Social Class and Excess Mortality in Sweden During the 1918 Influenza Pandemic.

Consensus is lacking in the literature about the role of socioeconomic factors on influenza-associated deaths during the 1918 pandemic. Although some scholars have found that social factors were important, others have not. In this study, we analyzed differences in excess mortality by social class in...

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Publicado en:American Journal of Epidemiology Vol. 187; no. 12; pp. 2568 - 2577
Autores principales: Bengtsson, Tommy, Dribe, Martin, Eriksson, Björn
Formato: research tables/charts Journal Article
Publicado: Oxford University Press / USA Dec2018
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Social Class and Excess Mortality in Sweden During the 1918 Influenza Pandemic.
      aug:
        au:
          Bengtsson, Tommy
          Dribe, Martin
          Eriksson, Björn
        affil: Centre for Economic Demography, School of Economics and Management, Lund University, Lund, SwedenDepartment of Economic History, School of Economics and Management, Lund University, Lund, Sweden
      sug:
        subj:
          Social Class
          Influenza Epidemiology
          Influenza Mortality
          Disease Outbreaks
          Sweden
          Human
          Adult
          Middle Age
          Death Certificates
          Census
          Male
          Female
          Sex Factors
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Consensus is lacking in the literature about the role of socioeconomic factors on influenza-associated deaths during the 1918 pandemic. Although some scholars have found that social factors were important, others have not. In this study, we analyzed differences in excess mortality by social class in Sweden during the 1918 pandemic. We analyzed individual-level mortality of the entire population aged 30–59 years by combining information from death records with census data on occupation. Social class was measured by an occupation-based class scheme. Excess mortality during the pandemic was measured as the number of deaths relative to the number occurring in the same month the year before. Social class differences in numbers of deaths were modeled using a complementary log-log model that was adjusted for potential confounding at the family, the residential (urban/rural), and the county levels. We found notable class differences in excess mortality but no perfect class gradient. Class differences were somewhat larger for men than for women.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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