Inequality in early life

This article analyses the long-term development of social class differences in infant and child mortality in an area of southern Sweden, spanning from the early stages of the mortality transition at the beginning of the nineteenth century, to the late 1960s when both infant and child mortality had reached very low levels. Our findings show that infant and child mortality was fairly equal at the beginning of the study period. We find no clear pattern of class differentials in childhood mortality in the first half of the nineteenth century when both infant and child mortality declined. Later in the nineteenth century, class differences started to emerge. This is clear for both post-neonatal mortality and child mortality, while we do not find any class differences in neonatal mortality. Over time, a more or less full gradient emerged for post-neonatal mortality, and a weak gradient also emerged for child mortality. Strikingly, the disadvantaged position for unskilled and lower-skilled workers remained throughout the 1960s, also at a time when mortality levels were very low, and living standards had increased dramatically for all classes in the population

Child mortality · Disadvantaged · Economic growth · Economics · Inequality · Infant mortality · Mortality rate · Political science · Population · Social class · Social inequality · Sociology · Demography · Health disparities and outcomes · Historical Economic and Social Studies · Urban, Neighborhood, and Segregation Studies

• The mortality gradient in town and country

  Open Access•Marcos Castillo, M Dribe•The Economic History Review•2026

  Incluir item

• The Long Road to Health and Prosperity, Southern Sweden, 1765-2015. Research Contributions From the Scanian Economic-Demographic Database (Sedd)

  Open Access•Tommy Bengtsson, M Dribe•Historical Life Course Studies•2021

  Incluir item

• Stress and survival

  Alice Velková, P Tureček et al.•The History of the Family•2025

  Incluir item

• A qualitative exploration of the lives lived by Irish centenarians

  Open Access•Alison Fagan, Lorraine Gaffney et al.•Journal of Aging Studies•2024

  Incluir item

• Digitalization in China

  Open Access•Anson Au•Information Communication & Society•2024

  Incluir item

• Scarring and selection effects on children surviving elevated rates of postneonatal mortality in sub-Saharan Africa

  Open Access•Ø Karlsson•SSM - Population Health•2022

  Incluir item

• Re-examining the social gradient in health

  Open Access•Kristina Thompson, Johan Van Ophem•SSM - Population Health•2023

  Incluir item

• Ipums full count datasets of the United States censuses of mortality, 1850–1880

  Jason Daniel Hacker, Lap Huynh et al.•Historical Methods A Journal of…•2025

  Incluir item

• Three new occupational status indices for England and Wales, 1800–1939

  Open Access•Gregory Clark, Neil Cummins et al.•Historical Methods A Journal of…•2024

  Incluir item

• The Last Nationwide Smallpox Epidemic in the Netherlands

  Open Access•Sanne Muurling, Tim Riswick et al.•Social Science History•2023

  Incluir item

• Wealth and Child Mortality in the Nineteenth-Century United States

  Open Access•Jason Daniel Hacker, M Dribe et al.•Social Science History•2023

  Incluir item

• Early-Life Disease Exposure and Its Heterogeneous Effects on Mortality Throughout Life

  Open Access•Louise Cormack, Volha Lazuka et al.•Demography•2024

  Incluir item

• The escape from hunger

  Open Access•Tommy Bengtsson, Luciana Quaranta•Explorations in Economic History•2025

  Incluir item

• Life and Death in a Changing City

  Open Access•Florian Bonnet, Catalina Torres et al.•Population and Development Review•2025

  Incluir item

• The Long-Term Development of the Mortality Gradient

  Open Access•M Dribe, Björn Eriksson•Population and Development Review•2025

  Incluir item

• Height and the disease environment of children

  Open Access•Björn Quanjer•The Economic History Review•2024

  Incluir item

• Population and Nutrition

  Open Access•Massimo Livi-Bacci, Tania Croft-Murray et al.•Population and Nutrition•1991

  Incluir item

• Changing Family Size in England and Wales

  Open Access•Ellen Garrett, Eilidh Garrett et al.•Changing Family Size in England…•2001

  Incluir item

• The Demography of Victorian England and Wales

  Open Access•Robert Woods, Bob Woods•Demography of Victorian England…•2000

  Incluir item

• Capital in the Twenty-First Century

  Thomas Piketty•Capital in the Twenty-First Century•2017

  Incluir item

• Fatal Years

  H Preston, Samuel H Preston et al.•Fatal Years•1991

  Incluir item

• A Life Course Approach to Chronic Disease Epidemiology

  Yoav Ben-Shlomo, John Fox et al.•A life course approach to chronic…•2004

  Incluir item

• The Epidemiologic Transition

  Open Access•Abdel R Omran•Milbank Quarterly•2005

  Incluir item

• Broken Limits to Life Expectancy

  Open Access•Jim Oeppen, James W Vaupel•Science•2002

  Incluir item

• Social Class, Life Expectancy and Overall Mortality

  Aaron Antonovsky•The Milbank Memorial Fund Quarterly•1967

  Incluir item

• Socioeconomic inequalities in morbidity and mortality in western Europe

  Open Access•J P Mackenbach, Anton E Kunst et al.•The Lancet•1997

  Incluir item

• Changes in mortality inequalities over two decades

  Open Access•J P Mackenbach, Ivana Kulhánová et al.•BMJ•2016

  Incluir item

• Status Syndrome

  Open Access•Michael Marmot•Significance•2004

  Incluir item

• Health inequalities among British civil servants

  Open Access•Michael Marmot, M G Marmot et al.•The Lancet•1991

  Incluir item

• Social Relationships and Health

  Open Access•James S House, Karl R Landis et al.•Science•1988

  Incluir item

• The Spirit Level

  Illustrated Illustrated, Richard & Kate Pickett Wilkinson•The Spirit Level•2009

  Incluir item

• The Scanian Economic-Demographic Database (Sedd)

  Open Access•M Dribe, Luciana Quaranta•Historical Life Course Studies•2020

  Incluir item

• Information, trust and the diffusion of smallpox vaccination

  M Dribe, Paul Nystedt•Scandinavian Economic History…•2003

  Incluir item

• Economic Growth and Income Inequality

  Simon Kuznets•Gap Between Rich and Poor•2019

  Incluir item

• The Modern Rise of Population

  Evelyn Bernette Ackerman, Thomas Mckeown•The American Historical Review•1977

  Incluir item

• Global Inequality

  Branko Milanovic•Global Inequality•2016

  Incluir item

• Infant and child mortality in the past

  Lucia Pozzi, Diego Ramiro Fariñas•Annales de Démographie Historique•2016

  Incluir item

• How Much Scope for a Mobility Paradox? The Relationship between Social and Income Mobility in Sweden

  Open Access•R Breen, Carina Mood et al.•Sociological Science•2016

  Incluir item

• More than Money

  Open Access•Carina Mood•Sociological Science•2017

  Incluir item

• Women in a changing economy

  Maria Stanfors•The History of the Family•2014

  Incluir item

• Public water and sewerage investments and the urban mortality decline in Sweden 1875–1930

  Open Access•J Helgertz, Martin Önnerfors•The History of the Family•2019

  Incluir item

• Was there a European breastfeeding pattern

  Gunnar Thorvaldsen•The History of the Family•2008

  Incluir item

• Motherhood, Milk, and Money. Infant Mortality in Pre-Industrial Finland

  Beatrice Moring•Social History of Medicine•1998

  Incluir item

• The Hazards of Wealth

  Peter Razzell, Christine Spence•Social History of Medicine•2006

  Incluir item

• Death in its Season

  Naomi Williams•Social History of Medicine•1992

  Incluir item

• Did social mobility increase during the industrialization process? A micro-level study of a transforming community in southern Sweden 1828–1968

  Open Access•M Dribe, J Helgertz et al.•Research in Social Stratification…•2015

  Incluir item

• The Construction of Hiscam

  Paul S Lambert, Richard L Zijdeman et al.•Historical Methods A Journal of…•2013

  Incluir item

• Social class differences in child mortality, Sweden 1981-1986

  Viveca Ostberg•Journal of Epidemiology and…•1992

  Incluir item

• The Constant Flux

  T Diprete, Thomas A Diprete et al.•Contemporary Sociology A Journal…•1993

  Incluir item

• Social capital, income inequality, and mortality

  Ichiro Kawachi, Bruce P Kennedy et al.•American Journal of Public Health•1997

  Incluir item

• Understanding sociodemographic differences in health--the role of fundamental social causes

  Bruce G Link, Jo Phelan et al.•American Journal of Public Health•1996

  Incluir item

• Equitable Child Health Interventions

  Bo Burström, Gloria Macassa et al.•American Journal of Public Health•2005

  Incluir item

• Deliberate control in a natural fertility population

  Open Access•Tommy Bengtsson, M Dribe•Demography•2006

  Incluir item

• A Social History of Disease

  Open Access•Sean A P Clouston, Mordecai S Rubin et al.•Demography•2016

  Incluir item

• When Did the Health Gradient Emerge? Social Class and Adult Mortality in Southern Sweden, 1813–2015

  Open Access•Tommy Bengtsson, M Dribe et al.•Demography•2020

  Incluir item

• Social class and infant mortality

  Open Access•Aaron Antonovsky, Jared Bernstein et al.•Social Science & Medicine (1967•1977

  Incluir item

• The late emergence of socioeconomic mortality differentials

  Open Access•Tommy Bengtsson, M Dribe•Explorations in Economic History•2011

  Incluir item

• Socioeconomic inequalities in death from past to present

  Open Access•Tommy Bengtsson, F W A Van Poppel et al.•Explorations in Economic History•2011

  Incluir item

• Speculations on the European Mortality Decline

  Open Access•Stephen J Kunitz•The Economic History Review•1983

  Incluir item

• Socio-economic status and fertility decline

  M Dribe, Marco Breschi et al.•Population Studies•2017

  Incluir item

• Has social mobility in Britain decreased? Reconciling divergent findings on income and class mobility

  Open Access•Robert S Erikson, Robert Erikson et al.•British Journal of Sociology•2010

  Incluir item

• Risk Factors for Infant Mortality in Nineteenth-Century Sweden

  Katherine A Lynch, Joel B Greenhouse•Population Studies•1994

  Incluir item

• The Lasting Impact of Grandfathers

  Open Access•M Dribe, J Helgertz•The Journal of Economic History•2016

  Incluir item

• Childhood conditions that predict survival to advanced ages among African-Americans

  Open Access•H Preston, Samuel H Preston et al.•Social Science & Medicine•1998

  Incluir item

• Socio-economic Differentials in Infant and Child Mortality during Mortality Decline

  Michael R Haines•Population Studies•1995

  Incluir item

• An Analytical Framework for the Study of Child Survival in Developing Countries

  W Henry Mosley, Lincoln C Chen et al.•Population and Development Review•1984

  Incluir item

• Infant and child mortality by socio-economic status in early nineteenth-century England

  Open Access•Hannaliis Jaadla, Ellen Potter et al.•The Economic History Review•2020

  Incluir item

• Differential Mortality in the United States before 1900

  D S Smith•The Journal of Interdisciplinary…•1983

  Incluir item

• Differential infant and child mortality in three Dutch regions, 1812-19091

  Open Access•F W A Van Poppel, Frans Van Poppel et al.•The Economic History Review•2005

  Incluir item

• Pre-Industrial Population Change

  Michael Anderson, Tommy Bengtsson et al.•The Economic History Review•1986

  Incluir item

• English Workers'Living Standards During the Industrial Revolution

  Open Access•Peter H Lindert, Jeffrey G Williamson•The Economic History Review•1983

  Incluir item

• The historical fertility transition at the micro level

  Open Access•Tommy Bengtsson, M Dribe•Demographic Research•2014

  Incluir item

• Social Conditions As Fundamental Causes of Disease

  Bruce G Link, Jo C Phelan et al.•Journal of Health and Social…•1995

  Incluir item

• Inequality of Opportunity in Comparative Perspective

  R Breen, Jan O Jonsson•Annual Review of Sociology•2005

  Incluir item