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International Centre for Health and Society
2005 Public Seminar Series
Monday 17 January 5.00pm (followed by drinks at 6pm)
All Welcome.RSVP essential


Speaker: Professor Janet McCalman, University of Melbourne
Title: 'History, health & the life course'

Abstract
A report on the historical study Birth Weight, Social Class and Life
Course, Women's Hospital, Melbourne, 1857-1900.

As epidemiologists and social scientists develop life course
analysis, historians can make a contribution to the understanding of
context in the socio-economic determinants of health. Wars, economic
depressions and periods of growth can affect people quite
differently, depending not just on their socio-economic condition,
but also on their life stage. This seminar analyses the historical
trajectories of four cohorts of Melbourne working-class people, born
in the second half of the nineteenth century. It will explore the
timing and effects of two major depressions and two world wars on the
outcome of these lives. It includes early analysis of disease trends,
including coronary heart disease. Concepts of social and biological
'critical periods' in the life course, and the way both historical
events and government policy have intervened in the life chances and
life course health of poor white Australians will be discussed. This
is a work-in-progress report.
This seminar is based on work, which is conducted in partnership with
Dr Ruth Morley (of the Murdoch Institute, Royal Children's Hospital),
follows the babies born at Melbourne's Lying-in Hospital (now the
Royal Women's) from 1857 to 1900, in the period that saw a colonial
outpost grow into one of the great cities of the nineteenth-century
world. From the 7849 individuals traced to a death certificate-3335
adults, 4514 infants and children out of 15,537 birth records with
birth weight-family histories have been developed so that individuals
and their families can be followed until 1985. The life courses are
plotted against the social and economic changes of the 130 years of
the study; social mobility is mapped by social status and geographic
location at death; reproductive history, and health and causes of
death are deduced from the detailed death certificates required in
Victoria. Victoria has one of the best systems of vital registration
in the world, providing a wealth of social, demographic and medical
data for what was a mixed, immigrant population that quickly
stabilised in its new country. The health profile of the very poor,
and the timing and nature of the health transition, are of particular
comparative relevance to understanding the aetiology and prognosis of
Indigenous health in Australia.

Professor Janet McCalam is director of the Johnstone-Need Unit for
the History of Medicine in the Centre for the Study of Health and
Society, University of Melbourne.

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Ms Patricia Crowley
Dept of Epidemiology & Public Health, UCL
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