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Exposure, resistance, and recovery: a three-dimensional framework for the study of mortality from infectious disease

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  • Kirby, James B.

Abstract

It has been suggested by several scholars that debates surrounding the study of mortality could benefit from a framework that integrates social and economic factors with the biological mechanisms of illness and death (Johannson and Mosk, Popul. Stud. 41 (1987) 207-236; Mosley, International Population Conference, Vol. 2, Florence, IUSSP, Liege, 1985, pp. 189-203; Mosley and Chen, in W. H. Mosley, L. C. Chen (Eds.), Child Survival: Strategies for Research, Population Council, New York, 1984, pp. 25-45; Murray and Chen, Soc. Sci. Med. 36(2) (1993) 143-155; Ruzicka, International Population Conference, Vol. 2, Florence, IUSSP, Liege, 1985, pp. 185-187). In this paper, I present a conceptual framework aimed at doing this for infectious disease mortality. The framework is built around three proximate processes: (1) exposure to potentially lethal pathogens, (2) resistance to disease pathogens after exposure, and (3) recovery from disease episodes after contraction. I apply this conceptual framework to morbidity and mortality from cholera across 41 less developed nations.

Suggested Citation

  • Kirby, James B., 2001. "Exposure, resistance, and recovery: a three-dimensional framework for the study of mortality from infectious disease," Social Science & Medicine, Elsevier, vol. 53(9), pages 1205-1215, November.
    • Handle: RePEc:eee:socmed:v:53:y:2001:i:9:p:1205-1215
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