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Mortality in Catalonia in the context of the third, fourth and future phases of the epidemiological transition theory

Author

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  • Jeroen Spijker

    (Centre d'Estudis Demogràfics (CED))

  • Amand Blanes Llorens

    (Universitat Autònoma de Barcelona)

Abstract

In the period 1960-2000, male and female life expectancy increased by 8,2 and 10,5 years, respectively, in Catalonia, one of Spain’s Autonomous Regions, to one of the highest in the world. Initially, most gains were due to lower infant mortality, but as cardiovascular diseases declined this later shifted to advanced ages. Between the mid-1980s and early 1990s life expectancy improvements stagnated as the mortality risk from traffic accidents and HIV/AIDS in young adults increased. Both the age-delay in old-age mortality and the simultaneous influence of behaviour and life style reflect distinct aspects of the fourth stage of the epidemiological transition. This analysis quantifies the age and cause of death contributions to changes and sex-differences in life expectancy in Catalonia. It subsequently compares the most recent life table for women with the Duchene-Wunsch limited life table to estimate the potential gain in life expectancy when all deaths would be ageing-related and on which ages these improvements would fall.

Suggested Citation

  • Jeroen Spijker & Amand Blanes Llorens, 2009. "Mortality in Catalonia in the context of the third, fourth and future phases of the epidemiological transition theory," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 20(8), pages 129-168.
    • Handle: RePEc:dem:demres:v:20:y:2009:i:8
    DOI: 10.4054/DemRes.2009.20.8
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    References listed on IDEAS

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    1. J. Pollard, 1988. "On the decomposition of changes in expectation of life and differentials in life expectancy," Demography, Springer;Population Association of America (PAA), vol. 25(2), pages 265-276, May.
    2. Rosa Gómez-Redondo & Carl Boe, 2005. "Decomposition analysis of Spanish life expectancy at birth," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 13(20), pages 521-546.
    3. Marie-Hélène Lussier & Robert Bourbeau & Robert Choinière, 2008. "Does the recent evolution of Canadian mortality agree with the epidemiologic transition theory?," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 18(19), pages 531-568.
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    1. Spijker, Jeroen J.A. & Cámara, Antonio D. & Blanes, Amand, 2012. "The health transition and biological living standards: Adult height and mortality in 20th-century Spain," Economics & Human Biology, Elsevier, vol. 10(3), pages 276-288.

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    JEL classification:

    • J1 - Labor and Demographic Economics - - Demographic Economics
    • Z0 - Other Special Topics - - General

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