Long-term mortality consequences of childhood family context in Liaoning, China, 1749–1909

We examine the effects on adult and old age mortality of childhood living arrangements and other aspects of family context in early life. We focus on features of family context that have already been shown to be associated with infant or child mortality in historical and developing country populatio...

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Bibliographic Details
Published in:Social science & medicine (1982) 2009-05, Vol.68 (9), p.1641-1648
Main Authors: Campbell, Cameron D., Lee, James Z.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Adulthood
Age Factors
Birth Intervals
Child
Childhood
Childhood Factors
China
China - epidemiology
China Early life Mortality Family Historical Life course Childhood
Early childhood
Early life
Eighteenth Century
Elderly
Family
Family Characteristics
Family Life
Family relations
Female
Historical
Historical demography
History, 18th Century
History, 19th Century
History, 20th Century
Households
Humans
Infant
Intergenerational Relations
Life Change Events
Life course
Living arrangements
Logistic Models
Long-term analysis
Longitudinal Studies
Male
Mortality
Mortality - history
Mortality Rates
Nineteenth Century
Old age
Parents
Reproductive health
Residential Facilities - history
Risk
Risk Factors
Rural Population - history
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Summary:We examine the effects on adult and old age mortality of childhood living arrangements and other aspects of family context in early life. We focus on features of family context that have already been shown to be associated with infant or child mortality in historical and developing country populations. We apply discrete-time event-history analysis to longitudinal, individual-level household register data for a rural population in northeast China from the eighteenth and nineteenth centuries. Loss of a mother in childhood, a short preceding birth interval, and high maternal age were all associated with elevated mortality risks later in life. Such effects persist in a model with fixed effects that account for unobserved characteristics of the community and household. An important implication of these results is that in high-mortality populations, features of early-life family context that are associated with elevated infant and child mortality may also predict adverse mortality outcomes in adulthood.
ISSN:0277-9536
1873-5347
DOI:10.1016/j.socscimed.2009.02.017