Life Cycle Economics with Infectious and Chronic Diseases

Strulik, Holger; Grossmann, Volker

doi:10.2139/ssrn.4307485

Cited by 1 publication

(1 citation statement)

References 74 publications

(117 reference statements)

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“…The observation supports theories arguing that greater exposure to infectious diseases leads to faster development of chronic diseases [15,16]. This interdependence is accounted for in a modern reformulation of the epidemiological transition hypothesis, which acknowledges that the phase of decline of infections is accompanied by a simultaneous decline in chronic diseases [12,57]. For the U.S., for example, it has been shown that a large part of the decline in chronic diseases and functional limitations among older men from the early 20th century to the 1970s can be attributed to declining infections [13,14].…”

Section: Discussionsupporting

confidence: 74%

Physiological aging in India: The role of the epidemiological transition

Krenz

Strulik

2023

PLoS ONE

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We construct a cohort-based frailty index from age-related health deficits to investigate physiological aging in India over the period 1990-2019. During this period, the Indian states underwent at different speeds the epidemiological transition and experienced unprecedented economic growth. We show that the rate of physiological aging remained remarkably stable to the changing environment. Age-related health deficits increased by about 3 percent per year of age with little variation across states, ages, cohorts, and over time. We find that, with advancing epidemiological transition, health deficits for given age declined at the individual level (within states and within cohorts). Across cohorts born between 1900 and 1995, we show that, for given age, health deficits are higher for later-born cohorts until birth years around 1940 and remained trendless afterwards. We propose a selection-based theory of aging during the epidemiological transition that explains these facts.

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