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Social inequalities in adult mortality across Europe (18th-21st centuries): A critical analysis of theories and evidence

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  • Luque de Haro, Víctor Antonio

Abstract

This study examines the historical evolution of socioeconomic disparities in adult mortality, with a focus on European societies. Despite the widespread improvements in population health, social inequalities in mortality are a pervasive phenomenon nowadays. This paper employs a critical analysis of both theoretical and empirical literature to investigate major international studies and their findings on longevity differences associated with socioeconomic status from the nineteenth century to the early twenty-first century. Findings reveal that adult mortality trajectories have differed notably across social classes and regions, with some areas exhibiting disparities before the demographic transition and others showing inequalities emerging later. Understanding these long-term health inequality trends sheds light on the changing influence of medical advances and their interplay with economic growth, educational disparities, environmental factors, state roles, and production distribution, which have shaped mortality disparities through different development stages. These factors elucidate the international heterogeneity of results until the mid-twentieth century and offer explanatory insights into observed north-south patterns in Europe. Our findings contribute to a deeper understanding of how advancements in public health, economic development, and social policies have shaped health outcomes over centuries. The implications of this research inform ongoing debates and health policy, emphasizing a nuanced interpretation of historical data to craft effective strategies that address health inequalities today.

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  • Luque de Haro, Víctor Antonio, 2024. "Social inequalities in adult mortality across Europe (18th-21st centuries): A critical analysis of theories and evidence," Economics & Human Biology, Elsevier, vol. 55(C).
    • Handle: RePEc:eee:ehbiol:v:55:y:2024:i:c:s1570677x2400090x
    DOI: 10.1016/j.ehb.2024.101438
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    More about this item

    Keywords

    Health inequality; Death determinants; Standard of living; Adult mortality; Nineteenth Century; Europe;
    All these keywords.

    JEL classification:

    • N33 - Economic History - - Labor and Consumers, Demography, Education, Health, Welfare, Income, Wealth, Religion, and Philanthropy - - - Europe: Pre-1913
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J18 - Labor and Demographic Economics - - Demographic Economics - - - Public Policy

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