EFFECTS OF SELECTION ON MORTALITY1

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Abstract
Seltzer, C. C. (Harvard School of Public Health, Boston, Mass. 02115) and S. Jablon. Effects of selection on mortality. Am J Epidemiol 100: 367–372, 1974.—The effect of the bias of medical selection on subsequent mortality by cause, was examined in a series of 85, 491 white male World War II U. S. Army veterans who have been followed for a period of 23 years, 1947–1969. The results indicate that the selection process for military service exerted a profound effect on mortality of Army veterans after separation from service. Generally, the mortality rates are well below those of the general population within the first few years of discharge, but thereafter gradually approach those of the parent population. The effect of the bias of selection on subsequent mortality rates may persist even after 23 years from Army discharge. The effect of the bias varies considerably according to the nature of the cause of death.

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