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demographic yearbook annuaire demographique 1951

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correspondence is not perfect, of course, because the agedistributions<br />

are not completely regular in shape.<br />

The median age is that age which divides the population<br />

in two equal parts, one half being older and one half being<br />

younger than the median. The distribution of different<br />

populations with the same median can differ greatly from<br />

one another both above and below the median. However,<br />

it is a convenient summarizing measure of the age composition<br />

of a population and in general reflects the kinds of<br />

differences with which we are here concerned. The percentage<br />

70 years old and over shows an equally close correspondence<br />

to the age-adjusted rates of Area A and underlines<br />

the importance of the relative numbers of older persons<br />

in determining the level of the crude death rate. Therefore,<br />

in comparing the crude death rate of a young population<br />

with the crude death rate of an older population it should<br />

be kept in mind that, from the point of view of age-specific<br />

mortality, the rate of the younger population is likely to be<br />

understated relative to the rate of the older population.<br />

The factor of age is also important in interpreting trends<br />

in mortality as measured by changes over time in the crude<br />

death rate. If a decline in the rate is accompanied by an<br />

"aging" of the population (i.e., a rise in the median age as<br />

increasing proportions of the population survive to the older<br />

ages), the actual decrease in age-specific mortality is understated<br />

by the change in the crude rate. By the same token,<br />

if the crude rate remains stable or rises while the population<br />

ages this does not necessarily mean that age-specific mortality<br />

has stabilized or increased. In fact, it can happen that<br />

age-specific mortality has actually decreased. For example,<br />

the crude rate of Australia rose from 9.4 in 1936 to 9.7 in<br />

1947. A comparison of age-specific death rates for these<br />

two years shows that there was a decrease at every age<br />

(see table 17). Thus the aging of the population in the space<br />

of 11 years was sufficient to obscure the decline in mortality<br />

as measured by the crude rate.<br />

If, on the other hand, a decline in the crude death rate is<br />

accompanied by an increase in the proportion of the population<br />

at younger ages (or a fall in the median age), the<br />

TABLE<br />

Age-adjusted death rates of Area A and Area B based on the<br />

age distributions of specified populations<br />

B<br />

Median Percentage<br />

Age-adjusted death rates age 70years<br />

oj base old and<br />

Base population Area A Area B population over<br />

(1) (2) (3) (4)<br />

England & Wales (1948) . 13.2 28.7 34.8 6.6<br />

Sweden (1948) ......... 12.8 28.5 33.9 6.2<br />

Ireland (1946) ......... 12.5 28.5 29.1 6.8<br />

New Zealand (1945) ..... 11.4 27.5 31.3 5.0<br />

England & Wales (1931). 10.1 24.0 30.3 4.2<br />

United States (1940) .... 9.7 23.6 29.0 4.0<br />

Netherlands (1930) ...... 9.4 24.6 25.6 3.6<br />

Bulgaria (1934) ......... 9.0 23.8 23.8 3.2<br />

Japan (1947) ........... 8.2 24.8 22.3 2.6<br />

Jamaica (1943) ......... 8.1 23.7 22.2 2.8<br />

British Guiana (1946) .... 8.0 25.0 21.4 2.1<br />

Israel (1948):<br />

Jewish population..... 7.8 23.4 27.1 2.3<br />

Honduras (1945) ....... 7.6 25.6 18.7 1.7<br />

Venezuela (1941) ....... 6.9 23.8 19.3 1.6<br />

Thailand (1947) ........ 6.7 23.8 18.4 1.4<br />

Algeria (1948):<br />

Moslem population.... 6.5 22.6 18.4 1.4<br />

actual decline in mortality may be overstated by the change<br />

in the crude rate. It often happens, in areas of relatively<br />

high mortality, that a more rapid reduction is made in the<br />

death rate of infants and young children than in death rates<br />

at other ages. This can result in so increasing the number<br />

of survivors at the young ages that the median age of the<br />

population is lowered. In areas of this type, a decline in the<br />

crude rate may be reflecting the conquest of infant mortality<br />

while death rates at other ages remain relatively unchanged.<br />

In the long run, however, the effect of reduction in mortality<br />

is to raise the average age of the population. Only if the<br />

number of births increases sufficiently to offset the aging<br />

effects of mortality, will the average age of the population<br />

remain stable or decrease.<br />

Mention has been made of the effect on crude rates of<br />

varying differences between age-specific rates for different<br />

areas and times. The effect of this factor can be judged by<br />

comparing the rank and level of age-adjusted rates for<br />

Area B with those of the age-adjusted rates for Area A<br />

which have just been described. Such rates are shown in<br />

column 2 of table B.<br />

It will be seen at once that the relative difference between<br />

Area A and Area B is greater for each pair of age-adjusted<br />

rates than for their own crude rates (12.0 and 23.1 respectively).<br />

Thus, if Area A and Area B had the same age<br />

composition, the contrast between them would be more<br />

striking.<br />

Two other changes in relationship are apparent. In the<br />

first place, the relative range is considerably less among the<br />

Area B rates than among the Area A rates, the highest rate<br />

being only 27 per cent higher than the lowest. It becomes<br />

clear, then, that with a schedule of age-specific rates like<br />

those of Area B, the effect of differences in age-composition,<br />

or of aging of the population, is less important than is the<br />

case with age-specific rates like those of Area A. The chief<br />

reason for this is the higher death rates of infants and young<br />

children, which mean that aging of the population has a<br />

smaller effect on the all-ages rate than is the case with the A<br />

rates. The latter rates, being relatively low at all except the<br />

advanced ages, are more sensitive to aging.<br />

The second effect of the higher age-specific death rates is<br />

to alter the rank of the age-adjusted rates. The population<br />

of England and Wales 1948 still yields the highest rate and<br />

the population of Algeria the lowest rate, but the order of<br />

the intervening rates is somewhat changed. This alteration<br />

is attributable also to the increased influence of mortality<br />

at the very young ages upon the total rate. For example,<br />

the rate based on the population of the United States 1940<br />

dropped from fifth place with the age-specific rates ofArea A<br />

to fourteenth place with the age-specific rates of Area B.<br />

In the United States in 1940 the percentage of the population<br />

that was under 5 years of age was very low as a result<br />

of the low birth rates during the preceding decade. Consequently<br />

the higher death rates for this age-group did not<br />

affect the total rate so strongly as they did in the case of<br />

Honduras which had a high percentage of young children<br />

in 1945 and which moved up from thirteenth place with the<br />

rates of Area A to fifth place with the rates of Area B.<br />

However, the general order remains, the older populations<br />

tending to yield higher rates and the younger, lower rates.<br />

In other words, the two sets of rates are positively correlated.<br />

Special attention should be given to the effect on crude<br />

rates of populations such as those of Ireland 1946 and<br />

Israel 1948. The former is a population that has experienced<br />

fairly heavy out-migration with the result that the propor-<br />

10

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