Skip to main content Accessibility help
×
Hostname: page-component-7479d7b7d-767nl Total loading time: 0 Render date: 2024-07-10T08:36:41.307Z Has data issue: false hasContentIssue false

IV.4 - Measuring Morbidity and Mortality

from Part IV - Measuring Health

Published online by Cambridge University Press:  28 March 2008

Kenneth F. Kiple
Affiliation:
Bowling Green State University, Ohio
Get access

Summary

Sickness and death are individual- and population level phenomena. At the individual level, they are best understood in terms of their causes. In illness the best prognosis derives from what is known about the cause and about the individual. At the population level, sickness and death can also be understood in terms of incidence. Future rates of sickness and death can be forecast from experience, taking into account the trend and likely variations from it. Population-level statements about sickness and death – morbidity and mortality rates – can be considered statements of comparison. As such, they underlie many judgments about health and health care.

Morbidity and mortality are also structural phenomena, which is to say that, considered for a sizable number of people, they display certain regularities. The most important of these relate to age and appear as curves or schedules when morbidity and mortality data are arranged by age. Age-specific sickness and death rates should not be expected to be identical in any two populations, but their structure – their distribution by age – should be similar. This makes it possible to make estimates for missing data and to compare individual- and population-level experience with sickness and death over time. This essay summarizes the basic method of analysis, which employs a life table, and suggests some ways in which the problem of incomplete information can be overcome with various estimation procedures.

Type
Chapter
Information
Publisher: Cambridge University Press
Print publication year: 1993

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Acsádi, Gy., and Nemeskéri, J.. 1970. History of human life span and mortality, trans. Balás, K.. Budapest.Google Scholar
Alter, George, and Riley, James C.. 1989. Frailty, sickness, and death: Models of morbidity and mortality in historical populations. Population Studies 43.CrossRefGoogle ScholarPubMed
Beier, Lucinda McCray. 1985. In sickness and in health: A seventeenth-century family’s experience. In Patients and practitioners: Lay perceptions of medicine in pre-industrial society, ed. Porter, Roy. Cambridge.Google Scholar
Benjamin, B., and Haycocks, H. W.. 1970. The analysis of mortality and other actuarial statistics. Cambridge.Google Scholar
Chiang, Chin Long. 1984. The life table and its applications. Malabar, Fla..Google Scholar
Coale, Ansley J., and Demeny, Paul. 1966. Regional model life tables and stable populations. Princeton, N.J..Google Scholar
Curtin, Philip D. 1986. African health at home and abroad. Social Science History 10.CrossRefGoogle ScholarPubMed
Dublin, Louis I., Lotka, Alfred J., and Spiegelman, Mortimer. 1949. Length of life: A study of the life table. New York.Google Scholar
Fritzell, Yngve. 1953. Overlevelsetabeller för Sverige för 1751–1815. Statistisk tidskrift, New Ser, 2.Google Scholar
,Great Britain, House of Commons. 1884–5. Sessional Papers. Supplement to the 45th annual report of the Registrar-General of Births, Deaths and Marriages in England 17(365):.
Imhof, Arthur E. 1985. From the old mortality pattern to the new: Implications of a radical change from the sixteenth century to the twentieth century. Bulletin of the History of Medicine 59.Google ScholarPubMed
Larsen, Øivind. 1979. Eighteenth–century diseases, diagnostic trends, and mortality. Paper presented at the Fifth Scandinavian Demographic Symposium.Google Scholar
Manton, Kenneth G., and Stallard, Eric. 1984. Recent trends in mortality analysis. Orlando, Fla..Google Scholar
McCann, James C. 1976. A technique for estimating life expectancy with crude vital rates. Demography 13.CrossRefGoogle ScholarPubMed
McKeown, Thomas. 1976. The modern rise of population. London.Google Scholar
Morris, Morris David. 1979. Measuring the condition of the world’s poor: The physical quality of life index. New York.Google Scholar
Neilson, Francis G. P. 1882. The rates of mortality and sickness according to the experience of the five years, 1871–1875, of the Ancient Order of Foresters Friendly Society. London.Google Scholar
Palmore, James A., and Gardner, Robert W.. 1983. Measuring mortality, fertility, and natural increase: A selfteaching guide to elementary measures. Honolulu.Google Scholar
Pelling, Margaret. 1985. Healing the sick poor: Social policy and disability in Norwich, 1550–1640. Medical History 29.CrossRefGoogle ScholarPubMed
Perrenoud, Alfred. 1979. La population de Genève du seizième au début du dix-neuvième siècle: Etude démographique. Geneva.Google Scholar
Perrenoud, Alfred. 1985. Le biologique et l’humain dans le déclin seculaire de la mortalité. Annales: Economies, sociétés, civilisations 40.CrossRefGoogle Scholar
Pressat, Roland. 1978. Statistical demography, trans. Courtney, Damien A.. New York.Google Scholar
Preston, Samuel H., ed. 1982. Biological and social aspects of mortality and the length of life. Liege.Google Scholar
Preston, Samuel H., Keyfitz, Nathan, and Schoen, Robert. 1971. Causes of death: Life tables for national populations. New York.Google Scholar
Riley, James C. 1987. Ill health during the English mortality decline: The Friendly Societies’ experience. Bulletin of the History of Medicine 61.Google ScholarPubMed
Riley, James C. 1989. Sickness, recovery and death. London.CrossRefGoogle Scholar
Shryock, Henry S., et. al. 1973. The methods and materials of demography. Washington, D.C..Google Scholar
Sundbärg, Gustav. 1970. Bevolkerungsstatistik Schwedens, 1750–1900. Stockholm.Google Scholar
Sweden, Statistiska Centralbyrärn. 1986. Statistisk ärrsbok för Sverige: 1986. Stockholm.Google Scholar
,U.S. National Center for Health Statistics. 1985. U.S. decennial life tables for 1979–81. Vol. 1, No. 1. Department of Health and Human Services Publ. No. (PHS) 85–1150-1. Washington, D.C..
Vallin, Jacques, Pollard, John H., and Heligman, Larry, eds. 1984. Methodologies for the collection and analysis of mortality data. Liege.Google Scholar
Verbrugge, Lois M. 1985. Gender and health: An update on hypotheses and evidence. Journal of Health and Social Behavior 26.CrossRefGoogle ScholarPubMed
Wrigley, E. A., and Schofield, R. S.. 1981. The population history of England, 1541–1871. Cambridge, Mass..Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×