Health and Mortality in the 19th-Century Rural United States: The Second Epidemiological Transition in Madison County, New York

IF 1.6 4区 医学 Q1 ANTHROPOLOGY
Sharon N. DeWitte, Eric E. Jones, Catherine Livingston
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引用次数: 0

Abstract

Objectives

A number of studies have examined changes in mortality and health during industrialization in both the United States and Western Europe; however, most of this work has focused on urban communities. Despite theories regarding differences between rural and urban patterns of mortality at this time, few analyses of data from rural communities have been done. Our goal is to examine trends in mortality, c. 1850–1880, for a rural county in central New York State at a time when farming, the economic base of this county, was becoming commercialized and industrialization was impacting the wider region.

Materials and Methods

Using census mortality records from Madison County, NY (1850–1880), we examine trends in hazards of death, survivorship, and cause of death. In order to contribute a rural perspective to this area of study, we examine trends from the mortality records at several scales: town-specific, groups of towns based on population density, and the county as a whole.

Results

Our results suggest that the hazards of death decreased and survivorship increased at the county level across this 30-year period. In general, the rates of communicable diseases decreased and the rates of non-communicable diseases increased. Individual towns had variable outcomes, and higher population density towns had better apparent outcomes than those with medium and lower densities.

Conclusions

Overall, mortality patterns changed noticeably during this period. These changes were likely at least partially a result of changing economic conditions, but may also have been affected by socio-spatial factors and access to healthcare, both of which continue to impact rural communities today.

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来源期刊
CiteScore
4.80
自引率
13.80%
发文量
124
审稿时长
4-8 weeks
期刊介绍: The American Journal of Human Biology is the Official Journal of the Human Biology Association. The American Journal of Human Biology is a bimonthly, peer-reviewed, internationally circulated journal that publishes reports of original research, theoretical articles and timely reviews, and brief communications in the interdisciplinary field of human biology. As the official journal of the Human Biology Association, the Journal also publishes abstracts of research presented at its annual scientific meeting and book reviews relevant to the field. The Journal seeks scholarly manuscripts that address all aspects of human biology, health, and disease, particularly those that stress comparative, developmental, ecological, or evolutionary perspectives. The transdisciplinary areas covered in the Journal include, but are not limited to, epidemiology, genetic variation, population biology and demography, physiology, anatomy, nutrition, growth and aging, physical performance, physical activity and fitness, ecology, and evolution, along with their interactions. The Journal publishes basic, applied, and methodologically oriented research from all areas, including measurement, analytical techniques and strategies, and computer applications in human biology. Like many other biologically oriented disciplines, the field of human biology has undergone considerable growth and diversification in recent years, and the expansion of the aims and scope of the Journal is a reflection of this growth and membership diversification. The Journal is committed to prompt review, and priority publication is given to manuscripts with novel or timely findings, and to manuscripts of unusual interest.
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