Volume 38 - Article 16 | Pages 373–400  

A network approach to studying cause-of-death interrelations

By Viviana Egidi, Michele Antonio Salvatore, Giulia Rivellini, Silvia D'Angelo

Abstract

Background: Multiple causes of death describe complex death processes marked by the simultaneous presence of several diseases and conditions, primarily at older ages.

Objective: We intend to explore the opportunity offered by the Social Network Analysis (SNA) in the study of multiple relationships in the causes of death.

Methods: SNA allowed us to reconstruct the complex system of relationships linking the causes of death mentioned in the same death certificate for Italian men and women aged 65 years and over in 2011. The causes can be represented as actors of a network where the relational tie establishes a linkage between a cause mentioned together with another. The strength of this association is represented by the frequency of the joint mentioning in the same certificate controlling for the confounding effect due to the different prevalence of the causes.

Results: The analysis clearly brought out that causes of death describe a very dense system of relationships. Considering only the strongest associations, the graphical analysis showed subgroups of causes, within which cross-references are very frequent while mentions external to the group are rare. Moreover, SNA concepts and instruments allowed us to identify causes playing important roles in death processes and mortality patterns.

Conclusions: SNA has proved to be very powerful in identifying the relationships between causes of death, on which health policies should take action to further reduce mortality risks of elderly persons.

Contribution: The method was able to highlight complex structures composing subgroups of diseases, offering a clearer picture of the characteristics of death processes than the analyses conducted so far have allowed.

Author's Affiliation

Other articles by the same author/authors in Demographic Research

Revisiting the mortality of France and Italy with the multiple-cause-of-death approach
Volume 23 - Article 28

Geographical mortality patterns in Italy: A Bayesian analysis
Volume 20 - Article 18

Ageing and diversity: Inequalities in longevity and health in low-mortality countries
Volume 50 - Article 12

Frailty at death: An examination of multiple causes of death in four low mortality countries in 2017
Volume 49 - Article 2

Most recent similar articles in Demographic Research

Differences in mortality before retirement: The role of living arrangements and marital status in Denmark
Volume 50 - Article 20    | Keywords: inequalities, living arrangements, marital status, mortality, retirement

Racial classification as a multistate process
Volume 50 - Article 17    | Keywords: Brazil, demography, increments to life, life expectancy, life table, mortality, multistate, race/ethnicity

Measuring short-term mobility patterns in North America using Facebook advertising data, with an application to adjusting COVID-19 mortality rates
Volume 50 - Article 10    | Keywords: COVID-19, data collection, Facebook, mortality, North America, short-term mobility

Immigrant mortality advantage in the United States during the first year of the COVID-19 pandemic
Volume 50 - Article 7    | Keywords: COVID-19, immigrants, mortality

Frailty at death: An examination of multiple causes of death in four low mortality countries in 2017
Volume 49 - Article 2    | Keywords: aging, causes of mortality, mortality, multiple causes of death