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The Long-Lasting Influenza

The Impact of Fetal Stress During the 1918 Influenza Pandemic on Socioeconomic Attainment and Health in Sweden, 1968–2012

Bibliographic Data

ID10967696
AuthorsJ Helgertz (0000-0002-2200-9095, Lund University, corresponding author), Tommy Bengtsson (0000-0003-1113-8761, Lund University)
Year2019
Volume56
Issue4
Pages1389-1425
Publication date2019-08-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueDemography (JOURNAL)
Journal identifiersISSN: 0070-3370 • E-ISSN: 1533-7790
PublisherDuke University Press (PUBLISHER • US)
DOI10.1007/s13524-019-00799-x
PMID31325150
OpenAlexW2217576431
LanguageEN
Citations received23
References cited55

The 1918 influenza pandemic had not only a massive instant death toll but also lasting effects on its survivors. Several studies have shown that children born in 1919, and thus exposed to the H1N1 virus in utero, experienced worse health and socioeconomic outcomes in older ages than surrounding birth cohorts. This study combines several sources of contemporary statistics with full-population individual-level data for Sweden during 1968–2012 to examine the influence of fetal exposure to the Spanish flu on health, adulthood income, and occupational attainment. For both men and women, fetal exposure resulted in higher morbidity in ages 54–87, as measured by hospitalization. For males, exposure during the second trimester also affected mortality in cancer and heart disease. Overall, the effects on all-cause mortality were modest, with about three months shorter remaining life expectancy for the cohorts exposed during the second trimester. For socioeconomic outcomes, results fail to provide consistent evidence supporting any long-term consequences of fetal exposure. We conclude that although the immediate health effects of exposure to the 1918 pandemic were huge, the long-term effects were modest in size

Coronavirus disease 2019 (COVID-19 · Disease · Educational attainment · Environmental health · Infectious disease (medical specialty · Influenza pandemic · Life expectancy · Pandemic · Population · Pregnancy · Socioeconomic status · Birth, Development, and Health · Climate Change and Health Impacts · Demography · Health disparities and outcomes · Medicine · Gerontology

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Unique citing works23
Citations per year1,92
Citation span2014 - 2026 (13)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 22
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