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.     

Measuring and explaining the change in life expectancies

A set of new indices for interpreting change in life expectancies, as well as a technique for explaining change in life expectancies by change in mortality at each age group are presented in the paper. The indices, as well as the new technique for explaining the differences in life expectancies, have been tested and examples using United States life tables are presented. The technique for explaining life expectancy differentials can be used for analyzing change in mortality or mortality differentials by sex, ethnicity, region, or any other subpopulations. The technique can be applied to life expectancies at birth or temporary life expectancies between any desirable ages.     

On long-term mortality trends in the United States, 1850–1968

This study of United States life tables analyzes the process of mortality transition during 1850–1968. Special features of the study are (1) a phase-specific, rather than an age-specific, analysis of mortality and (2) use of measures based on person-years of life (nL _x ) in phase-intervals, rather than survival rates (nPx) or expectation of life at given ages (e _x ^o). The analysis suggests that the historical transition of mortality in the United States can be described as a three-stage process: an initial stage of slow improvement in life expectancy during 1850–1900, a second stage of rapid improvement during 1900–1950, and a third stage of slower improvement since 1950. Quantitative measures of rapidity of mortality decline in the several phases indicate that they are not identical for all phases and in all stages. The analysis also suggests that there have been rapid changes in the components of overall mortality differentials by sex and race in the United States. The paper draws attention to the need for studies of factors in variations of mortality at ages beyond 50 in the United States population subgroups.     

Fertility patterns among religious groups in Canada

The U shape that has been traced out by the crude birth rate in the United States and Canada is well known. Falling birth rates reached a low point in the mid-1930’s; the rate rose to a peak in 1947 and remained high through the 1950’s. In terms of cohorts, completed family size was smallest for women born around 1910, whose childbearing was concentrated in the 1930’s. With data from the 1961 census of Canada, trends in cohort marital fertility by religion are examined. The U pattern appears for both Protestants and Jews. For Catholics, a reversal in the downward trend of family size had not appeared by 1961, although the U pattern can be discerned for some subgroups such as Catholics living in big cities and persons of Irish ancestry. In the United States, however, changes in family size for all three religious groups and both whites and nonwhites follow the U pattern. Religious differentials in family size in Canada have been decreasing, but they remain much larger than either religious or color differentials in the United States, which show no decrease. The distinctive features of Catholic fertility in Canada are most pronounced among the regionallyconcentrated French Canadians, suggesting an interplay of religious, regional, and ethnic influences.     

Registration completeness and international comparisons of infant mortality

The physical development of the live born infant is the single most important variable governing its survival: infant mortality among those weighing 2,500 grams (5 1/2 pounds) or less at birth is 17 times the mortality among those weighing more than 2,500 grams at birth. The variation in mortality according to birth weight (or gestation) is greater than for subclasses of color, sex, maternal age, or birth order. Infant mortality in the United States is significantly higher than in a number of other countries e.g., Sweden, Netherlands, Norway. The difference is thought, by some, to be due to underregistration of low birth weight infants in other countries. In this paper, distributions of live births by birth weight for Denmark, England and Wales, New Zealand, and the United States, and infant mortality data for Denmark and the United States are examined. The data do not support a hypothesis of gross underregistration of live born infants in other countries. The results indicate that some index of physical development (birth weight, gestation, or a combination of both) should be included in any appraisal of infant mortality.     

The number of illegal migrants of Mexican origin in the United States: Sex ratio-based estimates for 1980

This article reports the results of applying a sex ratio-based method to estimate the number of undocumented Mexicans residing in the United States in 1980. The approach centers on a comparison between the hypothetical sex ratio one would expect to find in Mexico in the absence of emigration to the United States and the sex ratio that is in fact reported in preliminary results from the 1980 Mexican Census. The procedure involves, inter alia, assuming a range of values for the sex ratio at birth and for census coverage differentials by sex in Mexico. Even the combinations of these values most likely to result in large estimates suggest that no more than 4 million illegal migrants of Mexican origin were residing in the United States in 1980.     

Paradox found (again): Infant mortality among the Mexican-origin population in the united states

Recent research suggests that the favorable mortality outcomes for the Mexican immigrant population in the United States may largely be attributable to selective out-migration among Mexican immigrants, resulting in artificially low recorded death rates for the Mexican-origin population. In this paper we calculate detailed age-specific infant mortality rates by maternal race/ethnicity and nativity for two important reasons: (1) it is extremely unlikely that women of Mexican origin would migrate to Mexico with newborn babies, especially if the infants were only afew hours or afew days old; and (2) more than 50% of all infant deaths in the United States occur during the first week of life, when the chances of out-migration are very small. We use concatenated data from the U.S. linked birth and infant death cohort files from 1995 to 2000, which provides us with over 20 million births and more than 150,000 infant deaths to analyze. Our results clearly show that first-hour, first-day, and first-week mortality rates among infants born in the United States to Mexican immigrant women are about 10% lower than those experienced by infants of non-Hispanic, white U.S.-born women. It is extremely unlikely that such favorable rates are artificially caused by the out-migration of Mexican-origin women and infants, as we demonstrate with a simulation exercise. Further, infants born to U.S.-born Mexican American women exhibit rates of mortality that are statistically equal to those of non-Hispanic white women during the first weeks of life and fare considerably better than infants born to non-Hispanic black women, with whom they share similar socioeconomic profiles. These patterns are all consistent with the definition of the epidemiologic paradox as originally proposed by Markides and Coreil (1986).     

Immigrant suicide in Australia,Canada, England and Wales,and the United States

Factors influencing the suicide rates of numerous immigrants in groups in Australia, Canada, England and Wales, and the United States during the period 1959–73 were examined. Standardized mortality ratios (SMRs) were calculated for the origin, immigrant and destination native-born populations using the Canadian native-born age-sex-specific suicide rates as the standard. For males, the foreign-born in England and Wales had the lowest suicide rates and the foreign-born in the United States the highest. For females the variation was smaller, with immigrants in the United States having the lowest rates, and those in Australia the highest. Agespecific suicide rates indicated that relative to the native-born, foreign-born elderly had substantially elevated risks of suicide.     

Urban determinants of racial differentiation in infant mortality

This study relates differential socioeconomic status between blacks and whites to racial differentiation in infant mortality rates. The basic assumption is that decreases in socioeconomic differentiation and related variables lead to decreases in the black—white infant mortality differential. A comparative approach based on aggregate measures of socioeconomic differentiation is utilized to compare sixty-one United States urban places. Path analysis shows that neonatal mortality differentiation is virtually unaffected by socioeconomic differentials while decreased racial differences in hospital births tend to increase neonatal mortality differentiation. In contrast, postneonatal differentiation is affected by socioeconomic differentiation, especially along the dimensions of income, education, and regional location. It is concluded that despite some suggestions that infant mortality is no longer responsive to socioeconomic factors, postneonatal differentation is affected by socioeconomic differentials when comparison is based on city units.     

Changes in the age dependence of mortality and disability: Cohort and other determinants

Though the general trend in the United States has been toward increasing life expectancy both at birth and at age 65, the temporal rate of change in life expectancy since 1900 has been variable and often restricted to specific population groups. There have been periods during which the age- and gender-specific risks of particular causes of death have either increased or decreased. These periods partly reflect the persistent effects of population health factors on specific birth cohorts. It is important to understand the ebbs and flows of cause-specific mortality rates because general life expectancy trends are the product of interactions of multiple dynamic period and cohort factors. Consequently, we first review factors potentially affecting cohort health back to 1880 and explore how that history might affect the current and future cohort mortality risks of major chronic diseases. We then examine how those factors affect the age-specific linkage of disability and mortality in three sets of birth cohorts assessed using the 1982, 1984, and 1989 National Long Term Care Surveys and Medicare mortality data collected from 1982 to 1991. We find large changes in both mortality and disability in those cohorts. providing insights into what changes might have occurred and into what future changes might be expected.     

Measuring socioeconomic mortality differentials over time

Using 1973 Current Population Survey data matched to 1973-1978 Social Security mortality records, this study measures the relationship between the income and education of men and their subsequent mortality. The estimated relationships are compared with socioeconomic mortality differentials found by Kitagawa and Hauser in their study of 1960 census-death certificate matched data. The comparison suggests that there has been no improvement in the relative mortality experience of low socioeconomic status men. More generally, the article discusses how Social Security data could be used to monitor, on a continual basis, our progress toward eradicating significant mortality differentials in the United States.     

Recent trends in multiple-caused mortality 1968 to 1982: Age and cohort components

Declines in mortality at advanced ages have been observed recently in the United States. These declines have been related to a reduction in the risk of major circulatory diseases, such as stroke and heart disease. In this paper we examine the contribution of two additional major factors in those declines. The first is the effect of conditions associated with circulatory diseases. This effect can be examined by using multiple-cause mortality data in which all conditions reported by the physician on the death certificates are recorded. The second is the contribution of cohort mortality differentials to temporal changes. If major cohort differentials are identified, we may be able to determine if recent declines in mortality are likely to continue-and to what levels. Such insights would be useful both in improving projections of the size and age structure of the U.S. elderly population and its entitlement groups and in helping to identify future patterns of needs for preventive and other health services.     

Demographic Conditions Responsible for Population Aging

This article develops and applies two expressions for the rate of change of a population's mean age. In one, aging is shown to be negatively related to contemporary birth rates and death rates. In a general sense, aging occurs when vital rates are too low, as illustrated through applications to the United States, the Netherlands, and Japan. The other expression relates the rate of aging to a population's demographic history, in particular to changes in mortality, migration, and the annual number of births. Applications to the United States and Sweden show that the dominant factor in current aging in these countries is a history of declining mortality. Migration also contributes significantly but in opposite directions in the two countries. The two approaches are integrated after recognizing that the rate of change in the mean age is equal to the covariance between age and age-specific growth rates. A decomposition of this covariance shows that the two seemingly unrelated expressions contain exactly the same information about the age pattern of growth rates.     

Age distribution and the stable equivalent

Some populations, like that of the United States in the 1950's, have a smaller proportion of women of reproductive age than they would ultimately attain with continuance of their age-specific birth and deaths rates, a continuance which produces the condition known in demography as stability. Others, like that of the United States in the 1930's, have relatively more women of reproductive age than they would ultimately attain with stability. A way of studying ages is to calculate how many women of stable age distribution would be equivalent from the viewpoint of reproduction to the women observed. This stable equivalent was 69,535,000 or 16 percent below the observed United States female population in 1955, and 12 percent above the observed in 1935. The stable equivalent is a measure of fertility potential, closely related to R. A. Fisher's reproductive value. Calculations for four countries illustrate how a fall of the birth rate, for example in demographic transition, occasions an age distribution in which the stable equivalent is greater than the observed number of women. The notion of stable equivalent is useful for comparison because changes in it are nearly invariant with respect to the age-pattern of fertility used. The statement that the United States stable equivalent increased by 11 percent between 1960 and 1965 holds irrespective of whether the 1960 or the 1965 age-specific fertility and mortality rates are used as standard.     

Occupational careers and mortality of elderly men

This article presents findings from an analysis of occupational differentials in mortality among a cohort of males aged 55 years and older in the United States for the period 1966-1983. Using the National Longitudinal Survey of Mature Men, we construct event histories for 3,080 respondents who reach the exact age of 55. The dynamics that characterize socioeconomic differentials in mortality are analyzed by evaluating the differential effects of occupation over the career cycle. Maximum likelihood estimates of hazard-model parameters show that the mortality of current or last occupation differs substantially from that of longest occupation, controlling for education, income, health status, and other sociodemographic factors. In particular, the rate of mortality is reduced by the substantive complexity of the longest occupation while social skills and physical and environmental demands of the latest occupation lower mortality.     

Interdivisional migration differentials by education for groups of selected SMSA’S,United States, 1960

An attempt is made to investigate the educational differentials between various types of interdivisional migrants and nonmigrants in selected Standard Metropolitan Statistical Areas (SMSA’s) of the United States. The analysis is carried out for four color-sex groups standardized for age. We have been able to identify three distinct patterns of migration differentials by education, that is, the J-shaped, the U-shaped, and the reverse J -shaped distributions. The tendency for migrants to be better educated than nonmigrants, by and large, has received support from the data we have analyzed. Wherever this tendency has not been confirmed, the main factors which, we believe, have influenced the differentials are the proportion of foreign-born whites, the geographic location of the places of origin and destination, and the differences in levels of educational attainment.     

The future of sex mortality differentials in industrialized countries: A structural hypothesis

This paper advances the hypothesis that the future of sex mortality differentials in industrialized countries may depend on the future mortality rates of blue collar men. Data are presented to support the argument that mortality rates from ischemic heart disease for this population subgroup play a significant role in current differentials and, furthermore, that sexsocial class-mortality differentials correspond to social structural differences in protection against and/or exposure to health risks. Research and policy implications of this argument are addressed briefly.The views expressed in this paper are those of the authors and do not necessarily reflect the policy or views of the World Health Organization.     

Maybe Next Month? Temperature Shocks and Dynamic Adjustments in Birth Rates

We estimate the effects of temperature shocks on birth rates in the United States between 1931 and 2010. We find that days with a mean temperature above 80°F cause a large decline in birth rates 8 to 10 months later. Unlike prior studies, we demonstrate that the initial decline is followed by a partial rebound in births over the next few months, implying that populations mitigate some of the fertility cost by shifting conception month. This shift helps explain the observed peak in late-summer births in the United States. We also present new evidence that hot weather most likely harms fertility via reproductive health as opposed to sexual activity. Historical evidence suggests that air conditioning could be used to substantially offset the fertility costs of high temperatures.     

Externalities of air pollution: Estimates for heart diseases

This study attempts to establish a quantitative relationship between air pollution and heart diseases. It proposes that in addition to air pollution, population density, sunshine, racial composition, age composition, and income are important variables to explain the variations in the death rates due to heart diseases in the urban areas of the United States. The analysis suggests that a fifty percent decrease in the air pollution would imply a decrease in the mortality rate by about 24–35 percent. Such a reduction in the air pollution level would be accompanied by a social savings of the order of $2140 to $3130 million per year in terms of the heart diseases only. Social savings in terms of all diseases would obviously be of a much higher order.