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1.
Econ Hum Biol ; 11(3): 269-80, 2013 Jul.
Article in English | MEDLINE | ID: mdl-23298699

ABSTRACT

Making use of those Union Army veterans for whom death certificates are available, we compare the conditions with which they were diagnosed by Civil War pension surgeons to the causes of death on the certificates. We divide the data between those veterans who entered the pension system early because of war injuries and those who entered the pension system after the 1890 reform that made it available to many more veterans. We examine the correlation between specific medical conditions rated by the surgeons and death causes to gauge support for the hypothesis that death is attributable to something specific. We also examine the correlation between the accumulation of rated conditions to the length of time until death to gauge support for the "insult hypothesis." In general, we find support for both hypotheses. Examining the hazard ratios for dying of a specific condition, there is support for the idea that what ail'd ya' is what kill'd ya'.


Subject(s)
Cause of Death , Death Certificates/history , Veterans , Aged , American Civil War , Chronic Disease/mortality , Databases, Factual , History, 19th Century , Humans , Male , Medical Audit , Middle Aged , Pensions/history , United States/epidemiology
2.
Explor Econ Hist ; 46(4): 450-463, 2009 Oct 01.
Article in English | MEDLINE | ID: mdl-20161075

ABSTRACT

Using Union Army veterans' lifetime socioeconomic and health records, this essay finds a consistent and persistent hierarchy in survival rates and hazard ratios by urban size at and across three stages of life: birth, late adolescence, and death. This urban mortality penalty remains after controlling for variables associated with each individual veteran. The results of our geographical mobility analyses suggest that, with respect to these veterans, the search for an explanation should focus on late adolescence and adulthood as much as on early life. A complete explanation of the penalty requires a project of greater scope.

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