Document Detail

The effect of child mortality on fertility regulation in rural Bangladesh.
MedLine Citation:
PMID:  9789320     Owner:  NLM     Status:  MEDLINE    
This study analyzes longitudinal data from Matlab, Bangladesh, to examine the impact of child mortality on subsequent contraceptive acceptance and continuation. The strong negative impact is found to attenuate with family size, indicating a "replacement effect". An "insurance effect" is observed as contraceptive acceptance and continuation were negatively associated with the number of previous deaths of children. Couples seem to find contraceptive use acceptable if the child who dies is one of a large family. Potentially, contraceptive use could be acceptable for spacing after a child in a small family dies. Family planning programs can help to reduce fertility and maternal and child health risks substantially by supplying appropriate methods to those couples who have experienced a young child's death; to be most effective, methods should be supplied immediately after the child's death.
M Rahman
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Studies in family planning     Volume:  29     ISSN:  0039-3665     ISO Abbreviation:  Stud Fam Plann     Publication Date:  1998 Sep 
Date Detail:
Created Date:  1999-01-26     Completed Date:  1999-01-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7810364     Medline TA:  Stud Fam Plann     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  268-81     Citation Subset:  IM    
International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
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MeSH Terms
Bangladesh / epidemiology
Child, Preschool
Contraception / utilization*
Developing Countries*
Family Characteristics
Family Planning Services / utilization
Infant Mortality*
Infant, Newborn
Patient Acceptance of Health Care / statistics & numerical data
Pregnancy Rate
Proportional Hazards Models
Rural Population / statistics & numerical data*

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

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