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.
The text of this article is only available as a PDF.
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
. 10.1080/03670244.1973.9990310Beaver, M. W. (
1973
). Population, infant mortality, and milk
. Population Studies
, 27
, 243
–254
. 10.2307/2173395Caldwell, J. (
1979
). Education as a factor in mortality decline: An examination of Nigerian data
. Population Studies
, 33
, 395
–414
. 10.2307/2173888Condran, 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/BF00888565DaVanzo, 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
. 10.2307/2061613Dielman, T. E. (
1983
). Pooled cross-sectional and time series data: A survey of current statistical methodology
. American Statistician
, 37
, 111
–122
. 10.2307/2685870Domeddon, 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
. 10.1080/0032472031000141326Die 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
. 10.2307/2174073Jöreskog, 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
. 10.1177/036319908501000203Kintner, 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/BF01796777Knodel, 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
. 10.2307/2172715Lang, 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., & Record, R. G. (
1962
). Reasons for the decline of mortality in England and Wales during the 19th century
. Population Studies
, 16
, 94
–122
. 10.2307/2173119Meeker, 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)90066-0Merrick, T. W. (
1985
). The effect of piped water on early childhood mortality in urban Brazil, 1970 to 1976
. Demography
, 22
, 1
–24
. 10.2307/2060983Mosk, C., & Johannson, S. R. (
1986
). Income and mortality: Evidence from modern Japan
. Population and Development Review
, 12
, 415
–440
. 10.2307/1973217Mosley, W. H. (
1984
). Child survival: Research and policy
. Population and Development Review
, 10
, 3
–23
. 10.2307/2807953Petersen, T. (
1985
). A comment on presenting results from logit and probit models
. American Sociological Review
, 50
, 130
–131
. 10.2307/2095348Pohlen, 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
. 10.2307/2173562Prinzing, 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
. 10.2307/2173373Rott, 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
.© Population Association of America 1988
1988