‘A confession of ignorance’: deaths from old age and deciphering cause-of-death statistics in Scotland, 1855–1949

A large amount of the research undertaken in an attempt to discover the reasons underlying the late nineteenth- and early twentieth-century mortality decline in Britain has relied on the statistics published by the Registrars General. The processes by which individual causes of death are recorded and then processed in order to create the statistics are not, however, well understood. In this article, the authors build on previous work to piece together a time series of causes of death for Scotland, which removes many of the discontinuities encountered in the published statistics that result from the Registrar General deciding to update the nosology, or classification system, which was being used to compile his figures. Having regrouped individual causes of death to ‘smooth’ the time series, the authors use the new groups to examine the changing causes of death in Scotland for selected age groups, before turning to undertake a detailed examination of mortality amongst those aged 55 or more. The authors find that when deaths from ‘old age’ in the latter age group are separated from other ‘ill-defined’ causes, it becomes obvious that there was a ‘rebranding’ of cause of death. The authors then use individual-level data from two Scottish communities to further dissect the roles played by ‘informants’ and ‘doctors’ in this rebranding, in order to see how these roles may have altered over time and what the consequences might be for one's view of how mortality changed in Scotland between 1855 and 1949. Finally, the authors argue that their findings have important implications for some of historical demography's most prominent theories: the McKeown thesis and the theory of epidemiological transition.     

THE WAR ON POVERTY: MEASUREMENT,TRENDS, AND POLICY

We present a 50‐year historical perspective of the nation's antipoverty efforts, describing the evolution of policy during four key periods since 1965. Over this half‐century, the initial heavy reliance on cash income support to poor families has eroded; increases in public support came largely in the form of in‐kind (e.g., Food Stamps) and tax‐related (e.g., the Earned Income Tax Credit) benefits. Work support and the supplementation of earnings substituted for direct support. These shifts eroded the safety net for the most disadvantaged in American society. Three poverty‐related analytical developments are also described. The rise of the Supplemental Poverty Measure (SPM)—taking account of noncash and tax‐related benefits—has corrected some of the serious weaknesses of the official poverty measure (OPM). The SPM measure indicates that the poverty rate has declined over time, rather than being essentially flat as the OPM implies. We also present snapshots of the composition of the poor population in the United States using both the OPM and the SPM, showing progress in reducing poverty overall and among specific socioeconomic subgroups since the beginning of the War on Poverty. Finally, we document the expenditure levels of numerous antipoverty programs that have accompanied the several phases of poverty policy and describe the effect of these efforts on the level of poverty. Although the effectiveness of government antipoverty transfers is debated, our findings indicate that the growth of antipoverty policies has reduced the overall level of poverty, with substantial reductions among the elderly, disabled, and blacks. However, the poverty rates for children, especially those living in single‐parent families, and families headed by a low‐skill, low‐education person, have increased. Rates of deep poverty (families living with less than one‐half of the poverty line) for the nonelderly population have not decreased, reflecting both the increasing labor market difficulties faced by the low‐skill population and the tilt of means‐tested benefits away from the poorest of the poor.     

Book reviews

Gilles Deleuze and the Question of Philosophy PHILIP GOODCHILD London: Associated University Presses, 1996

Baudelaire and Schizoanalysis: The Sociopoetics of Modernism EUGENE HOLLAND Cambridge, Cambridge University Press, 1993

Australian Television and International Mediascapes STUART CUNNINGHAM & ELIZABETH JACKA Melbourne: Cambridge University Press, 1996

Sociolingwistics and Language History: Studies based on the Corpus of Early English Correspondence TERTTU NEVALAINEN & HELENA RAUMOLIN‐BRUNBERG (Eds) Language and Computers: Studies in Practical Linguistics No 15, Amsterdam/Atlanta., GA: Rodopi, 1996

Fear of the Dark. ‘Race’, Gender and Sexuality in the Cinema LOLA YOUNG London and New York: Routledge, 1996

Deleuze: A Critical Reader PAUL PATTON (Ed.) Oxford: Blackwell, 1996

A Guattari Reader GARY GENOSKO (Ed.) Oxford: Blackwell, 1996

Counterworks. Managing the Diversity of Knowledge R. FARDON (Ed.) London: Routledge, 1995     

Excavations at UR, 1929–30

Asia and the Road Ahead: Issues for the Major Powers. By Robert A. Scalapino. University of California Press, 1976. Pp. x +337. Map. Index. £7.10.

A Peace Denied: the United States, Vietnam, and the Paris Agreement. By Gareth Porter. Indiana University Press, 1975. $15.     

The Russian Election of 1993: Public Opinion and the Transition Experience

Two British specialists on Russia report the results of a nationwide survey of 2,030 Russian adults, randomly chosen from each of 50 provinces of the Russian Federation. A survey instrument containing 300 questions was administered in face-to-face interviews during summer 1993, and explored attitudes toward the market, privatization, social order, minority rights, and nationalism. Testing three alternative explanations for the results of the December 1993 Russian elections, the authors present a nuanced argument that the Russian public has been drawing negative lessons about market democracy from the transition itself, as experienced since January 1992. A higher voter turnout, they find, would have augmented the strength of anti-government parties and candidates. Journal of Economic literature, Classification Numbers: H19, P29