scholarly journals To What Extent Does Breastfeeding Explain Birth-Interval Effects on Early Childhood Mortality?

Demography ◽  
1989 ◽  
Vol 26 (3) ◽  
pp. 439 ◽  
Author(s):  
Robert D. Retherford ◽  
Minja Kim Choe ◽  
Shyam Thapa ◽  
Bhakta B. Gubhaju
2012 ◽  
Vol 45 (6) ◽  
pp. 779-798 ◽  
Author(s):  
JEAN CHRISTOPHE FOTSO ◽  
JOHN CLELAND ◽  
BLESSING MBERU ◽  
MICHAEL MUTUA ◽  
PATRICIA ELUNGATA

SummaryThe majority of studies of the birth spacing–child survival relationship rely on retrospective data, which are vulnerable to errors that might bias results. The relationship is re-assessed using prospective data on 13,502 children born in two Nairobi slums between 2003 and 2009. Nearly 48% were first births. Among the remainder, short preceding intervals are common: 20% of second and higher order births were delivered within 24 months of an elder sibling, including 9% with a very short preceding interval of less than 18 months. After adjustment for potential confounders, the length of the preceding birth interval is a major determinant of infant and early childhood mortality. In infancy, a preceding birth interval of less than 18 months is associated with a two-fold increase in mortality risks (compared with lengthened intervals of 36 months or longer), while an interval of 18–23 months is associated with an increase of 18%. During the early childhood period, children born within 18 months of an elder sibling are more than twice as likely to die as those born after an interval of 36 months or more. Only 592 children experienced the birth of a younger sibling within 20 months; their second-year mortality was about twice as high as that of other children. These results support the findings based on retrospective data.


1995 ◽  
Vol 27 (4) ◽  
pp. 393-404 ◽  
Author(s):  
Nurul Alam

SummaryTo examine the effects of birth spacing on early childhood mortality, 3729 singleton births in 1983–84 were followed for 3 years in rural Bangladesh. Logistic regression analyses were used to assess whether the survival of older siblings modifies the effect of preceding birth intervals and to see if the effects of preceding and succeeding birth intervals are inter-related, controlling for the effects of sex of the child, mother's age and household economic status. With the exception of the neonatal period, birth spacing effects were highly significant. A preceding birth interval of <15 months was associated with a greater mortality risk in the post-neonatal period for children with an older sibling who survived infancy. However, a short preceding birth interval did not adversely affect post-neonatal mortality if the older sibling died in infancy. Neonatal and post-neonatal deaths were higher if older siblings had died in respective age intervals. A pregnancy interval of <12 months after childbirth raised the risk of death at ages 1–2 years considerably if the child was born after a short birth interval (<15 months). The results suggest that the high mortality risks of closely spaced children are due to sibling competition for parental resources.


1989 ◽  
Vol 20 (6) ◽  
pp. 365
Author(s):  
Robert D. Retherford ◽  
Minja Kim Choe ◽  
Shyam Thapa ◽  
Bhakta B. Gubhaju

1994 ◽  
Vol 26 (2) ◽  
pp. 143-154 ◽  
Author(s):  
M. Shahidullah

SummaryThis study investigates the effect of both total and unsupplemented breast-feeding in conjunction with birth interval on early childhood mortality, using longitudinal data from Matlab, Bangladesh. A discrete hazard model approach shows that it is not the duration of total breast-feeding but the duration of unsupplemented breast-feeding which increases child survival. Unsupplemented breast-feeding appears as such a crucial determinant of early childhood mortality that its effect could not be substantially attenuated even when important demographic and socioeconomic factors were controlled. Each of the covariates—supplementation, previous birth interval and onset of a subsequent conception—has an independent influence on early childhood mortality.


2010 ◽  
Vol 39 (3) ◽  
pp. 825-833 ◽  
Author(s):  
M. A. Koenig ◽  
R. Stephenson ◽  
R. Acharya ◽  
L. Barrick ◽  
S. Ahmed ◽  
...  

PEDIATRICS ◽  
2011 ◽  
Vol 127 (5) ◽  
pp. e1128-e1138 ◽  
Author(s):  
W. N. Nembhard ◽  
J. L. Salemi ◽  
M. K. Ethen ◽  
D. E. Fixler ◽  
A. DiMaggio ◽  
...  

1989 ◽  
Vol 55 (2) ◽  
pp. 91-99
Author(s):  
Ichiro WAKISAKA ◽  
Masumi SATO ◽  
Tsuguo YANAGIHASHI ◽  
Tsutomu TOMARI

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