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Selection and mortality differentials

A J Fox, P O Goldblatt, A M Adelstein

    Journal of Epidemiology and Community Health
    |June 1, 1982
    PubMed
    Summary
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    Selection processes, particularly health-related mobility, significantly impact mortality differentials by economic status and social class. These factors influence mortality rates over time, affecting migration and marital status interpretations.

    Area of Science:

    • Demography
    • Epidemiology
    • Sociology

    Background:

    • The Office of Population Censuses and Surveys Longitudinal Study offers unique, detailed mortality data.
    • National mortality data often lack the breadth of characteristics for in-depth analysis.
    • Understanding selection bias is crucial for interpreting mortality differentials.

    Purpose of the Study:

    • To investigate the impact of "health-related mobility" on mortality differentials.
    • To analyze how duration of follow-up affects mortality differentials influenced by health-related mobility.
    • To examine the role of selection in mortality differentials across economic position, social class, region, and family/household circumstances.

    Main Methods:

    • Utilizing the 1% sample from the Office of Population Censuses and Surveys Longitudinal Study.

    Related Experiment Videos

  • Analyzing mortality data across various demographic and socioeconomic characteristics.
  • Investigating changes in mortality differentials over time based on duration of follow-up.

    • Main Results:

    • Health-related mobility significantly influences mortality differentials by economic position and social class.
    • Selection processes related to economic mobility, migration, and marital status changes affect mortality.
    • While selection contributes to social class gradients, it does not fully explain regional differentials and has limited impact on marital status differentials.

    Conclusions:

    • Health-related mobility is a key factor in understanding mortality differentials, especially by socioeconomic status.
    • Selection processes play a role in mortality differentials related to migration and changes in marital status.
    • Differentials in household circumstances are also products of selection processes, highlighting the complexity of mortality analysis.