Use of a historical register in social epidemiology: child mortality in Stockholm at the turn of the 19th century

Abstract

This study describes the age- and cause-specific levels and social determinants of high child mortality in Stockholm around the turn of the century. The study is based on computerized individual level sociodemographic information and the death certificates of children aged 0-15 years residing in Maria parish in Stockholm during the years 1885, 1891 and 1910 (n=36 718) from a historical register (the Roteman archives). The usefulness of such data for further studies in social epidemiology is discussed. Age-specific rates and major causes of death compared well with other studies. Low social class and being born out of wedlock increased the overall risk of death in early childhood. Data appear valid and may be useful in social epidemiology. Further analyses of data from the Roteman archives may contribute to the understanding of causes behind high levels of cause- specific child mortality and trends in mortality in relation to societal change.

Keywords

child mortality historical epidemiology social factors.

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References

Cronström A. Stockholms tekniska historia. Vatten och avlopp. [The technical history of Stockholm. Water and sewerage.] Stockholm monographies. Uppsala: Almqvist & Wiksell, 1986 (In Swedish.)

Bernhardt E. Crowding and child survival in Stockholm 1895-1920 . In: Lund C , ed. Demography, economy and welfare . Lund: Lund University Press, 1995.

Wretlind EW Undersökningar rörande dödligheten i Stockholm. [Investigations concerning the mortality in Stockholm.] Stockholm: PA Nordstedt & Söner, 1866 (In Swedish.)

Dufwa A. , Pehrson M. Stockholms tekniska historia. Avfallshantering och återvinning. [The technical history of Stockholm. Waste disposal and recycling. Stockholm monographies] Uppsala: Almqvist & Wiksell , 1989 (In Swedish.)

Nilsson H. Mot bättre hälsa. Dödlighet och hälsoarbete i Linköping 1860-94. [Towards better health. Mortality and health work in Linköping 1860-94] Linköping: Institutionen för Tema, 1994. (Thesis, in Swedish with an English summary.)

Hirdman Y. Magfrågan. Mat som mål och medel 1870-1920. [The issue of the stomach. Food as a means and as an end] Kristianstad: Rabén & Sjögren, 1983 (In Swedish.)

Bernhardt E. Overcrowding and mortality from airborne disease: the case of Stockholm 1895-1920 . In: Brändström A , Tedebrand LG , eds. Swedish urban demography during industrialization . Umeå : The Demographic Database, Umeå University, 1995 Report no. 10.

Lee ET Statistical methods for survival data analysis. Second edition. New York: Wiley, 1992 .

Edvinsson S. The unhealthy town. Social inequalities regarding mortality in 19th century Sundsvall. Umeå: Umeå University, Dept of History, 1992. (Thesis, in Swedish with an English summary.)

10.

Preston SH , Haines MR Fatal years. Child mortality in late nineteenth-century America. Princeton: Princeton University Press, 1991.

11.

Woods R. Mortality and sanitary conditions in late nineteenth century Birmingham . In: Woods R , Woodward J , eds. Urban disease and mortality in nineteenth century England. London: Batsford , 1984.

12.

Pooley ME , Pooley CG Health, society and environment in Victorian Manchester. In: Woods R , Woodward J , eds. Urban disease and mortality in nineteenth century England. London: Batsford, 1984 .

13.

Woods RI , Watterson PA , Woodward JH The causes of rapid infant mortality decline in England and Wales, 1861-1921 . Part I. Population studies 1988 ; 42: 343-66.

14.

Burnett J. Housing and the decline of mortality. In: The decline of mortality in Europe. Oxford: Clarendon Press , 1991.

15.

Caselli G. Health transition and cause-specific mortality. In: Schofield R , Reher D , Bideau A , eds. The decline of mortality in Europe. Oxford: Clarendon Press , 1991.

16.

Puranen BI Tuberculosis. The occurrence and causes in Sweden 1750-1980. Umeå: Umeå University, Dept of Economic History, 1984. (Thesis, in Swedish with an English summary.)

17.

Snow RW , Armstrong Jrm , Forster D. , et al. Childhood deaths in Africa: uses and limitations of verbal autopsies . Lancet 1992; 340: 351-5.

18.

Hofsten E. , Lundström H. Swedish population history. Main trends from 1750 to 1970. Stockholm: National Central Bureau of Statistics , 1976.

19.

Fridlizius G. Sex-differential mortality and socio-economic change, Sweden 1750-1910 . In: Brändström A , Tedebrand LG , eds. Society, health and population during the demographic transition. Stockholm: Almqvist and Wiksell International, 1988.