Economic Transition, Male Competition, and Sex Differences in Mortality Rates

Sex differences in mortality rates stem from a complex set of genetic, physiological, psychological, and social causes whose interconnections are best understood in an integrative evolutionary framework. We predicted that the transition from centrally planned to market economies in Eastern Europe inflated the discrepancy between male and female mortality rates, because economic uncertainty and increasing variation and skew in social status and resources should increase risky male behavior and the impact of stress on physiological susceptibility to internal causes of death. We computed the ratio of the male mortality rate to the female mortality rate separately for 14 Eastern European countries and for the combined population of 12 Western European countries in the pre-transition (1985–1989), transition (1990–1994), and post-transition (1995–1999) periods. We found that the Male to Female Mortality Ratio (M:F MR) for 14 Eastern European nations increased during the years of economic transition, most prominently during early adulthood. Larger sex differences in mortality rates occurred in both young adulthood, reflecting a shift towards riskier behavioral strategies, and middle adulthood, indicating greater physiological susceptibility to stress. For 12 of the 14 Eastern European nations, the increase was substantially larger than the slight increase in the overall Western European M:F MR. The impact of the transition on the magnitude of mortality discrepancy across countries varies considerably and likely reflects conditions particular to each country. These findings illustrate how traits shaped by natural selection interact with environmental conditions to influence male psychology and ultimately mortality patterns