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The Blackwell Companion to Medical Sociology

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Society, Health, and Health Care in Sweden 301<br />

Trends rends in Mortality ortality and Illness llness in Sweden weden<br />

<strong>The</strong> long-term development of mortality in Sweden is shown in figure 17.1. In all<br />

age groups there was a steep mortality decline in the century from 1850 <strong>to</strong> 1950<br />

(the exception <strong>to</strong> this was a mortality increase amongyoungadults in 1910±20).<br />

For older persons the decline started around 1800, and for infants already in the<br />

eighteenth century. In the age span of 10±50 years there were rather strong<br />

fluctuations duringmost of the period before 1850. After 1950, Swedish<br />

women of all adult age groups experienced a continuation of the declining<br />

trend, and for women in the age group 75±79 years the decline was only slightly<br />

less steep than in the period before 1950. Middle-aged men experienced a slight<br />

increase, and older men a stagnation, in the 1960s and 1970s.<br />

<strong>The</strong>re are no data on long-term trends in ill health. From 1975 there are<br />

annual national surveys includinga number of components of social living<br />

conditions and ill health indica<strong>to</strong>rs. Self-perceived general health is a good<br />

indica<strong>to</strong>r of an individual's health status, probably less biased by propensity <strong>to</strong><br />

seek contact with health care professionals than most other health indica<strong>to</strong>rs.<br />

Nearly all groups reported better health in 1995 as compared with 1975 as seen<br />

in figure 17.2. <strong>The</strong> only exception <strong>to</strong> this was for women aged 25±44, although<br />

the prevalence of self-reported illness is very low (

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