Max Planck Institute for Demographic Research, Rostock, Germany.
Popul Dev Rev. 2010;36(4):803-29. doi: 10.1111/j.1728-4457.2010.00358.x.
The relative importance of cohorts' early-life conditions, compared to later period conditions, on adult and old-age mortality is not known. This article studies how cohort-level mortality depends on shocks in cohorts' early- and later-life (period) conditions. I use cohorts' own mortality as a proxy for the early-life conditions, and define shocks as deviations from trend. Using historical data for five European Countries i find that shocks in early-life conditions are only weakly associated with cohorts' later mortality. This may be because individual-level health is robust to early-life conditions, or because at the cohort level scarring, selection, and immunity cancel each other. Shocks in period conditions, measured as deviations from trend in period child mortality, are strongly and positively correlated with mortality at all older ages. The results suggest that at the cohort level changing period conditions drive mortality variation and change.
队列的早期生活条件与后期生活条件相比,对成年和老年死亡率的相对重要性尚不清楚。本文研究了队列死亡率如何取决于队列早期和后期(时期)条件中的冲击。我使用队列自身的死亡率作为早期生活条件的代表,并将冲击定义为偏离趋势的情况。使用五个欧洲国家的历史数据,我发现早期生活条件的冲击与队列的后期死亡率只有微弱的关联。这可能是因为个体健康对早期生活条件具有很强的抵抗力,或者因为在队列层面上,疤痕、选择和免疫相互抵消。以时期儿童死亡率的趋势偏离来衡量的时期条件冲击与所有较老年龄的死亡率呈强烈正相关。研究结果表明,在队列层面上,变化的时期条件推动了死亡率的变化和变动。