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BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

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Chater XI.v<br />

Socioeconomic and Related Factors<br />

One <strong>of</strong> the Investigation's goals was to<br />

study the interrelationships <strong>of</strong> diseases and<br />

factors responsible for <strong>mortality</strong>. To provide<br />

a background for the study <strong>of</strong> socioeconomic<br />

data, information is presented<br />

first on the presence <strong>of</strong> parents in the homes<br />

<strong>of</strong> deceased children and on their marital<br />

status. The information obtained in the<br />

home interviews on occupation <strong>of</strong> father and<br />

education <strong>of</strong> mother is then analyzed.<br />

A classic study on <strong>mortality</strong> by occupation<br />

<strong>of</strong> deceased males in 10 states <strong>of</strong> the<br />

United States was made by Whitney (1934).<br />

Puffer (1948), on analyzing <strong>mortality</strong> in<br />

Tennessee, found that tuberculosis death<br />

rates in white males were three times higher<br />

for laborers than for pr<strong>of</strong>essional workers.<br />

Additional analyses have been made in the<br />

United States using matched data from<br />

death certificates and from census schedules<br />

for 1950 (Guralniek, 1959). The English<br />

have studied <strong>mortality</strong> for five social classes<br />

as well as for specific occupation groups at<br />

10-year intervals, beginning with data from<br />

the 1921 census (Registrar-General, England<br />

and Wales, 1927, 1938). Chase (1961-<br />

1963), in her studies <strong>of</strong> infant <strong>mortality</strong> in<br />

Upstate New York, included occupation <strong>of</strong><br />

father as one <strong>of</strong> the measures <strong>of</strong> socioeconomic<br />

level,<br />

As pointed out by Kitagawa and Hauser<br />

(1963), in the United States the only item<br />

272<br />

on the death certificate providing a measure<br />

<strong>of</strong> socioeconomic status is occupation, but<br />

its usefulness is limited because <strong>of</strong> the discrepancies<br />

between usual occupation as recorded<br />

on the certificate and the last occupation<br />

entered on the census schedule. Those<br />

authors conducted a study in which death<br />

certificates for a four-month period in that<br />

country were matched with census schedules<br />

for 1 April 1960; from those schedules they<br />

obtained sufficient data on several socioeconomic<br />

variables, including occupation<br />

and education, for analyses <strong>of</strong> differential<br />

<strong>mortality</strong>. They found education to be a<br />

satisfactory measure <strong>of</strong> socioeconomic<br />

status (Kitagawa and Hauser, 1968).<br />

Rosenwaike (1971) utilized the education<br />

attainment <strong>of</strong> mothers as a measure <strong>of</strong><br />

socioeconomic status in studying the incidence<br />

<strong>of</strong> low birth weight in Maryland in<br />

1968. He found that among white mothers<br />

with less than 10 years' schooling the incidence<br />

<strong>of</strong> births <strong>of</strong> products weighing 2,500<br />

grains or less was 10.7 per cent, which was<br />

more than twice the percentage for mothers<br />

with four years <strong>of</strong> college (4.4). This same<br />

author, in referring to a paper by Hendricks<br />

(1967), stated the following in regard<br />

to education as a parameter <strong>of</strong> socioeconomic<br />

status: "Education itself has been<br />

called a common denominator among the<br />

factors interrelated in the maternal, biolog­

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