Abstract

This article investigates how sociodemographic, economic, medical, and public health factors influence infant mortality by using data about German administrative areas from 1871 to 1933. Marital fertility has the largest impact on infant mortality, followed by illegitimacy, medical care, urbanization, and infant welfare centers. The variables considered here account for most of the variation in infant mortality. Some of the unexplained variance is due to factors associated with regions, such as breastfeeding patterns, and with time periods, such as national health insurance. The analyses found no evidence that advances in medical technology affected infant mortality or that the influence of economic development changed over time.

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References

Aykroyd, W. R., & Kevany, J. P. (
1973
).
Mortality in infancy and early childhood in Ireland, Scotland, and England and Wales, 1871 to 1970
.
Ecology of Food and Nutrition
,
2
,
11
19
. 10.1080/03670244.1973.9990310
Beaver, M. W. (
1973
).
Population, infant mortality, and milk
.
Population Studies
,
27
,
243
254
. 10.2307/2173395
Caldwell, J. (
1979
).
Education as a factor in mortality decline: An examination of Nigerian data
.
Population Studies
,
33
,
395
414
. 10.2307/2173888
Condran, G., & Crimmins-Gardner, E. (
1978
).
Public health measures and mortality in U.S. cities in the late nineteenth century
.
Human Ecology
,
6
,
27
54
. 10.1007/BF00888565
DaVanzo, J., & Habicht, J. P. (
1986
).
Infant mortality decline in Malaysia 1946-1975: The roles of changes in variables and changes in the structure of relations
.
Demography
,
23
,
143
160
. 10.2307/2061613
Dielman, T. E. (
1983
).
Pooled cross-sectional and time series data: A survey of current statistical methodology
.
American Statistician
,
37
,
111
122
. 10.2307/2685870
Domeddon, H. (
1928
). Das berufsmässig tätige Heil- und Pflegepersonal im Deutschen Reich am 1. Mai 1927.
Reichsgesundheitsblatt
,
3
,
690
705
.
Domeddon, H. (
1935
). Das im Deutschen Reiche berufsmässig taetige Heil- und Pflegepersonal am 1. [anuar 1934.
Reichsgesundheitsblatt
,
10
,
134
141
.
Frey, G. (
1923
).
Public Health Services in Germany
.
Geneva
:
League of Nations Health Organization
.
Friedlander, D., Schellekens, J., Ben-Moshe, E., & Keysa, A. (
1985
).
Socio-economic characteristics and life expectancy in nineteenth century England: A district analysis
.
Population Studies
,
39
,
137
151
. 10.1080/0032472031000141326
Die Verbreitung des Heilpersonals, der pharmazeutischen Anstalten und des pharmazeutuchen Personals im Deutschen Reich nach dem amtlichen Erhebungen vom 1. April 1887
. (
1889
).
Berlin
:
Verlag von J. Springer
.
Germany, National Health Office
(
1901
). Die verbreitung des heilpersonals im Deutschen Reiche.
Medizinal-statistische Mitteilungen aus dem Kaiserlichen Gesundheitsamte
,
6
,
1*
19*
.
Germany, National Health Office
(
1910
). Die verbreitung des heilpersonals, der pharmazeutischen anstalten und des pharmazeutischen personals im Deutschen Reich nach dem amtlichen Erhebungen vom 1. Mai 1909.
Medizinal-statistische Mitteilungen aus dem Kaiserlichen Gesundheitsamte
,
15
,
1*
109*
.
Germany, Statistical Bureau
(
1877
). Die ärzte und das medizinisch hülfspersonal, die apotheken, und die heilanstalten, sowie die wissenschaftlichen medizinischen und pharmazeutischen vereine im Deutschen Reich nach dem Bestande vom 1. April 1876.
Monatshefte zur Statistik des Deutschen Reichs
,
1877
,
1
42
.
Hobcraft, J. N., McDonald, J. W., & Rutstein, S. O. (
1984
).
Socio-economic factors in infant and child mortality: A cross-national comparison
.
Population Studies
,
38
,
193
224
. 10.2307/2174073
Jöreskog, K. G., & Sörbom, D. (
1978
).
LISREL IV: An Analysis of Linear Structural Relations by the Method of Maximum Likelihood
.
Chicago
:
International Educational Services
.
Keller, A. (
1911
). Ein führer durch Deutschlands fürsorgeeinrichtungen zum schutze des säuglings.
Zeitschrift für Säuglingsechutz
,
3
,
284
312
.
Kintner, H. J. 1982. The Determinants of Infant Mortality in Germany From 1871 to 1933. Unpublished Ph.D. dissertation, University of Michigan, Dept. of Sociology.
Kintner, H. J. (
1985
).
Trends and regional differences in breastfeeding in Germany from 1871 to 1937
.
Journal of Family History
,
10
,
163
182
. 10.1177/036319908501000203
Kintner, H. J. (
1987
).
The impact of breastfeeding patterns on regional differences in infant mortality in Germany, 1910
.
European Journal of Population
,
3
,
233
261
. 10.1007/BF01796777
Kmenta, J. (
1971
).
Elements of Econometrics
.
New York
:
Macmillan
.
Knodel, J. E. (
1974
).
The Decline of Fertility in Germany, 1871-1939
.
Princeton, N.J.
:
Princeton University Press
.
Knodel, J. E. (
1975
). Ortsippenbücher als daten fur die historische demographie.
Gesellschaft und Geschichtel
,
1
,
288
324
.
Knodel, J., & van de Walle, E. (
1967
).
Breastfeeding, fertility and infant mortality: An analysis of some early German data
.
Population Studies
,
21
,
109
131
. 10.2307/2172715
Lang, J. (
1929
). Die hauptergebnisse der erhebung über die wasserversorgung in bayern nach dem stande von 1. Januar 1928
Bericht des Bayerischen Landesamts für Wasservergung über die bisherige 50jährige Tätigkeit 1878–1928
(pp.
147
153
).
Munich
:
Verlage von R. Oldenburg
.
McKeown, T. (
1976
).
The Modem Rise of Population
.
New York
:
Academic Press
.
McKeown, T., & Record, R. G. (
1962
).
Reasons for the decline of mortality in England and Wales during the 19th century
.
Population Studies
,
16
,
94
122
. 10.2307/2173119
Meeker, E. F. 1970. The Economics of Improving Health, 1850–1915. Unpublished Ph.D. dissertation, University of Washington, Dept. of Economics.
Meeker, E. F. (
1972
).
The improving health of the United States, 1850–1915
.
Explorations in Economic History
,
9
,
353
373
. 10.1016/0014-4983(71)90066-0
Merrick, T. W. (
1985
).
The effect of piped water on early childhood mortality in urban Brazil, 1970 to 1976
.
Demography
,
22
,
1
24
. 10.2307/2060983
Mosk, C., & Johannson, S. R. (
1986
).
Income and mortality: Evidence from modern Japan
.
Population and Development Review
,
12
,
415
440
. 10.2307/1973217
Mosley, W. H. (
1984
).
Child survival: Research and policy
.
Population and Development Review
,
10
,
3
23
. 10.2307/2807953
Petersen, T. (
1985
).
A comment on presenting results from logit and probit models
.
American Sociological Review
,
50
,
130
131
. 10.2307/2095348
Pohlen, K. (
1936
).
Gesundheitsstatistisches Auskunftsbuch für das Deutsche Reich
.
Berlin
:
Verlagsbuchhandlung von Richard Schoetz
.
Preston, S. H. (
1976
).
Mortality Patterns in National Populations
.
New York
:
Academic Press
.
Preston, S. H. (
1978
).
The Effects of Infant and Child Mortality on Fertility
.
New York
:
Academic Press
.
Preston, S. H. (
1980
).
Causes and consequences of mortality in less developed countries during the twentieth century
. In Easterlin, R. (Ed.),
Population and Economic Change in Developing Countries
(pp.
289
360
).
New York
:
National Bureau of Economic Research
.
Preston, S. H. (
1985
).
Mortality and development revisited
.
Population Bulletin of the United Nations
,
18
,
34
40
.
Preston, S. H. (
1985
).
Resources, knowledge and child mortality: Acomparison ofthe U.S. in the late nineteenth century and developing countries today
Proceedings of the IUSSP General Conference
(pp.
373
386
).
Liege
:
IUSSP
.
Preston, S. H., Haines, M., & Pamuk, E. (
1981
).
Effect of industrialization and urbanization on mortality in developed countries
Proceedings of the IUSSP General Conference
(pp.
233
254
).
Liege
:
!USSP
.
Preston, S. H., & van de Walle, E. (
1978
).
Urban French mortality in the nineteenth century
.
Population Studies
,
32
,
275
298
. 10.2307/2173562
Prinzing, F. (
1931
).
Handbuch dermedizinischen Statistik
. 2nd ed.
Jena
:
Verlag von G. Fischer
.
Reves, R. (
1985
).
Declining fertility in England and Wales as a major cause of the twentieth century decline in mortality: The role of changing family size and age structure in infectious disease mortality in infancy
.
American Journal of Epidemiology
,
122
,
112
126
.
Richards, T. (
1977
).
Fertility decline in Germany: An econometric appraisal
.
Population Studies
,
31
,
537
553
. 10.2307/2173373
Rott, F. (
1925
).
Handbuch derMutter, Säuglings- und Kleinkinderfürsorge
.
Berlin
:
Selbstverlag
.
Rott, F. (
1929
).
Der rückgang der säuglingssterblichkeit
. In Grotjahn, A., Langstein, 1., & Rott, F. (Eds.),
Ergebnisse Soziale Hygiene und Gesundheitsfürsorge
(pp.
85
134
).
Leipzig
:
G. Thieme
.
Sagarra, E. (
1977
).
A Social History of Germany, 1648–1914
.
New York
:
Homes and Meier
.
Salomon, H. (
1906
).
Die städtische Abwasserbeseitigung in Deutschland
.
Jena
:
Verlag von G. Fischer
.
Stolzenberg, R. M. (
1979
).
The measurement and decomposition of causal effects in nonlinear and nonadditive models
. In Schuessler, K. F. (Ed.),
Sociological Methodology 1980
(pp.
459
488
).
San Francisco
:
Jossey-Bass
.
Teuteberg, H., and C. Wischermann. 1979. The Housing Question in Late 19th Century Germany: A Contribution to Quantitative Urban Social History. Paper presented at the Northwest Forum of Economic and Social History, New Research in German Urban Social History Section.
Foetal, Infant, and Early Childhood Mortality
. (
1954
).
New York
:
United Nations
.
White, R. C. (
1933
).
The Growth of German Social Insurance
.
Bloomington
:
Indiana University Press
.
Würtz, A. (
1912
).
Säuglingsfürsorge
. In Grotjahn, A., & Kaup, J. (Eds.),
Handwörtetbuch der Sozialen Hygiene
(pp.
229
271
).
Leipzig
:
F. C. W. Vogel
.