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Neighborhoods and Childhood Mortality in an Industrializing Port Town: A Micro-Spatial Analysis of Landskrona, Sweden, 1882–1939

Dribe, Martin LU and Hedefalk, Finn LU orcid (2026) In Lund Papers in Economic History
Abstract
At the turn of the twentieth century, infant- and child mortality declined rapidly in many industrializing societies. In Sweden, this decline coincided with industrialization and urbanization, as well as a period of growing social disparities in childhood mortality. The inequality in child survival was connected to a range of factors, including access to water- and sanitation, housing conditions, infant care, and possibly nutrition. We study the importance of socioeconomic neighborhood context for under-five mortality in an industrializing Swedish town (1892–1939). We use individual-level socioeconomic and demographic data from population registers that have been geocoded at the block level and measure neighborhood conditions by the share... (More)
At the turn of the twentieth century, infant- and child mortality declined rapidly in many industrializing societies. In Sweden, this decline coincided with industrialization and urbanization, as well as a period of growing social disparities in childhood mortality. The inequality in child survival was connected to a range of factors, including access to water- and sanitation, housing conditions, infant care, and possibly nutrition. We study the importance of socioeconomic neighborhood context for under-five mortality in an industrializing Swedish town (1892–1939). We use individual-level socioeconomic and demographic data from population registers that have been geocoded at the block level and measure neighborhood conditions by the share of white-collar workers in the block. Cox models with time-varying block-level covariates to estimate the association between cumulative social neighborhood variables and the risk of child death. Our findings indicate that the socioeconomic status of the neighborhood was important for the risk of child death even when controlling for social class and family context. The association was present for both boys and girls and got weaker over time in the period we analyze. Social neighborhoods mattered more for infant mortality than for child mortality. In terms of causes of death, the associations were similar for airborne infectious diseases and food/waterborne diseases, while there was no association at all for other causes of death. These findings point to the importance of neighborhoods for child survival during the urban mortality transition and likely reflect both cultural and material causal pathways. (Less)
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author
and
organization
publishing date
type
Working paper/Preprint
publication status
published
subject
keywords
Infant mortality, child mortality, neighborhoods, socioeconomic status, health inequality, urban mortality transition, historical demography, Sweden, I14, J13, N33, N34, R23
in
Lund Papers in Economic History
issue
2026:267
pages
40 pages
language
English
LU publication?
yes
id
0e82da6e-c3dd-43c4-8f0c-c1de50ad02e7
date added to LUP
2026-04-28 10:17:28
date last changed
2026-04-28 11:38:04
@misc{0e82da6e-c3dd-43c4-8f0c-c1de50ad02e7,
  abstract     = {{At the turn of the twentieth century, infant- and child mortality declined rapidly in many industrializing societies. In Sweden, this decline coincided with industrialization and urbanization, as well as a period of growing social disparities in childhood mortality. The inequality in child survival was connected to a range of factors, including access to water- and sanitation, housing conditions, infant care, and possibly nutrition. We study the importance of socioeconomic neighborhood context for under-five mortality in an industrializing Swedish town (1892–1939). We use individual-level socioeconomic and demographic data from population registers that have been geocoded at the block level and measure neighborhood conditions by the share of white-collar workers in the block. Cox models with time-varying block-level covariates to estimate the association between cumulative social neighborhood variables and the risk of child death. Our findings indicate that the socioeconomic status of the neighborhood was important for the risk of child death even when controlling for social class and family context. The association was present for both boys and girls and got weaker over time in the period we analyze. Social neighborhoods mattered more for infant mortality than for child mortality. In terms of causes of death, the associations were similar for airborne infectious diseases and food/waterborne diseases, while there was no association at all for other causes of death. These findings point to the importance of neighborhoods for child survival during the urban mortality transition and likely reflect both cultural and material causal pathways.}},
  author       = {{Dribe, Martin and Hedefalk, Finn}},
  keywords     = {{Infant mortality; child mortality; neighborhoods; socioeconomic status; health inequality; urban mortality transition; historical demography; Sweden; I14; J13; N33; N34; R23}},
  language     = {{eng}},
  month        = {{04}},
  note         = {{Working Paper}},
  number       = {{2026:267}},
  series       = {{Lund Papers in Economic History}},
  title        = {{Neighborhoods and Childhood Mortality in an Industrializing Port Town: A Micro-Spatial Analysis of Landskrona, Sweden, 1882–1939}},
  url          = {{https://lup.lub.lu.se/search/files/248670989/LUPEH_267.pdf}},
  year         = {{2026}},
}