Document Detail


Infant and child mortality determinants in Bangladesh: are they changing?
MedLine Citation:
PMID:  9881143     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
From the data of the 1989 Bangladesh Fertility Survey, aggregate deaths reported at ages 0-12 and 13-60 months are used to estimate infant and child mortality. Multivariate analysis shows that preceding birth interval length, followed by survival status of the immediately preceding child, are the most important factors associated with differential infant and child mortality risks; sex of the index child and mother's and father's education are also significant. Demographic factors are influential during infancy as well as childhood, but social factors, particularly mother's and father's education, now emerge as significant predictors of infant mortality risks. This indicates a change in the role of socioeconomic factors, since the earlier Bangladesh Fertility Survey in 1975.
This study identifies the risk factors associated with infant and child mortality in Bangladesh. The data are obtained from the 1989 Bangladesh Fertility Survey. Since 1975, infant and child mortality declined. In 1975, the determinants of child survival were sex of the child, maternal age at birth, birth order, preceding birth interval, and survival of preceding sibling: all demographic factors. This study finds that both mothers' and fathers' educational status were negatively related to mortality. The lowest rates of mortality occurred among births to either parent who had a secondary level of education. Mothers' education had a greater impact than fathers' education. Infant mortality was higher among births to teenage mothers and to mothers older than 35. Infants with parents living in rural areas had higher rates. Child mortality showed similar relationships, with the exception that females had higher child mortality rates and children following a sibling death had lower child mortality rates. Multivariate analyses indicate that child survival was highly significantly affected by both demographic and socioeconomic factors. The effects of birth interval and survival of the preceding child were stronger than the effects of fathers' or mothers' education. The determinants of infant and child mortality in 1989 differed from the determinants in 1975. The influence of educational status increased to include fathers' educational status. Both parents' educational status in 1989 influenced infant mortality. Findings suggest the greater influence of social factors in explaining differential mortality risks. The influence could be due to reduced mortality levels or changes in educational status or both. Policy should be directed to spacing births, special care to women with a previous history of pregnancy loss, and increased educational status.
Authors:
A K Majumder; M May; P D Pant
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of biosocial science     Volume:  29     ISSN:  0021-9320     ISO Abbreviation:  J Biosoc Sci     Publication Date:  1997 Oct 
Date Detail:
Created Date:  1999-01-27     Completed Date:  1999-01-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0177346     Medline TA:  J Biosoc Sci     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  385-99     Citation Subset:  IM; J    
Affiliation:
National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia.
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MeSH Terms
Descriptor/Qualifier:
Adult
Bangladesh / epidemiology
Birth Intervals
Female
Humans
Infant
Infant Mortality / trends*
Infant, Newborn
Logistic Models
Male
Middle Aged
Multivariate Analysis
Parents / education
Risk Factors
Sex Ratio
Socioeconomic Factors
Survival Analysis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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