Looking for an explanation for the excessive male mortality in England and Wales since the end of the 19th century

Several papers have primarily considered a female disadvantage in mortality as something to explain, considering a male disadvantage to be a “natural condition”. Even if, due to biological reasons, shorter life expectancy among males has been demonstrated, other factors need to be involved to explai...

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Main Authors: Valeria Maiolo, Alice M. Reid
Format: Article
Language:English
Published: Elsevier 2020-08-01
Series:SSM: Population Health
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352827319303040
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author Valeria Maiolo
Alice M. Reid
author_facet Valeria Maiolo
Alice M. Reid
author_sort Valeria Maiolo
collection DOAJ
description Several papers have primarily considered a female disadvantage in mortality as something to explain, considering a male disadvantage to be a “natural condition”. Even if, due to biological reasons, shorter life expectancy among males has been demonstrated, other factors need to be involved to explain firstly the increasing, and then the decreasing, of the male relative disadvantage over the past century.The principal aim of this paper is to provide a clearer picture of the major age-class and cause-of-death contributions to male excess mortality in England and Wales from 1881 to 2011.Results indicate a clear shift in contributions to the male disadvantage from differences occurring during the first year of life to those occurring in ageing people, and from tuberculosis, respiratory diseases, external causes and perinatal and congenital conditions to neoplasms and circulatory diseases. In contrast, the narrowing of the gap since 1981 seems to be most closely related to the decrease in the male disadvantage in respiratory diseases and to the simultaneous increasing in the female disadvantage in old-age diseases.The most important novelty of this research relates to the method: instead of using ratios to investigate gender differences in health, we use decomposition methods.
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spelling doaj.art-c0bc74aeb689487abeed007423da5aa12022-12-22T01:31:51ZengElsevierSSM: Population Health2352-82732020-08-0111100584Looking for an explanation for the excessive male mortality in England and Wales since the end of the 19th centuryValeria Maiolo0Alice M. Reid1PhD Student at the Magna Græcia University of Catanzaro, Department of Legal, Historical, Economic and Social Science, Viale Europa, 88100, Catanzaro, Italy; Corresponding author.Cambridge Group for the History of Population and Social Structure, Department of Geography, Sir William Hardy Building, Downing Place, Cambridge, CB2 3EN, UKSeveral papers have primarily considered a female disadvantage in mortality as something to explain, considering a male disadvantage to be a “natural condition”. Even if, due to biological reasons, shorter life expectancy among males has been demonstrated, other factors need to be involved to explain firstly the increasing, and then the decreasing, of the male relative disadvantage over the past century.The principal aim of this paper is to provide a clearer picture of the major age-class and cause-of-death contributions to male excess mortality in England and Wales from 1881 to 2011.Results indicate a clear shift in contributions to the male disadvantage from differences occurring during the first year of life to those occurring in ageing people, and from tuberculosis, respiratory diseases, external causes and perinatal and congenital conditions to neoplasms and circulatory diseases. In contrast, the narrowing of the gap since 1981 seems to be most closely related to the decrease in the male disadvantage in respiratory diseases and to the simultaneous increasing in the female disadvantage in old-age diseases.The most important novelty of this research relates to the method: instead of using ratios to investigate gender differences in health, we use decomposition methods.http://www.sciencedirect.com/science/article/pii/S2352827319303040Decomposition-analysisAge-cause-specific mortalityExcess male mortalityLife expectancyMortality
spellingShingle Valeria Maiolo
Alice M. Reid
Looking for an explanation for the excessive male mortality in England and Wales since the end of the 19th century
SSM: Population Health
Decomposition-analysis
Age-cause-specific mortality
Excess male mortality
Life expectancy
Mortality
title Looking for an explanation for the excessive male mortality in England and Wales since the end of the 19th century
title_full Looking for an explanation for the excessive male mortality in England and Wales since the end of the 19th century
title_fullStr Looking for an explanation for the excessive male mortality in England and Wales since the end of the 19th century
title_full_unstemmed Looking for an explanation for the excessive male mortality in England and Wales since the end of the 19th century
title_short Looking for an explanation for the excessive male mortality in England and Wales since the end of the 19th century
title_sort looking for an explanation for the excessive male mortality in england and wales since the end of the 19th century
topic Decomposition-analysis
Age-cause-specific mortality
Excess male mortality
Life expectancy
Mortality
url http://www.sciencedirect.com/science/article/pii/S2352827319303040
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