Childhood misery and disease in later life:: The effects on mortality in old age of hazards experienced in early life, southern Sweden, 1760-1894
Childhood misery and disease in later life:: The effects on mortality in old age of hazards experienced in early life, southern Sweden, 1760-1894
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DOI：
10.1080/713779096
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发表时间：
2000-11-01
影响因子：
2.4
通讯作者：
Lindström, M
中科院分区：
文献类型：
--
作者：
Bengtsson, T;Lindström, M
本文使用瑞典南部四个农村教区的历史数据来评估早期生命条件相对于晚年按死因死亡的普遍条件的重要性，这些地区的人口和经济数据都非常好。使用考克斯回归框架，将个人的纵向人口数据与家庭社会经济数据和关于食品成本和疾病负荷的社区数据结合在一起。我们发现有力地支持了这一假设，即在生命的第一年经历的疾病负荷对以后的生命的死亡率有很大的影响，特别是对空气传播传染病的结果。关于怀孕期间疾病负荷对母亲的影响以及在生命最初几年获得营养的假设不被支持。尽管死亡率因社会经济群体不同而不同，但当代短期经济压力对老年人的重要性一般有限。
This paper assesses the importance of early-life conditions relative to the prevailing conditions for mortality by cause of death in later life using historical data for four rural parishes in southern Sweden for which both demographic and economic data are very good. Longitudinal demographic data for individuals are combined with household socio-economic data and community data on food costs and the disease load using a Cox regression framework. We find strong support for the hypothesis that the disease load experienced during the first year of life has a strong impact on mortality in later life, in particular on the outcome of airborne infectious diseases. Hypotheses about the effects of the disease load on mothers during pregnancy and access to nutrition during first years of life are not supported. Contemporary short-term economic stress on the elderly was generally of limited importance although mortality varied by socio-economic group.