Mortality Attributable to Cigarette Smoking in the United States

Cigarette smoking is an especially pernicious behavior because of its high prevalence and mortality risk. We use the powerful methodology of life tables with covariates and employ the National Health Interview Survey‐Multiple Cause of Death file to illuminate the interrelationships of smoking with other risk factors and the combined influences of smoking prevalence and population size on mortality attributable to smoking. We find that the relationship between smoking and mortality is only modestly affected by controlling for other risk factors. Excess deaths attributable to smoking among adults in the United States in the year 2000 were as high as 340,000. Better knowledge of the prevalence and mortality risk associated with different cigarette smoking statuses can enhance the future health and longevity prospects of the population.     

Cigarette Smoking and All-Cause and Cause-Specific Adult Mortality in the United States

This study illuminates the association between cigarette smoking and adult mortality in the contemporary United States. Recent studies have estimated smoking-attributable mortality using indirect approaches or with sample data that are not nationally representative and that lack key confounders. We use the 1990–2011 National Health Interview Survey Linked Mortality Files to estimate relative risks of all-cause and cause-specific mortality for current and former smokers compared with never smokers. We examine causes of death established as attributable to smoking as well as additional causes that appear to be linked to smoking but have not yet been declared by the U.S. Surgeon General to be caused by smoking. Mortality risk is substantially elevated among smokers for established causes and moderately elevated for additional causes. We also decompose the mortality disadvantage among smokers by cause of death and estimate the number of smoking-attributable deaths for the U.S. adult population ages 35+, net of sociodemographic and behavioral confounders. The elevated risks translate to 481,887 excess deaths per year among current and former smokers compared with never smokers, 14 % to 15 % of which are due to the additional causes. The additional causes of death contribute to the health burden of smoking and should be considered in future studies of smoking-attributable mortality. This study demonstrates that smoking-attributable mortality must remain a top population health priority in the United States and makes several contributions to further underscore the human costs of this tragedy that has ravaged American society for more than a century.     

The 1918 Influenza Epidemic's Effects on Sex Differentials in Mortality in the United States

The 1918 influenza epidemic had a marked and fairly long‐lasting effect on the sex differential in mortality in the United States. After 1918 women lost most of their mortality advantage over men and the female/male gap did not regain its pre‐epidemic level until the 1930s. An analysis of causes of deaths shows a link with tuberculosis. We conjecture the existence of a selection effect, whereby many 1918 influenza deaths were among tuberculous persons, so that tuberculosis death rates dropped in later years, disproportionately among males. Age‐ and sex‐specific data by cause of death corroborate this hypothesis.     

The Differential Mortality of Undesired Infants in Sub-Saharan Africa

With high rates of infant mortality in sub-Saharan Africa, investments in infant health are subject to tough prioritizations within the household, in which maternal preferences may play a part. How these preferences will affect infant mortality as African women have ever-lower fertility is still uncertain, as increased female empowerment and increased difficulty in achieving a desired gender composition within a smaller family pull in potentially different directions. I study how being born at a parity or of a gender undesired by the mother relates to infant mortality in sub-Saharan Africa and how such differential mortality varies between women at different stages of the demographic transition. Using data from 79 Demographic and Health Surveys, I find that a child being undesired according to the mother is associated with a differential mortality that is not due to constant maternal factors, family composition, or factors that are correlated with maternal preferences and vary continuously across siblings. As a share of overall infant mortality, the excess mortality of undesired children amounts to 3.3 % of male and 4 % of female infant mortality. Undesiredness can explain a larger share of infant mortality among mothers with lower fertility desires and a larger share of female than male infant mortality for children of women who desire 1–3 children. Undesired gender composition is more important for infant mortality than undesired childbearing and may also lead couples to increase family size beyond the maternal desire, in which case infants of the surplus gender are particularly vulnerable.     

Sex Ratio at Birth and Infant Mortality Rate in China: An Empirical Study

In this article, we used the data from the last three population censuses of China in 1982, 1990 and 2000, to study the dynamics of the sex ratio at birth and the infant mortality rate in China. In the late 1970s, China started its economic reform and implemented many family planning programs. Since then there has been great economic development and a dramatic decrease in fertility in most of its provinces. Along with these achievements, the sex ratio at birth of the Chinese population has increased to significantly more males to females, and in some provinces of China reached unprecedented levels. The ratio of infant mortality of the males to females for manyprovinces in China become extremely unbalanced with a much higher female infant mortality rate. In our study, we investigated the statistical relationship between the sex ratio at birth and the ratio of the infant mortality of males to female. Social and economic reasons for these unnatural trends are also discussed.     

Estimation of Covariate Effects With Current Status Data and Differential Mortality

The assessment of the impact that socioeconomic determinants have on the prevalence of certain chronic conditions reported by respondents in population surveys must confront two problems. First, the self-reports could be in error (false positives and false negatives). Second, those reporting are a selected sample of those who ever experience the problem, and this selection is heavily influenced by excess mortality attributable to the condition being reported. In this article, we use a combination of empirical data and microsimulation to (a) assess the magnitude of the bias attributable to the selection problem, and (b) suggest an adjustment procedure that corrects for this bias. We find that the proposed adjustment procedure considerably reduces the bias arising from differential mortality.     

The Differential Effect of Mothers' Education on Mortality of Boys and Girls in India

In this study we consider whether the influence of a mother's education is the same on her daughters and her sons in a society which often treats them differently. Median-polish technique was used with data from the 1981 Census of India to determine the relative effect of mothers' education on mortality of boys and girls in childhood. It was found, as expected, that improved mothers' education reduced mortality at all ages below five years for both sexes. Further, the effect was found to be greater on girl than on boy children, particularly in the northern states. The effect of mothers' education was much greater than that of rural or urban residence. Previous research on the relationship between mothers' education and child mortality in India and elsewhere is discussed, as are possible underlying reasons for the differential treatment of boys and girls, and why it may be altered by education of the mother.     

Sex Differentials in Mortality in the Soviet Union: Regional Differences in Length of Working Life in Comparative Perspective

In this paper we take a different approach from other authors to the study of differences between the mortality of the two sexes in the USSR. First, we use measures of mortality that are not sensitive to the most common types of error in data and that reflect experience in an age range that is important from a policy perspective: the working ages. Secondly, we measure variation in mortality between regions of the USSR. Thirdly, we compare these regional mortality trends with experience in 33 developed countries. The sex differential in mortality in the USSR is an amalgam of very different regional patterns. Its size and rate of change are more extreme in the USSR than in other countries, and are mainly due to the poor and rapidly worsening mortality of men in the Russian Republic. But the widening sex differentials and increasing mortality of men in the older working ages in Soviet regions are similar to trends in many other developed countries.     

Difference in Condom Use Between Bear Concordant and Discordant Dyads During the Last Anal Sex Event

The purpose of this study was to understand how bear identity influenced condom use during the last anal sex event. Participants were recruited to complete an online, anonymous self-report survey through bear-related sexual and social networking websites. A total of 1,080 men who identified as gay or bisexual and as a member of the bear community and were 18 years or older completed the survey. Overall, fewer than a third of men reported condom use during the most recent receptive (28%) and insertive (30%) anal sex event. Men in bear concordant pairings were less likely to use a condom during receptive and insertive anal sex compared to those is discordant pairings (p < .05). Findings suggest that bear identity concordance influences condom use during anal sex after accounting for an individual’s relationship to their most recent partner as well as other confounding variables.     

Cigarette smoking and widowhood in the United States

Abstract Extract In the United States, for newly married couples with husband aged 23 and wife 21 who never divorce or re-marry after death of spouse, expectation of married life increased by 10·1 years between 1910 and 1965. Expectation of widowed life decreased by 3·2 years for husbands, but, despite large mortality declines for both sexes, increased by 1·8 years for wives. These and related data are shown in Table 1.     

从"五普"地市数据看生育政策对出生性别比和婴幼儿死亡率性别比的影响

以"五普"数据为基础,分析全国"地市"的出生性别比、婴儿死亡率性别比与生育政策的关系.本文的分析表明实行"第1个孩子为女孩,间隔几年允许生第2个孩子"生育政策的人口比例越高的地区,出生性别比和婴儿死亡性别比失常越严重;实行较为宽松生育政策的地区比较接近正常.实行较为宽松的生育政策有利于解决目前出生性别比严重失常和女婴死亡严重偏高的问题.     

The Effect of Child Mortality on Contraceptive Use and Fertility in Colombia,Costa Rica and Korea

In this paper the question whether reproductive behaviour is consciously altered by the death of a child is answered by using World Fertility Survey data from Colombia, Costa Rica, and Korea. Alternative strategies are proposed by which women replace children who have died. They may choose to contracept for a shorter period following the death of a child, or they may cease using contraception. Each strategy is analysed separately for selected birth intervals and its effect estimated with loglinear techniques. It is found that the timing and nature of the response to child mortality appear to depend on the stage reached in a country's fertility transition.     

析性文化与性教育

本文首先对性文化作了诠释,指出性文化是不断创造不断进化的过程,随着经济的发展,性文化应该日趋健康,日趋完善,后从性教育入手,指出为了在全社会形成健康、文明的性文化,必须抓好性教育,特别是青春期性教育,形成一种良好的性氛围,弘扬中国优良的性伦理道德。     

Social Responsibility,Substance Use,and Sexual Risk Behavior in Men Who Have Sex With Men

Considerable public health literature focuses on relationships between problematic human characteristics (e.g., psychopathology) and unhealthy behaviors. A recent movement termed positive psychology emphasizes the advantages of assessing relationships between human strengths (e.g., altruism) and beneficial health behaviors. The present study assessed social responsibility, an orientation to help or protect others even when there is nothing to be gained as an individual, and its relationship to HIV-relevant behaviors. In our sample of 350 men who have sex with men (MSM), social responsibility was negatively correlated with substance use and HIV risk behaviors. Men who had been tested for HIV and knew their HIV status—a behavior that helps men protect their partners but does not protect themselves from the virus—also scored higher in social responsibility. Interventions designed to reduce HIV risk behavior in MSM may benefit from efforts to promote human strengths.     

性别偏好、性别选择与出生性别比

文章的目的是要探讨中国出生婴儿性别比偏高的间接和直接原因。其定量分析使用国家计划生育委员会于1997年11月中旬组织的全国人口与生殖健康调查中第二期育龄妇女生殖健康调查数据。从理想的孩子性别看,城市存在选择女孩的现象,而农村存在明显的选择男孩的现象。分析发现,只有女孩的妇女再次怀孕的比例明显高于至少有一个男孩而再次怀孕妇女的比例;同时前者实行人工流产的比例要明显低于后者。以往所生孩子的数量和性别是惟一决定下一个孩子分孩次性别比升高的原因,它与年龄、民族、受教育状况和婚姻状况无关。中国的出生性别比偏高主要是由选择性人工流产导致的。     

Education and the Gender Gaps in Health and Mortality

The positive associations between education and health and survival are well established, but whether the strength of these associations depends on gender is not. Is the beneficial influence of education on survival and on self-rated health conditioned by gender in the same way, in opposite ways, or not at all? Because women are otherwise disadvantaged in socioeconomic resources that are inputs to health, their health and survival may depend more on education than will men??s. To test this hypothesis, we use data from the National Health Interview Survey-Linked Mortality Files (NHIS-LMF). We find that education??s beneficial influence on feeling healthy and on survival are conditional on gender, but in opposite ways. Education has a larger effect on women??s self-rated health than on men??s, but a larger effect on men??s mortality. To further examine the mortality results, we examine specific causes of death. We find that the conditional effect is largest for deaths from lung cancer, respiratory disease, stroke, homicide, suicide, and accidents. Because women report worse health but men??s mortality is higher, education closes the gender gap in both health and mortality.     

Sex and the unspoken in male street prostitution

Although the overwhelming majority of male prostitutes work through agencies or by placing their own ads, most studies of male prostitution focus upon young men who work on the street. Remarkably, these studies seldom identify the dynamics of poverty and street-level violence as important elements of their examination. Investigations of male sex work-few though they are-focus almost exclusively upon sexual aspects of "the life." Despite the importance of these networks in shaping the contours of street life, and often in enabling one's very survival, the primary research focus has remained on questions of sexual identity, sexual practices with clients, and sexual abuse as a causative factor. Meanwhile, studies that do examine the dynamics of male street life typically do not examine questions of prostitution or other issues related to sexuality. A dominant theme within this literature consists of specifying the social mores of the most aggressive and socially problematic participants within street society, particularly gang members and drug dealers. The dissimilar nature of these images relates directly to the political projects of the dominant culture, which, in a very general way, seeks to "rescue" (reintegrate) deviant white youth, while controlling and excluding deviant youth of color. The political aim of reintegrating runaways into middle-class trajectories has the effect of authorizing certain discourses regarding their behavior on the streets, while marginalizing or completely disallowing others. This article seeks to examine and challenge these trends of representation.     

Self-Forgiveness and Mortality in Late Life

The purpose of this study is to see if older people who are able to forgive themselves have a lower mortality risk than older adults who are not able to forgive themselves. In addition, it is hypothesized that the relationship between self-forgiveness and mortality will be contingent upon the level of an older individual’s education. More specifically, it is predicted that the potentially beneficial effects of self-forgiveness will be more evident among older people with more years of schooling. Data from a nationwide survey of older people provide support for this view. Self-forgiveness does not provide a mortality benefit for less educated elders. But as the level of educational attainment rises, self-forgiveness is associated with a progressively smaller mortality risk.