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Long-Term Declines in Disability Among Older Men: Medical Care, Public Health, and Occupational Change

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Dora L. Costa

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Abstract

Functional disability (difficulty in walking , difficulty in bending, paralysis, blindness in at least one eye, and deafness in at least one ear) in the United States has fallen at an average annual rate of 0.6 percent among men age 50 to 74 from the early twentieth century to the early 1990s. Twenty-four to 41 percent of this decline is attributable to innovations in medical care, 37 percent to reduced chronic disease rates, and the remainder is unexplained. The portion due to reduced chronic disease rates can be subdivided into the 9 percent accounted for by reduced infectious disease rates (particularly rheumatic fever, malaria, typhoid, and acute respiratory infections), the 7 percent accounted for by occupational shifts away from manual labor and to white collar jobs, and the 21 percent that is unexplained.

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Paper provided by National Bureau of Economic Research, Inc in its series NBER Working Papers with number 7605.

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Date of creation: Mar 2000
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Handle: RePEc:nbr:nberwo:7605

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Find related papers by JEL classification:
I12 - Health, Education, and Welfare - - Health - - - Health Production
N31 - Economic History - - Labor and Consumers, Demography, Education, Income, and Wealth - - - U.S.; Canada: Pre-1913

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  1. Dora L. Costa, 2000. "Understanding Mid-Life and Older Age Mortality Declines: Evidence from Union Army Veterans," NBER Working Papers 8000, National Bureau of Economic Research, Inc. [Downloadable!] (restricted)
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  2. R. Todd Jewel & Patricia Triunfo & Máximo Rossi, 2005. "El estado de salud de los jóvenes uruguayos," Documentos de Trabajo (working papers) 1305, Department of Economics - dECON. [Downloadable!]
    Other versions:
  3. Máximo Rossi & Patricia Triunfo, 2004. "El Estado de Salud del Adulto Mayor en Uruguay," Documentos de Trabajo (working papers) 1404, Department of Economics - dECON. [Downloadable!]
    Other versions:
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This page was last updated on 2009-11-14.


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