Experimental Evidence Against the Paradigm of Mortality Risk Aversion

This article deals with the question of how societal impacts of fatal accidents can be integrated into the management of natural or man‐made hazards. Today, many governmental agencies give additional weight to the number of potential fatalities in their risk assessments to reflect society's aversion to large accidents. Although mortality risk aversion has been proposed in numerous risk management guidelines, there has been no evidence that lay people want public decisionmakers to overweight infrequent accidents of large societal consequences against more frequent ones of smaller societal consequences. Furthermore, it is not known whether public decisionmakers actually do such overweighting when they decide upon the mitigation of natural or technical hazards. In this article, we report on two experimental tasks that required participants to evaluate negative prospects involving 1–100 potential fatalities. Our results show that neither lay people nor hazard experts exhibit risk‐averse behavior in decisions on mortality risks.     

Modeling of rates over a hierarchical health administrative structure

Identifying the distribution of the incidence rate of a disease over a region is a prediction problem where area‐specific random effects are to be estimated. The authors consider the inclusion of such effects at different levels of a hierarchical health administrative structure. They develop inference procedures for this type of multi‐level model and show that the predicted rates are approximately weighted sums of the crude rates obtained by pooling data on each level of the hierarchy. Their techniques are illustrated using infant mortality data from British Columbia.     

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.     

基于VaR方法的长寿风险自然对冲模型

随着死亡率的下降与预期寿命的提高,保险公司面对着不容忽视的长寿风险。基于VaR方法探讨了长寿风险管理中的自然对冲策略,然后在对中国男性人口死亡率预测的基础上,给出了保险公司自然对冲长寿风险所需的最优产品结构,并进一步考查了利率、签单年龄、缴费方式等因素对最优产品结构的影响。     

中国生育现代化问题的定量研究

本文主要对我国生育现代化进行了一些定量研究 ,构造了生育现代化综合指数 ,在历史及省际比较的基础上认为我国生育现代化自建国以来呈波浪形上升演进过程 ,省际差异大而且生育现代化内部各方面发展不平衡。     

Determinants of infant and child mortality in Kenya: an analysis controlling for frailty effects

In this paper, Weibull unobserved heterogeneity (frailty) survival models are utilized to analyze the determinants of infant and child mortality in Kenya. The results of these models are compared to those of standard Weibull survival models. The study particularly examines the extent to which child survival risks continue to vary net of observed factors and the extent to which nonfrailty models are biased due to the violation of the statistical assumption of independence. The data came from the 1998 Kenya Demographic and Health Survey. The results of the standard Weibull survival models clearly show that biodemographic factors are more important in explaining infant mortality, while socioeconomic, sociocultural and hygienic factors are more important in explaining child mortality. Frailty effects are substantial and highly significant both in infancy and in childhood, but the conclusions remain the same as in the nonfrailty models.     

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.     

Age, Health and the Willingness to Pay for Mortality Risk Reductions: A Contingent Valuation Survey of Ontario Residents

We present the results of a contingent valuation survey eliciting willingness to pay (WTP) for mortality risk reductions. The survey was self-administered using a computer by 930 persons in Hamilton Ontario aged 40 to 75. Visual and audio aides were used to enhance risk comprehension. Mean WTP figures for a contemporaneous risk reduction imply a value of a statistical life of approximately C$l.2 to C$3.8 million (1999 C$). Mean WTP is constant with age up to 70 years, and is about 30 percent lower for persons aged 70 and older. WTP is unaffected by physical health status, but is affected by mental health.     

The Possible Effects of Child Survival on Women's Ages at First Union and Childbirth in Sub-Saharan Africa

Improvements in childsurvival may lead to lower fertility throughseveral pathways. To date, most studies havefocused on the physiological and replacementeffects, whose impacts are known to be modestin size. Few have examined the potentially moreimportant insurance effect on fertility withinunion, and almost none have considered thepossible relationship between child mortalityand marriage, which could also grow out of aninsurance strategy. In this study, we use datafrom 21 sub-Saharan African countries to assessthe relationship between child mortality andyoung women's ages at first marriage andchildbirth. The results show that lower levelsof mortality are strongly associated with latermarriages and first births, even aftercontrolling for the effects of a large numberof other variables. The implications of thefindings are discussed and alternativeexplanations for this relationship arepresented.     

Do Life-Saving Regulations Save Lives?

Life-saving regulations may be counter-productive since they have an indirect mortality effect through the reduction in disposable income. This paper estimates the effect of income on mortality, controlling for the initial health status and a host of personal characteristics. The analysis is based on a random sample of the adult Swedish population of over 40,000 individuals followed up for 10–17 years. The income loss that will induce an expected fatality is estimated to be $6.8 million when the costs are borne equally among all adults, $8.4 million when the costs are borne proportionally to income and $9.8 million when the costs are borne progressively to income.