Natality Decline and Spatial Variation in Excess Death Rates During the 1918-1920 Influenza Pandemic in Arizona, United States.
Identifieur interne : 000188 ( PubMed/Corpus ); précédent : 000187; suivant : 000189Natality Decline and Spatial Variation in Excess Death Rates During the 1918-1920 Influenza Pandemic in Arizona, United States.
Auteurs : Sushma Dahal ; Kenji Mizumoto ; Bob Bolin ; Cécile Viboud ; Gerardo ChowellSource :
- American journal of epidemiology [ 1476-6256 ] ; 2018.
English descriptors
- KwdEn :
- Arizona (epidemiology), Birth Rate (trends), Child, Preschool, European Continental Ancestry Group (statistics & numerical data), History, 20th Century, Humans, Indians, North American (statistics & numerical data), Infant, Influenza Pandemic, 1918-1919 (history), Influenza Pandemic, 1918-1919 (mortality), Influenza, Human (epidemiology), Influenza, Human (ethnology), Influenza, Human (history), Influenza, Human (mortality), Socioeconomic Factors, Spatial Analysis.
- MESH :
- geographic , epidemiology : Arizona.
- epidemiology : Influenza, Human.
- ethnology : Influenza, Human.
- history : Influenza Pandemic, 1918-1919, Influenza, Human.
- mortality : Influenza Pandemic, 1918-1919, Influenza, Human.
- statistics & numerical data : European Continental Ancestry Group, Indians, North American.
- trends : Birth Rate.
- Child, Preschool, History, 20th Century, Humans, Infant, Socioeconomic Factors, Spatial Analysis.
Abstract
A large body of epidemiologic research has concentrated on the 1918 influenza pandemic, but more work is needed to understand spatial variation in pandemic mortality and its effects on natality. We collected and analyzed 35,151 death records from Arizona for 1915-1921 and 21,334 birth records from Maricopa county for 1915-1925. We estimated the number of excess deaths and births before, during, and after the pandemic period, and we found a significant decline in the number of births occurring 9-11 months after peak pandemic mortality. Moreover, excess mortality rates were highest in northern Arizona counties, where Native Americans were historically concentrated, suggesting a link between ethnic and/or sociodemographic factors and risk of pandemic-related death. The relationship between birth patterns and pandemic mortality risk should be further studied at different spatial scales and in different ethnic groups.
DOI: 10.1093/aje/kwy146
PubMed: 30508194
Links to Exploration step
pubmed:30508194Le document en format XML
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<front><div type="abstract" xml:lang="en">A large body of epidemiologic research has concentrated on the 1918 influenza pandemic, but more work is needed to understand spatial variation in pandemic mortality and its effects on natality. We collected and analyzed 35,151 death records from Arizona for 1915-1921 and 21,334 birth records from Maricopa county for 1915-1925. We estimated the number of excess deaths and births before, during, and after the pandemic period, and we found a significant decline in the number of births occurring 9-11 months after peak pandemic mortality. Moreover, excess mortality rates were highest in northern Arizona counties, where Native Americans were historically concentrated, suggesting a link between ethnic and/or sociodemographic factors and risk of pandemic-related death. The relationship between birth patterns and pandemic mortality risk should be further studied at different spatial scales and in different ethnic groups.</div>
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