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Double Trouble: The Burden of Child-rearing and Working on Maternal Mortality.


ABSTRACT: We document increased old-age mortality rates among Swedish mothers of twins compared with mothers of singletons, using administrative data on mortality for 1990-2010. We argue that twins are an unplanned shock to fertility in the cohorts of older women considered. Deaths due to lung cancer, chronic obstructive pulmonary disease, and heart attacks-all of which are associated with stress during the life course-are significantly increased. Stratifying the sample by education and pension income shows the highest increase in mortality rates among highly educated mothers and those with above-median pension income. These results are consistent with the existence of a double burden on mothers' health resulting from simultaneously child-rearing and working.

SUBMITTER: Bucher-Koenen T 

PROVIDER: S-EPMC7162835 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature

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Double Trouble: The Burden of Child-rearing and Working on Maternal Mortality.

Bucher-Koenen Tabea T   Farbmacher Helmut H   Guber Raphael R   Vikström Johan J  

Demography 20200401 2


We document increased old-age mortality rates among Swedish mothers of twins compared with mothers of singletons, using administrative data on mortality for 1990-2010. We argue that twins are an unplanned shock to fertility in the cohorts of older women considered. Deaths due to lung cancer, chronic obstructive pulmonary disease, and heart attacks-all of which are associated with stress during the life course-are significantly increased. Stratifying the sample by education and pension income sho  ...[more]

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