The importance of social intervention in England's mortality decline: the evidence reviewed.

The importance of social intervention in England's mortality decline: the evidence reviewed.
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社会干预对英格兰死亡率下降的重要性:证据审查。

DOI:
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发表时间:
1994
期刊:
Social history of medicine : the journal of the Society for the Social History of Medicine
影响因子:
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通讯作者:
S. Guha
S. Guha
中科院分区:
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文献类型:
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作者:
S. Guha

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本文考察了英国死亡率下降的第一阶段,这一阶段开始于18世纪中叶,断断续续地持续到19世纪末。报告发现,最近对人口历史的研究削弱了麦基翁理论的解释,但斯雷特提出的另一种综合理论却无法很好地经得起对婴儿死亡率和发病率证据的仔细审查。文章最后指出,与普遍观点相反,腹泻病无视维多利亚晚期的公共卫生措施继续存在,但似乎已变得不那么致命,与j·c·莱利(J. C. Riley)在19世纪下半叶发现的疾病致死率普遍下降的趋势相同。
This paper examines the first phase of England's mortality decline, which commenced in the middle of the eighteenth century, and proceeded fitfully down to the end of the nineteenth. It finds that recent research in population history has weakened the explanation known as the McKeown thesis, but that the alternative synthesis, developed by Szreter, does not stand up well to a scrutiny of the evidence on infant mortality and morbidity. It concludes by pointing out that, contrary to the received version, diarrhoeal diseases continued in defiance of late-Victorian public health measures, but appear to have become less lethal, sharing in the general decline in the lethality of illness found by J. C. Riley for the second half of the nineteenth century.