Health conditions change from year to year, with a general tendency in many countries for improvement. These conditions also change from one birth cohort to another: some generations suffer more adverse events in childhood, smoke more heavily, eat poorer diets, etc., than generations born earlier or later. Because it is difficult to disentangle period effects from cohort effects, demographers, epidemiologists, actuaries, and other population scientists often disagree about cohort effects' relative importance. In particular, some advocate forecasts of life expectancy based on period trends; others favor forecasts that hinge on cohort differences. We use a combination of age decomposition and exchange of survival probabilities between countries to study the remarkable recent history of female life expectancy in Denmark, a saga of rising, stagnating, and now again rising lifespans. The gap between female life expectancy in Denmark vs. Sweden grew to 3.5 y in the period 1975-2000. When we assumed that Danish women born 1915-1945 had the same survival probabilities as Swedish women, the gap remained small and roughly constant. Hence, the lower Danish life expectancy is caused by these cohorts and is not attributable to period effects. actors influencing human mortality and health may act at different ages, on specific generations, or at different points in time. A major challenge in analyzing particular mortality patterns is to disentangle the relative importance of the factors (1). A methodological problem arises from the interdeterminacy of linear effects attributable to period (points in time) or cohort (generations), which derives from the perfect correlation among cohort, period and age (age = period − cohort), making only deviations from the combined linearity of cohort and period comparable (1-4). As a result, debates have raged about whether period or cohort effects led to the rapid rise in life expectancy since 1900 in most western countries (1,(5)(6)(7)(8).During the latter half of the 20th century, emphasis was given to temporal effects because most population specialists thought that cohort mortality effects were small and need not be incorporated into models of mortality reductions (1, 9). Since the mid-1990s, however, the increased interest in life course effects on health and mortality has given new life to studies of cohort effects (1).A few birth cohorts have been identified with clear-cut cohort patterns: those of Britain in the late nineteenth and early twentieth centuries (10, 11); those of Japan in the early twentieth century (12); and cohorts born in Britain in the 1930s, often referred to as the "golden generations" (1, 13). Here, we present another example of cohorts influencing mortality patterns, namely the case of the interwar generations of Danish women. We illustrate how to disentangle period and cohort effects using an approach based on age decomposition, exclusion of age-period effects, and replacement of survival probabilities.
Interwar Generations of Danish WomenEven though life expe...