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cc-by-nc-nd (c) Elsevier, 2024
Please use this identifier to cite or link to this item: https://hdl.handle.net/2445/207238

Socioeconomic Mortality Differences during the Great Influenza in Spain

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Abstract

Despite being one of the deadliest viruses in history, there is limited information on the socioeconomic factors that affected mortality rates during the Great Influenza Pandemic. In this study, we use occupation-province level data to investigate the relationship between influenza excess mortality rates and occupation-related status in Spain. We obtain three main results. Firstly, individuals in low-income occupations experienced the highest excess mortality, pointing to a notable income gradient. Secondly, professions that involved more social interaction were associated with a higher excess of mortality, regardless of income. Finally, we observe a substantial rural mortality penalty, even after controlling for income-related occupational groups. Based on this evidence, it seems that the high number of deaths was caused by not self-isolating. Some individuals did not quarantine themselves because they could not afford to miss work. In rural areas, home confinement was likely more limited because their inhabitants did not have immediate access to information about the pandemic or fully understand its impact due to their limited experience handling influenza outbreaks

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BASCO, Sergi, DOMÈNECH FELIU, Jordi and ROSÉS, Joan Ramon. Socioeconomic Mortality Differences during the Great Influenza in Spain. Economics & Human Biology. 2024. Vol. 52. ISSN 1570-677X. [consulted: 7 of June of 2026]. Available at: https://hdl.handle.net/2445/207238

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