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26 Cards in this Set
- Front
- Back
Health and Mortality Transition
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• Transition to better health and lower death rates
• (high death rates, young deaths, communicable disease) -> (low death rates, elderly deaths, degenerative disease) |
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• Pre-modern
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o Life expectancy: 20-30 yrs
o 50% of deaths to children < age 5 o 10% of deaths to adults > age 65 o Hunter-gatherer societies: death by poor nutrition o Agricultural societies: nutrition improved but, death by infectious disease (closer contact in denser settlements) |
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• Roman Era to Industrial Rev.
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o Life expectancy: 22 yrs
o Nutrition improved later o In 14th century, the plague (Black Death) hit Europe Killed 1/3 of Europe’s pop. between 1346 and 1350 o Columbian Exchange Chris Columbus and other explorers took disease with them to the Americas No native resistance -> massive deaths |
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• Industrial Rev. to the 20th Century
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o The plague retreated in 18th century
o By early 19th century, rising income improved nutrition, housing, sanitation Life expectancy rose to about 40 yrs o Public health measures lowered mortality Clean water, toilets, sewage systems, secure buildings, soap o Life expectancy in England: 1851: 40 yrs for men, 44 yrs for women 2000: 76 yrs for men, 81 yrs for women |
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• WWII as turning point
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o Big investment in ways to prevent spread of disease among troops
Clean water supplies, disposal of human waste, medical advances for disease and wounds o This knowledge was then transferred to world o Result: big declines in death rate o LDCs death rates fell fast Didn’t have to wait for econ. Development UN spread knowledge and tech o Life expectancy rose rapidly around world |
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Life Span vs. Life Expectancy/Longevity
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• Life span: how long you could survive (biological)
• Life expectancy/longevity: avg. length of life expected |
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• Communicable Diseases
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o Also called infectious diseases
o Major cause of death for most of history o Kinds: Bacterial (ex: TB, pneumonia, plague) Viral (ex: Flu, AIDS/HIV) Protozoan (ex: malaria, diarrhea) o Cause 1/3 of all deaths in world o More important in LDCs o Highest rates in sub-Saharan Africa o HIV/AIDS 5% of world’s deaths related to both Highest rates in sub-Saharan Africa |
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• Non-communicable diseases
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o Also called degenerative or chronic diseases
o More important in more developed countries o Account for 59% or world’s deaths o Account for almost 9/10 deaths in U.S. o Major killers: Cardiovascular diseases (ex: heart attacks, strokes) Malignant neoplasms (ex: cancer) o Also important: Respiratory diseases (ex: bronchitis, emphysema, asthma) o Injuries: Accidental death, suicide, homicide, war |
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• Crude death rate:
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o Basic measure
o Formula: (# of deaths / total pop.) x 1000 o Shortcomings: doesn’t take into account age distribution |
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• Age-specific death rate
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o Measures mortality at each age group
o Formula: (# of deaths in age group / total pop. of age group) x 1000 |
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• Infant mortality rate
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o General health status indicator
o Formula: (# of death of infants <1 / # of births that yr) x 1000 |
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Life Expectancy
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• Estimate of the avg. # of additional yrs a person could expect to live if the age specific death rates prevailed
• Hypothetical • Differs by sex, race, present age • Good indicator of current health conditions |
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Life Table
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• Shows the distribution and percentages of people living to a certain age among a group of people
• Used to calculate life expectancies • Apply age-specific death rates to a hypothetical pop. of 100,000 people born at the same time |
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UN Millennium Project
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• Goal: reduce extreme poverty in the world by 2015
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Fertility Transition
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• Shift from high fertility to low fertility
• “family building by fate” to “family building by design” • Side-effect: improves health of mothers and children |
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Fertility vs. Fecundity
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• Fertility = number of children born to women (actual)
• Fecundity = the physical ability to have children (potential) • Max fecundity of a pop. = about 15-16 children per woman • Worldwide avg fertility has fallen: o 1950: 5 children/woman o 2009: 2.6 children/woman • Sub-Saharan Africa: 5.3/woman |
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• Decrease in infant and child mortality
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o Fell w/ overall declining death rates
IMR 1950 (world): 156 IMR 2009 (world): 46 o More confidence that children will survive -> lower b rate |
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• Access to family planning/contraception
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o Worldwide use of contraception:
1960: <10% 2009: 62% o Regional variations in contraceptive use: N. America: 73% L. America: 71% Europe: 68% Asia: 67% Africa: 28% o Fertility decline fast in developing countries |
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• Increase in female education
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o Linked to lower b rates
o Honduras: Women w/ no education have 4.9 children Women w/ education have 2.2 o Ethiopia: Women w/ no education have 6.1 Women w/ education have 2.0 o Leads to later marriage, contraception, employment |
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• Economic development
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o Health improves (IMR drops)
o Fewer agricultural jobs o Education levels rise o Cost of raising children rises |
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• Urbanization
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o Global trend
o Children not as helpful o Social and econ. Changes Higher education, higher incomes, better health |
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• Negative pressures on b rate
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o Competition for jobs
o Housing shortages o Gov. polices |
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• Crude birth rate (CBR)
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o Simplistic
o Formula: (#of births / mid year pop.) x 1000 |
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• General fertility rate (GFR)
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o More refined than CBR and focuses on child bearing pop (15-49)
o Formula: (actual births / # of women 15-49) x 1000 |
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• Age-specific fertility rate (ASFR)
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o Can compare at diff. ages or over time
o Formula: (# of briths in age pop. / # of women of group) x 1000 |
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• Total fertility rate (TFR)
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o Hypothetical
o Measures the total # of children a woman would have if the age specific fertility rates for a given year applied to her throughout her childbearing yrs |