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<title xml:lang="en">Testing the influenza–tuberculosis selective mortality hypothesis with Union Army data
<xref rid="FN3" ref-type="fn"></xref>
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<name sortKey="Noymer, Andrew" sort="Noymer, Andrew" uniqKey="Noymer A" first="Andrew" last="Noymer">Andrew Noymer</name>
<affiliation>
<nlm:aff id="A1"> Department of Sociology, University of California, 3151 Social Sciences Plaza, Irvine, CA 92697-5100, USA</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2"> HGC, IIASA, Laxenburg A-2361, Austria</nlm:aff>
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<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2677170</idno>
<idno type="RBID">PMC:2677170</idno>
<idno type="doi">10.1016/j.socscimed.2009.02.021</idno>
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<title xml:lang="en" level="a" type="main">Testing the influenza–tuberculosis selective mortality hypothesis with Union Army data
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</title>
<author>
<name sortKey="Noymer, Andrew" sort="Noymer, Andrew" uniqKey="Noymer A" first="Andrew" last="Noymer">Andrew Noymer</name>
<affiliation>
<nlm:aff id="A1"> Department of Sociology, University of California, 3151 Social Sciences Plaza, Irvine, CA 92697-5100, USA</nlm:aff>
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<affiliation>
<nlm:aff id="A2"> HGC, IIASA, Laxenburg A-2361, Austria</nlm:aff>
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<title level="j">Social science & medicine (1982)</title>
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<date when="2009">2009</date>
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<p id="P1">Using Cox regression, this paper shows a weak association between having tuberculosis and dying from influenza among Union Army veterans in late nineteenth-century America. It has been suggested elsewhere [
<xref ref-type="bibr" rid="R41">Noymer, A. and M. Garenne (2000)</xref>
. The 1918 influenza epidemic’s effects on sex differentials in mortality in the United States.
<italic>Population and Development Review 26</italic>
(3), 565–581.] that the 1918 influenza pandemic accelerated the decline of tuberculosis, by killing many people with tuberculosis. The question remains whether individuals with tuberculosis were at greater risk of influenza death, or if the 1918/post-1918 phenomenon arose from the sheer number of deaths in the influenza pandemic. The present findings, from microdata, cautiously point toward an explanation of Noymer and Garenne’s selection effect in terms of age-overlap of the 1918 pandemic mortality and tuberculosis morbidity, a phenomenon I term “passive selection”. Another way to think of this is selection at the cohort, as opposed to individual, level.</p>
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<journal-title>Social science & medicine (1982)</journal-title>
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<article-title>Testing the influenza–tuberculosis selective mortality hypothesis with Union Army data
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<name>
<surname>Noymer</surname>
<given-names>Andrew</given-names>
</name>
<xref rid="A1" ref-type="aff">a</xref>
<xref rid="A2" ref-type="aff">b</xref>
<xref rid="FN1" ref-type="author-notes">*</xref>
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<aff id="A1">
<label>a</label>
Department of Sociology, University of California, 3151 Social Sciences Plaza, Irvine, CA 92697-5100, USA</aff>
<aff id="A2">
<label>b</label>
HGC, IIASA, Laxenburg A-2361, Austria</aff>
<author-notes>
<corresp id="FN1">
<label>*</label>
Department of Sociology, University of California, 3151 Social Sciences Plaza, Irvine, CA 92697-5100, USA. Tel.: +1 9498247277. E-mail address:
<email>noymer@uci.edu</email>
</corresp>
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<pub-date pub-type="nihms-submitted">
<day>28</day>
<month>3</month>
<year>2009</year>
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<pub-date pub-type="epub">
<day>21</day>
<month>3</month>
<year>2009</year>
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<pub-date pub-type="ppub">
<month>5</month>
<year>2009</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>1</day>
<month>5</month>
<year>2010</year>
</pub-date>
<volume>68</volume>
<issue>9</issue>
<fpage>1599</fpage>
<lpage>1608</lpage>
<abstract>
<p id="P1">Using Cox regression, this paper shows a weak association between having tuberculosis and dying from influenza among Union Army veterans in late nineteenth-century America. It has been suggested elsewhere [
<xref ref-type="bibr" rid="R41">Noymer, A. and M. Garenne (2000)</xref>
. The 1918 influenza epidemic’s effects on sex differentials in mortality in the United States.
<italic>Population and Development Review 26</italic>
(3), 565–581.] that the 1918 influenza pandemic accelerated the decline of tuberculosis, by killing many people with tuberculosis. The question remains whether individuals with tuberculosis were at greater risk of influenza death, or if the 1918/post-1918 phenomenon arose from the sheer number of deaths in the influenza pandemic. The present findings, from microdata, cautiously point toward an explanation of Noymer and Garenne’s selection effect in terms of age-overlap of the 1918 pandemic mortality and tuberculosis morbidity, a phenomenon I term “passive selection”. Another way to think of this is selection at the cohort, as opposed to individual, level.</p>
</abstract>
<kwd-group>
<kwd>USA</kwd>
<kwd>Influenza</kwd>
<kwd>Tuberculosis</kwd>
<kwd>Selection</kwd>
<kwd>Mortality</kwd>
<kwd>Historical demography</kwd>
<kwd>Historical epidemiology</kwd>
<kwd>Union Army veterans</kwd>
</kwd-group>
<contract-num rid="AG1">P01 AG010120-13</contract-num>
<contract-sponsor id="AG1">National Institute on Aging : NIA</contract-sponsor>
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