: Princeton University Library (SPR).

65:40240 Liljestrand, Jerker. Commentary: reducing perinatal and maternal mortality in the world: the major challenges. British Journal of Obstetrics and Gynaecology, Vol. 106, No. 9, Sep 1999. 877-80 pp. Oxford, England. In Eng.
The major challenges to be faced if perinatal and maternal mortality is to be further reduced around the world are examined. The relationship between reducing levels of mortality from such causes and successful development programs in developing countries is analyzed.
Correspondence: J. Liljestrand, World Health Organization, Department of Reproductive Health and Research, 1211 Geneva 27, Switzerland. Location: Princeton University Library (SPR).

65:40241 Rajan, S. Irudaya; Nair, P. Mohanachandran. Is the IMR in Kerala as low as 12? Beginning an exploration. Demography India, Vol. 28, No. 1, Jan-Jun 1999. 131-44 pp. Delhi, India. In Eng.
"This brief note has two objectives: Firstly to explore the possible reasons of high still birth rate and peri-natal mortality in Kerala [India]; secondly, why the SRS [Sample Registration System] underestimates the IMR [infant mortality rate] as low as 15? In the process, we also assess the reasons for [the] high infant mortality rate."
Correspondence: S. I. Rajan, Centre for Development Studies, Prasanthnagar Road, Ulloor, Thiruvananthapuram 695 011, Kerala, India. Location: Princeton University Library (SPR).

65:40242 Wang, P. D.; Lin, R. S. Perinatal mortality in Taiwan. Public Health, Vol. 113, No. 1, Jan 1999. 27-33 pp. Basingstoke, England. In Eng.
"Information on perinatal deaths [in Taiwan] was obtained from 310 women by collecting detailed obstetric histories dating from marriage to the start of the survey. These histories were compared to those of 688 age matched controls. Potential risk factors, levels and time trends of perinatal mortality in Taiwan were examined and factors underlying stillbirths and early neonatal deaths were also compared using conditional logistic regression analyses." The data were collected in 1991-1992. A decline of nearly 56% occurred in perinatal mortality over the 35-year period prior to the survey. Factors associated with perinatal mortality were maternal age, parity, and birth intervals.
Correspondence: P. D. Wang, Wanhwa District Health Center, 152 Tung-Yuan Street, Taipei, Taiwan. Location: Princeton University Library (SPR).

E.3. Infant and Childhood Mortality

Studies of infant mortality under one year of age, including neonatal mortality occurring after the seventh day of life, and childhood mortality after one year of age. The subject of infanticide, deliberate or implied, is also classified under this heading.

65:40243 Aaby, Peter. Are men weaker or do their sisters talk too much? Sex differences in childhood mortality and the construction of "biological" differences. In: The methods and uses of anthropological demography, edited by Alaka M. Basu and Peter Aaby. 1998. 223-45 pp. Clarendon Press: Oxford, England. In Eng.
Reasons for sex differences in childhood mortality in developing countries are analyzed, with particular reference to differences in mortality from measles. "The paper analyses how disease transmission patterns may produce severe infection and mortality differences by sex or age. The focus is the interaction between behaviour patterns and disease transmission, a reality that may interact in important ways with patterns of differential or preferential treatment of the sexes." The author notes that infections are more severe when contracted from someone at home than from someone outside, and that it can affect sex differentials in mortality from a disease, if cultural or other factors mean that one sex is more likely than the other to catch diseases at home or away from the home. The need for sex-specific vaccines is also noted.
Correspondence: P. Aaby, University of Copenhagen, Department of Epidemiology, Frue Plads/Noerregade 10, P.O. Box 2177, 1017 Copenhagen K, Denmark. Location: Princeton University Library (SPR).

65:40244 Aguirre, Alejandro. Extension of the preceding-birth technique. [Extensión del método del hijo previo.] Notas de Población, Vol. 26, No. 67-68, Jan-Dec 1998. 139-62 pp. Santiago, Chile. In Spa. with sum. in Eng.
Ways to improve the data needed for the preceding-birth technique, which is used to produce an index of early childhood mortality, are examined using data from the Mexican Social Security Institute. The focus is on the best time to interview the women concerned in order to obtain accurate information on the survival of the previous child.
Correspondence: A. Aguirre, El Colegio de México, Camino al Ajusco 20, 10740 Mexico City, DF, Mexico. Location: Princeton University Library (SPR).

65:40245 Ahmed, Ferial A.-K.; Hassan, Suzan A. Covariates of infant and child mortality in Egypt, 1993. In: CDC 26th annual seminar on population issues in the Middle East, Africa and Asia, 1996. 1997. 550-68 pp. Cairo Demographic Center: Cairo, Egypt. In Eng.
The main objectives of this study are to give an overall picture of the main factors affecting infant and child mortality in Egypt. Data are primarily taken from the Egyptian Use Effectiveness Survey of 1993.
Location: Princeton University Library (SPR).

65:40246 Almgren, Gunnar; Kemp, Susan; Eisinger, Alison. Appraising the legacy of Hull House: the role of the United States Children's Bureau in the American mortality transition. Seattle Population Research Center Working Paper, No. 99-11, [1999]. 39, [vi] pp. University of Washington, Seattle Population Research Center: Seattle, Washington. In Eng.
"Our specific focus is an examination of the accomplishments and failures of the [U.S. Children's Bureau's] efforts to transform the national calculus of infant mortality. We begin with a review of theoretical approaches to the mortality transition that occurred between 1900 and 1930, followed by a broad assessment of the philosophy, science, and methods of the Children's Bureau's infant mortality reduction campaign. We conclude with an analysis of newly available data from the 1910 and 1920 census micro sample surveys that yields a more complete appraisal of the bureau's role in promoting infant survival."
Correspondence: University of Washington, Seattle Population Research Center, Box 353340, Seattle, WA 98195. Author's E-mail: mukboy@u.washington.edu. Location: Princeton University Library (SPR).

65:40247 Bairagi, Radheshyam; Sutradhar, Santosh C.; Alam, Nurul. Levels, trends and determinants of child mortality in Matlab, Bangladesh, 1966-1994. Asia-Pacific Population Journal, Vol. 14, No. 2, Jun 1999. 51-68 pp. Bangkok, Thailand. In Eng.
"There has been a substantial decline in child mortality in Bangladesh since the 1940s, particularly in the last two decades.... Yet, with an infant mortality rate at about 100 deaths per thousand live births, and an under-five mortality rate of about 130 per thousand (in 1994), child mortality is still a burning problem in Bangladesh. To develop interventions to reduce infant and child mortality, it is important to know the factors responsible for mortality decline, and the factors that work as obstacles to its further decline in this country." Data for this study came from the Matlab Demographic Surveillance System (DSS) and the 1974 and 1982 socioeconomic status surveys.
Correspondence: R. Bairagi, International Centre for Diarrhoeal Disease Research, Bangladesh, G.P.O. Box 128, Dhaka 1000, Bangladesh. E-mail: bairagi@icddrb.org. Location: Princeton University Library (SPR).

65:40248 Behar, Cem; Courbage, Youssef; Gürsoy, Akile. Economic growth or survival? The problematic case of child mortality in Turkey. European Journal of Population/Revue Européenne de Démographie, Vol. 15, No. 3, Sep 1999. 241-78 pp. Dordrecht, Netherlands. In Eng. with sum. in Fre.
Reasons why levels of child mortality in Turkey have remained relatively high despite modernization and declining fertility are examined. "The stresses resulting from economic growth and the high level of female workforce participation have perhaps tended to distract women from child care. Also, neither Ottoman nor republican Turkish traditions have encouraged an enhancement of the status of childhood. Unconventional sources: ethnology, literature, cinema, are deployed here to construct an impression of the cultural environment of the mothers, fathers and families of dead children. Change of attitudes, very slow as far as childhood is concerned, have not yet caught up with the transition in fertility. An infant mortality rate of 53 per l,000, accompanying a total fertility rate scarcely higher than 2, is a combination difficult to find anywhere else."
Correspondence: C. Behar, Institut National d'Etudes Démographiques, 133 boulevard Davout, 75980 Paris Cedex 14, France. Location: Princeton University Library (SPR).

65:40249 Bengtsson, Tommy. The vulnerable child. Economic insecurity and child mortality in pre-industrial Sweden: a case study of Västanfors, 1757-1850. European Journal of Population/Revue Européenne de Démographie, Vol. 15, No. 2, Jun 1999. 117-51 pp. Dordrecht, Netherlands. In Eng. with sum. in Fre.
"By using macro-economic time series as time-varying community variables in a life event analysis framework for micro data on individuals, we have found that mortality among children over the age of one year in pre-industrial Sweden was directly dependent upon economic fluctuations, a fact which has not been demonstrated before. The impact is stronger among the lower classes than the well-to-do. It is particularly strong in years following an extremely poor harvest. Another new finding is that smallpox mortality among children is determined by economic fluctuations. However, infant mortality seems to follow its own rhythms independently of changes in economic conditions."
Correspondence: T. Bengtsson, University of Lund, Department of Economic History, 221 00 Lund, Sweden. Location: Princeton University Library (SPR).

65:40250 Bhattacharya, Prabir C. Socio-economic determinants of early childhood mortality: a study of three Indian states. Demography India, Vol. 28, No. 1, Jan-Jun 1999. 47-63 pp. Delhi, India. In Eng.
"The important determinants of child survival in less developed countries include infection, food intake, nutritional status, disease control, maternal factors and injury. The socio-economic factors influence child survival by operating through these basic proximate determinants. The purpose of this paper is to examine how the social and environmental context in which a child is raised affects his or her survival chances in three states in northern India, viz., Bihar, Madhya Pradesh, and Uttar Pradesh. The analysis is based on the 1981 census data."
Correspondence: P. C. Bhattacharya, Heriot-Watt University, Department of Economics, Riccarton, Edinburgh EH14 4AS, Scotland. Location: Princeton University Library (SPR).

65:40251 Chay, Kenneth Y.; Greenstone, Michael. The impact of air pollution on infant mortality: evidence from geographic variation in pollution shocks induced by a recession. NBER Working Paper, No. 7442, Dec 1999. 50, [22] pp. National Bureau of Economic Research [NBER]: Cambridge, Massachusetts. In Eng.
"This study uses sharp, differential air quality changes across sites attributable to geographic variation in the effects of the 1981-82 recession [in the United States] to estimate the relationship between infant mortality and particulates air pollution. It is shown that in the narrow period of 1980-82, there was substantial variation across counties in changes in particulates pollution, and that these differential pollution reductions appear to be orthogonal to changes in a multitude of other factors that may be related to infant mortality."
Correspondence: National Bureau of Economic Research, 1050 Massachusetts Avenue, Cambridge, MA 02138. Author's E-mail: kenchay@econ.berkeley.edu. Location: Princeton University Library (PF).

65:40252 Choe, Minja Kim; Diamond, Ian; Steele, Fiona A.; Kim, Seung Kwon. Son preference, family building process and child mortality. In: Too young to die: genes or gender? 1998. 208-22 pp. UN Department of Economic and Social Affairs: New York, New York. In Eng.
"The present chapter presents an assessment of whether son preference results in excess female child mortality indirectly through the family building process. A review of previous work will be followed by in-depth case studies, using recent data from Egypt, Bangladesh and the Republic of Korea, three countries that are characterized by a high level of son preference and excess female child mortality...."
Correspondence: M. K. Choe, East-West Center, Program on Population, 1601 East-West Road, Honolulu, HI 96848. Location: Princeton University Library (SPR).

65:40253 David, Patricia H. Family-building patterns and childhood mortality: a family-level analysis. Journal of Biosocial Science, Vol. 31, No. 4, Oct 1999. 463-85 pp. Cambridge, England. In Eng.
"This paper analyses mortality risk in sibships to explore the relationship between family formation factors and other household characteristics that identify women whose families are at higher risk. The analysis allows for the fact that reproductive behaviour may be modified by the family's prior experience of child death, using simultaneous equations methods to purge the model of the `feedback' effects of death on the endogenous variable, childbearing pace.... Other aspects of family formation patterns are good indicators of which families are likely to experience excess risks to their children. These factors are associated with maternal education...." Data are from the Round One Demographic and Health Surveys in Peru (1986) and Egypt (1988).
Correspondence: P. H. David, Population Reference Bureau, 1875 Connecticut Avenue NW, Suite 520, Washington, D.C. 20009-5728. Location: Princeton University Library (SPR).

65:40254 DiLiberti, John H.; Jackson, Cynthia R. Long-term trends in childhood infectious disease mortality rates. American Journal of Public Health, Vol. 89, No. 12, Dec 1999. 1,883-5 pp. Washington, D.C. In Eng.
Long-term trends in childhood infectious disease mortality rates (CIDMR) in the United States from 1968 to 1992 are assessed using data from the Compressed Mortality File and the Multiple Cause of Death Files from the National Center for Health Statistics. "U.S. CIDMR declined continuously from 1968 to 1996, although the rate of decline slowed after 1974. Respiratory and central nervous system categories declined most; HIV-related deaths offset these declines somewhat." Comparisons are made with English data for 1861-1964.
Correspondence: J. H. DiLiberti, University of Illinois College of Medicine, Department of Pediatrics, 530 NE Glen Oak Avenue, Peoria, IL 61637. E-mail: jhd@uic.edu. Location: Princeton University Library (SZ).

65:40255 Gourbin, Catherine; Wunsch, Guillaume. Paternal age and infant mortality. Genus, Vol. 55, No. 1-2, Jan-Jun 1999. 61-72 pp. Rome, Italy. In Eng. with sum. in Ita; Fre.
"The main objective of the study is to examine whether there is a significant association between infant mortality and age of the parents. The study is based on individual registration forms for live births and infant deaths collected in Hungary from 1984 to 1988. As suspected, older women have higher infant mortality rates, but infant mortality rates increase also when the age of the father increases, particularly above 35. Although statistically significant, the effect of age remains slighter than that of other characteristics such as previous foetal deaths, or induced abortions. Higher education for fathers and especially for mothers might also improve the probability of survival of the child."
Correspondence: C. Gourbin, Université Catholique de Louvain, Institut de Démographie, 1 place Montesquieu, B.P. 17, 1348 Louvain-la-Neuve, Belgium. Location: Princeton University Library (SPR).

65:40256 Gupta, H. S.; Baghel, A. Infant mortality in the Indian slums: case studies of Calcutta Metropolis and Raipur City. International Journal of Population Geography, Vol. 5, No. 5, Sep-Oct 1999. 353-66 pp. Chichester, England. In Eng.
"Based on data collected through interview of 2,142 mothers who had experienced live births and/or infant deaths within one year preceding the date of survey in selected slums of Calcutta Metropolis and Raipur City, this study attempts to elucidate and explain the levels, differentials, causes and determinants of infant mortality in the Indian slums. The infant mortality rate (IMR) in the slums was found to be quite high but lower than that in rural India, underlining the importance of `urban residence' as a major controlling factor of infant mortality. The IMR in the slums of Calcutta was about one and a half times that in the slums of Raipur, suggesting that slum infant mortality is far worse in metropolises than in smaller cities."
Correspondence: H. S. Gupta, Pt. Ravishankar Shukla University, School of Studies in Geography, Raipur, Madhya Pradesh 492 010, India. E-mail: bksharma@gwrl.vsnl.net.in. Location: Princeton University Library (SPR).

65:40257 Hassane, Nekrache. Study of infant mortality in Morocco based on data from "Enquête de Panel sur la Population et la Santé, 1995" In: CDC 27th annual seminar on population issues in the Middle East, Africa and Asia. 1998. 696-712 pp. Cairo Demographic Centre: Cairo, Egypt. In Eng.
"The principal aims of this study are: to estimate levels and trends of infant mortality in Morocco; to examine the socio- and bio-demographic factors which affect levels and [trends] of infant mortality.... The data on which this study is based were provided by the 1995 Moroccan Demographic and Health Survey."
Location: Princeton University Library (SPR).

65:40258 Herman-Giddens, Marcia E.; Brown, Gail; Verbiest, Sarah; Carlson, Pamela J.; Hooten, Elizabeth G.; Howell, Eleanor; Butts, John D. Underascertainment of child abuse mortality in the United States. JAMA: Journal of the American Medical Association, Vol. 282, No. 5, Aug 4, 1999. 463-7 pp. Chicago, Illinois. In Eng.
The authors "describe the true incidence of fatal child abuse, determine the proportion of child abuse deaths missed by the vital records system, and provide estimates of the extent of abuse homicides in young children [using a] retrospective descriptive study of child abuse homicides that occurred over a 10-year period in North Carolina from 1985-1994.... We found that significant underascertainment of child abuse homicides in vital records systems persists despite greater societal attention to abuse fatalities."
Correspondence: M. E. Herman-Giddens, 1450 Russell Chapel Road, Pittsboro, NC 27312. E-mail: mherman-giddens@unc.edu. Location: Princeton University Library (SZ).

65:40259 Hill, Kenneth; Figueroa, Maria-Elena. Child mortality estimation by time since first birth. Hopkins Population Center Papers on Population, No. 99-05, Jun 1999. 12 pp. Johns Hopkins University, School of Hygiene and Public Health, Johns Hopkins Population Center: Baltimore, Maryland. In Eng.
"This paper develops and illustrates a methodology [for estimating child mortality] based on time since first birth using a model of fertility by time since first birth and model life tables. This methodology avoids the selection bias of the age-based method, and is applicable to all populations regardless of marriage customs, but does require an extra question, on date of or age at first birth, on the census or survey instrument. An application to data from Haiti shows the method to give estimates similar to those from a subsequent birth history."
Correspondence: K. Hill, Johns Hopkins University, Department of Population and Family Health Sciences, 615 North Wolfe Street, Baltimore, MD 21205. E-mail: khill@jhsph.edu. Location: Princeton University Library (SPR).

65:40260 Huang, Rongqing. A study on a childhood mortality model. Chinese Journal of Population Science, Vol. 10, No. 2, 1998. 187-98 pp. New York, New York. In Eng.
"In this study, a mortality function model for childhood is established on the basis of an analysis of empirical data, comparison of different mortality models in terms of their accuracy, and discussion of the applicability of those models under different circumstances.... Empirical data from Japan's complete life tables are used to evaluate the accuracy of the models."
Location: Princeton University Library (SPR).

65:40261 Jatrana, Santosh. Determinants of infant mortality in a backward region of North India: Are socioeconomic or demographic factors dominant? Working Papers in Demography, No. 82, 1999. 22 pp. Australian National University, Research School of Social Sciences, Demography Program: Canberra, Australia. In Eng.
"Several socioeconomic factors have been found to be associated with infant and childhood mortality in the developing countries. However, the relative importance of socioeconomic and demographic factors in influencing infant mortality, varies with the level of socioeconomic development of the nation.... This paper will explore this hypothesis in a backward region of India (Mewat region of Haryana State), with a view to contributing to a better understanding of the relative importance of socioeconomic and demographic factors on infant mortality. The data employed in this study were obtained by conducting a field survey between April 1996 and February 1997 of factors affecting infant and child survival in the Nuh and Taoru blocks of the Mewat region of Haryana State. [A] Cox proportional hazards model was used to analyse the relative effects of demographic and the socioeconomic factors. Finally, some policy implications of the findings are suggested."
Correspondence: Australian National University, Research School of Social Sciences, Demography Program, Canberra, ACT 0200, Australia. Location: Princeton University Library (SPR).

65:40262 Jhamba, Tapiwa. Regional variations in childhood mortality in Zimbabwe. Geography, Vol. 84, No. 4, Oct 1999. 319-30 pp. Sheffield, England. In Eng.
Data from the 1992 census are used to analyze differences in childhood mortality by district in Zimbabwe. "A zone of high mortality could be clearly identified along the border with Mozambique in the east and north-east, and along the border with Zambia in the north-west. The south-west, covering Matebeleland North and South and part of the Midlands, was generally characterised by low childhood mortality. The spatial variations in childhood mortality were related to a combination of the effects of variations in natural agro-ecological conditions and the historical spatial patterns of socio-economic development. Relatively strong relationships existed between district childhood mortality levels and the level of fertility and level of education. Cultural factors, and variations in the natural physical and climatic conditions, which in turn related to the incidence and prevalence of tropical diseases (such as malaria) also influence regional mortality levels in Zimbabwe."
Correspondence: T. Jhamba, University of Zimbabwe, Centre for Population Studies, M.P. 167, Mount Pleasant, Harare, Zimbabwe. E-mail: jhamba@compcentre.uz.ac.zw. Location: Princeton University Library (SPR).

65:40263 Kertzer, David I.; Sigle, Wendy; White, Michael J. Childhood mortality and quality of care among abandoned children in nineteenth-century Italy. Population Studies, Vol. 53, No. 3, Nov 1999. 303-15 pp. London, England. In Eng.
"A great deal of scholarly attention has been devoted in recent years to the large-scale abandonment of newborn babies in the European past, with special emphasis given to the staggering rates of infant mortality among the foundlings. For the most part, scholars have agreed with the foundling home officials of the past in assigning much of the blame for this excess mortality to the women who took the foundlings as wetnurses and subsequently as foster mothers. This article takes issue with this view, based on an examination of the children abandoned at the foundling home of Bologna, Italy in the nineteenth century. Four cohorts of foundlings are examined--those abandoned in 1809-30, 1829-30, 1849-50, and 1869-70 (N=3,615)--as we trace the changing pattern of infant and early childhood mortality. Longitudinal methods are used in examining the life course of these foundlings and the determinants of their mortality."
Correspondence: D. I. Kertzer, Brown University, Department of Anthropology, Providence, RI 02912. Location: Princeton University Library (SPR).

65:40264 Krishnamoorthy, S.; Rajna, P. N. Graduating childhood deaths and survivorship function with the model by Mukherjee and Islam. Demography India, Vol. 28, No. 1, Jan-Jun 1999. 13-21 pp. Delhi, India. In Eng.
Some models that have been developed for the analysis of infant mortality in India are reviewed. "Recently, Chauhan (1997) suggested use of a model proposed by Mukherjee and Islam in reliability analysis. Chauhan concludes that this model effectively describes the age distribution of early age deaths. This paper re-examines the adequacy of the model in describing the distribution of deaths at early ages of life and also modifies the model for graduating the survivorship function.... The model proposed by Mukherjee and Islam in the study of reliability and introduced by Chauhan to graduate infant deaths is tested for its efficacy in describing not only the age pattern of childhood deaths but also the survivorship probabilities."
Correspondence: S. Krishnamoorthy, Bharathiar University, Department of Population Studies, Coimbatore, Tamil Nadu 641 046, India. Location: Princeton University Library (SPR).

65:40265 Luther, Norman Y.; Thapa, Shyam. Infant and child mortality in Nepal. East-West Center Working Papers, Population Series, No. 105, Apr 1999. iv, 94 pp. East-West Center: Honolulu, Hawaii. In Eng.
"The 1996 Nepal Family Health Survey (NFHS), part of the World Demographic and Health Surveys, collected information on fertility, family planning, and maternal and child health from 8,429 ever-married women aged 15-49.... This report includes measures of levels and trends of mortality before age 5 by 5-year periods preceding the survey, as well as differentials of mortality by selected socioeconomic background characteristics, demographic characteristics, and health care behavior."
Correspondence: East-West Center, Program on Population, 1601 East-West Road, Honolulu, HI 96848. E-mail: poppubs@ewc.hawaii.edu. Location: Princeton University Library (SPR).

65:40266 Malcoe, Lorraine H.; Shaw, Gary M.; Lammer, Edward J.; Herman, Allen A. The effect of congenital anomalies on mortality risk in white and black infants. American Journal of Public Health, Vol. 89, No. 6, Jun 1999. 887-92 pp. Washington, D.C. In Eng.
"This population-based study examined the effect of all major congenital anomalies on the mortality of White and Black infants [in California] by infant sex, birthweight, gestational age, and lethality of the anomaly. The study also determined the total contribution of anomalies of infant mortality.... The contribution of congenital anomalies to mortality of both low- (<2500g) and normal-birth-weight infants is substantially higher than previously estimated, representing a large public health problem for both Black and White infants."
Correspondence: L. H. Malcoe, University of Oklahoma, College of Public Health, Department of Biostatistics and Epidemiology, P.O. Box 26901, CHB-309, Oklahoma City, OK 73190. E-mail: lorraine-malcoe@ouhsc.edu. Location: Princeton University Library (SZ).

65:40267 Matthews, Zoe; Diamond, Ian. The expanded programme on immunisation: mortality consequences and demographic impact in developing countries. Genus, Vol. 55, No. 1-2, Jan-Jun 1999. 73-100 pp. Rome, Italy. In Eng. with sum. in Ita; Fre.
"The aims of the paper are to evaluate the mortality impact of the Expanded Programme on Immunisation by estimating lives saved, and to understand its wider demographic implications by performing population projections to the year 2025. Results show that the life-saving impact of EPI campaigns in all developing regions is high, especially in countries where mortality is currently high, for example in sub-Saharan Africa. We estimate that approximately 5.5 million children per year are currently being saved in the major developing countries of the world. Prolonging the life of these immunised children could add up to 4.5 years to life expectancy in some countries."
Correspondence: Z. Matthews, University of Southampton, Department of Social Statistics, Southampton SO17 2BJ, England. E-mail: zm2@socsci.soton.ac.uk. Location: Princeton University Library (SPR).

65:40268 Measham, Anthony R.; Rao, Krishna D.; Jamison, Dean T.; Wang, Jia; Singh, Alaka. Reducing infant mortality and fertility, 1975-1990: performance at all-India and state levels. Economic and Political Weekly, Vol. 34, No. 22, Jun 4, 1999. 1,359-67 pp. Mumbai, India. In Eng.
"This paper uses recently available data from India and from other countries to assess the role of income changes and other changes over time in determining infant mortality rates (IMR) and total fertility rates (TFR). It uses this information to assess the performance on these outcomes of India relative to other countries and of individual Indian states relative to the all-India average. The paper's main conclusions are: (i) While income does have some influence on health outcomes, technical progress and other factors are substantially more important.... (ii) India's performance on IMR falls short of what would be expected given results of other countries of its income. (iii) By contrast, India's performance in reducing TFR is substantially better than would be predicted from its income. (iv) Not surprisingly states vary substantially in the performance relative to their income level and the all-India average values of IMR and TFR."
Location: Princeton University Library (PF).

65:40269 Mellington, Nicole; Cameron, Lisa. Female education and child mortality in Indonesia. Bulletin of Indonesian Economic Studies, Vol. 35, No. 3, Dec 1999. 115-44 pp. Canberra, Australia. In Eng.
"This paper uses a sample of 6,620 women from the 1994 Indonesian Demographic and Health Survey to examine the relationship between female education and child mortality in Indonesia. Female education is measured in terms of both years of education and literacy. Both primary education and secondary schooling significantly decrease the probability of child death, while literacy plays an insignificant role. When the sample is divided into urban and rural locations, primary and secondary education are significant in both areas in reducing the likelihood of a mother experiencing child mortality. The benefits of public and private infrastructure appear to differ in rural and urban areas. The results confirm that investment in female human capital lowers the probability of child mortality."
Correspondence: N. Mellington, University of Melbourne, Parkville, Victoria 3052, Australia. Location: Princeton University Library (PF).

65:40270 Murakoshi, Kazunori. Infant and child mortality of the Daimyo class in the Tokugawa Period (1651-1850): a peer's genealogical data. Jinkogaku Kenkyu/Journal of Population Studies, No. 24, Jun 1999. 15-31 pp. Tokyo, Japan. In Jpn. with sum. in Eng.
"A demographic analysis of commoners in cities in the Tokugawa period [in Japan] tends to face difficulty due to the loss of population registers called shummon aratame cho. With genealogical data of [the] daimyo class, however, we can attempt such an analysis by examining the mortality rate in [the] daimyo family in Edo and other castle towns, assuming that this indicates the mortality rate of commoners. In the period from the late 17th century to the early 19th century, [the] infant mortality rate is estimated at 193.2 [per thousand] and the child mortality rate at 229.6 [per thousand. These rates] begin to rise in the late 18th century and reach [their] highest in the mid-19th century."
Location: Princeton University Library (SPR).

65:40271 Pelletier, David L. Malnutrition, morbidity and child mortality in developing countries. In: Too young to die: genes or gender? 1998. 109-32 pp. UN Department of Economic and Social Affairs: New York, New York. In Eng.
The relationships among malnutrition, morbidity, and child mortality in developing countries are examined. "One purpose of the present chapter is to clarify the nature of malnutrition itself and summarize recent evidence concerning its relation to child mortality. Another purpose is to investigate the extent to which sex differentials in nutritional status are related to sex differentials in child mortality, drawing upon community-based prospective studies and cross-national comparisons."
Correspondence: D. L. Pelletier, Cornell University, Division of Nutritional Sciences, Savage Hall, Ithaca, NY 14853-6501. Location: Princeton University Library (SPR).

65:40272 Pinnelli, Antonella; Mancini, Paola. Mortality peaks in Italy in the late l9th and early 20th centuries: trends by age and sex. European Journal of Population/Revue Européenne de Démographie, Vol. 14, No. 4, 1998-1999. 333-65 pp. Dordrecht, Netherlands. In Eng. with sum. in Fre.
"Infant and youth mortality fell steeply between the unification of Italy and the 1930s, particularly due to the decline in infectious and parasitic diseases. A number of mortality crises, however, at times halted this decline: the 1908 Calabria-Sicily earthquake, the 1915 Marsica earthquake, World War I and 1918 Spanish influenza outbreak. This paper focuses [on] the repercussions of these events [for] the general survival status of young people from birth to puberty, as well as the main pathologies responsible for the rise in mortality. An analysis of differences in mortality according to sex during the various crises was also performed to ascertain whether the more difficult survival conditions during these periods affected males and females equally."
Correspondence: A. Pinnelli, Dipartimento di Scienze Demografiche, via Nomentana 41, 00161 Rome, Italy. Location: Princeton University Library (SPR).

65:40273 Ramírez, Mirta L. Impact of environmental factors on infant mortality. Chaco Province--1991. [Incidencia de factores ambientales en la mortalidad infantil. Provincia del Chaco--1991.] Revista Geográfica, No. 122, Jul-Dec 1995. 169-98 pp. Mexico City, Mexico. In Spa. with sum. in Eng.
"The Chaco Province is located in the Northeast of Argentina.... This article reflects the distribution of neonatal and post-neonatal infant mortality considering the six health zones established by the State government, trying to determine relations between infant and post-neonatal mortality and the social conditions of the population and, on the other hand, the relations between the causes of mortality and the above-mentioned social conditions."
Correspondence: M. L. Ramírez, Universidad Nacional del Nordeste, Facultad de Geografía, Chaco, Argentina. Location: Princeton University Library (SPR).

65:40274 Ramiro Fariñas, Diego; Sanz Gimeno, Alberto. Internal structures of childhood mortality (ages 0-4) in twentieth century Spain. Population Studies Center Research Report, No. 97-392, [1997]. 22 pp. University of Michigan, Population Studies Center: Ann Arbor, Michigan. In Eng.
"This communication deals with the evolution of infant and child mortality structure in Spain, during the years 1900, 1930 and 1960. Special emphasis will be put on the decline in mortality for children between 1 and 4 years of age (specially high in Spain), the internal structure of infant mortality, and the differences between rural and urban context."
Correspondence: University of Michigan, Population Studies Center, 1225 South University Avenue, Ann Arbor, MI 48104-2590. Location: Princeton University Library (SPR).

65:40275 Rusman, Roosmalawati; Djohan, Eniarti; Hull, Terence H. They simply die: searching for the causes of high infant mortality in Lombok. ISBN 979-8553-43-8. 1999. 100 pp. Indonesian Institute of Sciences, Center for Population and Manpower Studies: Jakarta, Indonesia; Australian National University, Research School of Social Sciences, Demography Program: Canberra, Australia. In Eng. with sum. in Ind.
Reasons for the high levels of infant and child mortality that have been recorded in the Indonesian province of Lombok are explored. The method used in the analysis is of a qualitative nature based on interviews with many of the people who become involved when children get sick, including parents, neighbors, traditional healers, religious leaders, and health center personnel. The authors conclude that, although there are no simple explanations for these high levels of mortality, many deaths could be prevented by a combination of improvements in safe birth practices, good hygiene, adequate nutrition, and beneficial care. The difficulties that will need to be overcome in order to make these improvements are discussed.
Correspondence: Indonesian Institute of Sciences, Center for Population and Manpower Studies, Gedung Widya Graha Lt. X, Jalan Gatot Subroto 10, Djakarta Selatan, Indonesia. Location: Princeton University Library (SPR).

65:40276 Sowards, Kathryn A. What is the leading cause of infant mortality? A note on the interpretation of official statistics. American Journal of Public Health, Vol. 89, No. 11, Nov 1999. 1,752-4 pp. Washington, D.C. In Eng.
"According to vital statistics reports, congenital malformation is the leading cause of infant death in the United States and accounts for a much greater proportion of infant mortality than does premature birth. The purpose of this study was to examine the potential underestimation of prematurity-related mortality in current vital statistics reports." Official mortality data for 1985, 1991, and 1996 are used. The results indicate that "the official statistics significantly understate the role of prematurity-related mortality. An alternative etiology-based classification designates prematurity as the underlying cause in approximately one third of all infant deaths."
Correspondence: K. A. Sowards, Washington State University, Department of Sociology, 14204 NE Salmon Creek Avenue, Vancouver, WA 98686. E-mail: sowards@vancouver.wsu.edu. Location: Princeton University Library (SZ).

65:40277 Sudha, S.; Rajan, S. Irudaya. Female demographic disadvantage in India 1981-1991: sex selective abortions and female infanticide. Development and Change, Vol. 30, No. 3, Jul 1999. 585-618 pp. Oxford, England. In Eng.
"Using evidence from a number of sources (including the 1981 and 1991 censuses of India, prior research, and NGO reports), this article examines whether bias against girl children persists during periods of development and fertility decline, whether prenatal sex selection has spread in India as elsewhere in Asia, and whether female vs. male child mortality risks have changed.... The increased masculinity of period SRBs [sex ratios at birth] in some areas, together with persistent excess female child mortality and female infanticide, creates a `double jeopardy' for girl children. Legislation curbing prenatal sex determination and policy measures addressing societal female devaluation have had little impact, suggesting that female demographic disadvantage is unlikely to improve in the near future."
Correspondence: S. Sudha, University of North Carolina, Carolina Population Center, University Square, CB 8120, 124 East Franklin Street, Chapel Hill, NC 27516-3997. E-mail: sudha@email.unc.edu. Location: Princeton University Library (PR).

65:40278 Taucher, Erica; Díaz, Nora; Icaza, Gloria. Matching data on infant mortality and births in Chile. [Pareo de datos sobre defunciones infantiles y nacimientos en Chile.] Notas de Población, Vol. 26, No. 67-68, Jan-Dec 1998. 163-80 pp. Santiago, Chile. In Spa. with sum. in Eng.
"This study compares information on the characteristics of children and their parents, as contained in birth and death certificates, and assesses the impact of discrepancies in that information on the results obtained in calculating differentials in infant mortality, when data on deaths from one or other of these sources is used as numerator. For this purpose, data on deaths under one year of age [in Chile] in the birth cohort for 1994 were paired with data on the corresponding births. The pairing was done using the national identification number which appears on both birth and death certificates. The greatest discrepancies observed were related to the number of weeks of gestation of the child and the years of school completed by the parents. However, when comparisons were made between mortality differentials associated with different variables, it was found that overall patterns were not affected by differences between the rates."
Correspondence: E. Taucher, Universidad de Chile, Avenida Bernardo O'Higgins 1058, Casilla 10-D, Santiago, Chile. Location: Princeton University Library (SPR).

65:40279 Timæus, Ian; Harris, Katie; Fairbairn, Francesca. Can use of health care explain sex differentials in child mortality in the developing world? In: Too young to die: genes or gender? 1998. 154-78 pp. UN Population Division: New York, New York. In Eng.
"The present chapter examines differential use of preventive and curative health-care services by boys and girls. The focus is on children under the age of five years. The analysis is comparative in nature. It is based on the national surveys conducted by the Demographic and Health Surveys (DHS) programme during the past decade, supplemented by the National Family health Survey (NFHS) of India.... The aim is to assess whether inequalities in patterns of health care are large and pervasive enough to be worth pursuing as an important part of the explanation of sex differentials in child mortality." The geographical focus is on developing countries.
Correspondence: I. Timæus, London School of Hygiene and Tropical Medicine, Centre for Population Studies, Keppel Street, London WC1E 7HT, England. Location: Princeton University Library (SPR).

65:40280 United Nations. Secretariat (New York, New York). Levels and trends of sex differentials in infant, child and under-five mortality. In: Too young to die: genes or gender? 1998. 84-108 pp. UN Department of Economic and Social Affairs: New York, New York. In Eng.
"In the present chapter, a new set of estimates of infant, child and under-five mortality by sex is derived, and sex differentials in mortality relative to each of those indicators are presented. The estimated sex differentials are based on all available data allowing the estimation of infant and child mortality by sex for a country. The data and methods used to obtain estimates of infant, child and under-five mortality by sex are described.... An analysis of levels and trends of sex differentials in mortality in childhood [is also presented]; both the relation between sex differentials in mortality and mortality level, and changes in sex differentials over time are examined." The geographical focus is on developing countries.
Correspondence: United Nations Secretariat, United Nations Population Division, Department for Economic and Social Affairs, 220 East 42nd Street, New York, NY 10017. Location: Princeton University Library (SPR).

65:40281 Villa, S.; Guiscafré, H.; Martínez, H.; Muñoz, O.; Gutiérrez, G. Seasonal diarrhoeal mortality among Mexican children. Bulletin of the World Health Organization, Vol. 77, No. 5, 1999. 375-80 pp. Geneva, Switzerland. In Eng. with sum. in Fre; Spa.
"The study investigated the effects on diarrhoeal deaths among under-5-year-old Mexican children of the following variables: season (summer or winter), region (north versus south), age group, and place of death... We have shown that there was a significant reduction in diarrhoeal deaths among children in Mexico between 1989 and 1995. However, this reduction was less evident in the winter months, particularly among under-2-year-olds and in regions where the seasons are well marked."
Correspondence: S. Villa, Centro Médico Nacional Siglo XXI, Coordinación de Investigación Médica, Edificio B, Unidad de Congresos, 4o. Piso, Avenida Cuauhtémoc 330, Colonia Doctores, C.P. 06725, Mexico City, DF, Mexico. Location: Princeton University Library (SPR).

65:40282 Waldron, Ingrid. Sex differences in infant and early childhood mortality: major causes of death and possible biological causes. In: Too young to die: genes or gender? 1998. 64-83 pp. UN Department of Economic and Social Affairs: New York, New York. In Eng.
The biological factors associated with differential mortality by sex in infancy and early childhood are examined in this review of the published literature. Two major questions are considered: "First, which causes of death contribute to sex differences in infant and early child mortality in developing countries? Second, what biological factors contribute to sex differences for each of the major causes of death? Biological factors are defined broadly to include: (a) direct genetic effects, such as X-linked diseases; (b) effects of sex hormones on anatomy, physiology and behaviour; and (c) physiological differences between males and females, which may be due primarily to genetic and hormonal effects but may also be influenced by environmental factors."
Correspondence: I. Waldron, University of Pennsylvania, Department of Biology, Leidy Laboratory, Philadelphia, PA 19104-6018. Location: Princeton University Library (SPR).

65:40283 Wen, Shi Wu; Liu, Shiliang; Joseph, K. S.; Trouton, Konia; Allen, Alexander. Regional patterns of infant mortality caused by lethal congenital anomalies. Canadian Journal of Public Health/Revue Canadienne de Santé Publique, Vol. 90, No. 5, Sep-Oct 1999. 316-9 pp. Ottawa, Canada. In Eng. with sum. in Fre.
This article assesses "the regional patterns of infant mortality due to lethal congenital anomalies, and the potential reasons for the regional patterns.... The study analyzed 2,507 infant deaths due to lethal congenital anomalies among 1,178,452 live births in 9 of the 12 Canadian provinces and territories from 1990 to 1995 recorded in Statistics Canada's live birth and death data bases. [Results indicate that] compared with the province of Quebec, congenital anomaly-attributed infant mortality was higher in Newfoundland, Saskatchewan, and Alberta.... Despite substantial recent reductions in lethal congenital anomaly-attributed infant mortality, there remain major regional variations in infant mortality caused by certain forms of congenital anomalies including anencephaly and cardiovascular system anomalies."
Correspondence: S. W. Wen, Laboratory Centre for Disease Control, Bureau of Reproductive and Child Health, Tunney's Pasture A-L 060 1E2, Ottawa, Ontario K1A 0L2, Canada. E-mail: Shi_Wu_Wen@hc-sc.gc.ca. Location: Princeton University Library (SPR).

65:40284 Woldemicael, Gebremariam. Infant and child mortality in Eritrea: levels, trends, and determinants. Stockholm University Demography Unit, Dissertation Series, ISBN 91-7153-973-5. Jul 1999. ix, 277 pp. Stockholm University: Stockholm, Sweden. In Eng.
This doctoral dissertation has three main objectives: "first, to estimate age-specific levels, age patterns and period trends in early mortality at national and sub-national levels in Eritrea; second, to investigate the major possible determinants of infant and child mortality; and third, to discuss implications of the main findings for health policy and future research directions. The data used for this study come from the 1995 Eritrea Demographic and Health Survey of 5,469 households and 5,054 women in the reproductive age span." The author concludes that "in order to reduce early mortality in Eritrea, efforts should focus on health programs that target first-time mothers. Health education and family planning programs that promote longer birth intervals should be given special emphasis. The provision of clean water and toilet facilities must be given greater attention in order to increase child survival in Eritrea. Resources should be directed towards lowland communities."
Correspondence: Stockholm University, Demography Unit, 106 91 Stockholm, Sweden. Location: Princeton University Library (SPR).

65:40285 Worku, Z. B.; Makatjane, T. J. The impact of a short duration of breast feeding on child survival in the Maseru District, September-October 1994. Review of Southern African Studies, Vol. 1, No. 2, Apr 1996. 54-71 pp. Roma, Lesotho. In Eng.
"Out of 251,000 children under five years of age in Maseru District, [Lesotho] a random sample of size 4,001 was taken in an attempt to identify factors that strongly influence child survival. The 74 explanatory variables of the study were a combination of socio-economic, maternal and child health and fertility factors. The study revealed that a short duration of breast feeding was the leading cause of infant mortality and morbidity, and that rural children were particularly vulnerable."
Correspondence: Z. B. Worku, National University of Lesotho, Department of Statistics and Demography, P.O. Roma 180, Lesotho. Location: Michigan State University Library, East Lansing, MI.

65:40286 Zakir, Mohammed; Wunnava, Phanindra V. Factors affecting infant mortality rates: evidence from cross-sectional data. Applied Economics Letters, Vol. 6, No. 5, May 1999. 271-3 pp. London, England. In Eng.
"This paper empirically tests for factors affecting infant mortality rates. Based on a cross-sectional model (covering 117 countries for the year 1993) that corrects for heteroscedasticity, the results show that fertility rates, female participation in the labour force, per capita GNP, and female literacy rates significantly affect infant mortality rates. Surprisingly, government expenditure on health-care, as a percentage of the GNP, does not play a major role in determining infant mortality rates." The geographical scope is worldwide.
Correspondence: P. V. Wunnava, Middlebury College, Department of Economics, Middlebury, VT 05753. E-mail: Phani.Wunnava@middlebury.edu. Location: Princeton University Library (SXF).

E.4. Mortality at Other Ages

Studies of age-specific mortality and of mortality in special groups defined by age.

65:40287 Bah, Sulaiman. Diagnostic tests on assessing the quality of maternal orphanhood data from the 1996 South African census and implications for the indirect estimation of adult mortality. Population Studies Centre Discussion Paper, No. 99-5, ISBN 0-7714-2191-5. Mar 1999. 41 pp. University of Western Ontario, Population Studies Centre: London, Canada. In Eng.
"In this paper, the maternal orphanhood data from the 1996 [South African] census have been subjected to a battery of diagnostic tests. The diagnostics attempted in the paper have shown that among the factors that affect the estimates of maternal orphanhood, the one with the least effect on the mortality estimates is age misreporting.... It is concluded that more research is needed on the role of the maternal orphanhood technique in an era of increasing deaths due to AIDS in some population subgroups and in cases of increasing ageing and low mortality in other population subgroups."
Correspondence: University of Western Ontario, Population Studies Centre, London, Ontario N6A 5C2, Canada. Author's E-mail: SulaimanB@StatsSA.ppwv.gov.za. Location: Princeton University Library (SPR).

65:40288 Behrman, Jere R.; Sickles, Robin C.; Taubman, Paul. Causes, correlates and consequences of death among older adults: some methodological approaches and substantive analyses. ISBN 0-7923-8286-2. LC 98-39379. 1998. xi, 186 pp. Kluwer Academic: Dordrecht, Netherlands. In Eng.
"Why are there differences in life expectancies among various demographic groups? Why have these changes in life expectancies occurred? Many reasons are given in the popular and more scholarly literatures. [This study]...considers an integrated approach to investigating determinants of and correlates of mortality in the United States--integrating modeling, micro data, and modern econometric techniques. A number of examples of applications are included, with some explorations of the robustness of the results under alternative assumptions. The basic purpose of this text is to increase our knowledge of mortality and to illustrate how such an integrated approach can further our knowledge of mortality and related phenomena."
Correspondence: Kluwer Academic Publishers, P.O. Box 989, 3300 AZ Dordrecht, Netherlands. Location: Princeton University Library (SPR).

65:40289 Breeze, Elizabeth; Sloggett, Andy; Fletcher, Astrid. Socioeconomic and demographic predictors of mortality and institutional residence among middle aged and older people: results from the Longitudinal Study. Journal of Epidemiology and Community Health, Vol. 53, No. 12, Dec 1999. 765-74 pp. London, England. In Eng.
Using data from the Longitudinal Study, the authors analyze socioeconomic and demographic predictors of mortality and institutional residence in old age by sex in the United Kingdom over the period 1971-1991. Secure living arrangements and access to a car are factors affecting institutional residence and mortality. "These results demonstrate persistence of inequalities in health related outcomes throughout old age, both in those with unfavourable circumstances in mid-life and in those who, in later life, have lost earlier advantages."
Correspondence: E. Breeze, London School of Hygiene and Tropical Medicine, Department of Epidemiology and Population Health, Keppel Street, London WC1E 7HT, England. Location: Princeton University Library (SPR).

65:40290 Gray, Rossarin S.; Gray, Alan. Social aspects of mortality in young and middle adulthood in Thailand. Journal of Population and Social Studies, Vol. 8, No. 1, Jul 1999. 65-83, 165-6 pp. Nakhon Pathom, Thailand. In Eng. with sum. in Tha.
"In this paper, we examine the characteristics of adults who died at the ages of young to middle adulthood (15-64 years), in the twelve-month period of follow-up of the Survey of Population Change [in Thailand] 1995-96.... The objective is to detect differences that may be associated with social roles."
Correspondence: R. S. Gray, National Statistical Office, Social Statistics Division, Larn Luang Road, Bangkok 10100, Thailand. Location: Princeton University Library (SPR).

65:40291 Hurd, Michael D. Predictors of mortality among the elderly. NBER Working Paper, No. 7440, Dec 1999. 26, [1] pp. National Bureau of Economic Research [NBER]: Cambridge, Massachusetts. In Eng.
"The objective of this paper is to find the quantitative importance of some predictors of mortality among the population aged 70 or over [in the United States]. The predictors are socio-economic indicators (income, wealth and education), thirteen health indicators including a history of heart attack or cancer, and subjective probabilities of survival. The estimation is based on mortality between waves 1 and 2 of the Asset and Health Dynamics among the Oldest-Old study. We find that the relationship between socio-economic indicators and mortality declines with age, that the 13 health indicators are strong predictors of mortality and that the subjective survival probabilities predict mortality even after controlling for socio-economic indicators and the health conditions."
Correspondence: National Bureau of Economic Research, 1050 Massachusetts Avenue, Cambridge, MA 02138. Author's E-mail: mhurd@rand.org. Location: Princeton University Library (PF).

65:40292 Meller, Ingeborg; Fichter, Manfred M.; Schröppel, Hildegard. Mortality risk in the octo- and nonagenarians: longitudinal results of an epidemiological follow-up community study. European Archives of Psychiatry and Clinical Neurosciences, Vol. 249, No. 4, Aug 1999. 180-9 pp. Berlin, Germany. In Eng.
"The object of the study was the assessment of the mortality risk for persons in a representative two-wave community sample assessed longitudinally. In the first cross-section a total of 358 (89.1%) subjects of Munich, Germany, aged 85 years and above were interviewed by research physicians. One year later 263 (73.5%) persons were reexamined. Death certificate diagnoses were obtained after an interval of 4 years 8 months. 58% of the total sample were deceased. Sociodemographic factors, mental disorders, subjective health status and need for care were analysed in relation to mortality by Cox regression. The probability of death was increased in those diagnosed as having a dementia or depressive disorder, in those of increasing age, living in institutions, being in need of care and of bad health status.... Need for care was the most powerful predictor of mortality."
Correspondence: I. Meller, University of Munich, Department of Psychiatry, Nußbaumstraße 7, 80336 Munich, Germany. Location: Princeton University Library (SPR).

65:40293 Østbye, Truls; Steenhuis, Runa; Wolfson, Christina; Walton, Ruth; Hill, Gerry. Predictors of five-year mortality in older Canadians: the Canadian Study of Health and Aging. Journal of the American Geriatrics Society, Vol. 47, No. 10, 1999. 1,249-54 pp. Baltimore, Maryland. In Eng.
The factors affecting five-year mortality among older Canadians are analyzed using data from the 1991 Canadian Study of Health and Aging. The data concern 8,949 individuals living in the community and 2,914 individuals who underwent an extensive clinical examination. "Multivariate models showed that the odds of death within 5 years increased with age. This effect remained after adjustment for all other variables. Odds of death increased with institutionalization and with increasing cognitive and physical impairment. Although vision and hearing problems and the presence of heart disease, stroke, and diabetes were all strongly related to 5-year mortality in univariate, unadjusted analyses, their contributions were minimal in the multivariate analyses. Increased Body Mass Index was associated with lower mortality in both univariate and multivariate analyses."
Correspondence: T. Østbye, Duke University Medical Center, Department of Community and Family Medicine, Durham, NC 27710. E-mail: ostby001@mc.duke.edu. Location: Princeton University Library (SZ).

65:40294 Parnell, Allan M.; Owens, Cynthia R. Evaluation of U.S. mortality patterns at old ages using the Medicare enrollment data base. Demographic Research, Vol. 1, 1999. Rostock, Germany. In Eng.
"We evaluate the consistency of age-specific mortality patterns for older Americans using the Health Care Financing Administration's (HCFA's) Medicare Enrollment Data Base (EDB), a data set that includes over 30 million records. To do this, we compare the mortality curves across regions within race and sex groups, and we compare national mortality curves of white men and women relative to African American and Puerto Rican men and women.... Both the period and cohort age at death data for whites in the Medicare EDB appear to be very consistent, at least up to age 95, perhaps higher for women. Above age 100 the patterns become extremely inconsistent. However, questions remain about the age-specific mortality patterns of African Americans, especially the rates for men."
Correspondence: A. M. Parnell, McMillan and Moss Research, Mebane, North Carolina.

65:40295 Wittwer-Backofen, Ursula. Disparities in the mortality of the aged: comparing regions. Biological versus socioeconomic determinants: a regional study of Hesse. [Disparitäten der Alterssterblichkeit im regionalen Vergleich. Biologische versus sozioökonomische Determinanten: regionale Studie für den Raum Hessen.] Materialien zur Bevölkerungswissenschaft, Vol. 95, 1999. v, 285 pp. Bundesinstitut für Bevölkerungsforschung: Wiesbaden, Germany. In Ger.
This study examines the determinants of mortality differences at ages over 60. The author first summarizes the connections between life expectancy and a range of factors including genetics, gender, environment, and social factors. She then describes her study of mortality differentials in the German state of Hesse, including life-table and cause-of-death analyses. The focus is on the socioeconomic and environmental determinants of mortality and life expectancy. Data are from official sources for the period 1987-1993.
Correspondence: Bundesinstitut für Bevölkerungsforschung, Friedrich-Ebert-Allee 4, Postfach 5528, 65180 Wiesbaden, Germany. Location: Princeton University Library (SPR).

E.5. Life Tables

Studies that present actual life table data and all studies concerned primarily with life tables, including the appropriate methodological studies. Life table studies that are concerned with topics other than mortality are classified under the appropriate heading and cross-referenced to this heading.

65:40296 Anderson, Robert N. United States life tables, 1997. NCHS National Vital Statistics Reports, Vol. 47, No. 28, Dec 13, 1999. 37 pp. U.S. National Center for Health Statistics [NCHS]: Hyattsville, Maryland. In Eng.
"The life tables in this report are current life tables for the United States based on age-specific death rates in 1997. Beginning with 1997 mortality data, complete U.S. life tables were constructed using a new methodology that replaces the abridged life table methodology used previously. The methodology is similar to that used in the decennial life tables. Also, life expectancy and other life table values are shown for ages 85 to 100 years for the first time as part of the annual U.S. life tables. Data used to prepare these life tables are 1997 final mortality statistics; July 1, 1997, population estimates; and data from the Medicare program. Presented are complete life tables by age, race, and sex."
Correspondence: U.S. National Center for Health Statistics, 6525 Belcrest Road, Hyattsville, MD 20782-2003. E-mail: nchsquery@cdc.gov. Location: Princeton University Library (SPR).

65:40297 Bell, Felicitie C.; Wade, Alice H. Actuarial tables based on the U.S. life tables: 1989-91. Actuarial Study, No. 113, Pub. Order No. 11-11543. Mar 1998. iv, 147 pp. U.S. Social Security Administration: Baltimore, Maryland. In Eng.
Actuarial tables for the United States by sex and race are presented based on the official life tables for 1989-1991. "The actuarial functions in this study can be used to calculate present values of expected future payments contingent upon the death or survival of a designated individual. A series of periodic payments to continue during the life of an individual is called a life annuity. A payment to be made on the death of an individual is called a life insurance. As with the 1989-91 decennial life tables, the actuarial functions included...here were calculated by sex and for both sexes combined for the total population, the white population, the population other than white and the black population. For each race/sex combination described, actuarial functions were tabulated using interest rates of 1%, 2%, 3%, 4%, 5%, 6%, 7%, 8%, 9%, 10%, 11%, and 12%."
Correspondence: U.S. Social Security Administration, Office of the Chief Actuary, Room 700, Altmeyer Building, Baltimore, MD 21235. Location: Princeton University Library (SPR).

65:40298 Del Panta, Lorenzo. Constructing abbreviated provincial life tables for 1881-1882. [Costruzione di tavole di mortalità provinciali abbreviate 1881-82.] Bollettino di Demografia Storica, No. 29, 1998. 61-9 pp. Bologna, Italy. In Ita.
The author presents some of the methodological issues involved in constructing abbreviated life tables for each of the Italian provinces for the years immediately prior to Italy's unification, and for the Kingdom of Italy after unification. Data are from the 1881 Italian census and age-specific mortality statistics for the years 1881-1882.
Correspondence: L. Del Panta, Università degli Studi di Bologna, Dipartimento di Scienze Statistiche, Via Belle Arti 41, 40126 Bologna, Italy. E-mail: delpanta@stat.unibo.it. Location: Princeton University Library (SPR).

65:40299 Ishikawa, Akira. Life tables by marital status: 1995. Jinko Mondai Kenkyu/Journal of Population Problems, Vol. 55, No. 1, 1999. 35-60 pp. Tokyo, Japan. In Jpn.
Life tables for Japan for 1995 are presented by age and sex.
Location: Princeton University Library (SPR).

65:40300 Kannisto, Väinö; Turpeinen, Oiva; Nieminen, Mauri. Finnish life tables since 1751. Demographic Research, Vol. 1, 1999. Rostock, Germany. In Eng.
"A recently completed series of life tables from 1751 to 1995 is used for identifying four stages of mortality transition in Finland, separated by the years 1880, 1945 and 1970. The cyclical fluctuation of the death rate in the eighteenth and nineteenth centuries is measured and examined in relation to epidemics, famines and wars. Important permanent changes in mortality also took place in this early period. Each of the successive stages of transition produced its own characteristic pattern of mortality change which contrasted with those of the other stages. Finally, the age profile of the years added to life is drawn to illustrate the end result of each stage of mortality transition."
Correspondence: V. Kannisto, Campo Grande 1 6-D, 1700-086 Lisbon, Portugal.

65:40301 Lischke, Ralph-Jürgen. Caspar Neumann (1648-1715): a contribution to the history of life tables. [Caspar Neumann (1648-1715): ein Beitrag zur Geschichte der Sterbetafeln.] Edition IFAD, No. III, Nov 1998. 17 pp. Institut für Angewandte Demographie: Berlin, Germany. In Ger.
The author gives an overview of the history of the concept of life tables and then describes the role of Caspar Neumann as a significant influence on Halley and Leibniz and a forerunner of Johann Peter Süßmilch, the founder of statistical population studies in Germany.
Correspondence: Institut für Angewandte Demographie, Sophienstraße 3, 10178 Berlin, Germany. E-mail: ifad@ifad.b.shuttle.de. Location: Princeton University Library (SPR).

65:40302 Panama. Dirección de Estadística y Censo (Panama City, Panama). Abbreviated life tables for Panama, by province and sex: 1990-1995 to 2005-2010. [Tablas abreviadas de vida de la República, por provincia, según sexo: quinquenio 1990-95 al 2005-10.] Estadística Panameña, Boletín Especial, No. 4, May 1996. 51 pp. Panama City, Panama. In Spa.
Abbreviated life tables are presented for Panama by sex and province for the five-year periods 1990-1995 to 2005-2010.
Correspondence: Dirección de Estadística y Censo, Contraloría General de la República, Apartado 5213, Panama City 5, Panama. Location: Princeton University Library (SPR).

65:40303 United States. National Center for Health Statistics [NCHS] (Hyattsville, Maryland). U.S. decennial life tables for 1989-91. Volume 1, Number 4, United States life tables eliminating certain causes of death. Pub. Order No. DHHS (PHS) 99-1150-4. LC 85-600190. Sep 1999. v, 184 pp. Hyattsville, Maryland. In Eng.
"This report, the fourth in a set of reports containing life table data for the United States and each State for the period 1989-91, shows abridged cause-elimination life tables for 51 selected causes of death for the total United States. These life tables address the hypothetical mortality experience of a cohort assuming that a particular cause of death is eliminated. Four sets of detailed tables showing multiple-decrement and cause-elimination life table functions for each cause of death are presented. Each of the four sets contains seven tables, one each for total population, total males, total females, white males, white females, black males, and black females. The report also includes a description of the methodology used to construct the cause-elimination life tables."
Correspondence: U.S. National Center for Health Statistics, Data Dissemination Branch, 6525 Belcrest Road, Room 1064, Hyattsville, MD 20782-2003. E-mail: nchsquery@cdc.gov. Location: Princeton University Library (SPR).

E.6. Differential Mortality

Studies on the ratio of mortality in different subgroups of a population, classified according to certain criteria, such as sex, social class, occupation, and marital status. Also includes studies on excess mortality and comparative mortality.

65:40304 Abraído-Lanza, Ana F.; Dohrenwend, Bruce P.; Ng-Mak, Daisy S.; Turner, J. Blake. The Latino mortality paradox: a test of the "salmon bias" and healthy migrant hypotheses. American Journal of Public Health, Vol. 89, No. 10, Oct 1999. 1,543-8 pp. Washington, D.C. In Eng.
The author explore possible explanations for the fact that, although Latinos in the United States have a worse socioeconomic profile than non-Latino whites, they also have a lower mortality rate. The two explanations considered are the salmon bias hypothesis, which postulates that Latino migrants may return to their country of origin and so become statistically immortal, and an alternative hypothesis that suggests that the migration process favors the selection of healthier migrants. Data are from the NLMS Public Use File and concern 301,718 non-Latino whites and 17,375 Latinos. The authors conclude that neither hypothesis explains the lower mortality of Latinos.
Correspondence: A. F. Abraído-Lanza, Columbia University, Joseph L. Mailman School of Public Health, 60 Haven Avenue B-3, New York, NY 10032. E-mail: AFL7@columbia.edu. Location: Princeton University Library (SZ).

65:40305 Allison, David B.; Fontaine, Kevin R.; Manson, JoAnn E.; Stevens, June; VanItallie, Theodore B. Annual deaths attributable to obesity in the United States. JAMA: Journal of the American Medical Association, Vol. 282, No. 16, Oct 27, 1999. 1,530-8 pp. Chicago, Illinois. In Eng.
An attempt is made to estimate the number of obesity-related deaths in the United States. "Data from 5 prospective cohort studies (the Alameda Community Health Study, the Framingham Heart Study, the Tecumseh Community Health Study, the American Cancer Society Cancer Prevention Study I, and the National Health and Nutrition Examination Survey I Epidemiologic Follow-up Study) and 1 published study (the Nurses' Health Study) in conjunction with 1991 national statistics on body mass index distributions, population size, and overall deaths.... The estimated number of annual deaths attributable to obesity among U.S. adults is approximately 280,000 based on HRs [hazard ratios] from all subjects and 325,000 based on HRs from only nonsmokers and never-smokers."
Correspondence: D. B. Allison, St. Luke's/Roosevelt Hospital, Obesity Research Center, 1090 Amsterdam Avenue, 14th Floor, New York, NY 10025. E-mail: dba8@columbia.edu. Location: Princeton University Library (SZ).

65:40306 Baird, Janis; Osmond, Clive; Bowes, Ian; Phillips, David I. W. Mortality from birth to adult life: a longitudinal study of twins. Early Human Development, Vol. 53, No. 1, Nov 1998. 73-9 pp. Limerick, Ireland. In Eng.
"We have examined mortality from birth through adult life in a cohort of 2,562 twins born in Birmingham, [England], between 1950 and 1954. Their birthweights and obstetric details had been recorded as part of a longitudinal study of births in Birmingham. There were a total of 151 perinatal deaths...and 227 infant deaths.... 70 deaths occurred after the age of one year. In comparison with national mortality rates in the UK, overall mortality in the twins was high.... Mortality was highest in the first year of life and, although it then declined progressively, it remained significantly higher than that of the general population until age 5 years.... These studies not only underline the excess mortality associated with twin birth but show for the first time that this excess mortality extends into childhood."
Correspondence: D. I. W. Phillips, Southampton General Hospital, MRC Environmental Epidemiology Unit, Tremona Road, Southampton SO16 6YD, England. Location: Princeton University Library (SPR).

65:40307 Benetos, Athanase; Rudnichi, Annie; Thomas, Frédérique; Safar, Michel; Guize, Louis. Influence of heart rate on mortality in a French population: role of age, gender, and blood pressure. Hypertension, Vol. 33, No. 1, Jan 1999. 44-52 pp. Baltimore, Maryland. In Eng.
"The aim of the present study was to assess the effects of high heart rate [HR] on mortality in different subgroups in a French population according to age, gender, and blood pressure levels. We studied 19,386 subjects (12,123 men, 7,263 women), aged 40 to 69 years, who had a routine health examination at the Centre d'Investigations Préventives et Cliniques (IPC) between 1974 and 1977.... The association of HR with cardiovascular mortality in men was (1) related to a strong association with coronary but not cerebrovascular mortality, (2) independent of age and hypertension, and (3) influenced by the level of pulse pressure; in patients with high pulse pressure, accelerated HR was not associated with increased cardiovascular mortality. In conclusion, in a large French population, accelerated resting HR represents an independent predictor of noncardiovascular mortality in both genders, and of cardiovascular mortality in men, independent of age and the presence of hypertension."
Correspondence: A. Benetos, Investigations Préventives et Cliniques, 23 Rue de Lubeck, 75116 Paris, France. Location: Princeton University Library (SPR).

65:40308 Bosman, Hans; Schrijvers, Carola; Mackenbach, Johan P. Socioeconomic inequalities in mortality and importance of perceived control: cohort study. British Medical Journal, Vol. 319, No. 7223, Dec 4, 1999. 1,469-70 pp. London, England. In Eng.
This study examines the contribution of perceived control to socioeconomic differences in mortality. The data were collected in the Dutch town of Eindhoven in 1991 as part of the GLOBE study on health and living conditions. The results indicate that "low socioeconomic status is related to mortality partly because people with a low socioeconomic status more often perceive low control. This supports hypotheses on the importance of perceived control for socioeconomic inequalities in health. Perceptions of low control partly originate in adverse socioeconomic conditions during childhood."
Correspondence: H. Bosman, Erasmus University, Medical School, Department of Public Health, P.O. Box 1738, 3000 DR Rotterdam, Netherlands. E-mail: h.bosma@np.unimaas.nl. Location: Princeton University Library (SZ).

65:40309 Burgoa, Mar; Regidor, Enrique; Rodriguez, Carmen; Gutierrez-Fisac, Juan L. Mortality by cause of death and marital status in Spain. European Journal of Public Health, Vol. 8, No. 1, Mar 1998. 37-42 pp. Oxford, England. In Eng.
"The purpose of this study is to show the differences in mortality from the leading causes of death by marital status among men and women in Spain. An analysis was made of persons aged 25 years and older who died in Spain during 1991. The mortality differences by marital status and sex were analysed for all the deaths and for the most frequent causes of death, using the ratios of age-adjusted death rates calculated from Poisson log-linear models. For both men and women, mortality was always higher in single and widowed persons than in married persons, except for a non-statistically significant mortality from diabetes mellitus and cirrhosis of the liver in single women. Divorced and separated men had a higher mortality than married men for all the causes of death taken together; the mortality among divorced and separated women, on the other hand, was lower than married women. Divorced and separated men and women generally had a lower mortality than married persons for the different causes of death, except for traffic accidents, suicide, cirrhosis of the liver and HIV infection, where it was higher."
Correspondence: E. Regidor, Ministry of Health, Department of Epidemiology, Paseo del Prado 18-20, 28071 Madrid, Spain. Location: Princeton University Library (SPR).

65:40310 Calle, Eugenia E.; Thun, Michael J.; Petrelli, Jennifer M.; Rodriguez, Carmen; Heath, Clark W. Body-mass index and mortality in a prospective cohort of U.S. adults. New England Journal of Medicine, Vol. 341, No. 15, Oct 7, 1999. 1,097-105 pp. Boston, Massachusetts. In Eng.
"Body-mass index...is known to be associated with overall mortality. [The authors] investigated the effects of age, race, sex, smoking status, and history of disease on the relation between body-mass index and mortality.... In a prospective study of more than 1 million adults in the United States (457,785 men and 588,369 women), 201,622 deaths occurred during 14 years of follow-up. [They] examined the relation between body-mass index and the risk of death from all causes in four subgroups categorized according to smoking status and history of disease.... The risk of death from all causes, cardiovascular disease, cancer, or other diseases increases throughout the range of moderate and severe overweight for both men and women in all age groups." The data are from the Cancer Prevention Study II that began in 1982.
Correspondence: E. E. Calle, American Cancer Society, 1599 Clifton Road NE, Atlanta, GA 30329. Location: Princeton University Library (SZ).

65:40311 Camarero Rioja, Luis A.; Gómez Redondo, Rosa; Jiménez Aboitiz, Ricardo. Dying in the city or in the country: an analysis of urban-rural mortality differentials. [Morir en la ciudad y en el campo: análisis de las diferencias urbano-rurales en mortalidad.] Sociología, No. 23, May-Aug 1999. 97-129 pp. Valladolid, Spain. In Spa. with sum. in Eng.
An analysis of differences in the causes of death in Spain between rural and urban areas by age and sex is presented, based on all deaths registered over the period 1990-1992. Although the results indicate that there is still a small difference in life expectancy between rural and urban areas, with the advantage being with rural areas, the general trend is toward a diminution of those differences and toward a convergence in the lifestyles of rural and urban residents.
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