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The 1918 Influenza Epidemic's Effects on Sex Differentials in Mortality in the United States

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  • Andrew Noymer
  • Michel Garenne

Abstract

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.

Suggested Citation

  • Andrew Noymer & Michel Garenne, 2000. "The 1918 Influenza Epidemic's Effects on Sex Differentials in Mortality in the United States," Population and Development Review, The Population Council, Inc., vol. 26(3), pages 565-581, September.
    • Handle: RePEc:bla:popdev:v:26:y:2000:i:3:p:565-581
    DOI: 10.1111/j.1728-4457.2000.00565.x
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    RePEc Biblio mentions

    As found on the RePEc Biblio, the curated bibliography for Economics:
    1. > Economics of Welfare > Health Economics > Economics of Pandemics > Specific pandemics > Spanish Influenza

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    Cited by:

    1. Noymer, Andrew, 2009. "Testing the influenza-tuberculosis selective mortality hypothesis with Union Army data," Social Science & Medicine, Elsevier, vol. 68(9), pages 1599-1608, May.
    2. Sergi Basco & Jordi Domènech & Joan R. Rosés, 2022. "Unequal Mortality During the Spanish Flu," Palgrave Studies in Economic History, in: Pandemics, Economics and Inequality, chapter 0, pages 33-50, Palgrave Macmillan.
    3. Lin, Ming-Jen & Liu, Elaine M., 2014. "Does in utero exposure to Illness matter? The 1918 influenza epidemic in Taiwan as a natural experiment," Journal of Health Economics, Elsevier, vol. 37(C), pages 152-163.
    4. Wang, Huiqiang, 2016. "Estimating the health impacts of food safety interventions: Optimal counterfactual selections via information criteria in small samples," Food Policy, Elsevier, vol. 63(C), pages 44-52.
    5. Stefania Albanesi & Claudia Olivetti, 2016. "Gender Roles and Medical Progress," Journal of Political Economy, University of Chicago Press, vol. 124(3), pages 650-695.
    6. Basco, Sergi & Domenech, Jordi & Rosés, Joan R., 2021. "Unequal Mortality during the Spanish Flu," CEPR Discussion Papers 15783, C.E.P.R. Discussion Papers.
    7. Colvin, Christopher L. & McLaughlin, Eoin, 2020. "Death, Demography and the Denominator: New Influenza-18 Mortality Estimates for Ireland," QUCEH Working Paper Series 2020-04, Queen's University Belfast, Queen's University Centre for Economic History.
    8. Brian Beach & Karen Clay & Martin Saavedra, 2022. "The 1918 Influenza Pandemic and Its Lessons for COVID-19," Journal of Economic Literature, American Economic Association, vol. 60(1), pages 41-84, March.
    9. Goldin, Claudia & Lleras-Muney, Adriana, 2019. "XX > XY?: The changing female advantage in life expectancy," Journal of Health Economics, Elsevier, vol. 67(C).
    10. Mamelund, Svenn-Erik, 2006. "A socially neutral disease? Individual social class, household wealth and mortality from Spanish influenza in two socially contrasting parishes in Kristiania 1918-19," Social Science & Medicine, Elsevier, vol. 62(4), pages 923-940, February.
    11. Huang, Cheng & Phillips, Michael R. & Zhang, Yali & Zhang, Jingxuan & Shi, Qichang & Song, Zhiqiang & Ding, Zhijie & Pang, Shutao & Martorell, Reynaldo, 2013. "Malnutrition in early life and adult mental health: Evidence from a natural experiment," Social Science & Medicine, Elsevier, vol. 97(C), pages 259-266.
    12. Clay, Karen & Lewis, Joshua & Severnini, Edson, 2019. "What explains cross-city variation in mortality during the 1918 influenza pandemic? Evidence from 438 U.S. cities," Economics & Human Biology, Elsevier, vol. 35(C), pages 42-50.
    13. Douglas Almond, 2006. "Is the 1918 Influenza Pandemic Over? Long-Term Effects of In Utero Influenza Exposure in the Post-1940 U.S. Population," Journal of Political Economy, University of Chicago Press, vol. 114(4), pages 672-712, August.
    14. Fletcher, Jason M., 2018. "The effects of in utero exposure to the 1918 influenza pandemic on family formation," Economics & Human Biology, Elsevier, vol. 30(C), pages 59-68.
    15. Frank Trovato, 2005. "Narrowing Sex Differential in Life Expectancy in Canada and Austria: Comparative Analysis," Vienna Yearbook of Population Research, Vienna Institute of Demography (VID) of the Austrian Academy of Sciences in Vienna, vol. 3(1), pages 17-52.
    16. Schroeder, Max & Lazarakis, Spyridon & Mancy, Rebecca & Angelopoulos, Konstantinos, 2023. "An extended period of elevated influenza mortality risk follows the main waves of influenza pandemics," Social Science & Medicine, Elsevier, vol. 328(C).
    17. Ferrie, Joseph P. & Troesken, Werner, 2008. "Water and Chicago's mortality transition, 1850-1925," Explorations in Economic History, Elsevier, vol. 45(1), pages 1-16, January.
    18. Colvin, Christopher L. & McLaughlin, Eoin, 2021. "Death, demography and the denominator: Age-adjusted Influenza-18 mortality in Ireland," Economics & Human Biology, Elsevier, vol. 41(C).
    19. Alex Huynh & Aaron Bruhn & Bridget Browne, 2013. "A Review of Catastrophic Risks for Life Insurers," Risk Management and Insurance Review, American Risk and Insurance Association, vol. 16(2), pages 233-266, September.
    20. Helene Økland & Svenn-Erik Mamelund, 2019. "Race and 1918 Influenza Pandemic in the United States: A Review of the Literature," IJERPH, MDPI, vol. 16(14), pages 1-18, July.

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