Susan Hautaniemi Leonard

Grammars of Death An Analysis of Nineteenth-Century Literal Causes of Death from the Age of Miasmas to Germ Theory

Historical mortality analysis is often confounded by changing disease environments, diagnostic criteria, and terminology. Recorded causes of death are shaped by these local and historical contexts. We analyze changing literal causes of death during the shift from miasmatic to germ theories of disease using death records from two Massachusetts towns for selected years spanning 1850 to 1912. This analysis demonstrates that (1) International Classification of Diseases (ICD) classifications are more stable, yet potentially less informative, than the literal causes recorded in death accounts, (2) recorded causes of death often include additional qualifications and elaborations beyond basic literal causes of death, and the use of such qualifiers rose dramatically during the late nineteenth century, (3) social biases are clearly evident in the extent to which causes of death were further described or qualified, and (4) the additional descriptive qualification of deaths during this period of often ambiguous historical causes of death can potentially aid in efforts to classify causes of death and derive robust estimates of cause-specific mortality trends.

Introduction: Longitudinal Analysis of Historical-Demographic Data

Understanding the complexity of the historical demographic transition—the secular change from high to low levels of mortality and fertility in Western Europe and the United States during the nineteenth and twentieth centuries—has long been a major goal of historical demography. Recent developments in individual-level life-course databases and longitudinal statistical models have allowed scholars to test ever-more complex hypotheses about the causal factors in demographic change and to develop an increasingly fine-grained image of demographic behavior before, during, and after the transition. Such studies are critical for identifying variation, both between and within societies, obscured by secular trends that appear uniform at the macro-level, and for distinguishing the contingent elements of demographic change from the universal elements. The six articles presented in this special issue bring new substantive and methodological insights to the field of historical demography—revealing the responsiveness of pre-transition fertility to changing contexts, tracking the transmission of new fertility practices, exploring the unevenness of mortality and fertility decline, and documenting the changing role of social institutions in family formation.

The effects of wealth, occupation, and immigration on epidemic mortality from selected infectious diseases and epidemics in Holyoke township, Massachusetts, 1850−1912

BACKGROUND Previous research suggests individual-level socioeconomic circumstances and resources may be especially salient influences on mortality within the broader context of social, economic, and environmental factors affecting urban 19th century mortality. OBJECTIVE We sought to test individual-level socioeconomic effects on mortality from infectious and often epidemic diseases in the context of an emerging New England industrial mill town. METHOD We analyze mortality data from comprehensive death records and a sample of death records linked to census data, for an emergent industrial New England town, to analyze infectious mortality and model socioeconomic effects using Poisson rate regression. RESULTS Despite our expectations that individual resources might be especially salient in the harsh mortality setting of a crowded, rapidly growing, emergent, industrial mill town with high levels of impoverishment, infectious mortality was not significantly lowered by individual socio-economic status or resources.

Immigration, Wealth and the 'Mortality Plateau' in Emergent Urban-Industrial Towns of Nineteenth-Century Massachusetts.

The mortality transition in Western Europe and the U.S. encompassed a much more complex set of conditions and experiences than earlier thought. Our research addresses the complex set of relationships among growing urban communities, family wealth, immigration and mortality in New England by examining individual-level, socio-demographic mortality correlates during the nineteenth-century mortality plateau and its early twentieth-century decline. In contrast to earlier theories that proposed a more uniform mortality transition, we offer an alternative hypothesis that focuses on the impact of family wealth and immigration on individual-level mortality during the early stages of the mortality transition in Northampton and Holyoke, Massachusetts.

Grammars of Death

Historical mortality analysis is often confounded by changing disease environments, diagnostic criteria, and terminology. Recorded causes of death are shaped by these local and historical contexts. We analyze changing literal causes of death during the shift from miasmatic to germ theories of disease using death records from two Massachusetts towns for selected years spanning 1850 to 1912. This analysis demonstrates that (1) International Classification of Diseases (ICD) classifications are more stable, yet potentially less informative, than the literal causes recorded in death accounts, (2) recorded causes of death often include additional qualifications and elaborations beyond basic literal causes of death, and the use of such qualifiers rose dramatically during the late nineteenth century, (3) social biases are clearly evident in the extent to which causes of death were further described or qualified, and (4) the additional descriptive qualification of deaths during this period of often ambiguous historical causes of death can potentially aid in efforts to classify causes of death and derive robust estimates of cause-specific mortality trends.

Determinants of Tubal Ligation in Puebla, Mexico

Tubal ligation provides an effective and reliable method by which women can choose to limit the number of children they will bear. However, because of the irreversibility of the procedure and other potential disadvantages, it is important to understand factors associated with womens choice of this method of birth control. Between May 1999 and August 2000, data were collected from 755 women aged 40 to 60 years from a cross-section of neighborhoods of varying socio-economic make-up in Puebla, Mexico, finding a tubal ligation rate of 42.2%. Multiple logistic regression models were utilized to examine demographic, socio-economic, and reproductive history characteristics in relation to womens choice of tubal ligation. Regression analyses were repeated with participants grouped by age to determine how the timing of availability of tubal ligation related to the decision to undergo the procedure. The results of this study suggest that younger age, more education, use of some forms of birth control, and increased parity were associated with womens decisions to undergo tubal ligation. The statistically significant difference of greater tubal ligation and lower hysterectomy rates across age groups reflect increased access to tubal ligation in Mexico from the early 1970s, supporting the idea that womens choice of tubal ligation was related to access.

Immigration, Occupation, and Inequality in Emergent Nineteenth-Century New England Cities

This article explores the social interactions of immigration, occupation, and wealth in two urban industrial cities of nineteenth-century New England that were largely built upon, and shaped by, immigration: the very rapidly growing factory town of Holyoke, Massachusetts, and a more mixed-market and steadily growing nearby community of Northampton, Massachusetts. Both communities were emergent, rapidly industrializing, inland cities, providing a quite distinct immigration context than large established cities of the East Coast. Both were destinations for the same general ethnic immigration waves over the late nineteenth century, but with very different, and differently impacted, social spaces into which immigrants arrived. Contrasting and considering both these emergent cities allows us to ascertain the extent to which the occupational distribution and accumulation of wealth by immigrant groups supports the broad pattern of nineteenth-century assimilation, and reveals ways in which other migration processes may have been at odds, or intertwined, with the long-term historical assimilation of immigrants in such communities. Our findings support a traditional assimilationist perspective in emergent urban-industrial centers. However, they also reveal the role of universal immiseration in an industrial city dual-labor market in facilitating or forcing assimilation, the temporal advantages for ethnic groups of arriving early in growing settlements, and the more individualistic nature of economic enclaves in gaining advantages over time that did not manifest across broad immigrant or occupational groups.

Exploring agent-level calculations of risk and returns in relation to observed land-use changes in the US Great Plains, 1870–1940

Land-use change in the US Great Plains since agricultural settlement in the second half of the nineteenth century has been well documented. While aggregate historical trends are easily tracked, the decision making of individual farmers is difficult to reconstruct. We use an agent-based model to tell the history of the settlement of the west by simulating farm-level agricultural decision making based on historical data about prices, yields, farming costs, and environmental conditions. The empirical setting for the model is the period between 1875 and 1940 in two townships in Kansas, one in the shortgrass region and the other in the mixed grass region. Annual historical data on yields and prices determine profitability of various land uses and thereby inform decision making, in conjunction with the farmer’s previous experience and randomly assigned levels of risk aversion. Results illustrating the level of agreement between model output and a unique and detailed set of household-level records of historical land use and farm size suggest that economic behavior and natural endowments account for land change processes to some degree, but are incomplete. Discrepancies are examined to identify missing processes through model experiments, in which we adjust input and output prices, crop yields, agent memory, and risk aversion. These analyses demonstrate that how agent-based modeling can be a useful laboratory for thinking about social and economic behavior in the past.