Differences in polio mortality by socioeconomic status in two southern Ontario counties, 1900–1937

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dc.contributor.author Battles, Heather en
dc.date.accessioned 2018-10-08T02:54:00Z en
dc.date.issued 2017-07-01 en
dc.identifier.citation Social Science History 41(2):305-332 2017 en
dc.identifier.issn 0145-5532 en
dc.identifier.uri http://hdl.handle.net/2292/39408 en
dc.description.abstract The collective polio literature of the mid-twentieth century developed a model centered on age at infection. In this model, known as the hygiene hypothesis, risk of severe polio increased with socioeconomic status (SES) because higher SES was associated with older age at infection. Rural residence was also linked to increased polio risk due to older age at infection. Crowding and larger family size were associated with earlier age at infection and thus reduced the risk of severe polio. In contrast, according to the intensive-exposure hypothesis proposed by Nielsen and colleagues (2001, 2002), exposure to the poliovirus within the home was linked to increased severity of infection, making larger family size and crowding important risk factors. Data for polio deaths in Wentworth and York counties, including the cities of Hamilton and Toronto, from 1900 to 1937 were gathered from a variety of archival sources and socioeconomic class was coded using the five-point composite score scale from Hauser (1982). The results provide support for the intensive-exposure hypothesis as an addition to the traditional polio model. Age at death increased with status score during the earlier 1900–1929 period, but not in the 1930–1937 period. The overall proportions of polio deaths in the various status scores were stable over both periods and disproportionately prevalent in status score three (skilled blue collar). This analysis of polio mortality provides a more nuanced picture of the disease and its relation to SES in a time of rapidly changing socioecological conditions. en
dc.publisher Duke University Press en
dc.relation.ispartofseries Social Science History en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri https://www.cambridge.org/core/services/open-access-policies/open-access-journals/green-open-access-policy-for-journals en
dc.title Differences in polio mortality by socioeconomic status in two southern Ontario counties, 1900–1937 en
dc.type Journal Article en
dc.identifier.doi 10.1017/ssh.2017.1 en
pubs.issue 2 en
pubs.begin-page 305 en
pubs.volume 41 en
dc.rights.holder Copyright: Social Science History Association en
pubs.author-url https://www.cambridge.org/core/journals/social-science-history/article/differences-in-polio-mortality-by-socioeconomic-status-in-two-southern-ontario-counties-19001937/836DB50BE258A11FB2B93D9E03225665 en
pubs.end-page 332 en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype Article en
pubs.elements-id 622405 en
pubs.org-id Arts en
pubs.org-id Social Sciences en
pubs.org-id Anthropology en
dc.identifier.eissn 1527-8034 en
pubs.record-created-at-source-date 2017-04-11 en
pubs.online-publication-date 2017-04-07 en

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