Data from the Series 20 

NATIONAL VITAL STATISTICSSYSTEM Number 11 

LeadingComponentsof 

Upturnin Mortalityfor Men 

UnitedStates- 1952=67 

An analysis of rising mortality among men by cause presented 

separately for white men and for men of other races. 

DHEW Publication No. (HSM) 72-1008 

U.S. DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE 

Public Health Service 

Health Services and Mental Health Administration 

National Center for Health Statistics 

Rockville, Md. September 1971 

. 
For saIe by tire Superintendent of Docments, U.S. Cjoverment prhting Omce, w~sbin~t~”, D.C. X1402.pfice 50 cents 
NATIONAL CENTER FOR HEALTH STATISTICS 

THEODORE D. WOOLSEY, Dhectot’ 

PHILIP S. LAWRENCE, SC.D., Associate Director 

OSWALD K. SAGEN, PH. D., Assistant Director for Health .Statistics Development 

WALT R. SIMMONS, M.A., Assistant Director for Research and Scientific Development 

JAMES E. KELLY, D. D. S., Dental Advisor 

EDWARD E. MINTY, Executive O/ficer 

ALICE HAYWOOD, bzjormation Of/icer 

DIVISION OF VITAL STATISTICS 

ROBERT A. ISRAEL, M.S., Director 

JOHN E. PATTERSON, Assistant Director for Demographic Affairs 

ROBERT J. ARMSTRONG, M.S., Chiej Mortality Statistics Branch 

Vital and Health Statistics-Series 20-No. 11 

DHEW Publication No. (HSM) 72-1008 

Library of Congress Catalog Card Number 70-610282 
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CONTENTS 

Introduction


Method of Analysis


I.	 The Upturn in Mcrrtality for the White Male Population


Pattern of the Age-Specific Death Rates for All Causes


Causes of Death Contributing Appreciably tothe Upturnin Mortality


11.	 The Upturn in MortalityfortheMalePopulationof Races Other ThanWhite


Pattern of the Age-Specific Death Rates for All Causes


Causes of Death Contributing Appreciably tothe Upturnin Mortality


Summary


References


List of DetailedTables


Appendix 1. List of 60 Selected Causes of Death ------------------------


Appendix II. Qualifications of Data ------------------------------------

Page 

1 

4 

5 

5 

10


11


19 

21 

23 

44 

46 

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SYMBOLS 

Data not available 

Category nonapplicable . . . 

Quantity zero -

Quantity more than Obutless than O.05---- 0.0 

Figure doesnot meet standards of 

reliability or precision * 
LEADINGCOMPONENTSOF UPTURNIN 

MORTALITYFOR MEN 

A. JoanKlebba, M.A., Diviswn of Vital Statistics 

INTRODUCTION 

Excluding the sharp peaks in the mortali~ 

curve reflecting the pandemic of influenza in 

1918-19 and subsequent severe epidemics of 

influenza and pneumonia in a number of other 

years, the trend of the death rate for the United 

States was clearly downward during 1900-1950. 

Then the death rate leveled off and remained 

almost stationary during 1950-60. 

Moriyama 1 began to ask if the stationary 

level was transitory or whether it marked the 

beginning of a new uptrend in mortality. An analysis of age-color-sex specific death rates for 

the period 1948-68 answers the question at least 

for male persons. For both white men and those 

of other races, for most age groups beginning 

with 15-19 years, the course of mortality was 

indeed upward in the 1960’s (tables 1 and 2). 

In contrast for white women the rate of change 

in the death rate for 1954-63 was not positive; 

that is, the rate did not turn upward for any age 

group except 85 years and over (table 2). The 

decline in the death rates for the following age 

groups, however, did decelerate during this 

decade, the death rates reaching a low usually 

about 1958-63: 15-19, 20-24, and each 5-year 

age group in the span 40-59. Then during 1963-

68 the death rate for these age groups turned 

slightly upward. But for every 5-year age group 

in the span 60-84 years, the death rate for white 

women continued downward with few fluctuations 

t@ough 1963-68 (table 3). 

Female persons of races other than white 

had the most favorable trends in mortality during 

1948-68, which, for almost every age group, 

resulted in a narrowing of the gap between the 

higher death rates for these persons and those 

rates for white female persons (table 3). For 

these persons of races other than white, the 

death rates for most age groups continued to decline or at worst tended to level off. This leveling off occurred usually around 1963-68, much 

more recently than 1953-58, when the death 

rates for white men leveled off. Except for the 

age groups 65-69 and 70-74 years the death 

rates were much lower for 1968 than for 1948 

for every 5-year age group of female persons of 

races other than white and were lower for 1968 

than for 1963 for the following age groups: 25-29, 

40-44, each 5-year age group in the span 50-64 

years, and the groups 75-79 ,and 80-84 years. 

This sex differential for mortalily is not 

limited to the United States. Martin2 described 

in 1951 the excess of male over female mortality 

throughout the 100 years covered up to that date 

by the returns of the Registrar-General for 

England and Wales. He reported that the mortality sex ratio (the male age-specific death rates 

expressed as a percentage of the corresponding 

female rates) increased for each age group 

throughout the century. The excess mortality for 

men increased with advance in age from 25-29 

to 55-64 years and then declined. For the oldest 

group, 85 years and over, the ratio showed the 

smallest change in any group. He found that this 

rising mortality excess for men compared with 

mortality for women resulted from the fact that 

the death rate declined relatively faster fo~ 

women than for men. 

In both England and Wales &din the United 

States excess mortality for the male population 

is smaller in the very young and very old age 

groups. During 1948-68, for white men and for 

men of other races the greatest relative excess 

mortality in the United States occurred for the 

age group .20-24 years (table 4). The age-sex 

mortality trend for 1968 is shown in figure 1. -

1 
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In the 1968 Demographic Yearbook of the 

United Nations, 3 expectation of life at specified 

ages for each sex shows that excess mortality 

for men is almost universal. The average number 

of years of life expected at birth, by sex, for 

selected countries among those for which data 

are shown in table 21 in the 1968 Yearbook are 

as follows for the latest time periods available: 

Expectation 

Country and period of life at 

birth in 

years 

South Africa, 1959-61


Asiatic population 

Male 

Female 

Colored population 

Male 

Female 

White population 

Male 

Female 

Canada, 1960-62


Male


Female


Mexico, 1959-61


Male


Female


China (Taiwan), 1965


Male


Female


India, 1951-60


Male


Female


Japan, 1966


Male


Female


F;$;~l_7Republic of Germany, 

Male 

Female 

It;.a: 1960-62
 -


Female


England and Wales, 1965-67


Male


Female


Australia, 1960-62


Male


Female


Ukrainian S.S.R., 1965-66


Male


Female


57.70 

59.57 

49.62 

54.28 

64.73 

71.67 

68.35I 

74.17 

57.61 

60.32 

65.85 

70.44 

41.89 

40.55 

68.35 

73.61 

67.62 

73.57 

67.24 

72.27 

68.70 

74.90 

67.92 

74.18 

68.00 

75.00 

Zzo 

?ATES FORAGES 2—27 YEARS


200 — 

‘~’


180 — 

Z 160— o 

F 

a 

2 140—
 n. 

o

L 

: 120— D 

$ 100— L 

u 

~ 80 — 

_ MALE


60 — ,,,,,,,,,,,, FEMALE 

40 — 

AGE IN YEARS 

Figure 1. Death rates by age and sex: United States,


1968.


The excess mortality for the resident male 

population of the United States has contributed to 

the sharp decline in the sex ratio (male persons 

to 100 female persons). This ratio dropped from 

106in 1910 t095in 1970 (figure 2). Battle deaths 

occurring in foreign countries during this period 

(in World War I, World War II, the Korean War, 

and in Vietnam) also contributed to the lowering 

~ 100 , -2+, 100


\
 g


$ 98 98


~


n 

u 96 \ 96
 -J


z
 94 I I I I I I I I I I I I 94


1860 1880 1900 [920 1940 1960 1980


Figure 2. sex ratio of the resident population of the


“United States: 1860 to 1970.


?20


200


1s0


160


140


120


100


90


5.0


40


20


)


—


2

,.. 

., ‘WHITE OTHER 

11+-

io9 

t 

ro7 

k	 . . Under 5 years 

‘-= 10-14 years

103 

~SI 15-19 years 

99 

~ 97 

0


~ 95 — ~~ 20-24 years 

w 

0- 93 — 

IJJ m 55-59 years 

J 91 

u 

z 

w 89 - L & 

O 87 * ~ _\

\ ~ 85 — \ 

u 

n 83 — \ 

\ 

: 81 \ 

\ 

Under 5 

yeors 

5- 9yeors 

10-14 yeors 

[5- 19 yeors 

20-24 yeors 

25-34 yeors 

60-64 yeors ‘“ 

55-59 yeors 

45-54 yeors 

65-74 yeors 

35-44yeors 

75 yeors 

ond over 

g 79 — 

k! 77 

w 

< 75 — 

s 

73 — 

71 — 

69 — 

67 — 

65 — 

63 — 

61 — 

‘“i\ \ 65 – 74 years 

\ 

\ 

\ 

“\ 

\ 

\’ 

\ 

\ 

\ 

\ 

\ 

\ 

\ 

!	 75 years 

ond over 

59 t- 1 I I — 

1940 I 950 1960 1970 1940 1950 1960 1970 

Figure 3. Sex ratio of the resident population of the Uni ted States, by CO1or and age: 1940, 1950, ,1960, and 1970. 

3 
of the sex ratio (figure 3). But deaths occurring 

abroad are not included in the mortality rates 

shown in this report. These rates are based on 

deaths occurring within the country among the 

resident population. Both deaths and populations 

exclude the Armed Forces” and civilians who 

reside outside of the country but include Armed 

Forces stationed within the country. 

As is widely recognized much of the excess 

mortality for men in the United States is attributable to Diseases of heart (International Classification of Diseases Nos. 400-402, 410-443). 

In 1967 this cause still accounted for 39 percent 

of all deaths in the United States (721 ,268 deaths, 

giving a rate of 364.5 deaths per 100,000 population). The age-adjusted death rate for the male 

population was 362.6 and the rate for the female 

population was only 186.8. But finally the long 

upturn in mortality from this cause appears to 

be leveling off. For the male population the ageadjusted death rate for this cause declined from 

375.5 per 100,000 population for 1960 to 362.6 

for 1967. Although heart disease continues to 

contribute to the upturn in mortality for certain 

age groups of men, especially at older ages, 

there are other causes of death that (1) account 

in full for the upturn in mortality for the remaining age groups and (2) account in part for the 

upturn in mortality for those age groups for 

which heart disease mortality is still rising. It 

is the purpose of this report to identify for each 

5-year age group, separately for the white and 

other male populations, the major causes of the 

upturn in mortality during 1957-67. 

METHOD OF ANALYSIS 

The approach taken to determine which 

causes among the broad groups of causes in the 

List of 60 Selected Causes of Death (shown as 

appendix 1) used with the Seventh Revision of 

the International Classification of Diseases4 contributed substantially during 1957-67 to the unfavorable reversal in the mortality trend for men 

was as follows: The absolute amount of increase 

between the death rate for 1957 and that for 196’7 

was computed for each 5-year age group sepa- : 

rately for white men and men of other races. 

(The residual group in the List entitled “AU 

other diseases” and data for the open-ended age 

group 85 years and over are excluded in the 

analysis.) Causes selected for consideration are 

only (1) causes of death for which the rate for 

any 5-year age group was increased by 15 or 

more deaths per 100,000 population during 1957-

67 and (2) causes for which the increase during 

1957-67 for any 5-year age group accounted for 

at least 10 percent of the total increase in the 

death rate for that 5-year age group. 

The trends by age for these selected causes 

are taken up in the order of their appearance in 

the List of 60 Selected Causes. This list was 

used essentially unaltered for both the Sixth and 

Seventh Revisions of the International Classification of Diseases.4~5 (The numbers after the category titles are the category numbers of both 

Revisions.) The year 1967 is used because it is 

the most recent year for which final mortality 

statistics by cause of death are available. 

During the period 1952-67, for which most 

cause-specific mortality statistics are shown in 

this report, the causes of death were classified 

according to only two revisions of the International Classification of Diseases (hereinafter denoted by ICD): Sixth Revision, in use for ,1949-5% 

and Seventh Revision, in use for 1958-67. The 

causes shown are among those for which the introduction of the Seventh Revision did not produce serious breaks in comparability of causeof-death statistics. 

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1. THE UPTURN IN MORTALITY FOR THE WHITE MALE POPULATION 

Pattern of the Age-Specific Death Rates 

for All Causes 

The unfavorable reversal in the trend of 

mortality for white men was already quite apparent for some age groups in mortali~ statistics for the decade 1954-63 (table 2). The rates 

wefe upward in this decade for white men (as 

measured by positive percent changes in the 

death rate over this 10-year period) at ages 45-

54, 55-64, 65-74, and 85 years and over. 

Death rates by 5-year age groups for 1963 

and 1968 show that during the 6-year period 

1963-68 mortality rose for white teenage boys 

15-19 years and for each 5-year age group of 

white men in the productive years of life from 

20-24 years through 40-44 years (table 1). Some 

of “these increases amounted to more than 10 

percent: the death rate for white teenagers 15-

19 years of age rose from 121.7 per 100,000 

population for 1963 to 146.9 for 1968; that for 

white men 20-24 years of age, from 167.8 per 

100,000 for 1963 to 196.7 for 1968; and that for 

white men 25-29 years, from 154.4 per 100,000 

for 1963 to 167.2 for 1968. 

For most older age groups (60-64, 65-69, 

70-74, and 75-79 years) the death rates for white 

men reached their low mark much earlier-in 

the mid 1950’s—and have continued upward since 

that year. The only segment of the white male 

population for which the course of mortality was 

generally favorable in the 1960’s were children 

under 15 years of age. For them the death rate, 

with few fluctuations, continued downward at 

least through 1967. But for infants and children 

at ages 5-9 and 10-14 years the 1968 death rates 

were somewhat higher than the corresponding 

rates for 1967. 

Causes of Death Contributing Appreciably 

to the “Upturn in Mortality 

Malignant neoplasm of respiratory system, 

not specified as secondary (ICD Nos. 160-164).— 

In 1967 there were 43,633 deaths among w’bite 

men from this disease. For more than 94 percent 

of these deaths the lung was reported as the site 

of the neoplasm. This high totaI for the’se diseases. 

of the respiratory system resulted from mess=” 

urable increases in the death rate for this cause 

during 1960-67 for every 5-year age group in 

the span 30-34 years through 80-84 years as i 

follows: ,. 

Age in 

years - Zc15Ei’

Xate per 100,000 population ,. 

30-34 2.-3 2.4-

35-39 7.7; 

;;-4J 1!:: 19.1 

34.6 ;;.; 

50:54 73.7 

55-59 124.0. “143: o 

60-64 180.7 220; 5 

65-69 219.7 296.1 

70-74 ;;; . ; 332.1 

75-79 319.8 

80-8& 176:3 257.() 

The above figures may suggest that the 

death rate for these neoplasms increases with 

advance in age from 30-34 years through 70-74 

years and then declines at ages over 74 years. 

Ac~ally, however, there is no decline in the 

risk of dying from this cause. As shown in tabIe 

5, within each cohort of white men (a group born 

during the same 5-year period) the death” rates’. 

for this cause increased steadily with advance in 

age. An important fact shown in table 5 is that. 

successively younger cohorts of white men are. 

at higher risk of dying from these malignant neoiplasms beginning with ages 30-34 years than were 

their predecessors. 

Malignant neoplusm of othev and unspecified 

sites (ICD Nos. 156B, 165, 190-199).—There were 

no great amounts of increase during 1960-67 in 

the death rates for any other group of malignant 

neoplasms in the List of 60 Selected Causes of 

Death except for Malignant neoplasm of other and 

unspecified sites. The 1960 and 1967 death rates 

for this group of causes for the 5Tyear age groups 

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in the span 45-49 years through 80-84 years * 

were as follows: 

Age in 1960 1967 

years 

IRate per 100,000 population 

45-49------ 19.0 21.3


50.54--’---- 29.3 31.7


55-59 ‘“ 43.7 50.8


60-64------ 57.6 67.8


f55-;J----- 70.6 84.4


80.8 108.1


75:79---”--” ‘105.
7 125,3


80-84------ 140.8 138.0


. .. . . . . ““Arteviosclevo tic ’heart disease, including 

coronavy disease (ICDNo.420). —The 1967 death . ..., rate Yor-,this cause for “the age group 70-74 years 

(2402.3 deaths per 100,000) was 111.2 deaths per 

10,D,QOOhigher than the corresponding rate for 

1~60~,but the rate for this cause remained quite 

stable for most other age groups of white men. 

For ‘.w@e men under 55 years of age the death 

rate ,~as somewhat lower for 1967 than for 1960: 

E 

Rate per 100,000 population 

20-24


25-29


30.34


35-39


40-44-----’­


;;.gA_


55:59


60-64------
 65”-69


70.-747


75-79


80-84------
 ,,, .


1.1 0:8 

1$:: 12! 

50.1 49.2 

124.2 121.4 

254.9 246.7 

462.6 441.5 

719:0 724.4 

1119.1 1107:9 

1622.0 1620.9 

2291.1 2402.3 

3243.2 3247.7 

‘4802.5 4623.4


Othw discuses of circulatory system (ICD 

NoS. 451-468). —In contrast to the pattern for 

arteriosclerotic heart disease, the 1967 death 

rate for this group of circulatory diseases was 

higher for every 5-year age group in the span 

15-84 years than the corresponding ‘rate for 1952 

(table 6). This complex of causes includes nonsyphilitic aortic aneurysm, arterial embolism 

and thrombosis, and vascular disease. ‘ 

-No satisfactory explanation has yet been 

presented astowhy thedeath rate for this group 

of circulatory diseases almost doubled during 

1952-67 for white men at ages 50-54 years, 55-

59 years, and 60-64 years and more than tripled 

for white men at ages 70-74 years. and 75-79 

years. An examination of the causes of death that 

are reported together with this’ residual group of 

circulatory diseases may be informative. The 

usual tabulations of mortality data show one 

cause for each death. This is the underlying 

cause of death, defined as “the disease or injury 

which initiated the train of morbid events leading 

directly to death.” 5 The selection of an underlying cause results in the loss of the remaining 

information reported on the medical certification. Several studies have examined this additional information. The most recent one that is 

published is based on deaths, occurring in 1955$ 

This study includes tabulations of causes of death 

reported together with more than average frequency. Of the 11,050 deaths of white persons in 

the study that were attributed to this group of 

circulatory diseases, 2.0 percent had diabetes 

mellitus, reported on the death certificate as a 

contributory condition. This relationship between 

these two causes of death suggests there may possibly be some connection between the ongoing 

sharp rise in the. death rate for this group of 

circulatory diseases and the :increasing prevalence of persons with diabetes in the population. 

Bronchitis (ICD NOS. 500-502). —Bronchitis 

was more frequently reported as the underlying 

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cause of death for white men at ages 45 years 

and over in 1967 than in 1960: 

Age in 1960 1967 years 

Rate per 100,000 population r 

45-49 

50-54 H’ 

55-59------

65-69------ 12: 22.8 

70-74------ 21.6 37.3 

75-79------ 23;5 46.4. 

80-84------ 32.9 55.0 

60-64------ 1::;

A total of 6,264 deaths were attributed to. this. 

group of causes for 1967, of which only 15.3 

percent were specified as acute. More than 79 

percent of the 4,517 deaths specified as chronic 

were reported to be Bronchitis with emphysema 

(ICD No. 502.0). Chronic bronchitis is one of 

those diseases appearing frequently in multiplecause tabulations that by itself may not be fatal 

but in combination with another serious disease 

increases the risk of death. Thecertifyingphy ­

sician may report this cause in the medical 

certification under Part II, “Other significant 

conditions contributing to deati. but not related to 

the terminal disease conditions given in Part 

I(a).” For these reasons mortality rates should 

not be used to estimate the incidence of bronchitis in the deceased population nor in the general 

population. 

Other bronchopulmonic diseases (ICD Nos. 

525-527J.—The most important component of this 

group of causes is Emphysema without mention 

of bronchitis (ICD No. 527.1). For 1967 over 77 

percent of the 21,925 deaths in the white male 

population attributed to this group of causes 

were more specifically assigned to this component. A continuing striking feature of emphysema is the predominance of the disease fi -white 

men. For 1967 the sex ratio of mortality for the 

white population from this disease was approximately 6.1 to 1. For 1967 the death rate for this 

cause for the white male population was about 

2.6 times the corresponding rate for the other 

male population. 

The death rate for emphysema without mention of bronchitis increases with advance in age 

(table 7). For example, for the cohort of white 

men born in 1908-12, the death rate rose from 

2.9 deaths per 100,000 at ages 45-49 years to 

35.4 deaths per 100,000 at ages 55-59 years. 

During 1957-67 the death rate for this cause 

more than doubled for every 5-year age group 

of white men in the span 50-54 years to 85 

years and over. 

For white men at ages 45-64 years the death 

rate in 1967 for this residual group of bronchopulmonic diseases (34.9 deaths per 100;000) was 

exceeded only by the rates for heart diseases 

(667.1 deaths per 100,000), malignant neoplasms 

(303.3 deaths per 100,000), accidents (84.5 deaths 

per 100,000), vascular lesions (73.6 deaths per 

100,000), and cirrhosis of liver (52.7 deaths per 

100, OOO).The death rates for this group of other 

bronchopulmonic diseases in 1960 and in 1967 

for white men 30 years of age and over were as 

follows: 

Age in 

years 

Rate per 100,000 population 

30-34 0.8 0.5 

35-39 1.5 1.5 

40-44 3.2 3.4 

45-49 8.1 

50-54 1;:: 18.3 

55-59 31.0. 44.0 

60-64 59.5 86.8 

65-69 86.2 142.3 

70-74 .114.3 212.9 

75-79 125.2 247.6 

80-84 134.5 248.6 

Cimhosis of liver (fWD No. 581). —For 1967 

Ithis disease was the fifth leading cause of death 

for white men at ages 25-44 years. In order of 

their magnitude, only accidents, heart disease, 

malignant neoplasms, and suicide had higher 

death rates. During these young “and early middle 

ages the death, rate from this cause was 10.7 

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deaths per 100,000 population. For the age group 

45-64 years the death rate for cirrhosis of”liver 

(52.7 deaths per 100,000) maintained its rank as 

the fifth leading cause but was almost five times 

that for the age group 25-44 years. For these 

older white men the death rates for only the following four causes were higher than those for 

cirrhosis of liver: diseases of heart, malignant 

neoplasms, accidents, and vascular lesions affecting central nervous system. The death rates 

for cirrhosis of liver for 1960 and 1967 by5-

year age groups were as follows: 

Age in 

years T 

Rate per 100,000 population 

20-24 .0.2 0.1 

25-29 0.9 1.5 

30-34 

35-39 1::! 

40-44 22.6 

45-49 36.3 

50-54 43.2 50.6 

55-59 49.3 63.0 

60-64 49.0 67.6 

65-69 60.8 66.5 

70-74 58.3 57.8 

75-79 47.5 42.7 

80-84 45.5 38.5 

In contrast to the pattern for malignant neoplasms of the respiratory system;the;downturn 

of mortality from cirrhosis of liver at older 

ages does reflect lower risk of death from this 

cause with advancing age (table 8). As shown 

below by the mcytality rates for the cohort of 

white men born during the 5-year period 1888-92, 

this downturn with advancing age is not an artifact due to the mfitureof cohorts with differing 

mortality experience: 

Year of death Age at death per 100,000 

~ 

1967 ----------- 75-79 years 42.7 

1962 ----------- 70-74 years 49.7 

1957----------- 65-69 years 62.2 

1952----------- 60-64 years 45.8 

For white men there is adownturn immortality 

from cirrhosis of liver after ahighpeak for the 

age group 65-69 years. 

Motor vehicle accidents (ICD kos. E81OY 

E835).— Again in1967 as forthe last two decades 

motor vehicle accidents was the leading causeof 

death for white male teenagers at ages 15-19 

years and for white men at ages 20-24 years. In 

1967, as informer years, the mortality curvefor 

m“otor vehicle accidents for the white male popu-” 

lation rose steadily with advance in age”to a 

peak at ages 20-24 years (89.3 deaths per 

100,000 population), then dropped to a low for 

the ,age group 40-44 years (33.6 deaths per -

100,000 population), and then rose again throughout the remainder of life (to 77.1 deaths per 

100,000 at ages 80-84 years) (table 9). For these 

older persons, however, an appreciable part of 

these deaths were fatalities to pedestrians. For 

1967 fatalities to pedestrians constituted 14.0 

percent of the total motor vehicle fatality rate for 

white males. The proportion of these fatalities 

for white men in which a pedestrian was the’ 

victim increased steadily with advance in age 

from 11.0 percent for theagegroup 45-49 years 

to 42.6 percent for the age group 80-84 years. 

An even greater proportion of accidental fatalities to children under 15 years occurred to 

pedestrians. At ages 5-9 years, for example, 

52.8 percent of the l,025motor vehicle fatalities 

occurred to pedestrians. During the 20-year 

period 1948-67 themotor vehicle fatality curves 

for the age groups 15-19 and 20-24 years had 

high points in 1956 (58.9 deaths per 100,000 at 

ages 15-19 years and 89.2 deaths per 100,000 at 

ages 20-24 years) followed by low pointsin 1961 

(50.8 and 73.0 deaths) and still higher pointsin 

1966 (70.4 and 89.7 deaths per 100,000 population), The rates for 1967 were about the same as 

those for 1966. 

During 1960-67 the greatest absolute increase in the motor vehicle fatality rate for the 

white male population (an increase of 15.’8 deaths 

per 100,000) occurred forwhite menatages20-

24 years. Theincrease inthe rate was about the 

same for white teenagers 15-19 years, for whom 

the rate rose from 54.0 deaths per 100,000 for 

1960 t069.7 deaths for 1967. 

Suicide (ICD Nos. E963, E970-E979).—The 

slight decrease in the total suicide rate for the 

white male population during 1948-67 (from 18.4 

8 
per 100,000 population for 1948 to 16.8 for 1967) 

results from the offsetting of substantial decreases in the death rate for white men 45 years 

of age and over by steady increases in the rate 

for 5-year age groups ,in the span 20-44 years 

and for teenagers 15-19 years (table 10). 

Suicide continues to afflict most heavily the 

white male population. For them the total rate 

for this cause in 1967 was still 2.2, 2.6, and 6.2 

times the corresponding rates for, respectively 

other male persons, white female persons, and 

other female persons; however, owing to the accelerated increase in the suicide rate for the 

other three color-sex groups, the mortality 

differentials by sex and color are smaller than 

they were in earlier years. In 1948, for example, 

the total rate for suicide for white men was 2.7, 

3.2, and 12.3 times the corresponding rates for 

other male persons, white female persons, and 

other female persons, respectively. 

For both age groups 15-19 and 20-24 years 

of the w’bite male population, suicide continued 

through 1967 to rank as a leading cause of death, 

with only motor vehicle and other accidents 

having higher death rates. Suicide rates for 

white males 15-24 years declined from 12.6 

deaths per 100,000 for 1914 (the first year for 

which age-sex-color ‘specific rates for this cause 

are available for the death-registration States of 

this country) to a low of 6.2 for 1955; but since 

that year the trend is upward, reaching 10.8 

deaths per 100,000 for 1967. 

-Homicide (E964, E980-E985).—Cohort analysis shows that for white men the risk of being 

a victim of homicide increases with advance in 

age, at least until about 70-74 years of age 

(table 11). Successively younger cohorts of white 

men are at higher risk of being victims of homicide at almost every age throughout life than their 

predecessors. The rise in homicide mortality’ is 

much more rapid in more recently born cohorts. 

Deaths attributed to this cause constitute a 

much larger percentage of total deaths at ages 

under 45 years than at older ages. In fact, in 1967 

for the age group 15-19 years and 20-24 years 

the death rate for homicide was higher than that 

for any other cause except motor vehicle accidents, other accidents, suicide, and malignant 

neoplasms; for the age group 25-44 years it was 

higher than that for any other cause except 

diseases of the heart, motor vehicle accidents, 

other accidents, malignant neoplasms, suicide, 

and cirrhosis of liver. 
I 1. THE UPTURN IN MORTALITY FOR THE MALE POPULATION OF RACES 

OTHER THAN WHITE 

Pattern of the Age-Specific Death Rates 

for All Causes 

The rate of change in the death rate for 1954-

63 reflected a more favorable mortality trend for 

men of other races than for “white men except for 

the following three age groups: 35-44 years, for 

which group the death rate for white men declined 

slightly, while that for men of other races Wrned 

upward; 65-74 years, for which the rate of change 

in the upturn in the death rate was less for white 

men than for men of other races; and 75-84 

years, for which the trend was slightly downward 

for white men and “slightly upward for men of 

other races (table 2). 

Despite these more favorable rates of change 

in the death rate for the male population of races 

other than white, for every 5-year age group up 

to 75-79 years their death rates during both 

1954-63 and 1963-68 were still markedly higher 

than the corresponding death rates for the white 

male population (table 1). For example, for 1968, 

for the age group 40-44 years, at which period in 

life responsibilities to wife and children usually 

are great and earning and productive capacity 

are still going upward, the death rate for men of 

races other than white was 1068.5 per 100,000, 

while that for white men at these ages was only 

420.8 per 100,000. 

There is evidence that an artifact may account for the fact that at ages 75 years and over 

the reported death rates for men of races other 

than white drop below the corresponding rates for 

white men. This artifact has been described by 

Rosenwaike. 7 He points out that data from the 

U.S. Bureau of the Census show a decline in the 

proportions of centenarians in the United States 

between 1910 and 1960. Census data also show a 

close correlation between the illiteracy rate and 

the relative number of reported centenarians 

10 

with overreporting of extreme age much more 

frequent for the population of races’ other than 

white. As Rosenwaike demonstrates, even where 

the tendency toward age overstatement among 

persons of a given age interval identical on 

census and mortality records, the resulting death 

rate for the oldest age category would be understated because the excess number of deaths—as 

distinguished from the “true” number of deaths 

among the extreme aged—comes from a population experiencing a lower mortality rate. This 

leads 

. . . to the result that the number of decedents reported for the oldest age category in an individual year is overstated 

to a relatively smaller extent than is the 

number of living, a circumstance which 

produces a mortality rate that is too 10W.7 

During 1963-68 the death rate for the male 

population of races other than white rose steeply 

for each 5-year age group in the span 15-19 

years through 60-64 years, the absolute increases 

being much greater than the corresponding increases in the death rate for the white male. population (table 1). 

For children under 15 years of age of races 

other than white, mortality continued downward 

during 1949-67, but at a decelerated rate. The 

1968 death rates at ages 5-9 and 10-14, however, 

were higher than the corresponding rates for 

1967. 

In 1948 the percent excess of death rates 

for white men over those for white women was 

higher for each age group under 75 years than 

the corresponding male mortality excess. in the 

population of races other than white (table 4). 

Except for infants the excess male mortality for 

this latter population increased greatly during 

1948-68 for every age group under 80 years. In 
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fact, in 1968 for each of the age groups 10-14, 

15-19, and 30-34 years their excess male mortality was greater than the corresponding excess 

male mortality for the white population. The 

steep increase during 1958-68 in excess mortality for men of races other than white results 

from the combination for most age groups of the 

decline in the death rate for women with the 

sharp increase in the death rate for men (tables 

1 and 3). 

Causes of Death Contributing Appreciably 

to the Upturn in Mortality 

Malignant neoplasm of digestive ozgans and 

pwitoneum (ICD Nos. 150-156A, 157-159). –The 

death rate for this group of causes was downward during 1952-67 for men of races other than 

white except for the following five age groups: 

15-19, 30-34, 65-69, 70-74, and 75-79 years of 

age (table 12). By site the principal components 

of this group of neoplasms, in order of the magnitude of their 1967 death rates for the other 

than white male population, are as follows: 

stomach (ICD No. 151), 14.5 deaths per 100,000; 

small intestine and large intestine except rectum 

(ICD Nos. 152, 153), 10.0 per 100,000; pancreas 

(ICD No. 157), 8.3 per 100,000; esophagus (ICD 

No. 150), 8.1 per 100 ,000; liver and biliary passages stated to be primary (ICD No. 155), 3.5 

per 100,000; and rectum (ICD No. 154), 3.5 per 

100,000. 

The five age groups for which an increase 

occurred during 1952-67 in the death rate for 

malignant neoplasm for the entire subgroup of 

sites of the digestive organs and peritoneum are 

those for which the downturn in mortality for 

malignant neoplasm of stomach and of rectum 

was not sufficient to offset the upturn in mortality for malignant neoplasm of esophagus, 

small and large intestines, liver and biliary passages stated to be primary, and pancreas (table 

12). During 1952-67 the 5-year age-specific 

mortality trends were generally upward for 

malignant neoplasms of this latter group of sites 

and generally downward for malignant neoplasm 

of stomach and rectum. 

Malignant neoplasm of vespivatory system, 

rwt .@ecified as secondavy (ICD Nos. 160-164).— 

Among men of races other than white there were 

4,778 deaths in 1967 attributed to these neoplasms. Of this number 92.6 percent were assigned to Malignant neoplasm of bronchus and 

trachea, and of lung specified as primary, and 

malignant neoplasm of lung, unspecified as to 

whether primary or secondary (ICD Nos. 162 

and 163). 

A striking change in the pattern for this 

group of neoplasms (ICD Nos. 160-164 since 1962) 

is the clear reversal of the excess mortality for 

white men over that for men of other races. In 

1961 the age-adjusted death rate for this cause 

for white men was higher than the corresponding 

rate for men of other races, but since that year 

the opposite is true: 

Year White male Other male 

Age-adjusted death rate per 

100,000 population* 

1967 ------- 44.5 51.7 

1966 ------- 43.0 50.0 

1965 41.7 44.3 

1964 40.2 41.7 

1963 38.4 41.6 

1962 ------- 37.3 37.3 

1961 ------- 36.0 35.9 

1960 ------- 34.6 35.6 

lThes e age-adjusted rates were computed by the direct method, that i-s, by 

applying the age -specific death rates for 

malignant neoplasm of respiratory system, 

not specified as secondary to the standard population distributed by age. The 

total population as enumerated in 1940 

was selected as the standard. 

For 1967 for every 5-year age group in the 

span 25-29 years through 60-64 years the death 

rate for these neoplasms for men of races other 

than white was markedly higher than the corresponding rate for white men (table 5). For the 

age group 40-44 years the death rate for this 

cause for men of races other than white (39.9 

deaths per 100 ,000) was more than twice the rate 

for white men (19.1 deaths per 100,000). 

This increase in excess mortality for men 

of races other than white from these neoplasms, 

particularly of the lung, results from the fact 

that during both 1950-59 and 1960-67 mortality 

11

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from lung cancer rose faster among these men 

than among white men. 

Malignant neoplasm of genital organs (ICD 

Nos. 177-1 79). —For men of races other than 

white the mortality rate for malignant neoplasms 

of this group of sites increased during 1952-67 

for the older age groups (65-69, 70-74, and 75-

79) but continued to decline for each 5-year age 

group in the span 35-39 through 60-64 years 

(table 13). This is in contrast to the pattern for 

white men, for whom mortality from this cause 

decreased for all age groups during 1952-67. 

Mortality from this cause is negligible until 

about age 50 years, but after that it rises steeply 

with advance in age. As shown below for 1967, 

the death rate per 100,000 population for this 

cause is markedly higher for men of other 

races than for white men for each 5-year age 

group in the span 50-84 years: 

Age in years 

I 

50-54 12.6 

55-59 1?: ; 36.8 

60-64 29.8 74.3 

65-69 ---------- 64;8 188 *2 

70-74 132.2, 311.8 

75-79 228.9 329.6 

80-84 348.0 378.4 

For menofraces other than white the prostate was the site of 96~6 percent of the 2,410 

deathsin 1967 assigned tomalignant neoplasm of 

genitaI organs. 

Malignant neoplasm of wi?uwy organs (ICD 

NoS. 180, 181). —For each of the 5-year age 

groups in the span 45-59 through 65-69 years 

the death rate for this group of causes is higher 

for men of races other than white in 1967 than for 

white men (table 14). Moreover, while the trend of 

the death rate for these causes during this span 

of life is downward for white men, it is clearly 

upward for other men. 

Of the 737 deaths among men of races other 

than white attributed to these causes during 1967, 

for 39.6 percent the site of the malignant neoplasm was the kidney and for the re~ainder the 

site was the bladder or other urinary organs. 

Cutler et al 8 report that early diagnosis is 

crucial in cancer of the bladder. The 5-year 

survival rate in patients with localized disease” 

was approximately 70 percent compared with 

approximately 25 percent for patients with regional disease. These authors also report that 

the improvement in survival rates has been 

minimal since 1950. 

Malignant neoplasms of the urinary’ organs 

are diseases of middle and old age. For example, the death rate for this group of causes for 

the cohort of men of races other than white born 

in 1898-1902 increased from 10.6 deaths per 

100,000 at ages 50-54 years to 57.1 deaths per 

100,000 at ages 65-69 years. “ 

Malignant neoplasm of othev and unspecified 

sites (156B, 165, Z90-199).-,The increases in 

mortality for this residual group of mali~apt 

neoplasms were substantial for men of races 

other than white as weIl as for white men ovly at 

ages 50 years and over. The 1960 and 1967 death 

r-ates for this group of “causes for the 5-year age 

groups in the span 50-54 years through 80-84 

years are as follows:” 

Age in 

years Zclz!c 

Rate per 100,000 population 

50-54 ------ 29.2 36.8 

55-59 ------ ;;.: 60.6 

60-64 ------ 75.7 

65-69 ------ 68:8 111.0 

70-74 84.5 118.9 

75-79 74.9 107.2 

80-84------ 78.7 70.3 

Leukemia and aleuhemia (ICD 204). —For 

every 5-year age group except 40-44 and 60-64 

the death rate for the leukemias was upward 

during 1952-67 for men of races other than white 

(table 15). For the two excepted age groups, 

mortality from this cause remained about the 

same. 

12 
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At older ages (60-64 through 80-84 years) 

the 1967 death rate for these diseases was still 

markedly higher for white men than for other 

men (table 15). The upturn in mortality from the 

leukemias during 1952-67 was steeper for this 

latter group of men than for white men. 

Diabetes mellitus (ICD No. 260). —13egintirig 

in 1953 the age-adjusted death rate for diabetes 

for the male population of races other than white 

has been higher than the corresponding rate for 

the white male population: 

Year 

~ 

Age-adjusted death rate per 

100,000 population 

1949 ------ 1950 ------ 1951 ------ 1952 ------ 1953 ------ 1954 ------ 1955 ------ 1956 ------ 1957 ------ 1958 ------ 1959 ------ 1960 ------ 1961 ------ 1962 ------ 1963------

1964------

1965------

1966------

1967------

11.7 11.0 

11.3 110’8 

11.2 11.8 

11.5 11.5 

11.2 11.3 

10.9 11.3 

10.9 11.2 

10.9 11.7 

10.9 12.5 

11.1 13.0 

11.0 14.1 

11.6 16.1 

11.4 14.9 

11.8 16.1 

11.9 16.6 

11.8 17.6 

11.9 18.1 

12.3 18.3 

12.4 18,5 

almost double that for white men:for example, at 

ages 55-59 years the diabetic death rateforwhite 

men was 24:6 per 100,000, while for other men 

this rate was44.9 per 100,000. 

It is recognized that age atonset ofdiabetes 

is an important factor in determiningageatwhich 

death will occur. Data from the National Health 

Survey indicate it is difficult to determine onset 

of diabetes since it is not. possible to know how 

long diabetes was present before the diagnosis 

was made. g Relatively fewer diabetics of races 

other than white reported diagnosis before age 

25 or after 65. This mayreflect notlowerincidence in the group under 25 years of age, but 

delayed diagnosis. Evidence of delayed diagnosis 

for the period July 1964 -June 1965 was shown in 

the National Health Survey by the substantially 

higher proportion of persons other than white 

in all age groups through age 54 who reported 

diagnosis in the past 10 years. 

The mtiltiple-cause study based on data year 

1955 shows a relatively higher number of associated conditions reported onthedeathcertificate for white persons than for other persons 

when the underlying cause of death reported on 

the certificate is diabetes.6 The following data 

are from table 6 of the 1955 multiple-cause 

lThese age-adjusted ratest~~;ei~com­ puted by the direct method, by 

applying the age-specific death rate: fcr 

diabetes mellitus to the standard copulation distributed by age. The totai ~opulation as enumerated in1940 was selected 

as the standard. 

For both white and other men, for almost 

every 5-year age group in the span 30-34 years 

through 80-84 years the death rate for diabetes 

was upward during 1952-67 (table 16); but both 

the absolute and relative increases were greater 

for other men than for white men. For some age 

groups the 1967 death rate for other men was 

study: 

Underlying 

cause was 

Age in diabetes 

years 

lhite Other 

All 

ages- !2, 732 2,485 

Other 

conditions 

reported when 

diabetes was 

underlying 

cause 

White Other 

41,523 3,979 

Under 1---- 9 12 

1-14 14: 24;-

15-44------

45-64------

1,378 

6,250 

3:; 

1,186 

2,170 

11,271 

4:; 1,978 

65-84------ .3,655 919 25,459 1,465 

85+-------- 1,288 41 2,360 81 

Not stated- 11 4 15 8 

13 
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It was found not only when ‘“diabete% was 

the underlying cause of death but also in general 

for all causes that the major difference between 

the two color groups is the larger percentage of 

single-cause deaths among men other than white. 

This may result in part from the more complete 

enumeration of other conditions on death certificates for the white’ population. 

Anemias (lCD NOS. 290-293). —In 1967 the 

age-adjusted death rate for anemias for the male 

population of races other than white was at least 

two times the corresponding rate for the white 

male population: 

Year White male Other male 

Age-adjusted death rate per 

100,000 population 

1967 3.2 

1966 ::: 3.1 

1965 1.3 3.2 

1964 1.3 3.1 

1963 

1962 

1.3 

1.3 2: 

1961 1.3 2.8 

1960 1,3 2.7 

~These age-adjusted rates were computed 

bv the direct method. tha~ is.. bv a~­

p~ying the age-specific death’rat~s f& 

anemias to the standard population distributed by age. The total population as 

enumerated in 1940 was selected as the 

standard. 

Of the 354 deaths from anemia in the male 

population of races other than white in 1967, 

50.3 percent were attributed to Sickle cellanemia 

(ICD No. 292.6). In centrast, among the 1,384 

deaths from a~.e,mia in 1967 in the white male 

population, only four deaths were attributed to 

sickle cell anemia. This low frequency ofdeaths 

in the white population from this cause is consistent with the fact that sickle cell anemia is a 

hereditary familial hemolytic disorder virtually 

limited to the Negro race. It is characterized 

principally by the capacity of the red cells to 

assume a sickle shape under appropriate conditions. 

The death rate from the anemias increased 

appreciably during 1952-67 for men of races 

other than white for about two-thirds of the 5-

year age groups shown in table 17. Inasmuch as 

somewhat more than half of these deaths are 

attributed to sickle cell anemia, part of the unfavorable trend in mortality from anemias may 

result from the increasing incidence of the sickle 

cell trait in the Negro population of the United 

States. 10 

Vasctdw lesions affecting central nevvous 

system (ICD NOS. 330-334),.—The age-adjusted 

death rate for this group of causes continued 

through 1967 to be much lower for the white 

male population than for the male population of 

other races: 

Year White male I Other male 

Age-adjusted death rate per 

100,000 population 

19(j7------ 71.5 124.4 

1966 73.6 131.5 

1965 73.8 134.2 

1964 74.6 131.1 

1963 77.6 135.7 

1962 77.4 133.4 

1961 77.3 127.5 

1960 80.3 135.2 

lThese age-adjusted rates were computed 

by the direct method, that is, by applying 

the age-specific death rates for vascular 

lesions affecting central nervous system 

to the standard population distributed by 

age. The total population as enumerat&d 

in 1940 was selected as the standard. 

These summary figures indicate that the 

trend is downward for both groups; but agespecific rates for men of races other than white 

show that the substantial decreases in the death 

rate during 1952-67 for each 5-year age groupin 

the early and late middle years (from 40-44 

years through 60-64 years) were offset in part 

by increases in the death rate for young adults 

25-29, 30-34, and 35-39 years old andf ormen 

65-69 and70-74 years of age(table 18). 

14 
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Avteviosclwotic heart disease, incltiiw 

covonavy disease (ICD No. 4’0).—The age-adjusteddeathrateforthiscausecontinued
 tobe


higherin 1967 for whitemen thanformen of


other races;butwhiletherateleveledofffor


whitemen during1960-67,for othermen the


mortality
trendwas <ngeneralupward:


Year I White male I Other male


I I 

Age-adjusted death rate per


100,000 population


1967------ 307.0 247.0 

1966------ 312.7 255.0 

1965A 310.9 247.7 

1964-----: 308.9 242.8 

1963------ 313.4 244.4 

1962------ 307.5 234.7 

1961------ 301.9 220.6 

1960------ 305.3 219.5 

lThese age-adjustedrates were computed


by the direct method, that is, by ap­


plying the age-specificdeath rates for


arterioscleroticheart disease, including


coronary clisease,to the standard popula­


tion distributed by age. The total popu­


lation as enumerated in 1940 was selected
 as the standard.


During1958-67thedeathrateforthiacause


was upward foreach5-yearagegroupofmenof


races otherthanwbireexcept25-29 and 80-84


years:


I Age in 

years 

1958 I 

I 

1967 

Rate per 100, IOpopulation


20-24---

25-29--- u 

30-34--- 31.6 

35-39--- 47.6 65:4 

40-44--- 118.2 145.8 

45-49--- 222.4 242.5 

50-54--- 389.2 401.4 

55-59--- 579.7 650.4 

60-64--- 876.2 905.2 

65-69--- 1157.9 1492.7 

70-74--- .L459
.1 2002.4

75-79--- 1746.3 2123.2


80-84--- 2493.2 2398.6


Other diseases ofcivcukztovy system (ICD 

Nos. 451-468).-Thedeathratefortheresidual 

group of circulatorydiseasesroseduring1958­


67 for bothwhiteand othermen, buttheupturn


in mortality
was somewhatgreaterforthelatter


groupofmen:


Year White male Other male


Age-adjusted death rate per


100,000 population


1967------ 15.3 18.6


1966------ 14.8 18.4


1965------ 14.5 17.5


1964------ 14.1 16.7


1963------ 13.4 16.7


1962------ 12.8 14.3


1961------ 11.9 14.2


1960------ 11.7 13.4


lThese age-adjustedrates were computed 

by the direct method, that Ls, by applying 

the age-specific death rates for this 

residual group of circulatory diseases 

to the standard population distributed by 

age. The total population as enumerated 

in 1940 was selected as the standard. 

For every 5-yearagegroupofmen ofother


races@e deathrateforthisgroupofcauseswas


markedly higherfor 1967 than1952 (table6).


For severalage groupsinthelatemiddleyears


of lifethe 1967 deathrateforthesecauseswas


aboutdoublethecorresponding
 ratein1952.For


example,fortheagegroup60-64yearsthisrate


rose Ilom 28.4deathsper 100,000for 1952 to


62.1deathsfor1967.


For 1967 formen ofracesotherthanwhite


thkgroup ranked as theninthleadingcauseof


deathfortheage group 45-64years andas the


seventhleadingcause ofdeathfortheagegroup


65yearsandover.


Othev twonchopulmonic diseases (ICD Nos. 

525-527).—.For both the whitemale population 

andthemale populationofracesotherthanwhite,


the age-adjusteddeathratesforthisgroup of


causesincreasedduring1960-67:


15

justed death rate for them than for white men: 

Year White male Other male


Age-adjusteddeath rate per


100,OOO population


1967------ 21.0 15.7 

1.966------ 20.7 14.9 

1965------ 19.4 14.0 

1964------ 17.4 12.4 

1963------ 17.6 i2.9 

1962------ 15.2 10.9 

1961------ 13.4 10.4 

1960------ 13.3 9.9 

lThese age-adjusted death rates were 

computed by the direct method, that is, by 

applying the age-specific death rates for 

this residual mou~ of bronchowlmonic 

diseases to the-standardpopulation distributed by age. The total population as enumerated in 1940 was selected as the 

standard. 

Of the 1,631 deaths in 1967 among men of 

races other than white attributed to this group of 

causes, 54.9 percent were assigned to the subtitle Emphysema without rnentio> of bronchitis 

(ICD No. 527.1). Although this disease still causes 

death relatively more frequently among white 

men than among other men at ages 55years and 

over, the reverse is true at younger ages (table 

7). For every 5-year age group under 55years 

the 1967 death rate for white men was substantially lower than that for other men. Moreover, 

for this latter group of men the rate of increase 

during 1957-67 was greater than that for white 

men; for these men ofraces other than white for 

almost every 5-year age group beginning with 

30-34 years, mortality from emphysema more 

than doubled. 

Ciwhosis oflivev (ICD No. 581).—1n 1960 

the age-adjusted
deathrateforthiscausewas


aboutthe same forwhitemen as forothermen.


But the steep upturn in mortality for cirrhosis 

of the liver for the latter group of men during 

1960-67 has resulted in a much higher age-ad1 

Year White male I Other male


Age-adjusted death rate per 

100,000 population 

1967------ 17.2 27.2 

1966------ 16.8 26.6 

1965------ 15.6 23.3 

1964------ 15.0 19.6 

1963------ 14.7 17.1 

1962------ 14.6 3.6.8 

1961------ 14.2 15.9 

i960------ 14.4 I 14:9 

‘These age-adjustedrates were computed 

by the direct method, that @ by applying 

theage-specificdeath rates for cirrhosis


of the liver to the standard population


distributed by age. The total population
 as enumerated in 1940 was selected as the


standard.


In 1967, 41.8 percent of the cirrhosis of the 

Iiver deaths among men of races otlier than 

white were medically certified as having been 

associated with alcoholism compared with 35.6 

percent for white men.Butthevery highcirrhosis 

death rates amcmg men ofraces other thsn white 

during early adulthood (3.0 deaths per 100,000 at 

ages 20-24, 12.2 deaths at ages 25-29, and25.0 

deaths at ages 30-34 years) suggest that other 

contributing factors may well be investigated 

(table 8). At yourigages, say under 50years, the 

cirrhosis death rate iti1967 was much lower for 

white men than for other men. 

Terris, in his review of national data on 

mortality from cirrhosis of the liver, supports 

the finding that in the United States mortality 

tiomcirrhosis of the liver increases atthelower 

socioeconomic levels.ll 

Also the Metropolitan Life Insurance Cornp&y reports that an a.nalysis ofdeath rates from 

cirrhosis of the liver among its policyholders 

indicates considerable variation in mortalityby 

socioeconomic level. 

.,. Policyholders insured under Standard” 

Ordinary policies had substantially lower 
------

death rates than those insured under Industrial policies. These two categories 

of Metropolitan policyholders represent 

broadly different socioeconomic groups. 

Standard Ordinary policyholders are drawn 

principally from the urban middle class 

engaged in nonhazardous work; Industrial 

policyholders are generally members of 

urban wage-earning, lower income families, many of whom are engaged in unskilled or hazardous occupations .12 

Among its findings the Metropolitan Life Insurance Company reports that the 

-. 

. . . age-adjusted death rate for all ages 

combined from cirrhosis of the liver was 

85 percent higher among male Industrial 

policyholders than among Standard Ordinary policyholders; it was 53 percent 

higher among males in the general population than among the Standard Ordinary 

policyholders. A similar pattern was observed among women, except that the 

corresponding deviation was of a smaller 

magnitude (27 percent and 19 percent, 

respectively), and in a few instances the 

death rate from cirrhosis of the liver was 

lower among females insured under Industrial policies than in the United States 

female population.lz 

The Metropolitan Life Insurance Company 

‘suggests that the generally higher mortality rates 

from cirrhosis of the liver at the lower socioeconomic levels may in part reflect inadequate 

recognition of such contributory complications 

as dietary deficiencies, diseases of the bile duct, 

chemical toxins, and infections. 

Motov vehicle accidents ,(ICD Nos. E810-

E835}.—The 1967 death rate for this cause was 

‘higher for white men than for other men at ages 

15-19 and 20-24 years and at ‘75-79 and 80-84 

years. But for each of the 5-year age groups in 

the span between these years, mortality was 

lower for white men than for other men (table 9). 

This higher mortality for other men ‘over the 

major part of the life span is reflected in the ageadjusted death rates for 1960-67: 

I I 

Year I White male I Other male 

I 

Age-adjusted death rate per 

100,000 population 

1967 ------ 41.1 49.4 

1966 ------ 41.9 50.1 

1965------ 39.4 46.4 

1964------ 38.1 44.2 

1963------ 36.7 42.7 

1962 34.9 40.3 

1961------ ;:.; 38.0 

1960------ . 39.5 

lThese age-adjusted rates were compu;ed 

by the direct method, that is, by applY~ng 

the age- specif i.c death rates for motor 

vehicle accidents to the standard population distributed by age. The total population as enumerated in 1940 was selected 

as the standard. 

A larger part of the increase in the motor 

vehicle fatality rate for the male population of 

races other than white reflects increases in 

fatalities to pedestrians compared with the experience of the white male population (table 19). 

While the death rate for white male pedestrians 

decreased substantially during 1952-67 for every 

5-year age group beginning with 25-29 years 

except 30-34 years, the rate for other male 

pedestrians increased for every 5-yesr age group 

15-19 through 40-44 except the group 30-34 

years. 

Other accidents ‘flCD Nos. E800-E802, E840-

E962). —There was only one age group (70-74 

years) of men of races other than white for which 

the increase in mortality for this group of causes 

during 1957-67 amounted to as much as 15 or 

more deaths per 100,000. For most other age 

groups the mortality trend was somewhat upward 

at least after 1962 (table 20). Substantial increases in this death rate occurred between 1962-

67 for each 5-year age group in the span between 

20-24 years and 40-44 years. In 1967 among the 

accidental fatalities of greatest frequency for the 

male population of races other than white were 

deaths caused by fire and explosion of combustible 

material (10.0 per 100,000), drowning (9.4 per 

100 ,000), and firearms (4.6 per 100,000). 

17 
------

------

------

------

------

------

------

Age-adjusted death rates indicate that while But owing to the accelerated increasein the 

mortality for this group of causes has leveled off suicide rate for other men, especially at ages 

for the white male population, for other men the under 50 years, this color differential for men is 

trend is still upward: decreasing. For almost every 5-year age group 

in the span 15-19 through 40-44 years thesuicide 

Year White male I Other male rate for men of races other than white about 

doubled during 1952-67 (table 10). For the age, 

Age-adjusted death rate per group 25-29 years, the suicide rate for other 

100,000 populati.onl men was higher Lhan that for white men for 1961, 

1967 36.7 65.3 1964, 1966, and 1967: 

1966 36.6 66.2 

1965 

1964 

36.0 

35.3 

63.0 

61.0 White men Other men 

1963 35.6 60.8 Year 

1962 

1961 

1960------

35.7 

35.2 

36.5 

60.2 

57.1 

61.6 

20-24 

years 

25-29 

years 

20-24 

years 

25-29 

years 

lThese age-adjusted death rates were Rate per 100,000 

computed by the direct �ethod, that is, by population 

applying the age-specific death rates for 

this group of accidents to the standard 1967------ 14.9 16.9 14.4 18.3 

population distributed by age. The total 1966------ 14.2 16.1 14.1 17.3 

population 

lected as the standard. 1964------ 12.8 15.2 13.5 16.7 

1963------ 12.9 16.2 12.5 14.2 

1962------ 12.6 14.5 12.7 10.9 

Suicide(ICD NOS. E963, E970-E979)~—130rh 1961------ 11.0 13.0 12.8 17..1 

for white men and for men of races other than 1960------ 11.9 13.8 .7.8 12.6 

as enumerated “in 1940 was se- 1965------ 13.9 16.5 13.1 14.9 

white the relative stability in the total suicide 

rate during 1952-67 results from the offsettingof 

striking increases in the suicide rate forpersons Homicide (ICD Nos. E964, E980-E985).— 

Men of races other than white are the victimsof under 45years of age by thelevelingoffor downturn in this rate at most older ages (table 10). homicide relatively more frequently than are 

white men. In terms of absolute values this The age-adjusted rates for suicides during1960-

67 continued to be higher for white men than for color differential increased during 1960-67, as 

other men: indicated by the following age-adjusted death 

rates: 

Year White male Other male Year White male Other male 

Age-adjusted death rate per Age-adjusted death rate per 

100,000 population 100,000 population 

1967------- 17.1 9.7 1967------ 62.7 

1966------- 17.4 9.9 1966------ ::; : 54.6 

1965------- 17.7 9.7 1965------ 4.8 50.7 

1964------- 17.4 9*1 1964------- 4.3 47.1 

1963-------

1962-------

17.9 

17.9 

9.9 196~------

1962------- ~ 4.2 44.8 1 4.1 44.3.4 

1961------- 17.1 ;:: 1961-*--- 3.9 41.5 

1960------- 17.5 8.7 196@------- 3.9 41.9 

lThese age-adjusted rates were computed lThe~ age-adjusted rates were computed 

by the direct �ethod, that is, by applying by the direct method, that Ls,by applying 

the age-specific death rates for suicide the age-spec~fic death rates for homicide 

to the standard population distriibhted by to the standard population distributed by 

age. The total population as enumerate-d” age. The total population as enumerated in 

i.n 1940 was selected as the standard. 1940 was selected as the standard. 

18 
For each 5-year agegroup inthespan 15-19 

through 45-49 years the 1967 death rate for homicide for men of races other than white was more 

than 10 times the corresponding rate for white 

men (table 11). An upturn occurred during 1962-

67 for mortality from this cause for every 5-

year age group in the span 15-19 through 80-84 

years, with the largest absolute increase for the 

age group 25-29 years (from 83.3 deaths per 

100,000 for 1962 to 127.9 deaths per 100,000 for 

1967). 

SUMMARY 

The trend for excess mortality for men, that 

had been upward throughout the century, appeared, 

to level off during the mid-1950’s and then turned 

upward again during 1957-68. This upturn resulted primarily from an increase in mortality 

for men while that for women merely leveled off 

or continued downward, especially at the older 

ages. 

The principal causes of this unfavorable increase in excess mortality for the male population are summarized below by age, separately 

for the white male population and for the male 

population of races other than whit+. 

Whife Male Teenagers and lAduIts 

Age ,gvoups 15-19 and 20-24 yeavs.—For 

white male teenagers 15-19 years of age and for 

young white men 20-24 years of age, an increase 

during 1957-67 in the motor vehicle fatality rate 

accounted for a great part of the upturn in the 

total death rate for these age groups. White men 

at ages 20-24 years continued to have a higher 

death rate for motor vehicle accidents than did 

any other age-color-sex group. Their rate rose 

from 73.0 deaths per 100,000 population for 1961, 

the low year during 1957-67, to 89.3 deaths for 

1967. Their high level for motor vehicle fatalities 

was approached closely by that for white male 

teenagers 15-19 years of age: for them the motor. 

vehicle rate rose from 50.8 deaths per 100,000 

population in 1961 to 69.7 deaths in 1967. Increases in the death rates for both suicide and 

homicide also accounted for a substantial part of 

the upturn in mortaIity for white male teenagers 

15-19 years and young men 20-24 years: For the 

teenagers the suicide rate went up from 5.5 to 

7.5 during 1961-67 and the homicide rate, from 

2.7 to 4.3 deaths per 100,000. For white men 20-. 

24 years of age the suicide rate during 1961-67 

rose from 11.0 to 14.9 deaths per 100,000 population and the homicide rate, from 5.5 to 8.7 

deaths per 100,000 pop~ation. 

Age groups 25-29, 30-34, 35-39, and #-& 

yeazs. —The upturn in mortality for young white 

men 25-29, 30-34, and 35-39 years and those in 

the early middle years (40-44 years) resulted 

primarily from increases in the death rates for 

motor vehicle accidents; malignant neoplasm of 

respiratory system, especially of the lung; cir ­

rhosis of the liver; suicide; and homicide. For 

white men at ages 25-29 years the motor vehicle 

fatality rate rose from 43.6 deaths per 100,000 

for 1961 (a low year) to 54.6 for 1967; the suicide 

rate, from 10.9 deaths per 100,000 for 1957 to 

16.9 for 1967; and the homicide rate, from “6.0 

deaths per 100,000 for 1957 to 10.7 deaths for 

1967. 

Age .gYoups 45-49, 50-54, 55-59, and 60-64 

yean. —For white men in the middle years of 

life, there were substantial increases in- tlk 

death rate for malignant neoplasm of the respiratory system, especially of the lung; other bronchopulmonic diseases, especially emphysema; 

specified diseases of the circulatory system 

(including nonsyphilitic aortic aneurysm, peripheral vascular disease, and arteriaI embolism and 

thrombosis); bronchitis; and cirrhosis of the 

liver. Among the greatest absolute increases in 

mortaliq by cause for Wy 5-year age group in 

the span 45-64 years’ were the following: for the 

age group 60=64 years, the death rate for malignant neoplasm of the respiratory system increased from 125.3 deaths per 100,000 for 1952 

to 220.5 deaths for 1967; that for emphysema 

without mention of bronchitis, Horn 28.6 deaths 

per’ 100,000 for 1957 (using 1957 as base, inasmuch as data for 1952 are not available) to 70.9 

deaths per 100,000 for 1967; fid that for cirrhosis of the liver, from 45.8 deaths per 100,000 

for 1952 to 67.6 deaths for 1967. 

Age gYoups 65-69, 70-74, 75-79, and 80-84 

years .—For white men at the older ages the rise 

in excess mortality compared with the mortality 

for white women resulted primarily from unusually sharp rises in mortality for diseases of 

19

the respirator y system, including malignant neoplasm of the respiratory system; chronic bronchitis; and other bronchopulmonic diseases, especially emphysema. There were also substantial 

increases in the death rate for arteriosclerotic 

heart disease, including coronary disease, for 

white men at ages 70-74 years and for other 

diseases of the circulatory system for every 5-

year age group in the span 65-69 years through 

80-84 years. 

Other Male Teenagers and Adults 

Age groups 15-19 and 20-24 y6?UKS.-The 

motor vehicle was the agent of a substantial rise 

in the death rate for teenagers 15-19 years of 

age and young men 20-24. The death rate rose 

during 1952-67 forthese twoagegroups for both 

drivers and occupants and for pedestrians. In 

1967 deaths to pedestrians accounted for about 

10 percent of the death rate of 82.1 deaths per 

100,000 for motor vehicle accidents at ages 

20-24 years of age. Suicide also contributed 

substantially to the increase in mortality: for 

both age groups 15-19 and 20-24 years the suicide rate almost doubled during 1952-67. Also 

teenagers 15-19 years of age were the victims 

of homicide relatively more frequently in 1967 

than in 1952—a rate of 34.7 per 100,000 for 1952 

and 43,8 per 100,000 for 1967. Men of races 

other than white at ages 20-24 experienced an 

even sharper rise in mortality from homicide— 

a rate of 80.5 deaths per 100,000 for 1952 and 

105.8 deaths per 100,000 for 1967. 

Age groups 25-29, 30-34, 35-39, and 40-44 

yeavs. —The upturn in the death rate formalignant neoplasms contributed substantially to the 

rise in mortality for men of races other than 

white in the young adult and early middle years. 

Among the sites of neoplasms for which the 

mortality trend for these men was clearly upward during 1952-67were therespiratory system, 

esophagus, small and large intestines, liver and 

biliary passage stated to be primary, and’ pancreas. Mortality from diabetes mellitus about 

doubled for the age groups 35-39 and 40-44 years. 

There were also substantial increases in mortality for these men under 45 years of age from 

vascular lesions; arteriosclerotic heart disease; 

other diseases of the circulatory system; other 

bronchopulrnonic diseases, especially emphysema; and cirrhosis of the liver. There were 

also increases at these ages in violent deaths: 

motor vehicle accidents; other accidents, especially death by firearms; suicide, for which 

the death rate almost doubled for each of the 

5-year age groups in the span” 25-29 through 40-

44 years; and homicide, for which the mortality 

increased more than 30 deaths per 100,000 

during 1957-67 for each 5-year age group in the 

span 20-24 through 40-44 years. 

Age groups 45-49, 50-54, 55-59, and 60-64 

years. --The increase in mortality for men of 

races other than white in the late middle, ages 

resulted principally from upturns in mortality 

for malignant neoplasm of respiratory system, 

especially of the lung; malignant neoplasm of the 

urinary organs; diabetes mellitus; vascular lesions; arteriosclerotic heart disease; other circulatory diseases; other bronchopulmonic dis~ 

eases, especially emphysema; cirrhosis of the 

liver; and homicide. 

Age groups 65-69, 70-74, 75-79, and 80-84 

yeavs.--At the older ages men of races other 

than white experienced during 1952-67 increases 

in the death rate for malignant neoplasms of the 

respiratory system, genital organs, and urinary 

organs. Also at these older ages there occurred 

an upturn in mortality during, 1952-67 from 

leukemia; the anemias, particularly sickle cell 

anemia; diabetes; vascular lesions affecting the 

central nervous system; arteriosclerotic heart 

disease; other diseases of the circulatory system; other bronchopulmonic diseases, especially 

emphysema; motor vehicle accidents; and homicide. 

20 
REFERENCES


lNati~nal Center for Health Statistics: The change in 

mortality trend in the United States. Vital and Health .Statistics. 

PHS Pub. No. 1000-Series 3-No. 1. Public Health Service. 

Washington. U.S. Government Printing Office, Mar. 1964. 

2M~in, W. J.:A comparison of the trends of mde and 

female mortality ~ot.mzal of the Royal Statistical Society, 

Series A (General), Vol. CXIV, Part III, 1951, pp. 287-306. 

London, 1951. 

3United Nations, Department of Economic and Social 

Affairs: Demographic Yearbook, 1968, Twentieth Issue. New 

York. Statistical Office of the United Nations, 1969. 

4w’orld Health 0rganisation:14amud of the International 

Statistical Classification of Diseoses, Injuries, and Causes of 

Death, Based on the Recommendations of the Seventh 

Revision Conference, 1955. Geneva. World Health 

Organization, 1957. 

5World Health Organization:Manual of the Irztemational 

Statistical Classification of Diseases, Injuries, and Causes of 

Death, Sixth Revision, Adopted 1948. Geneva. World Health 

Organization, 1948. 

6National Center for Health Statistics: Vital Statistics of 

the United States, 1955, Supplement, Mortality Data. Public 

Health Service. Washington. U.S. Government Printing Office, 

1965. 

7Rosenwaike, I.: On measuring the extreme aged in the 

population. ].Am.Statist.A. 63(321):2940, Mar. 1968. 

8National Cancer Institute:End Results in Cancer, Report 

No. 3. National Institutes of Health Pub. No. 30. Public Health 

Service. Washington. U.S. Government Printing Office, 1968. 

9Nation~ Center for He~th statistics: Chaacterktics of 

persons with diabetes, United States, Jdy 1964-June 

1965. Vital and Health Statistics. PHS pub. No. l.000-Series 

1O-NO. 40. Public Health Service. Washington. U.S. 

Government Printing Office, Oct. 1967. 

10Robbins, S. L. :Textbook of pathology with Clinical 

Application, ed. 2. Philadelphia and London. W. B. Saunders 

Co,, Oct. 1964. pp. 482-483. 

1lTerns, M.: Epidemiology of cirrhosis of the liver, 

national mortality data. Am.].Pub.HeaW 57(12):2076-2088, 

1967. 

1 2Cirrhosis of the liver and socioeconomic 

status. Stat&ti.cal Bulletin, Vol.. 49. New York. Metropolitan 

Life Insurance Co., June 1968. pp. 4-6. 

0 00 

21 
— . LIST OF DETAILED TABLES 

Table 1.


2.


3.


4.


5.


6.


7.


8.


9.


10. 

11. 

12.


13.


14.


15.


16.


17.


18.


19.


20. 

Death rates for all causes,for white men and men of other races, by birth cohort


and age at death: United States, 5-year intervals during 1948-68----------------


Change in mortality trend by sex, age, and color: United States,1954-63 and non­
 epidemic years------------------------------------------------------------------


Death rates for all causes, for white women and women of other races, by birth


cohort and age at death: United States, 5-year intervals during 1948-68---------


Percent excess of death rates for males over those for females,by age and color:


United States, 1948, 1960, and l968---------------------------------------------


Death rates for Malignant neoplasm of respiratory system, not specified as sec­
 ondary, for white men and men of other races, by birth cohort and age at death:


United States, 5-year intervals during 1952-67----------------------------------


Death rates for Other diseases of circulatory system, for white men and men of


other races, by birth cohort and age at death: United States, 5-year intervals


during l952-67------------------------------------------------------------------


Death rates for Emphysema without mention of bronchitis, for white men and men


of other races, by birth cohort and age at death: United States,5-year intervals


during l957-67------------------------------------------------------------------


Death rates for Cirrhosis of liver, for white men and men of other races, by


birth cohort and age at death: United States, 5-year intervals during 1952-67---


Death rates for Notor vehicle accidents, for white men and men of other races,by


birth cohort and age at death: United States, 5-year intervala during 1952-67---


Death rates for Suicide, for white men and men of other races,” by birth cohort


and age at death: United States, 5-year intervals during 1952-67----------------


Death rates for Homicide, for white raenand men of other races, by birth cohort


and age at death: United States, 5-year intervals during 1952-67----------------


Death rates for Malignant neoplasm of digestive organs and peritoneqnot speci­


fied as secondary, for men of races other than white, by birth cohort,and age at


death: United States, 5-year intervals during 1952-67---------------------------


Death rates for Malignant neoplasm of genital organs, for white men and men of


other races, by birth cohort and age at death: United States, 5-year intervals


during l952-67------------------------------------------------------------------


Death rates for Malignant neoplasm of urinary organs, for white men and men of


other races, by birth cohort and age at death: United States, 5-year intervals


during l952-67------------------------------------------------------------------


Death rates for Leukemia and aleukemia, for white men and men of other races, by


birth cohort and age at death: United States, 5-year intervals during 1952-67---


Death ratea for Diabetes mellitua, for white men and men of other races,by birth


cohort and age at death: United States, 5-year intervals during 1952-67---------


Death rates for Anemias, for men of races other than white, by birth cohort and


age at death: United States, 5-year intervals during 1952-67--------------------


Death rates for Vascular lesions affecting central nervous systk% for men of 

races other than white, by birth cohort and age at death: United States, 5-year 

intervals during l952-67--------------------------------------------------------

Death rates for Motor vehicle accidents to pedestrians, for white men and men of


other races, by birth cohort and age at death: United States, 5-year intervals


during l952-67------------------------------------------------------------------


Death rates for Other accidents, for white men and men of other races, by birth


cohort and age at death: United States, 5-year intervals during 1952-67---------


Page


24


25


26


27


28


29


30


31


32


33


34


35


37


38


39


40


41


41


42


43


23

---

---

---

---

---

---

---

---

---

---

---

Table 1. Death rates for all causes, for white men and men of other races, by birth cohort and age at death: United States, 5-


year intervals during 1948-68


@.lespm ]00,[100 pop,l.lion
n.x.group]


Period of birth of cohort


— — Age at death 1949- 1944- L939- 1934- 1929 1924- 1919- 1914 1909- 1904. 1899- 1894 1889- 1884- 1879- L874-


1953 1948 1943 1938 1933 1928 1923 1918 1913 1908 1903 1898 1893 1888 1883 L878


—


White men


15-19 years--- 146.9 121.7 124.3 137.5 L36.I


20-24 years 196.7 167.8 172.5 191. 190.9


25-29 years 167.2 154.4 L48., 164.7 180.(


30-34 years 182.8 L76.i 174.8 190.4 221.


35-39 years ?64,I 259.: 255.E 270. 321.7


40-44 years 420.8 409.[ izz. 458.7 504.!


45-49 years--- 693.[ 702. 690.0 747.( 789.7


50-54 years 144. .154.21175.( 200.4 290.


55-59 years--- .817.91825.{ 765.8 857. 973.0


60-64 years--- 2817.; 710.5 731. 770.9


65-69 years--- 099.2 196. 052.1 2866.2 4026.6


70-74 years 288. 967.8 5782.2 5812.1 6035.3


75-79 years--- 695.7 8645.2 8678.2 8787.5


80-84 years 2349.5 3207.0 L3402.O


~f
 other races


15-19 years--- 214.8 159.0 159.6 204.6 !36.(


20-24 years 366.3 291.1 293.4 164. 419.4


25-29 years--- 455.4 355.9 )52.( 416.1 468.t


30-34 years 594.5 h48., 456.8 504.2 582.


35-39 years--- ?72.! 629.8 563.C 544. 787.1


40-44 years 068.5 894.5 353. 979.8 1144.!


45-49 years--- 449.c 243. .283.11386.: 648.7


50-54 year8--- )02. .924.41897.1 252.1 484. 

55-59 years--- !875.52602.( 669.2 966. 172.7 

60-64 years--- 4018.: 896.9 941. 257.0 3796.C 

65-69 years--- 986.7 114. 125.8 4683.2 4907.1 

70-74 years--- 595. 840.2 6339.C 6326.2 6157.1 ~ 

75-79 years--- 205.8 7896.4 7,529.5 7751.4 

80-84 years--- 9053.1 9573.C L0402.3


— —


N02’S: At ages under 75 years the first figure in each row, moving from ri ht to left, is the death rate for data year 1948,


the second figure for 1953, the third figure for 1958, the fourth figure for 19:3, and the last figure for 1968.


24

---------

--------

-------

-------

-------

-------

-------

-------

-------

---------

-------

-------

-------

---------

Table 2. Change in mortality trend by sex, age, and color: United States, 195&-63 and nonepidemic years


I White Other 

I Period I: 1954-63 Period 11: nonepidemic Period I: 1954-63 Period 11: ncmepidemic


yearsl yearsl


Sex and age
 1 95-percent 95-percent 95-percent Rate of cc.nfidence Sate of tate of confidence ?ate of confidence ch?nge limits? :h?nge :hange l~~~c :hange limits~ in in pe%ent pe%ent >ercent ?ercent 

Jpper Lower Ipper Lower Upper bwer Upper Lower 

) 

Male I 1-4 yeaxs -1.99 -1.74 -2.25 -1.97 -1.58 -2.36 -2.00 -1.54 -2.45 -2.29 -1.58 -2.99 

5-L4 years -1.71 -1.47 -1.95 -1.54 -1.17 -1.91 -1.73 -1.19 -2.25 -1.85 -1.01 -2.67 

15-24 years -1.38 -1.21 -1.56 -1.61 -1.33 -1.88 -1.87 -1.49 -2.25 -2.52 -1.92 -3.lL 

25-34 years -0.44 -0.28 -0.61 -0.88 -0.62 -1.14 -0.94 -0.63 -1.24 -1.18 -0.70 -1.65 

35-44 years -0.29 -0.17 -0.41 -0.57 -0.39 -0.75 +0.51 +0.75 +3.28 +0.M -0.51 -0.22 

45-54 years +0.01 +0.09 -0.06 -0.15 -0.03 -0.26 -0.70 -0.52 -0.87 -1.38 -1.11 -1.66 

55-64 years +0.07 +0.13 -0.02 -0.03 +0.05 -0.12 -0.67 -0.52 -0.82 -1.08 -0.84 -1.31 

65-71iyears +0.50 +0:54 +0.45 +0.22 +0.30 +0.15 +2.24 +2.40 +2.09 +1.59 +1.82 +1.35 

75-84 years -0.02 +o.o& -0.07 -0.15 -0.07 -0.23 +0.33 +0.53 +0.13 -0.19 +0.13 -0.51 

85+ years--------- +1.70 +1.78 +1.61 +1.44 +1.57 +1.30 +1.46 +1.81 +1.12 +1.23 +1.77 +0.69 

Female 

1-4 years -2.02 -1.73 -2.30 -2.06 -1.62 -2.50 -2.05 -1.56 -2.53 -2.37 -1.61 -3.13 

5-14 years-------- -1.47 -1.16 -1.77 -1.55 -1.08 -2.01 -1.38 -0.75 -2.01 -2.25 -1.25 -3.23 

15-24 years------- -0.01 +0.29 -0.28 -1.62 -1.18 -2.06 -0.3C +0.22 -0.81 -3.14 -2.35 -3.92 

25-34 years -0.56 -0.33 -0.79 -0.66 -0.30 -1.01 -1.79 -1.68 -1.90 -2.23 -1.69 -2.77 

35-44 years------- -0.59 -0.44 -0.74 -1.28 -1.05 -1.51 -1.32 -1.07 -1.57 -1.92 -1.53 -2.31 

45-54 years-------~ -0.47 -0.37 -0.58 -0.79 -0.62 -0.95 -2.67 -2.48 -2.87 -3.20 -2.90 -3.50 

55-64 yeazs -1.09 -1.03 -1.14 -1.35 -1.23 -1.47 -0.52 -o.3& -0.69 -0.78 -0.51 -1.05 

65-74 years -0.97 -0.92 -1.03 -1.16 -1.07 -1.25 +1.18 +1.35 +1.01 +0.59 +0.86 +0.33 

75-84 years------- -0.77 -0.72 -0.82 -0.82 -0.74 -0.9C +0.18 +0.39 -0.04 +0.02 +0.36 -0.33 

85+ years +0.81 +0.89 +0.74 +0.43 +0.54 +0.32 +2.4: +2.78 +2.13 +2.56 +3.08 .!-2 

1The nonepidemic years during 1954-63 were 1954-56, 1959, and 1961.


‘The probability is 95 percent that the true rate of change in percent will have a value between the upper and 

lower limits shown. 

25


.05 
----

----

----

----

----

----

----

----

----

Table 3. Death rates for all causes, for white women and women of other races, by birth cohort and age at death: United States,
 5-year interva1s during 1948-68


[Rnkwp.r 100,UW popu[nLion in ago gmu,j 

Period of birth of cohort
 — Age at death


.949. 1944 1939 1934- 1929. 1921 1919. 1914 1909 1904 189! 1894 18S9 1884- 1879- 1874-
 .953 1948 1943 1938 1933 192{ 1923 1918 1913 1908 190: 1898 1893 1888 1883 1878


White women 

15-19 years---- 57. ! 50. [ 50.. 59.3 72.1 

20-24 years 64. ! 63. ( 59.9 &j.g 93, 

25-29 years 70. ! 72.4 72.4 82. 1o9.1 

30-34 years---- 96.3 98.5 98. Lll, c 144.: 

35-39 years---- 152.3 153. 14s. f 167.1 214. [ 

40-44 years---- 240. 233.1 232.! 265. ( 311.: 

45-49 years---- 376. ( 370.L 368. [ 402.: 459. 

50-54 years---- 568.[ 553. [ 568. ( 634. 713. 

55-59 years 840.: 836.1 850. 960. 107.5


60-64 years---- .268.: .293. 1372. ( 484. S L689. C


65-69 years---- !021. nzo. f 233.6 2411.4 2592.4 

70-74 years 1355.: 459.4 1656.7 3989.7 4445,4 

75-79 years---- 490.1 ;8L8. 8 6247.7 6600.8 

80-84 yeara---- 3236.8 0216. $ 10608.4 

women of 

other races 

15-19 years 81.4 81.0 83. ? L32.8 208.8 

20-24 years---- .38.5 L29.6 L43.7 L86.2 327. 

25-29 yeers---- !00. 7 208.3 215.2 262. 383.6 

30-34 years---- 103.7 301.4 332. 366.4 501.2 

35-3!3 years---- $48.8 %48 . $55.5 522.3 666.3 

40-44 years---- 542. 654.8 669.6 794.9 982. C 

45-49 years 882.8 865.1 993.0 141.: 395. 

50-54 years 210.7 365.1 526. ~ 806. .959.f 

55-59 years---- 763.1 889. C 117. :258.: 428.3 

60-64 years---- 652.7 061. :938.4 i25.8 1177.3 

65-69 years---- 406. .023.4 529.3 !393.9 4106.1 

70-74 years 263.: 556.0 .750.3 $796.4 4896.3 

75-79 years---- %68.9 ;977.O 5827.7 6636.1 

80-84 years ‘229.5 7515.1 8130.8 

N~E; At ages under 75 years the first figure in each row, moving from right to Ieft, is the death rate for data year 1948,
 the second figure for 1953, the third figure fox 1958, the fourth ffgure for 1963, and the 3.astfigure for 1968.


26 
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-------- ----------

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Table 4. Percent.excess of death rates for males over those for females, by age and color: United


States, 1948, 1960, and 1968


White, I Other 

Age 

1968 I 1960 I 1948 I 1968 I 1960 I 1948 

Percent excess of death rates 

All ages------------------------- 34.6 I 37.2 -222 39.8 32.0 25.3 

Under 1 year------------------------- 34.6 34.2 30.6 I 22.1 27.6 25.7 

1-4 years......---------------------- 21.7 23.1 22.5 21.7 18.9 10.0 

5-9 years---------------------------- 42.0 +0.2 44.1 41.8 18.5 16.4 

10-14 years-------------------------- 73.9 67.5 62.9 82.4 78.3 13.2 

15-19 years-------------------------- 155.5 148.9 89.7 163.9 106.2 13.2 

20-24 years-------------------------- 205.0 176.3 103.5 164.5 102.4 28.1 

25-29 years-------------------------- 135.8 112.4 63.9 126.9 63.2 22.2 

30-34 years-------------------------- 89.8 75.4 53.2 95.8 39.2 16.2 

35-39 years-------------------------- 73.7 71.8 49.8 72.2 33.7 18.1 

40-44 years 75.3 75.3 62.2 66.2 32,6 16.6 

45-49 years ..”----- 84.3 92.5 71.8 64.1 35.0 18.2 

50-54 years-------------------------- 101.6 111.2 81.0 65.4 35.0 26.8 

55-59 years-------------------------- 116.3 115.1 78.1 63.1 28.1 3G.7 

60-64 years----=-,-~.-,-p 122.1 102,? 69.7 51.5 34.3 19.5 

65-69 years-.-----.-,.----<----------- 102.8 88.0 55.3 35.9 46.9 19.5 

70-74 years---------.~---=— 87.4 64.9 35.8 63.3 36.9 25.8, 

75-79 years---.---------~.—--------= 58.4 43.CI 25.8 50:0 29=7 29.Q 

80-84 years--,-----~===~----===------ 33.7 27?!, 18.1 25.2 30.0 23.9 

85 years and over--------=-~.=------ 7:7 tlf~ 10.3 5.3 18.4 26.4 

. .— .—.- -.— 

27 
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Table 5. Death rates	for Malignant neoplasm of respiratory system, not specified as sec.mdary, for white men and men of other
 races, by birth cohort and age at death: United States, 5-year intervals during 1952-67


[R.tm pw 100,000 population in w L!roup. Do.Lhs m. Lh.w ns.ignod Lo mlcy+my numbers 100-lli4_or Lh. Sixlh md S.vmlh Rcwisim. d the [ntcm.1i.n.1 Cla..ifio.tion of Di.mm., ~941i find 

Period of birth of cohort


Age at death


White men


15-19 years


20-24 years


25-29 years


30-34 years


35-39 years


40-44 years-------


45-49 years-------


50-54 years


55-59 years


60-64 years


65-69 years


70-74 years-------


75-79 years-------


SO-8k years


Men of
 other races


L5-19 years


20-24 years


25-29 years-------


30-34 years-------


35-39 years


40-44 years-------


45-49 years


50-54 years


55-59 years


60-64 years


65-69 years-------


70-74 years


75-79 years


80-84 years


— 

>48. 1943. 1938- 1933- 192S- L923. 191S. 1913- 190s- L903- 1898- 1893. 1888 1883. 187S 1873-
 152 1947 1942 1937 1932 L927 1922 1917 1912 1907 1902 1897 2.892 1887 1882 1$77


—
 . .


0.1 0.1 O.L 0.2 

0.: 0+4 0.5 0.6 

0,4 0.7 0.8 0.8 

2.4 2.5 2.2 1.; 

7.7 6.: 5.1 4.6 

19.1 Lfj.$ 14.6 12.5 

4L.1 37.6. 32.3 28.2 

86.4 76.7 67.S 55.2 

143.0 L30.6 LL5.9 93.3 

220.5 L92.6 164.2 L25. 

296.1 248.2 196. L40.( 

332.1 ?46. L91,C 134.; 

319. 223.4 174.: L27.5 

257.( 185.( 149.6 

0.1 0.1 0.3 0.5 

0.1 0.3 0.7 0.4 

0.9 1.0 0.5 L.O 

4.5 4.s 2.1 2.9 

16.3 11.3 5.4 6.6 

39.9 28.4 1s.5 L9.3 

73.s 55.7 49.2 37.6 

.30.0 95.6 78.6 53.4 

184.5 L2S.7 115.4 88.4 

238.4 1S6.2 164.7 97.: 

295.1 223.0 .37.1 88.6 

316.6 .92.I .35.6 74.4 

!33.( 150.9 104.4 73.2 

164.9 125.4 75.0 

—
 — 

NOTE: At ages under 80 years the first figure in each row, moving from right to left, is the death rate for data year 1952,


the second figure for L957, the third figure for 1962, and the Last figure for 1967.


28 
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Table 6. Death rates for Other diseasesof circulatorysysteio,for white men and men of otherraces,by birth cohortand age at
 death:United States,5-year intervalsduring 1952-67


LRnk.s pm 10(?,000 populolim in age group. D.mths CU. thos.a msigncd to cakgory numbas .4$1-468 of Lho Sixth and Sevonlh Rwisicma .[ the I“tmmtim.1 C1.ssiiication CJ Dismws, 194tl and 

Periodof birth of cohort
 - Age at death
 1948- L943- 193s- .933- 1928- 1923- 1918; 1913- 190s- 1903. 1898- !893- 1888- L883. 1878- 1873-
 1952 L947 1942 .937 1932 1927 1922 1917 1912 1907 1902 L897 1892 1887 18S2 1s77


White men 

15-19years 0.5 0.3 0.5 0.4 

20-24years 0.7 0.6 0.4 0.5 

25-29years 0.9 0.9 0.6 0.8 

30-34years 1.8 1.5 1.2 1.2 

35-39years 2.7 2.6 2.0 2.1 

40-44 yeara 4.7 4.1 4.1 3.3 

45-49 yesrs 8;9 7.6 6.2 6.: 

50-54 years 17.3 15.4 13.1 9.4 

55-59years 31.3 27.2 24.7 17.0 

60-64yeare 56.? 4s.3 41.9 27.0 

65-69years 93.1 84.8 61.1 31.9 

70-74years .45.0 113.1 73.: 38.4 

75-79years 174.? L34.; 92.2 53.5 

SO-84years 196.: 153.8 110.3 

Men of 

otherraces 

15-19years 0.9 0.s 0.6 0.3


20-24years 2.5 1.4 2.4 0.7


25-29years 2.5 1.9 2.1 1.7


30-34 years 6.3 4.0 5.0 3.3


35-39years 11.0 7.7 5.4 4.0


40-44 yaars 11.4 10.4 12.6 7.0


45-49 yeara 21.1 16.6 18.3 9.4


50-54 years 30.6 26.1 20.9 15.9


55-59years 45.6 34.0 34.4 27.9.


60-64 yeara 62.1 56.3 5s.9 2S.4


65-69yesra 106.5 92.2 60.4 19.0


70-74years .47.3 90.9 49.7 24.8


75-79years 140.8 80.9 53.8 39.4


80-84years .14.9 84.7 50.0


NOTE: At agis unilerSO years the first figurein each row, moving from right to left, ia the death rate for data year 1952,
 the secondfigure for 1957,the third figure for 1962, and the last figure for 1967.


29 
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-------

-------

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Table 7. Death rates for Emphysema without mention of bronchitis, for white men and men of other races, by birth cohort and age


at death: United States, 5-year intervaLs during i957-67


Period of birth of cohort
 — Age at death


948- 1943- L938- 1933- 1928. L923- 1918- 1913- 1908- 1903- 1.898. L893- 1888 1883 1878- L873-


952 1947 1942 1937 L932 L927 1922 1917 1912 1907 L902 1897 1892 1887 1882 1877


— —


White men 

15-19 years 0.0 0.0 

20-24 years 0.0 0.0 0.( 

25-29 years------- 0.1 O.c 0.( 

30-34 years-----7- 0.2 0.: 0.1 

35-39 years 0.i 0.7 0.5 

40-44 years 2.2 2.0 1.2 

45-49 years 5.7 4.4 2.9 

50-54 years 14.6 11.6 6.9 

55-59 years------- 35.4 26.9 15.: 

60-64 years 70.9 48.! 28.6 

65-69 years L15.f 81.5 40.; 

70-74 years------- 172.6 100.t 41.! 

75-7!3years 197.! 108.( 48.7 

80-84 years 191.1 108.1 49.7 

u other races


15-19 years-------


20-24 years (J.4 U.3 3.2 

25-29 years 0.4 0.5 0.: 

30-34 years------- 1.2 0.$ 0.3 

35-39 years 1.5 1.5 1.1 

40-44 years 3.6 2.6 1.8 

45-49 years 7.7 3.7 3.8 

50-54 years 16.0 9.6 5.6 

55-59 years 22.0 15.7 10.5 

60-64 years 40.2 28.9 19.8 

65-69 years 66.1 47.4 22.i 

70-74 years 81.7 43.4 19.: 

75-79 years 87.: 33.( 19.8 

80-84 years 56.[ 30.5 25.0


—


NOTE: The first figure in each row, moving from right to left, is the death rate for data year 1957, the second figure for
 1962, and the third figure for 1967. This table shows data for only 3 years because data for 1952 are not available.


30 
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Table 8. Death rates for Cirrhosis of Liver, for white men and men of other races, by birth cohort and age at death: United


States, 5-year interva1s during 1952-67


[Rates pm IOI,00CJn.p.l.tion in .ZP group. DOaL~S.ro tho.o ..signcd a ..tL.KOry .Umlmr ZSI d M. NM and %v.nth Rrmisi.ns oftlw Intern.tion.! Cln..sificati.n oillis.mes, 1!3+S ..4 195~ 

Age at death


White men


15-19 years


20-24 years


25-29 years


30-34 years


35-39 years


40-44 years


45-49 years


50-54 years


55-59 years


60-64 years


65-69 years


70-74 years


75-79 years


80-84 years


s other races


15-19 years


20-24 years


25-29 years


30-34 years


35-39 years


40-44 years


45-49 yeaza


50-54 years


55-59 yeazs


60-64 years


65-69 years


70-74 years


75-79 years


80-84 years


Period of birth of cohort


1948- 1943- \938- L933- 1928- 1923- 1918- LJ13- 1908- 1903- L898- 1893- 1888- 1883- L878- 1873-


1952 1947 1942 1937 1932 1927 1922 1917 1912 1907 1902 1897 1892 1887 L882 1877


0.1 0.2 c!, ]
 0.1


0.1 0.2 0.2 0.3


1.: 1.3 1.0 1.3


4.6 3.6 4.0 3.1


13.1 9.0 9.2 9.1


22.6 18.4 19.3 17.8


36;3 31.9 29.8 27.0


50.6 44.7 42.4 34.;


63.0 51.9 46.5 43.3


67.6 5J..C 50.8 45.8


66.: 63.1 62.2 53.2


57.8 49.7 56.1 51.1


62.7 45.1 50.1 51.4


38.5 42.5 49.7


0.8 0.8 0.2


3.0 1.4 0.5 1.1


12.2 6.1 5.3 2.0


25.0 14.5 9.4 8.1


48.6 30.3 17.2 13.0


63.8 33.0 22.3 14.8


63.1 36.2 32.4 21.5


66.4 41.4 30.5 30.6


65.9 39.6 42..2 28.9


58.1 52.2 44.2 40.5


71.8 &3.9 33.0 22.4


41.4 28.6 28.9 35.2


35.2 21.8 39.6 28.2


‘13.5 28.8 27.3


—


NOTE: At ages under 80 years the first figure in each row, moving from right to left, is the death rate for data year 1952,
 the second figure for 1957, the third figure for 1962, and the last figure for 1967.

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Table 9. Death races for Motor vehicle accidents, for white � en and �en of other races, by birth cohort and age at death: United States, 5-year intervals during 1952-67 

@,,ks,. PW 100.01111p.p.).lim in w. b% Q..Lhs w. Lhw..s.i&m.d to ..twary n.ndnw E810-~8M or dmSixlh .nd Sw.nLh Revisions of lb@ I.tm..tio..l Clkfiific.lion .1Di..a..s,1948 

Period of birth of cohort


Age at death 

L948- L943- 1938. 1933- 1928- 1923- 1918- 1913. 1908- 1903- 1898- p;; L888- 1883. 1878. 1873- L952 L947 1942 1937 1932 1927 1922 1917 1912 1907 1902 1892 L887 1882 1877


White � en 

15-19 years 69.2 52.5 57.! 55.0 

20-24 years 89.: 77.( 80.3 76.5 

25-29 years 54.( 45.8 47.3 49.9 

30-34 years 41.9 34.4 37.6 36.C 

35-39 years 35.8 30.9 32.( 33.: 

40-44 years 33.6 29.7 30.: 32.9 

45-49 years 35.: 29.6 31.8 32.1 

50-5& years 37.1 32.5 32.1 35.3 

55-59 years 37.3 34.8 34.3 40.5 

60-64 years 42.4 37.5 42.3 44.5 

65-69 years 45.7 42.0 47.6 56.$ 

70-74 years 55.8 51.9 55.2 65,$ 

75-79 years 66.6 63.S 71.f 77.4 

80-84 years 77.1 73.( 77.9 

Men of other races 

15-19 years 46.9 33.1 33.: 41.4 

20-24 years 82.1 71.8 71.1 71.9 

25-29 years 71.s 59.3 70.4 70.3 

30-34 years 65.1 48.2 54.2 56.6 

35-39 years 53.5 48.1 49.2 56.8 

40-44 years 54.2 45.0 47.6 48.8 

45-49 years 52.0 42.4 46.8 55.5 

50-54 years 57.1 49.6 57.5 62.6 

55-59 years 59.4 52.0 55.9 57.1 

60-64 years 59.2 49.7 58.5 67.1 

65-69 years 77.6 64.8 50.9 49.5 

70-74 years 70.4 54.3 51.7 61.6 

75-79 years 52.0 43.6 70.3 66.2 

80-84 years 66.2 47.5 79.5 

NOTE: At ages under 80 years the first figure in each row, moving from right to left, is the death rate for data year 1952,
 the second figure for 1957, the third figure for 1962, and the lest figure for 1967.


32

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Table 10. Death rates for Suicide, for white men and men of other races, by birth cohort and age at death: United States, 5-year
 intervals during 1952-67


Period of birth of cohort


— Age at death
 ~ L948- L943- 1938- L928- 1923- 1918- L913- L908- 1903- 1898- 1893- .888. 1883. 1878- 1873-


L952 1947 1942 L937 L932 1927 1922 1917 L912 1907 1902 1897 .892 1887 1882 1877


—


White men 

15-19 years 7.5 5.8 4.1 4.7 

20-24 years 14.9 12.6 9.4 9.2 

25-29 years 16.9 14.5 10.9 11.9 \ 

30-34 years 17.5 18.4 14.3 13.3 

35-39 years 22.2 20.8 16.7 L7.7 

40-44 years 25.4 24.9 23.6 21.7 

45-49 years 26.8 30.2 26.8 26.8 

50-54 years 31.8 37.0 34.4 33.2 

55-59 years 35.7 41.4 37.4 35.0 

60-64 years 37.4 39.4 38.9 k2.4 

65-69 years 32.2 40.1 kl.1 45.: 

70-74 years 37.9 b2.8 46.’ 50.C 

75-79 years kO.6 54.. 52.2 50.8 

80-84 years 49.[ 62.7 61.5 

Men of
 other races


15-19 years 3.8 3.7 3.3 1.9


20-24 years 14.4 12.7 8.5 7.4


25-29 years 18.3 10.9 11.5 11.8


30-34 years 17.0 14.7 14.4 9.5


35-39 years 14.0 14.0 10.5 9.8


40-44 years 15.5 11.5 10.6 7.8


45-49 years 11.6 12.0 12.6 8.3


50-54 years 11.5 12.9 10.8 11.6


55-59 years 15.8 10.9 10.9 13.0


60-64 years 10.4 19.4 13.2 L6.2


65-69 years 12.7 15.2 L2.2 10.!


70-74 years 11.8 L8.9 25.: 12.0


75-79 years L4.4 9.1 13.2 8.5


gO-86 years 9.5 22.0 20.5


!iOTE: At ages under 80 ears the first figure in each row, �oving from right to left, is the death rate for data year 1952~ 

the second figure for 195?, the third figure for 1962, and the last figure for 1967. 

33 
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-----

-----

-----

-----

-----

-----

-----

-----

-----

-----

-----

Table 11. Death rates for Homicide, for white men and men of other races, by birth cohort and age at death: United States, 5-year
 intervals during 1952-67


[Bmospm100,000 poplrtLion i. W. group. U..Lh. $Lro Lhow .S.immd la c.teg.ry number. ~~;IEJ~iE905 .?tho Sixth ..(I %v..th IZevkions of the InLern.Lion.l Classific.Licm of Ois­

“,,0,. 

Period of birth of cohort


Age at death


948- 943- .938- .933- L928- L923- 918- .913- 908- 903- 898- 893- .888- .883- 878- 873-


952 947 .962 .937 L932 L927 1 1 922 .917 912 907 902 897 .892 .887 882 877


—.


White men 

15-19 years------ 4.3 2.6 2.3 2.4 

20-24 years 8.7 5.5 5.7 5.4 

25-29 years------ 10.7 6.6 6.0 6.2 

30-34 years 10.1 7.1 5.3 5.1 

35-39 years 9.1 6.3 5.0 5.8 

40-44 years 8.4 5.6 4.6 5.9 

45-49 years 7.0 5.7 4.5 5.5 

50-54 years 6,8 5.7 4.1 5.0 

55-59 years 6.2 4.9 4.8 4.1 

60-64 years 5.1 4.2 3.1 3.8 

65-69 years 5.3 3.9 3,7 3.9 

?0-74 years-----, 4.5 2.7 3.1 3.9 

75-79 years------ 4.0 3.0 2.3 3.7 ~ 

80-84 years-----, 3.6 3.2 2.7 

N 

other races


15-19 years-----, 43.8 27.0 26.5 34.7


20-24 years 05.8 76.5 69.0 80.5


25-29 years 127.5 83.3 86,6 107.6


30-34 years L25.O 87.1 86,9 !04.5


35-39 years 115.5 79.1 72.1 99.1


40-44 years 99.7 73.2 66.7 80.0


45-49 years 82.3 58.8 63.9 58.6


50-54 years 59.7 53.1 47.9 46,8


55-59 years 53.2 37.1 35.5 36.5


60-64 years 35.5 34.5 26.C 27.5


65-69 years 35.5 27.4 26.1 20.5


70-74 years 27.2 12.6 20.1 16.8


75-79 years 16.8 14.5 14.3 19.7


80-84 years 8.1 6.8 15.9


: At ages under 80 years the first figure in each row, moving from right tO left, is the death rate for data year 1952,


theN%~ond figure for 1957, the third figure for 1962, and the last figure for 1967.


34 
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Table 12. Death rates for Malignantneoplasmof digestiveorgansand perintonetim,ncm specifiedas secondary,for men of races


other than white,by birth cohortand age at death:United States,5-yearintervalsdurfig1952-67


[Rat.. p.,100,000 population h nfic group. Deaths m. thin. .,s@~ m ,~..ifi.d
 .~g;WJY;ES OfLh.%W andSm’cnth Xwi.i.ns of OW International Cluwificaticm of Oismses, 194s 

Periodof birth of cohort


- Cause of death
 and age - .923- L918- .913- ,908- !903- L898- .893 = 1883- L878- 373-
 348-1 !943- L93S- 933- .928 - .888


952 !947 1942 ,937 .932 .927 L922 .917 .912 !907 L902 .897 .892 L887 L8S2 377


-


Malimant neo­
 plasm of diges­
 tive organsamf
 peritoneum,not
 specified as 

(15H%%57-

15-19years
 20-24years
 25-29years
 30-34years
 35-39years
 40-44 years
 45-49 years
 50-54years
 55-59years
 60-64years
 65-69years
 70-74years
 75-79years
 80-84years


15-19years
 20-24yeazs
 25-29years
 30-34 years
 35-39years
 40-44 years
 45-49years
 50-54years
 55-59years
 60-64yeaZS
 65-69years
 70-74years
 75-79years
 SO-64 years


Of stomach(151/


15-19years
 20-24years
 25-29years
 30-34years
 35-39years
 40-44 years
 45-49 years
 50-54years
 55-59years
 60-64years
 65-69 years
 70-74years
 75-79years
 SO-84 years


9f s mall and large intes­ t?nes.sxcept 

rectum,(152,f53 

15-19years
 20-24years
 25-29years
 30-34years
 35-39years
 40-44 years
 45-4!3years
 50-54years
 55-59 years
 60-64years
 65-69years
 70-74years
 75-79years
 80-84years


0.7 1.2 0.3 0.5 1.3 1.4 1.7 2.0 2.8 2.2 2.4 7.s ::! 1;:: 17.1 12: 14.2 33.9 33.2 30.6 34.8 61.8 62.1 66.2 70.7 ,24.1 .24.1 L22. 5 134.7 .S6.2 L59.4 LS7.4 !00. o ?67.3 255.9 !91. 9 !74,3
 $01.2 153.0 139.1 307.1
 170.4 $94,9 364.4 369.6
 }61.
6	 !31.8 408.8 426.8
 390.5 415.3 425,0


o.i o.; 0.; 0.2
 2.3 2.6 1.0 1.2
 7.2
 1;:1 3.%; 12:: 11.9
 27.7 27.2 23.0 17.7
 42.5 30.5 31.6 26.9
 42.5 37.8 39.9 32.4
 52.7 ;p : 37.8 22.9
 50.9 31.5 28.0
 44.8 31.8 24.2 29.6
 37.8 23.7 25.0


0.1 

0.2 o.; 0.; 1.0 0.7 0.; 0.8 2.3 1.0 

2.3 t: ;:: 4.7 9.1 13.2 12; 12: 19.7 23.5 32.8 34.2 44.4 54.7 46.8 ;j.g 64.5 81.1 . 83.9 .11.6 L03.6
 115.9 .13.5 L2S.3 137.1
 .49.7 M+6.9 143.6 172.0
 L54.
4 L53.6 171.4 183.1
 L18.9 167.8 145.5


0.4 0.8 0.1 0.3 0.5 0.3 0.7 0.7 0.6 0.9 0.7 0.5 1.4 0.7 k; ::i 2.9 5.6 ::: 3.7 4.1 9.0 1;:: 1:: 12: 16.5 30.1 21.3 24.0 25.9 51.8 51.0 39.1 ;$.g 84.9 70.0 $:.; 9s.9 77;1 64.0 !-08. o
 LO1:S S3.5 67.6 L04.1 86.4 90.9


; At ages under 80 years the first figurein each row, moving from right to left, is the death rate for data year 1952,


theN~%ond figurefor 1957, the third figurefor 1962, and the last figurefor 1967.


35 
Table 12. Death rates for Malignant neoplasm of digestive organs and p~ritoneum, not spec+fied as secondary, for men of races 

other than white, by birth cOhOrt and age at death: un~ted states, 5-Year znte~als during 1952-67’- con. 

[R.1.s p.r 10U,OOOyap.1.ti.n i. r.g. group. Death. m lhosc .asigncd to specified c.tegoty numbers of the Sixlh .nd Sov.nth ~.t<isions or th.lntwn;lional CI.wifi..kion of Oiw.ses, 1948 md 1955] 

Period of birth of cohort


Cause of death — — 7 and age	 948- 943- 938 L933- ,928- .923- 918- L908- ,903- .898- .893- 888- 883- 878- ,873-


952 947 942 1937 .932 .927 922 L912 .907 .902 !897 892 887 882 .877


of rectum (154)


15-19 years------ 0. 

20-24 years------ 0.i 0, 0.; 0.4 

25-29 years------ 0. 0.3 0.9 0.8


30-34 years------ 1.0 0.7 0.5 0.9


35-39 years------ 0.5 1.1 0.8


40-44 years------ 1.3 2.3 3.3


45-49 years------ 3.8


50-54 years------ 1::z $:;


55-59 years------ 13.4 13.2 1;:: 16.6


14.7 16.8 21.7 27.5 60-64 years------ 32.2 24.3 21.7 ;;.: 65-69 years------ 26.6 27.4 33.(
 70-74 years------ 33.6 30:9 39.( 52.L
 75-79 years------ 40.5 35.< 59.1
 80-84 years------


Of biliarv Pas-
 sages and Ilver


stated to be


w


15-19 years------ 0.2


20-24 years------ 0.; 0. 0.2 0.4


25-29 years------ 0. 0.2 0.2


30-34 years------ 0.5 0.i 0.0 0.5


35-39 years------ 0.8 1.3 1.1


40-44 years------ 2.8 2.1


45-49 years------ ::: M 

3.4 3.5
 50-54 years------ 12.9 1~:‘?
 55-59 years------ 23.4 1::: 1::: 9.9
 60-64 years------ 24.5 22.6 11.4
 65-69 years------ 32.5 1%: 16.8 lo.f
 70-74 years------ 21.6 16.4 19.:
 75-79 years------ 9.5 20. 2;:;
 80-84 years------


Of uancreas


@z)


15-19 years------
 20-24 years------ o.; 0. 0.2


25-29 years------ 0.: 0.3


30-34 years------ 1.: o.; 0.8


35-39 years------ 1.6 2.0


40-44 years------ 6.2 ::: 4.:


45-49 years------ 8,E z::: J: 2 18.0
 50-54 years------ 29.L 25.1 29.3 24.6
 55-59 years------ 47.4 37.2 45.: 35.1
 60-64 years------ 64.9 55.2 52.t 30,(
 65-69 years------ 83.4 53.; 45.f
 70-74 years------ 71.: 63.( a 49.3
 75-79 years------ 63.L 54. 45.5
 80-84 years------


: At ages under 80 years the first figure in each row, moving from right to left, is the death rate for data year 1952,


theN~~ond figure for 1957, the third figure for 1962, and the last figure for 1967.


36

-------

-------

-------

-------

-------

-------

-------

-------

-------

Table 13. Death rates for Nalignant neoplasm of genital organs, for white men and men of other races, by birth cohort and age at


death: United States, 5-year intervals during 1952-67


~k par10U,OOO
 populsti.. it! .$. group. Dc.lhs m those .Agnml la mtegwy .umhcwson::j,:.d Lh. Sixth d Sw.nth Revisions of the InLmmLion.I Classification of ok.,..-% 194S 

Period of birth of cohort


Age at death


1948- 1943- !938- 1933- 1928- L923- .918- 1913- 908- .903- .898- L893- i888- L883- .878- !873-
 IT 1952 1947 .942 1937 L932 1927 .922 L917 912 .907 .902 L897 L892 1887 .882 L877


White men 

15-19 years-------


20-24 years-------


25-29 years


30-34 years


35-39 years------


40-44 years-----=-


45-49 years


50-54 years-------


55-59 years


60-64 years


65-69 years-------


70-74 years-------


75-79 years-------


80-84 years-------


~
 other races


15-19 years-------


20-24 years-------


25-29 years-------


30-34 years-------


35-39 years-------


40-44 years-------


45-49 yeaxs-------


50-54 years-------


55-59 yea= -------


60-64 years


65-69 yeazs


70-74 years


75-79 years-------


80-84 years


0.5 0.6 0.5


1.7 1.4 1.5


1.8 1.9 1.7


2.0 1.9 2.0


1.5 1.8 1.6 1.7


1.2 1.1 1.7 1.5


1.7 1.8 1.9 2.1


4.3 4.6 5.0 5.2


11.1 11.4 11.7 14.:


29.8	 29.3 33.> 34.(


64.8 68.5 7(3.5 71.7


132.2 125.: 142.0 .45.3


228.$ 235.9 !46.1 252.4


348.0 %64.7 409.2


0.2 0.1 ().3


0.8 0.3 0.7


0.9 0.3 0.7


0.2 0.2 0.9


0.2 1.3 1.3 1.2


1.1 2.1 3.3 2.7


4.1 4.3 6.9 8.7


12.6 14.0 18.8 20.8


36.8 39.3 37.4 40.!


74.3 93.4 95.; 93.;


.88.2 L94.Z 159.1 104.8


311.E 254.: 252.3 .60.8


329.( 282.7 !75,8 269.0


378.4 $42.4 300.0


NDTE: At ages under 80 years the first figure in each row, moving from right to left, is the death rate for data year 1952,


the second figure for 1957, the third figure for 1962, and the last figure for 1967.


37

-------

-------

-------

-------

-------

-------

-------

-------

-------

-------

-------

-------

Table 14. Death rates for Malignant neoplasm of urinary organs, for white men and men of other races, by birth cohort and age at


death: United States, 5-year intervals during 1952-67


. 

km .or . 100.000 . .o..l.Lion in .x. 50... D..1hs .ro OWW assigned L. .Mx.or, numbers 180 and 181 or the sixth WI Seventh Rwisirxs OCth. Marn.tio”al Cltwsiti..tion .[ Dis.e.ses, 

1948 emd 1955] 

Period of birth of cohort


Age at death


White men


15-19 years


20-24 years


25-29 years


30-34 years


35-39 years


40-44 years


45-49 years-------


50-54 years-------


55-59 years-------


60-64 years


65-69 years-------


70-74 years-------


75-79 years-------


SO-84 years-------


Men of
 other races


15-19 years-------


20-24 years


25-29 years-------


30-34 years-------


35-39 years


40-44 years-------


45-49 years-------


50-54 years-------


55-59 years-------


60-64 years-------


65-69 years


70-7L years-------


75-79 years


80-84 years


948- 1943- 1938- .933- 1928- 1923- 1916- 1913- .908- .903- 1898- L893- 1888- ,883- 1878- 1873-
 952 1947 1942 .937 L932 L927 1922 1917 .912 !907 1902 L897 1892 .887 1882 1877


0.1 0.1 0.2 0.1


0.0 0.1 0.1 0.1


0.1 0.2 0.2 0.2


0.4 0.4 0.4 0.4


1.2 1.0 1.0 1.0


2.5 2.4 2.6 2.8


5.6 5.6 5.6 6.0


11.0 11.3 11.8 L2.4


19.9 19.2 20.: 21.3


31.9 30.6 33.7 34.4


49.1 53.5 50.3 49.4


81.6 70.2 65.5 63.1


98.9 90.2 91.2 84.7


,15.0 105.8 110.1


0.2 0.1 0.3 0.2 

0.2 0.5 0.3 0.6 

0.1 0.3 0.2 0.8 

0.7 0.5 0.8 0.5 

0.8 2.1 1.5 1.9 

2.4 3.2 “4.0 3.7 

7.5 9.3 8.6 6.9 

13.4 16.4 14.6 10.6 

23.9 17.3 17.2 23.3 

33.8 26.C 34.5 28.8 

57.1 40.0 38.7 24.3 

56.2 49.7 32.9 40.0 

59.2 35.5 35.2 42.3 

44.6 42.4 45.5 

NOTE: At ages under 80 years the first figure in each row, moving from right to left, is the death rate for data year 1952,


the second figure for 1957, the third figure for 1962, and the last figure for 1967.

------

------

------

------

------

------

------

------

------

------

------

------

------

------

------

------

------

------

------

------

------

------

------

------

-----

-----

Table 15. Death rates for Lsukemia and aleukemia, for white � en and men of other races, by birth cohort and age at death: United States, S-year intervals during 1952-67 

[Rates por100,000 populationnIWOgroup. Deaths arethos. assigned tocakw.ry number
 S04o<the Sixth and S..mth Revisions or th. Inlamticml Ci-siIloaLion oi Diiew.s, 104S d 

Psriod of birth.of cohort


Age at death .948- L943- L93S- ,933- .928- L923- 1.918 913- 1908- .903- 898- ,893- .888- .883- 1878- L873-
 -


!952 L947 L942 ,937 .932 1927 L922 ,917 1912 .907 902 .897 .892 .887 L882 L877


White � en 

15-19 years 3.2 2.9 2.9 3.4 

20-24 years 2.1 2.5 2.4 2.6 

25-29 years 2.0 2.3 2.7 2.3 

30-34 years 2.6 2.1 2.8 2.4 

35-39 years 3,1 3.0 3.3 3.0 

40-44 years 3.9 4.1 4.0 4.5 

45-49 years 5:8 6.0 6.2 5.5 

50-54 years 7.6 8.0 8.4 9.0 

55-59 years 12.4 12.3 12.4 12.8 

60-64 years 19.8 20.0 20.4 18.4 

65-69 years 30.6 30.5 31.C 27.; 

70-74 years 46.7 @.~ 40.1 36.7 

75-79 years 63.: 58.[ 52.0 41.3


79.! 73.5 62.9
 SO-84 years------


lien of 

other races 

15-19 years----:- 2.; 2.2 1.3 1.4 

20-24 years 2.5 1.5 3.7 1.3 

25-29 years 3.3 2.5 2.6 1.8 

30-34 years 2.: 2.0 2.3 2.2 

35-39 years 2.3 2.0 4.3 2.1 

40-44 years 3.4 2.6 3.1 3.: 

45-49 years 5.4 4.8 5.; 4.3 

50-54 years LO.7 6.t 8.7 5.8 

55-59 years 13.1 9.1 12.6 9.0 

60-64 years 16.2 16.8 17.4 16.: 

65-69 years 26.9 21.1 21.: 15.: 

70-74 years 36.1 31.f 22.1 16.0 

75-79 years 40.[ 23.t 26.4 11.3 

80-84 years 27.( 32.2 11.4


NOTE: At ages under 80 years the first figure in each row, moving from right to left, is the death rate for data year 1952, 

the second figure for 195>, the third figure for 1962, and the last figure for 1967. 

39. 
Table 16. Death rates for Diabetes mellitus, for white men and men of other races, by birth cohort and age at death: United
 States, 5-year intervals during 1952-67


[Rntes w 100,000 popul.Lim in age group. DC.LIIS ace Lho.. .ssignod la mtegory number 21M of Lb. Sixth and Seventh Revision. of the tntem.ticmn! C!.ssific.tion cd Oiseosw, 19+8 and 

19551 

Period of birth of c~htmt 

Age at death


.948- .943- 1938- 1933- L928- L923- 1918- 1913- 1908- 1903- L898. L893- 1888- .883- 1878- 873-
 .952 .947 1942 1937 1932 L927 1922 1917 1912 1907 1902 1897 1892 .887 1S82 077


White men , 

15-19 years------ 0.3 0.4 0.6 0.i 

20-24 years------ 0.7 0.9 1.3 1.4 

25-29 years------ 1.s 2.3 2.3 1.6 

30-34 years------ 3.5 2.9 3.3 2.7 

35-39 years------ 4.0 4.7 4.0 3.2 

40-44 years------ 6.2 6.0 5.4 5.2 

45-49 years------ 8.3 7.9 7.1 7.4 

50-54 years------ 14.1 13.4 12.6 13.3 

55-59 years------ 24.6 24.3 20.6 22.4 

60-64 years------ 42.3 37,6 37.3 39.2 

65-69 years------ 62.5 63.0 60.2 64.2 

70-74 years------ L02.6 94.8 87.3 95.2 

75-79 years------ 137.c .32.3 120.9 139.7 

80-84 yeazs------ ,83.0 164.3 154.0 

Men of
 other races


15-19 yeats------ 0.6 0.7 2.4 1.4 

20-24 years------ 1.9 2,2 1.6 2.6 

25-29 years------ 4.8 2.9 2.1 1.8 

30-34 years------ 4.8 4.7 6.8 5.0 

35-39 years------ 8.2 9.3 7.0 3.6 

40-44 years------ 13.0 10,8 8.1 7.4 

45-49 years------ 20.3 16.8 15.1 10.3 

50-54 years------ 32.6 25.0 20.0 22.3 

55-59 years------ 44.9 42.4 29.3 26.2 

60-64 years------ 65.0 69.1 51.6 51.8 

65-69 years------ !12.7 86.5 72.6 59.5 

70-74 years------ 155.6 107.4 76.5 72.0 

75-79 years------ 12S.8 15.5 67.0 S8.7 

80-84 years----- 09.5 123.7 84.1


—


NOTE : At ages under 80 years the first figure in each row, moving from right to left, ,is the death rate for data year 1952, the second figure for 1957, tha third figure for 1962, and the last figure for 1967. 

40 
-------

-------

-------

-------

-------

-------

-------

--

--

--

--

Table 17. Death rates for Anemias, for men of races other than white, by birth cohort and age at death: United States, 5-Year


intervals during 1952-67


[i-s pm 100,OOU
 population in nge group. Deaths nro th.sc msignod la .akgmy numbers 290.29s of the Sixth and S&mth Revisions or the lnkm.1ion.1 Ckssifi..tion of Dis..ses, 1948 

nnd 1955] 

Period of birth of cohort


Age at death
 1948- 1943- 1938- 1933- L928- 1923- .918- 1913- L908- L903- 1898- 1893- L888- L883- .878- 1873-


F

1952 1947 1942 1937 L932 1927 .922 1917 L912 1907 1902 1897 L892 L887 .882 1877


15-19 years 2.6 1.2 1.4 0.5 

20-24 yeaxs 2.7 2.9 1.4 3.0 + 

25-29 years 2.2 2.4 2.2 1.3 

30-34 years 3.8 1.0 1.5 1.6 

35-39 years------- 2.5 2.8 1.8 l.? 

40-44 years------- 2.6 1.8 1.6 1.9 

45-49 yea= ------- 1.3 1.5 2.5 3.6 

50-54 years------- 4.3 3.3 2.1 3.8 

55-59 yeazs------- 3.3 1.5 2.C 2.: 

60-64 years------- 4.3 3.? 6.( 5.9 

65-69 years 6.: 5.: 5.2 6.2 

70-74 yeaxs 8.$ 6.9 6.0 9.6 

75-79 years 14.4 11.8 ~4.: 15.5 

80-84 years------- 18.9 ~5.: 9.1 

J_ 

: At ages under 80 years the first figure in each row, moving fro~ right to left, is the death rate for data year 1952,


theN%ond figure for 1957, the third figure for 1962, and the last figure for 1967.


Table 18. Death rates for Vascular lesions affecting central nervous system, for men of races other than white, by birth cohort


and age at death: United States, 5-year intervals during 1952-67


[WOs per 100,OOO popuktion in age PUP. Deaths am those nssign.d ti category numbers 380-s;4 OF the Sixth and Seventh Revisions of the Intem.tion.l Classification cd Diseases, 194S 

and 1955J 

Period of birth of cohort


Age at 

death	 948- 1943- 1938- L933- L928- L923- 1918- 1913- L908- 1903- 1898- 1893- 1888: L883: L878- 1873-


952 1947 1942 L937 1932 1927 1922 1917 L912 1907 1902 1897 1892 L887 L882 1877


—


15-19 years-- 1.7 1.6 1.8 2.2 

20-24 ysars-- 3.0 4.C 5.7 7.1 

25-29 years-- 8.5 7.7 10.3 6.8 

30-34 years-- 17.6 2.4.7 17.0 15.9 

35-39 years-- 35.1 32.1 37.0 34.2 

40-44 years-- 61.6 68.3 70.7 79.0 

45-49 years 103.6 110.1 L26.9 144.3 

50-54 years-- L76.9 L96.7 216.0 264.1 

55-59 years-- 279.5 291.1 360.1 423.6 

60-64 years-- 402.0 531.9 574.4 598.2 

65-69 years-- 778.8 818.3 762.2 710.0 

70-74 yearns 1152.1 .1008.0 1060.4, 969.6 

75-79 years 1144.8 1237.3 1242.9 1298.6 

80-84 years 1393.2 1533.9 1700.0 

— 1 NOTE: At ages under 80 years the first figure in each row, moving from right to left, is the death rate for data year 1952,


the second figure for 1957, the third figure for 1962, and the Last figure for 1967.


41

------

------

------

------

------

------

------

Table 19. Death rates far Motor vehicle accidents to pedestrians, for white men and men of other races, by birth cohort a“d age
 at death: United States, 5-year intervals during 1952-67


[Rates w 100,000 popnlaLim in age group. Dw.ths me ‘hose m.ign.d LOmkwxy n.rnhw E812 :;$ Sixth ml S..0.,1) Revision, of tho Intern.timml Cln,saifimtion cd Diacnsm, UM8 and 

Period of birth of cohort


Age at death


L948- L943- 1938- 1933- 192S- 1923- L91S- 1913. 1908. 1903- 189S- 1893- 1888. 1883- L87S. 1873-
 L952 L947 1942 1937 1932 1927 L922 1917 1912 1907 1902 1S97 1892 1S87 1882 1.877


White men 

15-19 years 3.7 3.0 2.8 3.0 

20-24 years------ 3.5 2.5 2.7 2.9 

25-29 years 2.3 2.4 2.1 2.9 

30-34 years------ 3.0 2.1 2.2 2.5 

35-39 years------ 3.0 2.2 2.4 3.4 

40-44 years------ 3.4 2.8 3.? 4.? 

45-49 years------ 3.9 3.3 4.5 6.0 

50-54 years------ 5.5 5.6 5.4 8.2 

55-59 years------ 6.4 6.9 7.7 11.7 

60-64 years------ 9.0 8.5 13.1 16.2 

65-69 years------ 11.2 13.2 L6.7 25.7 

70-74 years------ 16.3 17.3 23.0 34.1 

75-79 years------ 23.1 25.9 34.6 43.1 

80-84 years 32.9 37.3 41.0 

- other races 

15-19 years------ 5.5 4.s 2.6 3.7 

20-24 years 8.1 S.s 5.2 7.2 

25-29 years 8.3 6.6 6.5 6.1 

30-34 years------ 8.S 7.3 8.1 10.0 

35-39 years------ 12.4 S.2 7.0 9.7 

40-44 years------ 13.8 9.5 8.6 10.7 

45-49 years------ 13.3 12.0 9.7 15.4 

50-54 years 13.8 15.1 17.1 21.0 

55-59 year5------ 20.5 20.s 21.5 21.9 

60-64 years 20.2 21.4 24.0 32.9 

65-69 years------ 31.0 28.3 26.5 2s.1 

70-74 years------ 30.8 33.7 34.9 37.6


75-79 years------ 29.6 25.5 3s.5 38.0


80-84 years------ 44.6 33.9 52.3


NOTE: At ages under 80 years the first figure in each row, moving from ri ht to left, is the death rate for data year 1932,
 the second figure fcm 1957, the third figure for 1962, and the last figure for f967.


42

------

------

------

------

------

------

------

Table 20. Death rates for Other accidents, for white men and men of other races, by birth cohort and age at death: United States,


5-year intervals during 1952-67


[R.tes
 POr100,OOO wd.ti.. in w FOUP. D..th. .,. thOSO,=+?..d ~ c.@wry~;::. f::f:/;:;},E840-E969 of the sixth and S.v.”th Revisions of thehkmtiond Clmsiricabi.nof 

Period of birth of cohort


Age at death 1948- 1943- 1938- 1933- L928- L923- 1918- !913- L908- 1903- 1898- L893- L888- L883- 1878- 1873- L952 1947 1942 1937 L932 L927 1922 !917 L912 1907 1902 L897 L892 1887 1882 1877 

—


White men


15-19 years------ 28.1 24.7 30.9 36.6 

20-24 years------ 31.9 29.6 35.4 37.5 

25-29 years------ 30.9 28.5 31.4 34.4 

30-34 years------ 30.7 29.2 29.6 34.7 

35-39 years------ 33.2 29.8 32.7 35.4 

40-44 .years 35.0 34.0 35.7 40.9 

45-49 years------ 38.9 39.C 40.6 45.7 

50-54 years------ 43.6 46.1 46.0 51.5 

55-59 years 52.6 46.9 .49.8 57.4 

60-64 years------ 56.3 53.9 56.9 67.: 

65-69 years 62.6 63.6 70.1 80.2 

70-74 years------ 83.4 84.t 94.7 105.0 

75-79 years------ L24.f 131.3 149.9 182.1 

80-84 years--T--- 218.4 254.3 298.1 

-f
 other races


15-19 years------ 43.5 44.1 50.4 60.2 

20-24 years------ 54.2 49.7 52.8 61.9 

25-29 years------ 63.2 54.0 62.8 62.0 

30-34 years------ 72.4 57.3 60.4 66.1 

35-39 years 75.5 66.4 59.8 69.6 

40-44 years 80.6 63.5 67.6 80.0 

45-49 years------ 80.6 75.C 79.4 84.1 

50-54 years------ 86.8 81.1 77.7 96.5 

55-59 years LO1.7 75.4 74.0 94.4 

60-64 years------ 89.0 98.0 91.9 Loo.( 

65-69 years------ 103.3 L06.1 98.Z 96.2 

70-74 years------ 123.7 1.08. c
 104.7 112.8

75-79 years------ L29.C L07.3 126.4 184.5


80-84 years L62.2 194.9 186.4


NOTE: At ages under 80 years the fi.rstfigure in each row, moving from right to left, is the death rate for data year 1952,


the second figure for 1957, the third figure for 1962, and the last figure for 1967.


“43 
---------------------

-----------------

----------------------------------

--------------------

-------------------------

--------------------------------

---------------

--------------------

-------------------------

------------------

--------

----------------

--------------------

---------------------------------

APPENDIX I


LIST OF 60 SELECTED CAUSES OF DEATH


Category Title


Tuberculosis, all forms


Tuberculosis of respiratory system--------


Tuberculosis, other forms


Syphilis and its sequelae-------------------
 Dysentery, all forms------------------------


Scarlet fever and streptococcal sore throat-


Diphtheria


Nhooping cough------------------------------


Meningococcal infections


Acute poliomyelitis


Measles-------------------------------------


Other infective and parasitic diseases------


Malignant neoplasms, including neoplasms of


lymphatic and hematopoietic tissues--------


Malignant neoplasm of.buccal cavity and


pharynx----------------------------------


Malignant neoplasm of digestive organs


and peritoneum, not specified as
 secondary


Malignant neoplasm of respiratory system,


not specified as secondary


Malignant neoplasm of breast--------------


Malignant neoplasm of genital organs------


Malignant neoplasm of urinary organs------
 M:l@nant neoplasm of other and unspec­


xfxed sites------------------------------


Leukemia and aleukemia


Lymphosarcoma and other neoplasms of


lymphatic and hematopoietic tissues------
 Benign neoplasms and neoplasms of unspec­


ified nature--------------------------.---z


Asthma---------------------------------.---:


Diabetes mellitus---------------------------


Anemias-------------------------------------


Meningitis, except meningococcal and tuber-


Culous-------------------------------------


Major cardiovascular-renal diseases---------
 Diseases of cardiovascular system---------


Vascular lesions affecting central
 nervous system


Diseases of heart-----------------------


Rheumatic fever and chronic rheu­


matic heart disease


Arteriosclerotic heart disease, in­


cluding coronary disease-------------


Nonrheumatic chronic endocarditis and


other myocardial degeneration


Other diseases of heart---------------
 Hypertensive heart disease------------


Other hypertensive disease--------------


General arteriosclerosis


Other diseases of circulatory system----


Chronic and unspecified nephritis and


other renal sclerosis


Influenza and pneumonia, except pneumonia


of newborn---------------------------------


Influenza


Pneumonia, except pneumonia of newborn----


Category Number


001-019


001-008


010-019


020-029


045-048


050, 051


055


056


057


080


085


030-044j 049, 052-054, 058-074, 081-084, 086-138


140-205


140-148


150-156A, 157-159


160-164


170


171-179


180, 181


156B, 165, 190-199


204


200-203, 205


210-239


241


260


290-293


340


330-334> 400-468, 592-594


330-334, 400-468


330-334


400-402, 410-443


400-402, 410-416


420


421, 422


430-434


440-443


444-447


450


451-468


592-594


480-493


480-483


490-493


44

----------

----------------

-----------

-------------------

--------------------

----------------------

--------

Category ‘fitle-Con.


Bronchitis4-----------------------


Other bronchopulmonic diseases--------------


Ulcer of stomach and duodenum---------------
 Appendicitis----------------


Hernia and intestinal obstruction


Gastritis, duodenitis, enteritis, and co­


litis, except diarrhea of newborn----------


Cirrhosis of liver--------


Cholelithiasis, cholecystitis, and chol­


angitis----------------


Acute nephritis, and nephritis with edema


including nephrosis------------------------


Infections of kidney------------------------
 Hyperplasia of prostate---------------------
 Deliveries and complications of pregnancy,


childbirth, and the puerperium-------------


Catego~ Number-Con.


500-502


525-527


54o, 541


550.553


560, 561, 570


543, 571, 572


581


584, 585


590, 591


600


610


640-689


Abortion---------------------------------- 650-652


Other complications of pregnancy, child-


birth, and the puerperium---------------- 640.649, 660-689


Congenital malformations-------------------- 750.759


Cer:ain fi~eases of early infancy----------- 760-776


Birth Uwries, postnatal asphyxia, and


atelectasis-------- 760-762


Infections of newbon --------------------- “763-768


Other diseases peculiar to early infancy,


and immaturity, unqualified-------------- 769-776


Symptoms,.senility, and ill-defined


conditions:-------------------------------- 780-795


A1l.other d~seases-------------------------- Residual


Accxdents--------------------------- E800-E962


Motor vehicle accidents-----------:------- E810-E835


?t$er accidents--------------------------- E800-E802, E840-E962


Suxcxde------------------------------------- E963, E970-E979


Homicide------------------------------------ E964, E980-E985


45

APPENDIX II 

QUALIFICATIONS OF DATA 

The rates shown in this report are based on 

deaths tabulated by place of occurrence; that is, 

all deaths occurring in the death -registratio~i 

States from 1900to 1932 andall deaths occurring 

in the continental United States thereafter, with 

Alaska added beginning 1959 and Hawaii, 1960. 

Deaths among Armed Forces overseas and among 

U.S. nationals living abroad are excluded for all 

years. 

Deaths are classified into two categories 

according to information given in the race item 

on the death certificates. The category “white” 

includes, in addition to persons reported as white, 

persons reported to be Mexican or Puerto ‘Rican. 

The category described as “races other than 

white” or “other” consists of persons reported 

as Negro, American Indian, Chinese, and Japanese; other numerically small racial groups; and 

persons of mixed white and other races. 

Rates were computed on the bases of population statistics made available by the U.S. 

Bureau of the Census. Rates for decennial years 

are based on the populations enumerated in censuses of those years, which are taken as of 

April 1. Rates for all other years are based on 

midyear (July 1) estimates. Sources of the populations used, published by the Bureau of the Census, are as follows: 

Vikll Statistics Ra@ in the United Stites, 

1900-1940. 

Washington, U.S. Government Printing Office, 

1943. 

current Population Reports, Series P-25: 

No. 98.	 “Estimates of the Population of the 

United States and of the Components 

of Change, by Age, Color, and Sex: 

1940 to 1950,”1954. 

No. 265.	 “Estimates of the Population of the 

United States, by Age, Color, and 

Sex: July 1, 1950 to 1962,” 1963. 

(Used only for data years 1961 and 

1962.) 

No. 276.	 “Estimates of che Population of the 

United States, by Age, Color, ‘and 

Sex: July 1, 1963,”1963. 

No. 310.	 “Estimates of the Population of the 

United States and Components of 

Change, by Age, Color, and Sex: 

1950 tO 1960,”1965. 

No. 321.	 “Estimates of the Population of the 

United States, by Age, Color, and 

Sex: July 1, 1960, to 1965,” 1965. 

(Used only for data years 1964 and 

1965.) 

No. 352.	 “Estimates of the Population of the 

United States, by Age, Color, and 

Sex: July 1, 1966,”1966. 

No. 385.	 “Estimates of the Population of the 

United States, by Age, Color, and 

Sex: July 1, 1964 to 1967,” 1968. 

(Used only for data year 1967.) 

No. 416. “Estimates of the Population of the 

United States, by Age, Color; and 

Sex: July 1, 1968,”1969. 

The population estimates by color used for 

1962 and 1963 do not include New 

some birth, death, and fetal-death 

State did not contain a race item. 

without this item were used for 

well as for 1963. Therefore the 

for Health Statistics estimated a 

Jersey because 

records of the 

The certificates 

most of 1962 as 

National Center 

population base 

by color for these years which excluded New 

Jersey. The estimates for 1963 are shown in table 

6-5, Part A, Volume II, Vitul Stitktics of the 

United Sihtes, 1963. Those for 1962 are shown in 

the comparable table of the report for that year. 

000 

46 
Swies 1. 

‘ Sevies 2. 

Series 3. 

Series 4. 

, SeVies 10. 

Sem”es 11. 

. 

SeTies 12. 

-1 

Sevies 13. 

! 

Sem-es 14. 

1 

Se4ies 20. 

Series 21. 

Series 22. 

For a list 

VITAL AND HEALTH STATISTICS PUBLICATION SERIES 

Formerly Public Health Service publication No. 1000 

Pvogvams and collection pvocedwes. —Reports which describe the general programs of the National 

Center for Health Statistics and its offices and divisions, data collection methods used, definitions, 

and other material necessary for understanding the data. 

Data evaluation and methods research. — Studies of new statistical methodology includin~ experi-. 

mental tests of new survey methods, studies of vital statistics collection methods, new analytical 

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Data from the Health Intemiew Swvev.— Statistics on illness, accidental injuries, disability, use 

of hospital, medical, dental, and other services, and other heidth-related topics, based on data 

collected in a continuing national household interview survey. 

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of reports: (1) estimates of the medically defined prevalence of specific diseases in the United 

States and the distributions of the population with respect to physical, physiological, and psychological characteristics; and (2) analysis of relationships among the various measurements without 

reference to an explicit finite universe of persons. 

Data jkom the Institutional Population Swveys. —Statistics relating to the health characteristics of 

persons in institutions, and their medical, nursing, and personal care received, based on national 

samples of establishments providing these services and samples of the residents or patients. 

Data fkom the Hospital Dischavge Survey. —Statistics relating to discharged patients in short-stay 

hospitals, based on a sample of patient records in a national sample of hospitals. 

Data on health ~esowces: manpower and facilities. —Statistics on the numbers, geographic distribution, and characteristics of health resources including physicians, dentists, nurses, othef health 

occupations, hospitals, nursing homes, and outpatient facilities. 

Data on mortality. —Various statistics on mortality other than as included in regular annual or 

monthly reports —special analyses by cause of death, age, and other demographic vzwiables, also 

geographic and time series analyses. 

Data on natality, marriag_e, and divorce. —Various statistics on natality, marriage, and divorce 

other than as included in regular annual or monthly reports-pecial analyses by demographic 

variables, also geographic and time series analyses, studies of fertili~. 

Dati j.vom the National Natality and MoviWity Suvveys. — Statistics on characteristics of births 

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records, including such topics as mortali~ by socioeconomic class, hospital experience in the 

last year of life, medical care during pregnancy, health insurance coverage, etc. 

of titles of reports published in these series, write to: Office of Information 

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Rockville, Md. 20852