The infant mortality rate varies widely across theless developed countries. Five macro-social changetheories exist that can explain the variation of theinfant mortality rate across the less developedcountries: modernization theory,dependency/world-systems theory, gender stratificationtheory, economic disarticulation theory, anddevelopmental state theory. Although research supportsthe claims of each theoretical narrative, no singlestudy examines all five narratives simultaneously oris based on recent data. The purpose of the researchreported here was to fill this gap in the literatureby examining the simultaneous effects ofindustrialization, four alternative measures ofeconomic dependence, female educational attainment,economic disarticulation, state strength, and acontrol variable, Sub-Saharan African status, on theinfant mortality rate for 59 less developed countriesin 1991. Results of eight tests of the fivetheoretical narratives indicate thatindustrialization, state strength, and three of thefour measures of economic dependence have little neteffect on infant mortality, whereas economicdisarticulation, female education, debt dependence,and Sub-Saharan African status have the expectedeffects on infant mortality. Theoretical and policyimplications of the results are briefly discussed.
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Amin, S.: 1974, Accumulation on a World Scale (Monthly Review Press, New York).
Amin, S.: 1976, Unequal Development: An Essay on the Social Formations of Peripheral Capitalism (Monthly Review Press, New York).
Blacker, J. G. C.: 1991, ‘Infant and child mortality: Development, environment, and custom?’ in R.G. Feachem and D.T. Jamison (eds.), Disease and Mortality in Sub-Saharan Africa (Oxford University Press, New York), pp. 75–86.
Boehmer, U. and J. B. Williamson: 1996, ‘The impact of women’s status on the infant mortality rate: A cross-national analysis’, Social Indicators Research 37, pp. 333–360.
Bradshaw, Y. and E. Fraser: 1989, ‘City size, economic development, and quality of life in China: New empirical evidence’, American Sociological Review 54, pp. 986–1003.
Bradshaw, Y. and J. Huang: 1991, ‘Intensifying global dependency: Foreign debt, structural adjustment, and third world underdevelopment’, The Sociological Quarterly 32, pp. 321–342.
Bradshaw, Y., R. Noonan, L. Gash and C. B. Sershen: 1993, ‘Borrowing against the future: Children and third world indebtedness’, Social Forces 71, pp. 629–656.
Bradshaw, Y. and Z. Tshandu: 1990, ‘Foreign capital penetration, state intervention, and development in Sub-Saharan Africa’, International Studies Quarterly 34, pp. 229–251.
Breedlove, W. L. and J. M. Armer: 1996, ‘Economic disarticulation and social development in less-developed nations: A cross-national study of intervening structures’, Sociological Focus 29, pp. 359–378.
Breedlove, W. L. and J. M. Armer: 1997, ‘Dependency, techno-economic heritage, disarticulation, and social development in less developed countries’, Sociological Perspectives 40, pp. 661–680.
Caldwell, J. C.: 1990, ‘Cultural and social factors influencing mortality levels in developing countries’, Annals of the American Academy of Political and Social Science 510, pp. 44–59.
Caldwell, J. C.: 1993, ‘Health transition: The cultural, social and behavioral determinants of health in the third world’, Social Science and Medicine 36, pp. 125–135.
Chase-Dunn, C.: 1989, Global Formation: Structures of the World Economy (Basil Blackwell, Cambridge, MA).
Chase-Dunn, C. and P. Grimes: 1995, ‘World system analysis’, Annual Review of Sociology 21, pp. 387–417.
Crenshaw, E. and A. Ameen: 1993, ‘Dimensions of social inequality in the third world: A cross-national analysis of income inequality and mortality decline’, Population Research and Policy Review 12, pp. 297–313.
Daily, G. C. and P. R. Ehrlich: 1996, ‘Impacts of development and global change on the epidemiologic environment’, Environment and Development Economics 1, pp. 311–346.
Dietz, T., L. Kalof and R. S. Frey: 1991, ‘On the utility of robust and resampling procedures’, Rural Sociology 56, pp. 461–474.
Dixon, W. J.: 1985, ‘Trade concentration, economic growth, and the provision of basic human needs’, Social Science Quarterly 65, pp. 761–774.
Dixon, W. J. and T. Boswell: 1996, ‘Dependency, disarticulation, and denominator effects: Another look at foreign capital penetration’, American Journal of Sociology 102, pp. 543–562.
Dunlap, R. E. and W. R. Catton, Jr.: 1994, ‘Struggling with human exemptionalism: The rise, decline, and revitalization of environmental sociology’, The American Sociologist 25, pp. 5–30.
Epstein, P. R.: 1999, ‘Climate and health’, Science 285, pp. 347–348.
Evans, P.: 1979, Dependent Development: The Alliance of the Multinational, State, and Local Capital in Brazil (Princeton University Press, Princeton).
Evans, P.: 1995, Embedded Autonomy: States and Industrial Transformation (Princeton University Press, Princeton, NJ).
Fain, H. D., E. L. Kick, B. L. Davis and T. J. Burns: 1997, ‘World-system position, tropical climate, national development, and infant mortality: A cross-national analysis of 86 countries’, Human Ecology Review 3, pp. 197–203.
Firebaugh, G. and F. D. Beck: 1994, ‘Does economic growth benefit the masses? growth, dependence, and welfare in the third world’, American Sociological Review 59, pp. 631–653.
Frank, A. G.: 1972, ‘The development of underdevelopment’, in J.D. Cockcroft, A. G. Frank and D. L. Johnson (eds.), Dependence and Underdevelopment (Anchor, New York), pp. 3–17.
Frank, A. G.: 1979, Dependent Accumulation and Underdevelopment (Monthly Review Press, New York).
Frey, R. S. and F. Song: 1997, ‘Human well-being in Chinese cities’, Social Indicators Research 42, pp. 77–101.
Garrett, L.: 1994, The Coming Plague: Newly Emerging Diseases in a World Out of Balance (Farrar, Straus and Giroux, New York).
Hertz, E., J. R. Herbert and J. Landon: 1994, ‘Social and environmental factors and life expectancy, infant mortality, and maternal mortality rates: Results of a cross-national comparison’, Social Science and Medicine 39, pp. 105–111.
Hobcraft, J. N., J.W. McDonald and S. O. Rutstein: 1984. ‘Socioeconomic factors in infant and child mortality: A cross-national comparison’, Population Studies 38, pp. 193–223.
Homer-Dixon, T. F.: 1999, Environment, Scarcity, and Violence (Princeton University Press, Princeton, NJ).
Huang, J.: 1995, ‘Structural disarticulation and third world development’, International Journal of Comparative Sociology 36, pp. 164–183.
Kabagarama, D. and C. L. Mulford: 1989, ‘The relationship between women’s education, nutrition, fertility, GNP per capita and infant mortality: Implications for the role of women in development’, International Journal of Contemporary Sociology 26, pp 189–200.
Kim, K. and P. M. Moody: 1992, ‘More resources better health? A cross-national perspective’, Social Sciences and Medicine 34, pp. 837–842.
Lena, H. and B. London: 1993, ‘The political and economic determinants of health outcomes: A cross-national analysis’, International Journal of Health Services 23, pp. 585–602.
London, B. and B. A. Williams: 1990, ‘National politics, international dependency, and basic needs provision: A cross-national analysis’, Social Forces 69, pp. 565–584.
London, B. and B. A. Williams: 1988, ‘Multinational corporate penetration, protest, and basic needs provision in non-core nations: A cross-national analysis’, Social Forces 66, pp. 747–773.
Mason, K. O.: 1986, ‘The status of women: Conceptual andmethodological issues in demographic studies’, Sociological Forum 1, pp. 284–300.
Moon, B. E.: 1991, The Political Economy of Basic Human Needs (Cornell University Press, Ithaca, NY).
Moon, B. E. and W. J. Dixon: 1985, ‘Politics, the state, and basic human needs: A cross-national study’, American Journal of Political Science 29, pp. 661–694.
Murphy, R.: 1997, Sociology and Nature: Social Action in Context (Westview Press, Boulder, CO).
Pattnayak, S. R. and D. Shai: 1995, ‘Mortality rates as indicators of cross-cultural development: Regional variations in the third world’, Journal of Developing Societies 11, pp. 252–262.
Pimentel, D., M. Tort, L. D’Anna, A. Krawie, J. Berger, J. Rossman, F. Mugo, N. Doon, M. Shriberg, E. Howard, S. Lee and J. Talbot: 1998, ‘Ecology of increasing disease: Population growth and environmental degradation’, BioScience 48, pp. 817–826.
Ragin, C. C. and Y.W. Bradshaw: 1992, ‘International economic dependence, and human misery, 1938–1980: A global perspective’, Sociological Perspectives 2, pp 217–247.
Rodney, W.: 1982, How Europe Underdeveloped Africa (Howard University Press, Washington, DC).
Rostow, W. W.: 1960, The Stages of Economic Growth (Cambridge University Press, New York).
Seipel, M. M.: 1994, ‘Toward effective health care investments in developing countries’, Social Development Issues 16, pp. 13–22.
Shannon, T. R.: 1996, An Introduction to the World-System Perspective, Second Edition (Westview Press, Boulder, CO).
Shen, C. and J. B. Williamson: 1997, ‘Child mortality, women’s status, economic dependency, and state strength: A cross-national study of less developed countries’, Social Forces 76, pp. 667–694.
Skocpol, T.: 1985, ‘Bringing the state back in: Strategies of analysis in current research’, in P. Evans, D. Rueschemeyer and T. Skocpol (eds.), Bringing the State Back In (Cambridge University Press, Cambridge), pp. 3–37.
So, A. Y.: 1990, Social Change and Development (Sage, Newbury Park).
Stokes, R. G. and A. B. Anderson: 1990, ‘Disarticulation and human welfare in less developed countries’, American Sociological Review 55, pp. 63–74.
Subbarao, K. and L. Raney: 1995, ‘Social gains from female education: A cross national Study’, Economic Development and Cultural Change 44, pp. 105–128.
Taylor, C. L. and D. A. Jodice: 1983, World Handbook of Political and Social Indicators, Vol. I: Cross-National Attributes and Rates of Change (Yale University Press, New Haven, CT).
United Nations: 1983, Transnational Corporations in World Development (United Nations, New York).
United Nations: 1993, Human Development Report, 1993 (Oxford University Press, Oxford).
United Nations Children’s Fund (UNICEF): 1990, Children and the Environment (United Nations, New York).
United Nations Children’s Fund (UNICEF): 1997, The State of the World’s Children (Oxford University Press, New York).
Wallerstein, I.: 1979, ‘The rise and future demise of the world capitalist system: Concepts for comparative analysis’, in Immanuel Wallerstein (ed.), The Capitalist World Economy (Cambridge University Press, New York), pp. 1–36.
Ward, K. B.: 1984, Women in the World-System (Praeger, New York).
Wimberley, D.: 1990, ‘Investment dependence and alternative explanations of third world mortality: A cross-national study’, American Sociological Review 55, pp. 75–91.
Wimberley, D. and R. Bello: 1992, ‘Effects of foreign investment, exports, and economic growth on third world food consumption’, Social Forces 70, pp. 895–921.
World Bank: 1983, World Tables, Vol. II: Social Data, Third Edition (Johns Hopkins University Press, Baltimore, MD).
World Bank: 1986, World Debt Tables (World Bank, Washington, D.C.).
World Bank: 1993, World Development Report 1993 (Oxford University Press, New York).
Yang, Shu-O W. and B. F. Pendleton: 1980, ‘Socioeconomic development and mortality levels in less developed countries’, Social Biology 27, pp. 220–229.
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Frey, R.S., Field, C. The determinants of Infant Mortality in the Less Developed Countries: A Cross-National Test of Five Theories. Social Indicators Research 52, 215–234 (2000). https://doi.org/10.1023/A:1007093631977
- Mortality Rate
- Develop Country
- Educational Attainment
- State Theory
- Infant Mortality