Volume 38 - Article 16 | Pages 373–400 Author has provided data and code for replicating results

A network approach to studying cause-of-death interrelations

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

Print this page  Facebook  Twitter


Date received:09 Jul 2016
Date published:26 Jan 2018
Word count:5710
Keywords:elderly, mortality, multiple causes of death, social network analysis
Additional files:readme.38-16 (text file, 519 Byte)
 demographic-research.38-16 (zip file, 15 kB)


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

Viviana Egidi - Università degli Studi di Roma La Sapienza, Italy [Email]
Michele Antonio Salvatore - Istituto Nazionale di Statistica (ISTAT), Italy [Email]
Giulia Rivellini - Università Cattolica del Sacro Cuore, Italy [Email]
Silvia D'Angelo - Università degli Studi di Roma La Sapienza, Italy [Email]

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

Most recent similar articles in Demographic Research

» Using multiple cause of death information to eliminate garbage codes
Volume 45 - Article 11    | Keywords: mortality, multiple causes of death

» The mystery of Japan's missing centenarians explained
Volume 26 - Article 11    | Keywords: elderly, mortality

» Revisiting the mortality of France and Italy with the multiple-cause-of-death approach
Volume 23 - Article 28    | Keywords: mortality, multiple causes of death

» Human Biodemography: Some challenges and possibilities
Volume 19 - Article 43    | Keywords: elderly, mortality

» The question of the human mortality plateau: Contrasting insights by longevity pioneers
Volume 48 - Article 11    | Keywords: mortality