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Socioeconomic mortality differences during the Great Influenza in Spain

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  • Basco, Sergi
  • Domènech, Jordi
  • Rosés, Joan R.

Abstract

Despite being one of the deadliest viruses in history, there is limited information on the socioeconomic factors that affected mortality rates during the Great Influenza Pandemic. In this study, we use occupation-province level data to investigate the relationship between influenza excess mortality rates and occupation-related status in Spain. We obtain three main results. Firstly, individuals in low-income occupations experienced the highest excess mortality, pointing to a notable income gradient. Secondly, professions that involved more social interaction were associated with a higher excess of mortality, regardless of income. Finally, we observe a substantial rural mortality penalty, even after controlling for income-related occupational groups. Based on this evidence, it seems that the high number of deaths was caused by not self-isolating. Some individuals did not quarantine themselves because they could not afford to miss work. In rural areas, home confinement was likely more limited because their inhabitants did not have immediate access to information about the pandemic or fully understand its impact due to their limited experience handling influenza outbreaks.

Suggested Citation

  • Basco, Sergi & Domènech, Jordi & Rosés, Joan R., 2024. "Socioeconomic mortality differences during the Great Influenza in Spain," LSE Research Online Documents on Economics 120932, London School of Economics and Political Science, LSE Library.
    • Handle: RePEc:ehl:lserod:120932
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    File URL: http://eprints.lse.ac.uk/120932/
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    1. Clay, Karen & Lewis, Joshua & Severnini, Edson, 2018. "Pollution, Infectious Disease, and Mortality: Evidence from the 1918 Spanish Influenza Pandemic," The Journal of Economic History, Cambridge University Press, vol. 78(4), pages 1179-1209, December.
    2. Basco, Sergi & Domènech, Jordi & Rosés, Joan R., 2021. "The redistributive effects of pandemics: Evidence on the Spanish flu," World Development, Elsevier, vol. 141(C).
    3. Enrique Acosta & Stacey A. Hallman & Lisa Y. Dillon & Nadine Ouellette & Robert Bourbeau & D. Ann Herring & Kris Inwood & David J. D. Earn & Joaquin Madrenas & Matthew S. Miller & Alain Gagnon, 2019. "Determinants of Influenza Mortality Trends: Age-Period-Cohort Analysis of Influenza Mortality in the United States, 1959–2016," Demography, Springer;Population Association of America (PAA), vol. 56(5), pages 1723-1746, October.
    4. Martinez-Carrion, Jose-Miguel & Moreno-Lazaro, Javier, 2007. "Was there an urban height penalty in Spain, 1840-1913?," Economics & Human Biology, Elsevier, vol. 5(1), pages 144-164, March.
    5. Jonas Helgertz & Tommy Bengtsson, 2019. "The Long-Lasting Influenza: The Impact of Fetal Stress During the 1918 Influenza Pandemic on Socioeconomic Attainment and Health in Sweden, 1968–2012," Demography, Springer;Population Association of America (PAA), vol. 56(4), pages 1389-1425, August.
    6. 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.
    7. C. Justin Cook & Jason M. Fletcher & Angela Forgues, 2019. "Multigenerational Effects of Early-Life Health Shocks," Demography, Springer;Population Association of America (PAA), vol. 56(5), pages 1855-1874, October.
    8. Sergi Basco & Jordi Domènech & Joan R. Rosés, 2022. "Pandemics, Economics and Inequality," Palgrave Studies in Economic History, Palgrave Macmillan, number 978-3-031-05668-0, April.
    9. Roses, Joan R. & Sanchez-Alonso, Blanca, 2004. "Regional wage convergence in Spain 1850-1930," Explorations in Economic History, Elsevier, vol. 41(4), pages 404-425, October.
    10. Arthi, Vellore & Parman, John, 2021. "Disease, downturns, and wellbeing: Economic history and the long-run impacts of COVID-19," Explorations in Economic History, Elsevier, vol. 79(C).
    11. Rosés, Joan Ramón & Martínez-Galarraga, Julio & Tirado, Daniel A., 2010. "The upswing of regional income inequality in Spain (1860-1930)," Explorations in Economic History, Elsevier, vol. 47(2), pages 244-257, April.
    12. James J. Feigenbaum & Christopher Muller & Elizabeth Wrigley-Field, 2019. "Regional and Racial Inequality in Infectious Disease Mortality in U.S. Cities, 1900–1948," Demography, Springer;Population Association of America (PAA), vol. 56(4), pages 1371-1388, August.
    13. 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).
    14. 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.
    15. Rijpma, Auke & van Dijk, Ingrid K. & Schalk, Ruben & Zijdeman, Richard L. & Mourits, Rick J., 2022. "Unequal excess mortality during the Spanish Flu pandemic in the Netherlands," Economics & Human Biology, Elsevier, vol. 47(C).
    16. Svenn-Erik Mamelund & Clare Shelley-Egan & Ole Rogeberg, 2021. "The association between socioeconomic status and pandemic influenza: Systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 16(9), pages 1-31, September.
    17. Prados De La Escosura, Leandro, 2008. "Inequality, poverty and the Kuznets curve in Spain, 1850–2000," European Review of Economic History, Cambridge University Press, vol. 12(3), pages 287-324, December.
    18. Richard Franke, 2022. "Poverty, pollution, and mortality: The 1918 influenza pandemic in a developing German economy," Economic History Review, Economic History Society, vol. 75(4), pages 1026-1053, November.
    19. 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.
    20. Michael R. Haines, 2001. "The Urban Mortality Transition in the United States, 1800-1940," NBER Historical Working Papers 0134, National Bureau of Economic Research, Inc.
    21. Cain, Louis & Hong, Sok Chul, 2009. "Survival in 19th century cities: The larger the city, the smaller your chances," Explorations in Economic History, Elsevier, vol. 46(4), pages 450-463, October.
    22. 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.
    23. Jonathan Jay & Jacob Bor & Elaine O. Nsoesie & Sarah K. Lipson & David K. Jones & Sandro Galea & Julia Raifman, 2020. "Neighbourhood income and physical distancing during the COVID-19 pandemic in the United States," Nature Human Behaviour, Nature, vol. 4(12), pages 1294-1302, December.
    24. Caitlin S. Brown & Martin Ravallion, 2020. "Inequality and the Coronavirus: Socioeconomic Covariates of Behavioral Responses and Viral Outcomes Across US Counties," NBER Working Papers 27549, National Bureau of Economic Research, Inc.
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    More about this item

    Keywords

    pandemics; health inequality; mortality inequities; urban penalty;
    All these keywords.

    JEL classification:

    • N34 - Economic History - - Labor and Consumers, Demography, Education, Health, Welfare, Income, Wealth, Religion, and Philanthropy - - - Europe: 1913-
    • J10 - Labor and Demographic Economics - - Demographic Economics - - - General
    • I10 - Health, Education, and Welfare - - Health - - - General

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