Journal
POPULATION AND DEVELOPMENT REVIEW
Volume 26, Issue 3, Pages 565-+Publisher
WILEY
DOI: 10.1111/j.1728-4457.2000.00565.x
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Funding
- AHRQ HHS [R03 HS009810] Funding Source: Medline
- NICHD NIH HHS [T32 HD007275-16, T32 HD007275] Funding Source: Medline
- AGENCY FOR HEALTHCARE RESEARCH AND QUALITY [R03HS009810] Funding Source: NIH RePORTER
- EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT [T32HD007275] Funding Source: NIH RePORTER
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The 1918 influenza epidemic had a marked and fairly long-lasting effect on the sex differential in mortality in the United States. After 1918 women lost most of their mortality advantage over men and the female/male gap did not regain its pre-epidemic level until the 1930s. An analysis of causes of deaths shows a link with tuberculosis. We conjecture the existence of a selection effect, whereby many 1918 influenza deaths were among tuberculous persons, so that tuberculosis death rates dropped in later years, disproportionately among males. Age- and sex-specific data by cause of death corroborate this hypothesis.
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