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Relationship between survival status of first child and subsequent child death
- Source :
- Journal of Biosocial Science. 28:185-191
- Publication Year :
- 1996
- Publisher :
- Cambridge University Press (CUP), 1996.
-
Abstract
- This paper examines the association between infant mortality of the first born and subsequent children using data from rural Bangladesh collected during the period 1971-82. It shows that birth spacing and age of mother at the time of the second birth are important predictors of the survival status of the first child. The findings are discussed in terms of policy implications.This study examines the mortality of the first born and the death of a subsequent child in Bangladesh. Data are obtained from the Demographic Surveillance System of the International Center for Diarrheal Disease Research during 1974-82. The sample includes 1772 mothers who had first births and 1032 who had second births. 245 first-born and 159 second-born infants died. 740 mothers of first-born infants did not have a second child. 176 women had signs of secondary infertility. Bivariate analysis of the correspondence between first mortality status and age at death of the second child indicates an inverse relationship. The probabilities of neonatal or infant death among second children were highest among mothers whose first child also died neonatally. The second-birth mortality risk was consistently higher for all mortality among first births up to 1 year of age and lower if the first birth survived the neonatal stage. Risk was higher among mothers aged under 20 years and if the second child was a male. If the first child was a male, the probability of the second child surviving was higher. The hazard model analysis reveals that birth spacing was an important determinant. Shorter birth interval between first and second births was related to a higher relative risk of dying among first births. The analysis suggests that birth spacing and maternal age at the time of the second birth were important factors relating to the survival status of the second child. The implication of the findings is that biological variables, such as birth weight, may offer a better explanation for the association between socioeconomic and demographic factors and infant mortality. Health interventions, such as child care and nutrition education, may be more effective in reducing the risk of subsequent mortality.
- Subjects :
- Male
Rural Population
Population
Birth rate
Birth Intervals
Risk Factors
Survivorship curve
Infant Mortality
Humans
Medicine
Sibling
education
Developing Countries
Bangladesh
education.field_of_study
business.industry
Incidence
Infant, Newborn
Public Health, Environmental and Occupational Health
Infant
General Social Sciences
Infant mortality
Child mortality
Birth order
Cross-Sectional Studies
Family planning
Female
Birth Order
business
Demography
Subjects
Details
- ISSN :
- 14697599 and 00219320
- Volume :
- 28
- Database :
- OpenAIRE
- Journal :
- Journal of Biosocial Science
- Accession number :
- edsair.doi.dedup.....ad15c37d5efc394ccc5d3baada80ef2b