The Long-Lasting Influenza: The Impact of Fetal Stress During the 1918 Influenza Pandemic on Socioeconomic Attainment and Health in Sweden, 1968-2012.
Identifieur interne : 000845 ( Main/Exploration ); précédent : 000844; suivant : 000846The Long-Lasting Influenza: The Impact of Fetal Stress During the 1918 Influenza Pandemic on Socioeconomic Attainment and Health in Sweden, 1968-2012.
Auteurs : Jonas Helgertz [Suède] ; Tommy Bengtsson [Suède]Source :
- Demography [ 1533-7790 ] ; 2019.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Complications de la grossesse et maladies infectieuses (épidémiologie), Effets différés de l'exposition prénatale aux facteurs de risque (épidémiologie), Facteurs de l'âge, Facteurs sexuels, Facteurs socioéconomiques, Femelle, Grossesse, Histoire du 20ème siècle, Humains, Issue de la grossesse (épidémiologie), Mâle, Pandémie de grippe de 1918-1919 (), Professions (), Revenu (), Sous-type H1N1 du virus de la grippe A, Sujet âgé, Sujet âgé de 80 ans ou plus, Suède (épidémiologie), Trimestres de grossesse, État de santé.
- MESH :
- épidémiologie : Complications de la grossesse et maladies infectieuses, Effets différés de l'exposition prénatale aux facteurs de risque, Issue de la grossesse, Suède.
- Adulte d'âge moyen, Facteurs de l'âge, Facteurs sexuels, Facteurs socioéconomiques, Femelle, Grossesse, Histoire du 20ème siècle, Humains, Mâle, Pandémie de grippe de 1918-1919, Professions, Revenu, Sous-type H1N1 du virus de la grippe A, Sujet âgé, Sujet âgé de 80 ans ou plus, Trimestres de grossesse, État de santé.
- Wicri :
- geographic : Suède.
English descriptors
- KwdEn :
- Age Factors, Aged, Aged, 80 and over, Female, Health Status, History, 20th Century, Humans, Income (statistics & numerical data), Influenza A Virus, H1N1 Subtype, Influenza Pandemic, 1918-1919 (statistics & numerical data), Male, Middle Aged, Occupations (statistics & numerical data), Pregnancy, Pregnancy Complications, Infectious (epidemiology), Pregnancy Outcome (epidemiology), Pregnancy Trimesters, Prenatal Exposure Delayed Effects (epidemiology), Sex Factors, Socioeconomic Factors, Sweden (epidemiology).
- MESH :
- geographic , epidemiology : Sweden.
- epidemiology : Pregnancy Complications, Infectious, Pregnancy Outcome, Prenatal Exposure Delayed Effects.
- statistics & numerical data : Income, Influenza Pandemic, 1918-1919, Occupations.
- Age Factors, Aged, Aged, 80 and over, Female, Health Status, History, 20th Century, Humans, Influenza A Virus, H1N1 Subtype, Male, Middle Aged, Pregnancy, Pregnancy Trimesters, Sex Factors, Socioeconomic Factors.
Abstract
The 1918 influenza pandemic had not only a massive instant death toll but also lasting effects on its survivors. Several studies have shown that children born in 1919, and thus exposed to the H1N1 virus in utero, experienced worse health and socioeconomic outcomes in older ages than surrounding birth cohorts. This study combines several sources of contemporary statistics with full-population individual-level data for Sweden during 1968-2012 to examine the influence of fetal exposure to the Spanish flu on health, adulthood income, and occupational attainment. For both men and women, fetal exposure resulted in higher morbidity in ages 54-87, as measured by hospitalization. For males, exposure during the second trimester also affected mortality in cancer and heart disease. Overall, the effects on all-cause mortality were modest, with about three months shorter remaining life expectancy for the cohorts exposed during the second trimester. For socioeconomic outcomes, results fail to provide consistent evidence supporting any long-term consequences of fetal exposure. We conclude that although the immediate health effects of exposure to the 1918 pandemic were huge, the long-term effects were modest in size.
DOI: 10.1007/s13524-019-00799-x
PubMed: 31325150
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">The 1918 influenza pandemic had not only a massive instant death toll but also lasting effects on its survivors. Several studies have shown that children born in 1919, and thus exposed to the H1N1 virus in utero, experienced worse health and socioeconomic outcomes in older ages than surrounding birth cohorts. This study combines several sources of contemporary statistics with full-population individual-level data for Sweden during 1968-2012 to examine the influence of fetal exposure to the Spanish flu on health, adulthood income, and occupational attainment. For both men and women, fetal exposure resulted in higher morbidity in ages 54-87, as measured by hospitalization. For males, exposure during the second trimester also affected mortality in cancer and heart disease. Overall, the effects on all-cause mortality were modest, with about three months shorter remaining life expectancy for the cohorts exposed during the second trimester. For socioeconomic outcomes, results fail to provide consistent evidence supporting any long-term consequences of fetal exposure. We conclude that although the immediate health effects of exposure to the 1918 pandemic were huge, the long-term effects were modest in size.</div>
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