When Did the Health Gradient Emerge? Social Class and Adult Mortality in Southern Sweden, 1813-2015.

Across today's developed world, there is a clear mortality gradient by socioeconomic status for all ages. It is often taken for granted that this gradient was as strong-or even stronger-in the past when social transfers were rudimentary and health care systems were less developed. Some studies based...

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Publicado en:Demography (Springer Nature) Vol. 57; no. 3; pp. 953 - 978
Autores principales: Bengtsson, Tommy, Dribe, Martin, Helgertz, Jonas
Formato: journal article
Publicado: Springer Nature Jun2020
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        10.1007/s13524-020-00877-5
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        atl: When Did the Health Gradient Emerge? Social Class and Adult Mortality in Southern Sweden, 1813-2015.
      aug:
        au:
          Bengtsson, Tommy
          Dribe, Martin
          Helgertz, Jonas
        affil:
          Centre for Economic Demography, Department of Economic History, Lund University, Lund, Sweden
          Institute for Social Research and Data Innovation, Minnesota Population Center, University of Minnesota, 55455, Minneapolis, MN, USA
      su:
        Sweden
        Social classes
        Women's mortality
        Young adults
        Mortality
        Class differences
      sug:
        subj:
          Social classes
          Women's mortality
          Young adults
          Mortality
          Class differences
          Sweden
      keyword:
        Adult mortality
        Class gradient
        Mortality differences
        Twentieth century
        Adult mortality
        Class gradient
        Mortality differences
        Twentieth century
      ab: Across today's developed world, there is a clear mortality gradient by socioeconomic status for all ages. It is often taken for granted that this gradient was as strong-or even stronger-in the past when social transfers were rudimentary and health care systems were less developed. Some studies based on cross-sectional data have supported this view, but others based on longitudinal data found that this was not the case. If there was no gradient in the past, when did it emerge? To answer this question, we examine social class differences in adult mortality for men and women in southern Sweden over a 200-year period, using unique individual-level register data. We find a systematic class gradient in adult mortality emerging at ages 30-59 only after 1950 for women and after 1970 for men, and in subsequent periods also observable for ages 60-89. Given that the mortality gradient emerged when Sweden transitioned into a modern welfare state with substantial social transfers and a universal health care system, this finding points to lifestyle and psychosocial factors as likely determinants.
      pubtype: Academic Journal
      doctype: journal article
      src: R
    language: English
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