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The largest male-female differences in mortality occur in conditions of socioeconomic adversity. Sex differences in mortality vary over time and place as a function of social, health, and medical circumstances. The magnitude of these variations, and their response to large socioeconomic changes, suggest that biological differences cannot fully for sex differences in survival.

Drawing on a wide swath of mortality data across countries and over time, we develop a set of empiric observations with which any theory about excess male mortality and its correlates will have to contend.

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After the onset of this transition, cross-sectional variation in excess male mortality exhibits a consistent pattern of greater female resilience to mortality under socio-economic adversity. The causal mechanisms underlying these associations merit further research.

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Author links open overlay panel Mark R. Add to Mendeley Share. Under a Creative Commons. Abstract Sex differences in mortality vary over time and place as a function of social, health, and medical circumstances.

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Recommended articles Citing articles 0. Published by Elsevier Ltd.

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