The role of smoking in the explanation of the Israeli Jewish pattern of sex differentials in mortality

The difference in life expectancy between women and men among Israeli Jews is very low relative to the difference in other developed countries, and the reasons for this are not fully understood. This paper explores the contribution of smoking to the observed patterns of sex-specific mortality among Israeli Jews, and to the sex difference in mortality exhibited by this population. The results show that the mortality of Israeli Jewish men is low owing to the relatively weak impact of smoking-related mortality, and that this also contributes to an explanation of the small sex difference. The result is explained by the high level of health-protective behaviour of Israeli Jewish men, including a low intensity of smoking (though not a low prevalence). The findings could have implications for some debates on the determinants of divergences and convergences in mortality, and research into the relationship between mortality and the Mediterranean diet.     

A reconsideration of negro-white mortality differentials in the united states

This paper summarizes the results of an investigation of the validity of Negro-white mortality differentials as reflected in the series of official United States life tables since the turn of the century. Pertinent excerpts from these often-quoted tables are reproduced in Appendix Table A-1 for convenient reference. The paper divides into two main parts.First, mortality levels and differentials beyond early childhood are derived, without use of the existing vital records, by interpreting the series of ten-year cumulative survival rates implicit in the census records for native whites and for Negroes. The results are in general agreement with the official figures, particularly for males.Second, mortality levels and differentials in early childhood are estimated by extrapolating the official 1)5 values via model life tables; that is, by the analytical procedure that would be followed in the absence of direct information on early childhood mortality. Unless it is assumed that age patterns of death for United States Negroes were extremely deviant from those found in populations with reliable census and vital statistics, one must conclude that the official figures grossly underestimate early childhood mortality for Negroes, at least for the period, 1910-40. It follows that, during those decades, Negro-white mortality differentials in terms of expectation of life at birth were also substantially higher than is suggested by the official estimates.     

The Easterlin hypothesis in the recent experience of higher-income OECD countries: A panel-data approach

The Easterlin hypothesis emphasizes the effect of relative cohort size on fertility. Models based on the Easterlin hypothesis have performed well in explaining time series fertility data, although these results have been for long historical time series and have typically been restricted to single country studies. These models are not adequate to determine if the hypothesis still holds and if the success of the Easterlin hypothesis is an artifact of the time period chosen. We use panel data analysis and temporal causality tests to see of the Easterlin hypothesis holds for higher-income OECD countries. The results support the Easterlin hypothesis.All correspondence to Yongil Jeon. An earlier version, The Easterlin hypothesis in OECD countries, was presented at the annual conference of the European society for population economics, Bilbao, Spain, June 2002. We are grateful to two anonymous referees for their helpful comments. The usual caveat applies. Responsible editor: Junsen Zhang.     

The impact of family policies on fertility in industrialized countries: a review of the literature

This paper examines the theoretical propositions and empirical evidence linking policies and fertility. More specifically, the analysis presented in this paper draws attention to the complex mechanisms that theoretically link policies and demographic outcomes: mechanisms that involve imperfect information and decisions that are rationally bound by very specific circumstances. As to the empirical evidence, studies provide mixed conclusions as to the effect of policies on fertility. While a small positive effect of policies on fertility is found in numerous studies, no statistically significant effect is found in others. Moreover, some studies suggest that the effect of policies tends to be on the timing of births rather than on completed fertility.

Urban-rural differentials in infant mortality in Victorian England

This paper examines the magnitude of urban-rural differentials in infant mortality in England during the nineteenth and early twentieth centuries and also compares the timing of decline for a selection of towns of varying size, and their immediate rural hinterlands. Most towns continued to experience short-term fluctuations in infant mortality until the very end of the nineteenth century; however, in some of the adjacent rural communities--where levels of infant mortality were much lower--conditions were sufficiently favourable to allow a continuous decline in infant mortality from at least the 1860s, if not before. The final part of the paper considers the causes of these patterns and their implications for explanations of infant mortality decline.     

Gender wage differentials in Italy: a structural estimation approach

This paper studies gender wage differentials by providing a maximum likelihood structural estimation of the frictional parameters of an equilibrium search model with on-the-job search and firm heterogeneity. In a second step, I also consider the role of discrimination. Results indicate higher level of search frictions for women; this result is confirmed by various robustness checks and by different specification and estimation strategies. I also find that the resulting mapping from productivity to wages for men is highly non-linear, while for women it is almost linear. Search, productivity and discrimination play different roles in shaping the gender differential depending on the specification and estimation of the model.     

Gender wage differentials in Italy: a structural estimation approach

This paper studies gender wage differentials by providing a maximum likelihood structural estimation of the frictional parameters of an equilibrium search model with on-the-job search and firm heterogeneity. In a second step, I also consider the role of discrimination. Results indicate higher level of search frictions for women; this result is confirmed by various robustness checks and by different specification and estimation strategies. I also find that the resulting mapping from productivity to wages for men is highly non-linear, while for women it is almost linear. Search, productivity and discrimination play different roles in shaping the gender differential depending on the specification and estimation of the model.     

Underlying versus multiple causes of death: Effects on interpreting cancer mortality differentials by age,sex, and race

The conventional approach to measuring the medical cause of death in mortality analysis bases death on a single, underlying cause. An alternative approach, which makes use of all of the medical conditions cited by a physician on the death certificate and treats them in a multiplecause framework, is compared with the conventional approach in studying differential mortality among those 45 years of age and older in Florida. The two approaches are seen to provide different patterns of information that have analytical as well as policy ramifications.     

Estimating maternal mortality differentials using census data: experience in Honduras

High levels of maternal mortality in developing countries are considered a major public health problem. Over the past decade several international conferences on health have stated the necessity to reduce maternal mortality in developing countries. This is a challenge not only in terms of achieving it but also from the point of view of monitoring it. I use national population censuses to measure maternal mortality and study mortality regional differentials in Honduras, which identified maternal mortality in its most recent census. I also use standard demographic methods to evaluate the census data quality, for both population and death counts, and to evaluate the completeness and coverage of household death data.     

Ethnic dimensions of gender differentials in mortality in Malaysia

Higher mortality rates among males are a common occurrence across different cultures and countries. The causes of this higher mortality can be biological as well as behavioural in nature. The biological evidence applies across all nations and communities, but the behavioural causes, arising from the decision processes and communication strategies of individuals, will necessarily have cultural and environmental dimensions that change with time. This study examines gender disparities in mortality across ethnicity and time in Malaysia. The study shows that there is a consistent gender differential across time but it has widened for the Malays and the Indians and narrowed for the Chinese. Most importantly, it has widened considerably for young adults. Analysis of the leading causes of death show that young adult males are more likely to engage in risk-taking behaviour, and that the related causes and the extent of such causes vary across the ethnic groups.     

Population trends and differentials in countries of the ESCAP region

The total population of the ESCAP region reached 2.4 billion in 1979, up from 2 billion in 1970. 6 of the 10 largest countries are in the region: China, India, Indonesia, Japan, Bangladesh, and Pakistan. East Asia contains 1.1 billion; Middle South Asia contains 923 million; Eastern South Asia, 354 million; and Oceania, 22 million. The crude birth rate for the total region dropped by 5 points from 1970-9; the crude death rate dropped by 2 points, resulting in a decline in the annual growth rate of .3 percentage points, from 2.1% in 1970 to 1.8% in 1979. Overall, the total fertility rate decreased by 15% from 4.8 to 4.1. The total fertility rate in Australia fell 33% from 2.8 to 1.9 and in New Zealand from 3.0 to 1.9, or 37%. Generally fertility is lower in urban areas than in rural with some exceptions. A strong negative relationship between level of education and fertility exists in all countries of Asia and the Pacific, however, the parity of women with some primary education exceeds that of women with no schooling. Life expectancy at birth for both sexes in the region increased from 55.1 years in 1970 to 58.7 years in 1979, or by 7%. The highest life expectancy is in Japan at 75.2 years. The infant mortality rate in the ESCAP region in 1979 was estimated to be 78/1000. World Fertility Survey data indicate that the mean age of first marriage is generally very low but gradually increasing.     

Economic development and fertility decline: lessons from Asia's newly industrialized countries

The general thesis that economic development and fertility decline are interrelated is substantiated in literature that discusses the successes of the newly industrialized countries of Hong Kong, Korea, Singapore, and Taiwan. When countries are developing rapidly, family planning accelerates the rate of fertility change, particularly among the poor uneducated rural population. Relying on economic and social development is not enough. National policy in Hong Kong, Singapore, Korea, and Taiwan recognized that population growth drains resources and the family planning programs operating since the 1960s contributed to a drop from 5 children/woman to 2 by 1988, and 70% of married couples used contraception. Coupled with this, age at marriage rose, contraception became more available, and educational and employment opportunities increased. Economically, the growth rate in the 1980's was 6-10% annually, with growth in the manufacturing and service sectors and export trade. Close economic ties evolved between governments and private sectors. Social development programs had been fully funded and gains evident in education, living standards, health care and nutrition, and life expectancy. The success of family planning is attributed to encouraging contraceptive awareness and use. Fertility reduction may occur with social and economic development, but no developing countries have reduced fertility without family planning. The relative importance of family planning may change over time, and reducing the cost through government sponsored family planning programs and encouraging the acceptability of contraceptive usage.     

Implications of socio-economic differentials in mortality for the health system

The premise of this discussion is that a systematic and continuous monitoring system is required to assemble data on the social indicator "socio-economic differences in mortality." Attention is directed to 5 particular types of data: secular trends; class differentials and age; linearity versus dichotomy; cross-cutting variables; and downward mobility and biological selection. The following 2 basic questions are examined and answered with a qualified "yes:" 1) does the health care system have any relevance to mortality differentials; and 2) can a health care system have any degree of meaninful autonomy from the overall social system. The policy implications of this analysis are reviewed in terms of the value content of medical education, the organization of the health care system, the emphasis on health, and the focus on the community. The concepts of control and power are analyzed as the key to socioeconomic differentials. Emphasis on differential exposures to "stressors" is rejected for what is termed "a sense of coherence" -- a global orientation which emerges, or fails to emerge among the lower classes, against the background of a high level of generalized resistance resources. Essentially the problem is that the constricted, emergency, powerless, and unpredictable character of lower social class existence prevents individuals of lower class and groups from being able to cope with stressors. Ways that the health care system can strengthen the sense of coherence of the lower classes include the following: a formal monitoring system in each society; caution in assuming that technological advances, environmental control, and health education are egalitarian in their consequences; and the need to identify high-risk groups within the lower classes.     

The structural context of social indicator differentials in Japanese prefectures 1965–75

This comparative analysis of the 45 Japanese prefectures shows that a set of 14 standard social indicators can be reduced, using factor analysis, to two principal factors: affluence and social pathology. Another factor analysis, this time conceptually guided, generated five indices of structural context, urban differentiation, cultural heritage, agricultural development, progressive industrialization, and Communist vote. As hypothesized, these five structural variables predict both social affluence and social pathology, but theoretical considerations required that the components of the social pathology factor be examined individually. Suicide rates were also examined separately, and although the structural dimensions show some capacity to account for the rates, the findings prompt an elaboration of the theory that brings it more closely in line with its Durkheimian antecedents.     

Adult mortality differentials associated with cigarette smoking in the USA

Although cigarette smoking has been extensively researched, surprising little knowledge has been produced by demographers using demographic perspectives and techniques. Thus, this paper contributes to the literature by extending a demographic framework to an important behavior for mortality research: cigarette smoking. In earlier works, the authors used nationally-representative data to show that cause of death patterns varied by smoking status and that multiple causes of death characterized smokers moreso than non-smokers. The present work extends previous analysis by estimating smoking status mortality differentials by underlying and multiple causes of death and by age and sex. Data from the 1986 National Mortality Followback Survey are related to data from the 1985 and 1987 National Health Interview Survey supplements to assess the smoking-related mortality differentials. We find that cigarette smoking is associated with higher mortality for all population categories studied, that the smoking mortality differentials vary across the different smoking status categories and by demographic group, and that the mortality differentials vary according to whether underlying cause or multiple cause patterns of death are examined. Moreover, the multiple cause analysis highlights otherwise obscured smoking-mortality relations and points to the importance of respiratory diseases and cancers other than lung cancer for cigarette smoking research.     

Trends and geographic differentials in mortality under age 60 in India

The study examines overall and region-specific mortality changes and regional mortality variation in India since the 1970s, using data from the Sample Registration System (SRS). An evaluation of the quality of SRS data confirms their reliability for children and adults under age 60. The results suggest the convergence of mortality across the regions of India with important inter-state differences in the pace of health improvements over time. After spectacular progress during the 1970s and the 1980s, many Indian states have witnessed slower mortality improvements in both young and adult age groups. India faces difficulties in making further reductions in infant mortality and in the burden of chronic and man-made diseases at adult ages.     

Ethnic and religious differentials in Bulgarian mortality, 1993-98

We investigated ethnic/religious mortality differentials in Bulgaria during the 1990s. The analyses employed a unique longitudinal data-set covering the entire population of Bulgaria from the census of 1992 until 1998. The mortality of Roma is very high compared to all other ethnic/religious groups. The excess applies to nearly every cause of death examined and is not entirely explained by the adverse location of Roma on social and economic variables. For young men, Muslim mortality is substantially lower than that of non-Muslims when socio-economic differences are controlled. An analysis of causes of death suggests that lower consumption of alcohol may contribute to this 'Muslim paradox'. For older Turkish women, a significant mortality disadvantage remains after controls are imposed. Suicide mortality is lower for Muslims than for Christian groups of the same ethnicity. Consistent with deteriorating economic conditions over the study period, mortality was rising, particularly for women.     

The structural causes of infant mortality decline in Chile

The effect of macro processes on infant mortality rates is explored in this analysis of Chilean provincial statistics over five decades. Urbanization and pluralism, as measured by the percent of the population in urban centers and the percent voting, predict lower infant mortality strongly and consistently. The theoretical rationale for linking macrostructural variables to biological outcomes is then examined in more detail. It is argued that the structural model employed here is an improvement on the conventional modernization/biomedical explanation because of its greater consistency and specificity, and because inclusion of measures of health technology in the tests did not eliminate the effect of the structural variables.