Mortality, Work and Migration. A Consideration of Age-specific Mortality from Tuberculosis in Scotland, 1861-1901

This paper provides an examination into some of the most enduring debates regarding tuberculosis mortality during the nineteenth century: those related to gender, geographic and temporal variations. We use populations reconstructed from individual census and civil register data for the period 1861 t...

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Main Authors: Alice Reid, Eilidh Garrett
Format: Article
Language:English
Published: International Instititute of Social History 2018-03-01
Series:Historical Life Course Studies
Subjects:
Online Access:https://www.openjournals.nl/index.php/hlcs/article/view/9331
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author Alice Reid
Eilidh Garrett
author_facet Alice Reid
Eilidh Garrett
author_sort Alice Reid
collection DOAJ
description This paper provides an examination into some of the most enduring debates regarding tuberculosis mortality during the nineteenth century: those related to gender, geographic and temporal variations. We use populations reconstructed from individual census and civil register data for the period 1861 to 1901, comparing a growing urban area with a declining rural area, both with around 20,000 inhabitants in 1861. Our analysis shows that among young adults tuberculosis was linked to excess female mortality in the urban area and excess male mortality in the rural area. We demonstrate that in the town textile workers of both genders had particularly high mortality from tuberculosis, and that the only reason for higher overall female mortality was the predominance of young women in the textile labour force. We show that the age and gender-specific pattern of mortality in the rural area is consistent with higher male than female out-migration together with return migration of those who had contracted the disease elsewhere and needed care during their lengthy illness. We argue that the observed patterns are difficult to reconcile with the ‘bargaining-nutrition’ account of gendered patterns in tuberculosis mortality, and that they provide little support for nutrition as a key influence on the disease. However, our findings do reinforce Andrew Hinde’s recent argument that geographical patterns in sex-specific tuberculosis mortality rates were largely determined by migration patterns, and we discuss the implications of this for our understanding of the decline of the disease over the late nineteenth century.
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spelling doaj.art-f6f157e25d294877a27d7b517be47e942022-12-21T20:16:41ZengInternational Instititute of Social HistoryHistorical Life Course Studies2352-63432018-03-01610.51964/hlcs9331Mortality, Work and Migration. A Consideration of Age-specific Mortality from Tuberculosis in Scotland, 1861-1901Alice ReidEilidh GarrettThis paper provides an examination into some of the most enduring debates regarding tuberculosis mortality during the nineteenth century: those related to gender, geographic and temporal variations. We use populations reconstructed from individual census and civil register data for the period 1861 to 1901, comparing a growing urban area with a declining rural area, both with around 20,000 inhabitants in 1861. Our analysis shows that among young adults tuberculosis was linked to excess female mortality in the urban area and excess male mortality in the rural area. We demonstrate that in the town textile workers of both genders had particularly high mortality from tuberculosis, and that the only reason for higher overall female mortality was the predominance of young women in the textile labour force. We show that the age and gender-specific pattern of mortality in the rural area is consistent with higher male than female out-migration together with return migration of those who had contracted the disease elsewhere and needed care during their lengthy illness. We argue that the observed patterns are difficult to reconcile with the ‘bargaining-nutrition’ account of gendered patterns in tuberculosis mortality, and that they provide little support for nutrition as a key influence on the disease. However, our findings do reinforce Andrew Hinde’s recent argument that geographical patterns in sex-specific tuberculosis mortality rates were largely determined by migration patterns, and we discuss the implications of this for our understanding of the decline of the disease over the late nineteenth century.https://www.openjournals.nl/index.php/hlcs/article/view/9331Urban-rural migrationTuberculosisScotlandReturn migrationMortalityCause of death
spellingShingle Alice Reid
Eilidh Garrett
Mortality, Work and Migration. A Consideration of Age-specific Mortality from Tuberculosis in Scotland, 1861-1901
Historical Life Course Studies
Urban-rural migration
Tuberculosis
Scotland
Return migration
Mortality
Cause of death
title Mortality, Work and Migration. A Consideration of Age-specific Mortality from Tuberculosis in Scotland, 1861-1901
title_full Mortality, Work and Migration. A Consideration of Age-specific Mortality from Tuberculosis in Scotland, 1861-1901
title_fullStr Mortality, Work and Migration. A Consideration of Age-specific Mortality from Tuberculosis in Scotland, 1861-1901
title_full_unstemmed Mortality, Work and Migration. A Consideration of Age-specific Mortality from Tuberculosis in Scotland, 1861-1901
title_short Mortality, Work and Migration. A Consideration of Age-specific Mortality from Tuberculosis in Scotland, 1861-1901
title_sort mortality work and migration a consideration of age specific mortality from tuberculosis in scotland 1861 1901
topic Urban-rural migration
Tuberculosis
Scotland
Return migration
Mortality
Cause of death
url https://www.openjournals.nl/index.php/hlcs/article/view/9331
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