{"title":"The shifting rural-urban gap in mortality over the life course in low- and middle-income countries.","authors":"Ashira Menashe-Oren, Bruno Masquelier","doi":"10.1080/00324728.2021.2020326","DOIUrl":null,"url":null,"abstract":"<p><p>Studies have shown that children in rural areas face excess risks of dying, but the little research on spatial inequalities in adult mortality has reached mixed conclusions. We examine rural-urban differences in mortality in 53 low- and middle-income countries. We consider how the rural-urban mortality gap evolves from birth to age 60 by estimating mortality based on birth and sibling histories from 138 Demographic and Health Surveys run between 1992 and 2018. We observe excess rural mortality until age 15, finding the largest differences between urban and rural sectors among 1-59-month-olds. While we cannot claim higher mortality among urban adults than those in rural areas, we find a reduced gap between the sectors over the life course and a diminishing urban advantage in adult mortality with age. This shift over the life course reflects a divergence in the epidemiologic transition between the rural and urban sectors.</p>","PeriodicalId":47814,"journal":{"name":"Population Studies-A Journal of Demography","volume":null,"pages":null},"PeriodicalIF":2.5000,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"3","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Population Studies-A Journal of Demography","FirstCategoryId":"90","ListUrlMain":"https://doi.org/10.1080/00324728.2021.2020326","RegionNum":2,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/1/25 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"DEMOGRAPHY","Score":null,"Total":0}
引用次数: 3
Abstract
Studies have shown that children in rural areas face excess risks of dying, but the little research on spatial inequalities in adult mortality has reached mixed conclusions. We examine rural-urban differences in mortality in 53 low- and middle-income countries. We consider how the rural-urban mortality gap evolves from birth to age 60 by estimating mortality based on birth and sibling histories from 138 Demographic and Health Surveys run between 1992 and 2018. We observe excess rural mortality until age 15, finding the largest differences between urban and rural sectors among 1-59-month-olds. While we cannot claim higher mortality among urban adults than those in rural areas, we find a reduced gap between the sectors over the life course and a diminishing urban advantage in adult mortality with age. This shift over the life course reflects a divergence in the epidemiologic transition between the rural and urban sectors.
期刊介绍:
For over half a century, Population Studies has reported significant advances in methods of demographic analysis, conceptual and mathematical theories of demographic dynamics and behaviour, and the use of these theories and methods to extend scientific knowledge and to inform policy and practice. The Journal"s coverage of this field is comprehensive: applications in developed and developing countries; historical and contemporary studies; quantitative and qualitative studies; analytical essays and reviews. The subjects of papers range from classical concerns, such as the determinants and consequences of population change, to such topics as family demography and evolutionary and genetic influences on demographic behaviour.