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When combined with the clinical, historical, and epidemiological literature on scurvy, survivorship analysis, a form of statistical analysis to assess the relationship between the presence of diseases in the archeological record and survival, helps determine the overall burden of the disease both in terms of morbidity and mortality. This article explores the relationship between scurvy and survivorship in 26 adults from Man Bac, a Neolithic site from northern Vietnam together with prepublished evidence of scurvy in the nonadult population (<jats:italic>n<\/jats:italic>\u2009=\u200944).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Diagnosis of scurvy included differential diagnosis combined with the Snoddy, A. M. E., Buckley, H. R., Elliott, G. E., Standen, V. G., Arriaza, B. T., &amp; Halcrow, S. E. (2018). Macroscopic features of scurvy in human skeletal remains: A literature synthesis and diagnostic guide. <jats:italic>American Journal of Physical Anthropology<\/jats:italic>, <jats:italic>167<\/jats:italic>(4), 876\u2013895. <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/doi.org\/10.1002\/ajpa.23699\">https:\/\/doi.org\/10.1002\/ajpa.23699<\/jats:ext-link> threshold criteria and the Brickley, M. B., &amp; Morgan, B. (2023). Assessing diagnostic certainty for scurvy and rickets in human skeletal remains. <jats:italic>American Journal of Biological Anthropology<\/jats:italic>, <jats:italic>181<\/jats:italic>, 637\u2013645 diagnostic certainty approaches. Kaplan\u2013Meier survival curves were produced to assess the relationship between the presence of probable scurvy and age\u2010at\u2010death.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of probable scurvy in adults (35%) was considerably lower than reported for the nonadults (80%). Almost all lesions observed in the adults were in a mixed stage of healing. Kaplan\u2013Meier analysis demonstrated no difference in survivorship between infants and children (&lt;15\u2009years) with or without probable scurvy, whereas a meaningful difference was observed for the adults and adolescents (15+\u2009years).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The findings demonstrate that scurvy considerably decreased survivorship to older age categories. The degree of lesion remodeling, however, indicates that scurvy was not necessarily the direct cause of death but contributed to an overall disease burden that was ultimately fatal.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajpa.25011","type":"journal-article","created":{"date-parts":[[2024,8,17]],"date-time":"2024-08-17T14:40:55Z","timestamp":1723905655000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["High prevalence of adult and nonadult scurvy in an early agricultural transition site from <scp>Mainland Southeast Asia<\/scp> was associated with decreased survivorship"],"prefix":"10.1002","volume":"185","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5259-3819","authenticated-orcid":false,"given":"Melandri","family":"Vlok","sequence":"first","affiliation":[{"name":"School of Health Sciences The University of Notre Dame Australia  Sydney New South Wales Australia"},{"name":"School of Languages and Cultures The University of Sydney  Sydney New South Wales Australia"},{"name":"Sydney Southeast Asia Centre The University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5804-2145","authenticated-orcid":false,"given":"Marc","family":"Oxenham","sequence":"additional","affiliation":[{"name":"School of Archaeology and Anthropology The Australian National University  Canberra Australian Capital Territory Australia"},{"name":"Department of Archaeology University of Aberdeen  Aberdeen Scotland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kate","family":"Domett","sequence":"additional","affiliation":[{"name":"College of Medicine and Dentistry James Cook University  Townsville Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiep Hoang","family":"Trinh","sequence":"additional","affiliation":[{"name":"Institute of Archaeology Vietnam Academy of Social Sciences  Hanoi Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tran Thi","family":"Minh","sequence":"additional","affiliation":[{"name":"Institute of Archaeology Vietnam Academy of Social Sciences  Hanoi Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mai Huong","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Institute of Archaeology Vietnam Academy of Social Sciences  Hanoi Vietnam"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hirofumi","family":"Matsumura","sequence":"additional","affiliation":[{"name":"School of Health Sciences Sapporo Medical University  Sapporo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hallie","family":"Buckley","sequence":"additional","affiliation":[{"name":"Department of Anatomy University of Otago  Dunedin New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,8,17]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajpa.22905"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-642-03709-2_38"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.4269\/ajtmh.20-1246"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijpp.2014.07.003"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1038\/nature.2016.19503"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/095952878306600112"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1136\/adc.28.138.81"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-08-101020-4.00002-1"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajpa.20491"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijpp.2016.10.001"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajpa.24799"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02437238"},{"issue":"10","key":"e_1_2_10_14_1","first-page":"399","article-title":"Malaria v. 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