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100 1 _aCosta, Dora L.
_98495
245 1 0 _aUnderstanding Mid-Life and Older Age Mortality Declines:
_bEvidence from Union Army Veterans /
_cDora L. Costa.
260 _aCambridge, Mass.
_bNational Bureau of Economic Research
_c2000.
300 _a1 online resource:
_billustrations (black and white);
490 1 _aNBER working paper series
_vno. w8000
500 _aNovember 2000.
520 3 _aDuring the twentieth century the 17 year survival rate of 50-64 year old men rose by 24 percentage points. I examine waiting time until death from all natural causes and from all chronic, all acute, respiratory, stomach, infectious, all heart, ischemic, and myocarditis disease among Union Army veterans first observed in 1900. The effect of such specific early life infections as stomach ailments, rheumatic fever, syphilis, measles, respiratory infections, malaria, diarrhea, and tuberculosis on older age mortality depended upon the cause of death that was being investigated but all of these infections reduced cause-specific longevity. Men who grew up in a large city faced an elevated mortality risk from all causes of death controlling for later residence. The immediate effect of reduced infectious disease rates and reduced mortality from acute disease accounts for 62 percent of the twentieth century increase in survival rates and the long-run effect of reduced early life infectious disease rates accounts for 12 percent of the increase. The findings imply that although the current effects of improved public health and medical care are larger than the cohort effects, cost-benefit analyses and forecasts of future mortality still need to account for long-run effects; that mortality in populations in which infectious, respiratory, and parasitic deaths are common is best described by a competing risks model; and, that the urbanization that accompanied early industrialization was extremely costly.
530 _aHardcopy version available to institutional subscribers
538 _aSystem requirements: Adobe [Acrobat] Reader required for PDF files.
538 _aMode of access: World Wide Web.
588 0 _aPrint version record
690 7 _aJ1 - Demographic Economics
_2Journal of Economic Literature class.
690 7 _aI1 - Health
_2Journal of Economic Literature class.
710 2 _aNational Bureau of Economic Research.
830 0 _aWorking Paper Series (National Bureau of Economic Research)
_vno. w8000.
856 4 0 _uhttps://www.nber.org/papers/w8000
856 _yAcceso en lĂ­nea al DOI
_uhttp://dx.doi.org/10.3386/w8000
942 _2ddc
_cW-PAPER
999 _c340208
_d298770