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Male excess mortality during the epidemiological transition: theory and evidence from India

Author

Listed:
  • Astrid Krenz

    (Canada Blanch Centre & Data Science Institute
    Ruhr University Bochum)

  • Holger Strulik

    (University of Goettingen)

Abstract

At any given age, adult men die at a higher rate than women. In many developed countries, increasing excess mortality of men has been demonstrated for cohorts born in the late nineteenth century and thereafter. The decline in infectious diseases is believed to have contributed to the increase in male excess mortality. Here, we focus on India during 1990–2019, a period in which the Indian states experienced, to varying degrees, the epidemiological transition. We show that male excess mortality evolves positively over the observation period, is greater in later-born cohorts, and is strongly associated with the decline in infectious disease mortality. We propose a simple theory that explains these facts by a greater influence of infections on the biological aging of women compared to men. We calibrate the model with Indian data and show that it can replicate the feature of rising male excess mortality over time and birth year of cohorts.

Suggested Citation

  • Astrid Krenz & Holger Strulik, 2025. "Male excess mortality during the epidemiological transition: theory and evidence from India," Journal of Population Economics, Springer;European Society for Population Economics, vol. 38(4), pages 1-26, December.
  • Handle: RePEc:spr:jopoec:v:38:y:2025:i:4:d:10.1007_s00148-025-01124-0
    DOI: 10.1007/s00148-025-01124-0
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    JEL classification:

    • I15 - Health, Education, and Welfare - - Health - - - Health and Economic Development
    • J11 - Labor and Demographic Economics - - Demographic Economics - - - Demographic Trends, Macroeconomic Effects, and Forecasts
    • J16 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Gender; Non-labor Discrimination
    • N35 - Economic History - - Labor and Consumers, Demography, Education, Health, Welfare, Income, Wealth, Religion, and Philanthropy - - - Asia including Middle East

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