Trends and Determinants of Adult Mortality in Early New England: Reconciling Old and New Evidence from the Long Eighteenth Century

1997 ◽  
Vol 21 (4) ◽  
pp. 481-519 ◽  
Author(s):  
J. David Hacker

Despite decades of research, demographic historians are still uncertain about mortality trends and determinants in early New England. Although researchers agree that New England mortality was low relative to other regions of early America in the seventeenth century, they disagree about the direction of mortality trends over the course of the eighteenth century. Community-based reconstitution studies conducted in the 1960s and 1970s at first seemed to provide strong evidence of a decline in adult life expectancy (Greven 1970; Norton 1971; Vinovskis 1972; D. S. Smith 1973). More recent studies, however, contradict the assessment of deteriorating health conditions in eighteenth-century New England. Family-based genealogical studies document a substantial long-term increase in adult male life expectancy over the course of the century, although the increase was followed by a slight decline in the early part of the nineteenth century (Fogel 1986; Kasakoff and Adams 1995).

Author(s):  
Clifton Hood

The cultural transformations of the 1960s and 1970s created problems and opportunities for elites. In these decades the upper- and middle classes went from being seen as the wellspring of social virtue in Victorian culture to being perceived as repressed, stuffy, and out of touch; after all, they were the prime beneficiaries of a status quo that was now found wanting. From lording it over commoners in the eighteenth century, to loathing the dangerous classes in the nineteenth century, many elite New Yorkers came around to romanticizing African-Americans and other lower-class groups as exemplars of human spirit and social justice. These actions were in many cases genuine, yet in espousing civil rights causes and tackling discrimination and poverty, in exposing the falseness and superficiality of genteel society, upper-class New Yorkers also established their own heightened sensitivity as anti-elitists and their own legitimacy. Corporate elites thus championed achievement and diversity as the foundation of a more democratic, anti-elitist elite.


2018 ◽  
Vol 48 (3) ◽  
pp. 954-965 ◽  
Author(s):  
Nikkil Sudharsanan

Abstract Background There are few estimates of the potential gains in adult mortality from population-level improvements in systolic blood pressure (SBP) in a major low-and-middle income country (LMIC). Using nationally representative cohort data from Indonesia—the third most populous LMIC— I estimated the gains in adult life expectancy from improving SBP control among adults ages 40 and above and assessed the benefits among richer and poorer subpopulations. Methods I used longitudinal data from 10 085 adults ages 40 and above (75 288 person-age observations) enrolled in the 2007 and 2014/15 waves of the Indonesian Family Life Survey. Next, I used Poisson-regression parametric g-formulas to directly estimate age-specific mortality rates under different blood pressure control strategies and constructed period life expectancies using the observed and counterfactual mortality rates. Results Fully controlling SBP to a population mean of under 125 mmHg was associated with a life expectancy gain at age 40 of 5.3 years [95% confidence interval (CI): 3.2, 7.4] for men and 6.0 years (95% CI: 3.6, 8.4) for women. The gains associated with blood pressure control were similar for both rich and poor subpopulations. The life expectancy gains under scenarios with imperfect blood pressure control and coverage were more modest in size and ranged between 1 and 2.5 years for a large fraction of the scenarios. Conclusions In Indonesia, elevated SBP carries a large mortality burden, though the results suggest that realistic efforts to address hypertension will likely produce more modest gains in life expectancy. Comparing improvements from different strategies and identifying the most cost-effective ways to introduce and scale up hypertension interventions is a critical focus for both research and policy.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Carah Figueroa ◽  
Christine Linhart ◽  
Latu Fusimalohi ◽  
Sioape Kupu ◽  
Gloria Mathenge ◽  
...  

Abstract Background Tonga is a South Pacific Island country with a population of 100,651 (2016 Census). This study examines Tongan infant mortality rates (IMR), under-five mortality rates (U5MR), adult mortality and life expectancy (LE) at birth from 2010 to 2018 using a recent collation of empirical mortality data over the past decade for comparison with other previously published mortality estimates. Methods Routinely collected mortality data for 2010–2018 from the Ministry of Health, national (Vaiola) hospital, community nursing reports, and the Civil Registry, were consolidated by deterministic and probabilistic linkage of individual death records. Completeness of empirical mortality reporting was assessed by capture-recapture analysis. The reconciled data were aggregated into triennia to reduce stochastic variation, and used to estimate IMR and U5MR (per 1000 live births), adult mortality (15–59, 15–34, 35–59, and 15–64 years), and LE at birth, employing the hypothetical cohort method (with statistical testing). Mortality trends and differences were assessed by Poisson regression. Mortality findings were compared with published national and international agency estimates. Results Over the three triennia in 2010–2018, levels varied minimally for IMR (12–14) and U5MR (15–19) per 1000 births (both ns, p > 0.05), and also for male LE at birth of 64–65 years, and female LE at birth 69–70 years. Cumulated risks of adult mortality were significantly higher in men than women; period mortality increases in 15–59-year women from 18 to 21% were significant (p < 0.05). Estimated completeness of the reconciled data was > 95%. International agencies reported generally comparable estimates of IMR and U5MR, with varying uncertainty intervals; but they reported significantly lower adult mortality and higher LE than the empirical estimates from this study. Conclusions Life expectancy in Tonga over 2010–2018 has remained relatively low and static, with low IMR and U5MR, indicating the substantial impact from premature adult mortality. This analysis of empirical data (> 95% complete) indicates lower LE and higher premature adult mortality than previously reported by international agencies using indirect and modelled methods. Continued integration of mortality recording and data systems in Tonga is important for improving the completeness and accuracy of mortality estimation for local health monitoring and planning.


2018 ◽  
Author(s):  
Bernardo L Queiroz ◽  
Everton Lima ◽  
Marcos Roberto Gonzaga ◽  
Flávio Freire

In this paper, we study study spatial and temporal adult mortality trends in small areas of Brazil, from 1980 to 2010, and its relation to socioeconomic and public health developments. Brazil is marked by huge regional and social inequality and it is important to understand how it could be related to trends and differences in adult mortality. There are several studies about trends in infant and child mortality, but much less is known about adult mortality. We are also interested in understand whether there is a convergence or divergence in adult mortality. This is relevant because changes in life expectancy in the near future could be heavily explained by differences in adult mortality as infant and child mortality have shown signs of convergence in recent years


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Catherine Dearie ◽  
Christine Linhart ◽  
Eric Rafai ◽  
Devina Nand ◽  
Stephen Morrell ◽  
...  

Abstract Background Fiji, a Pacific Island nation of 884,887 (2017 census), has experienced a prolonged epidemiological transition. This study examines trends in mortality and life expectancy (LE) in Fiji by sex and ethnicity over 1996–2017, with comparisons to published estimates. Methods Trends in infant mortality rates (IMR), under-5 mortality (U5M), adult mortality (probability of dying), LE (at birth) and directly age-standardised death rates (DASRs) by sex and ethnicity, are calculated (with 95% confidence limits) using unit death records from the Fiji Ministry of Health and Medical Services. The LE gap between populations, or within populations over time, is examined using decomposition by age. Period trends are assessed for statistical significance using linear regression. Results Over 1996–98 to 2014–17: IMR and U5M for i-Taukei and Fijians of Indian descent declined; U5M decline for i-Taukei (24.6 to 20.1/1000 live births) was significant (p = 0.016). Mortality (15–59 years) for i-Taukei males was unchanged at 27% but declined for Indians 33 to 30% (p = 0.101). Mortality for i-Taukei females increased 22 to 24% (p = 0.011) but declined for Indians 20 to 18% (p = 0.240). DASRs 1996–2017 were lower for i-Taukei (9.3 to 8.2/1000 population) than Indian males (10.6 to 9.8/1000). DASRs declined for i-Taukei (both sexes, p < 0.05), and for Indians (both sexes, p > 0.05). Over 22 years, LE at birth increased by 1 year or less (p = 0.030 in male i-Taukei). In 2014–17, LE (years) for males was: i-Taukei 64.9, Indians 63.5; and females: i-Taukei 67.0 and Indians 68.2. Mortality changes in most 5-year age groups increased or decreased the LE gap less than 10 weeks over 22 years. Compared to international agency reports, 2014–17 empirical LE estimates (males 64.7, females 67.8) were lower, as was IMR. Conclusions Based on empirical data, LE in Fiji has minimally improved over 1996–2017, and is lower than some international agencies report. Adult mortality was higher in Indian than i-Taukei men, and higher in i-Taukei than Indian women. Exclusion of stillbirths resulted in IMRs lower than previously reported. Differing mortality trends in subgroups highlight the need to collect census and health data by ethnicity and sex, to monitor health outcomes and inform resource allocation.


1998 ◽  
Vol 25 (2) ◽  
pp. 283-291
Author(s):  
P.S.M. PHIRI ◽  
D.M. MOORE

Central Africa remained botanically unknown to the outside world up to the end of the eighteenth century. This paper provides a historical account of plant explorations in the Luangwa Valley. The first plant specimens were collected in 1897 and the last serious botanical explorations were made in 1993. During this period there have been 58 plant collectors in the Luangwa Valley with peak activity recorded in the 1960s. In 1989 1,348 species of vascular plants were described in the Luangwa Valley. More botanical collecting is needed with a view to finding new plant taxa, and also to provide a satisfactory basis for applied disciplines such as ecology, phytogeography, conservation and environmental impact assessment.


Few scholars can claim to have shaped the historical study of the long eighteenth century more profoundly than Professor H. T. Dickinson, who, until his retirement in 2006, held the Sir Richard Lodge Chair of British History at the University of Edinburgh. This volume, based on contributions from Dickinson's students, friends and colleagues from around the world, offers a range of perspectives on eighteenth-century Britain and provides a tribute to a remarkable scholarly career. Dickinson's work and career provides the ideal lens through which to take a detailed snapshot of current research in a number of areas. The book includes contributions from scholars working in intellectual history, political and parliamentary history, ecclesiastical and naval history; discussions of major themes such as Jacobitism, the French Revolution, popular radicalism and conservatism; and essays on prominent individuals in English and Scottish history, including Edmund Burke, Thomas Muir, Thomas Paine and Thomas Spence. The result is a uniquely rich and detailed collection with an impressive breadth of coverage.


2015 ◽  
Vol 12 (4) ◽  
pp. 539-555 ◽  
Author(s):  
Kevin M. Flanagan

This article traces Ken Russell's explorations of war and wartime experience over the course of his career. In particular, it argues that Russell's scattered attempts at coming to terms with war, the rise of fascism and memorialisation are best understood in terms of a combination of Russell's own tastes and personal style, wider stylistic and thematic trends in Euro-American cinema during the 1960s and 1970s, and discourses of collective national experience. In addition to identifying Russell's recurrent techniques, this article focuses on how the residual impacts of the First and Second World Wars appear in his favoured genres: literary adaptations and composer biopics. Although the article looks for patterns and similarities in Russell's war output, it differentiates between his First and Second World War films by indicating how he engages with, and temporarily inhabits, the stylistic regime of the enemy within the latter group.


2013 ◽  
Vol 10 (1) ◽  
pp. 27-48 ◽  
Author(s):  
Alan Burton

Brainwashing assumed the proportions of a cultural fantasy during the Cold War period. The article examines the various political, scientific and cultural contexts of brainwashing, and proceeds to a consideration of the place of mind control in British spy dramas made for cinema and television in the 1960s and 1970s. Particular attention is given to the films The Mind Benders (1963) and The Ipcress File (1965), and to the television dramas Man in a Suitcase (1967–8), The Prisoner (1967–8) and Callan (1967–81), which gave expression to the anxieties surrounding thought-control. Attention is given to the scientific background to the representations of brainwashing, and the significance of spy scandals, treasons and treacheries as a distinct context to the appearance of brainwashing on British screens.


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