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Main trends of research in the social and human ... - unesdoc - Unesco

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Demography 395<br />

129. Aga<strong>in</strong> <strong>in</strong> <strong>the</strong> United States, <strong>the</strong> studies undertaken by <strong>the</strong> National Center<br />

for Health Statistics, <strong>and</strong> <strong>in</strong> particular those based on data collected s<strong>in</strong>ce 1956<br />

by <strong>the</strong> National Health Survey through repeated sample surveys on disease <strong>and</strong><br />

mortality rates <strong>in</strong> <strong>the</strong> population, are on similar l<strong>in</strong>es.<br />

130. In <strong>the</strong> International Biological Programme (IBP), which was established<br />

jo<strong>in</strong>tly <strong>in</strong> 1966 by 44 nations <strong>and</strong> is to cont<strong>in</strong>ue for a period <strong>of</strong> ten years, pro-<br />

vision is made for a section on man’s adaptability to his environment, which<br />

wil also be deal<strong>in</strong>g with <strong>the</strong> same problems.<br />

131. This idea that, to arrive at an underst<strong>and</strong><strong>in</strong>g <strong>of</strong> a person’s ‘state <strong>of</strong> health’,<br />

it is necessary to take <strong>in</strong>to consideration <strong>the</strong> whole <strong>of</strong> his past life, has led to <strong>the</strong><br />

development <strong>of</strong> <strong>research</strong> on differential mortality accord<strong>in</strong>g to <strong>social</strong> environ-<br />

ment.<br />

The various statistical services <strong>in</strong> <strong>the</strong>UnitedK<strong>in</strong>gdom have for a long time cal-<br />

culated mortality figures accord<strong>in</strong>g to <strong>social</strong> class. These figures are difficult<br />

to calculate because <strong>the</strong>y represent a relation, <strong>in</strong> <strong>the</strong> case <strong>of</strong> <strong>the</strong> numerator, to<br />

data on mortality (that is to say, data supplied by <strong>the</strong> statistics on population<br />

<strong>trends</strong>) <strong>and</strong>, <strong>in</strong> <strong>the</strong> case <strong>of</strong> <strong>the</strong> denom<strong>in</strong>ator, to data supplied by <strong>the</strong> census. The<br />

factor common to both numerator <strong>and</strong> denom<strong>in</strong>ator is <strong>the</strong> <strong>social</strong> class, <strong>and</strong> this<br />

factor is <strong>the</strong>refore determ<strong>in</strong>ed by reference to different statistical documents.<br />

This is bound to result <strong>in</strong> a lack <strong>of</strong> homogeneity which falsifies <strong>the</strong> results. In<br />

<strong>the</strong> United K<strong>in</strong>gdom, this dificulty is overcome thanks to <strong>the</strong> high quality <strong>of</strong><br />

<strong>the</strong> demographic statistics. But <strong>the</strong> same does not apply elsewhere <strong>and</strong> o<strong>the</strong>r<br />

methods have recently been devised.<br />

132. The Population Research <strong>and</strong> Tra<strong>in</strong><strong>in</strong>g Center <strong>of</strong> Chicago University, <strong>in</strong><br />

co-operation with <strong>the</strong> national service concerned with population <strong>trends</strong> <strong>and</strong> <strong>the</strong><br />

United States Census Bureau, compared <strong>the</strong> death certificates <strong>of</strong> 340,000 per-<br />

sons who died dur<strong>in</strong>g <strong>the</strong> four months (May-August) immediately follow<strong>in</strong>g<br />

<strong>the</strong> census <strong>of</strong> April 1960 with <strong>the</strong> census returns for those deceased persons. It<br />

was thus possible to determ<strong>in</strong>e <strong>the</strong> ‘<strong>social</strong> class’ factor from <strong>the</strong> census report<br />

alone.<br />

Over <strong>the</strong> past fifteen years, a similar method has been used <strong>in</strong> France for cal-<br />

culat<strong>in</strong>g <strong>the</strong> <strong>in</strong>fant mortality rate <strong>in</strong> <strong>the</strong> various <strong>social</strong> classes. The death<br />

certificates <strong>of</strong> <strong>the</strong> children are compared with <strong>the</strong>ir birth certificates.<br />

133. Ano<strong>the</strong>r method used <strong>in</strong> France for calculat<strong>in</strong>g <strong>the</strong> adult mortality rate<br />

consists <strong>in</strong> keep<strong>in</strong>g a record over <strong>the</strong> years <strong>of</strong> a sample group <strong>of</strong> persons drawn<br />

from a population census. This makes it possible to calculate mortality rates<br />

accord<strong>in</strong>g to generation.<br />

134. Mention may also be made <strong>of</strong> a biometrical survey <strong>in</strong> Hungary, on a<br />

sample <strong>of</strong> 720 persons chosen from among <strong>the</strong> c<strong>and</strong>idates <strong>in</strong> <strong>the</strong> year 1966 for<br />

<strong>the</strong> university or pr<strong>of</strong>essional colleges, undertaken by <strong>the</strong> Research Group for<br />

Population Studies <strong>of</strong> Budapest. The object <strong>of</strong> this survey is to follow <strong>the</strong> per-

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