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42个发展中国家的孕产妇身高与儿童死亡率

Maternal height and child mortality in 42 developing countries.

作者信息

Monden Christiaan W S, Smits Jeroen

机构信息

Department of Sociology, Tilburg University, Tilburg, The Netherlands. c.w.s.monden@ uvt.nl

出版信息

Am J Hum Biol. 2009 May-Jun;21(3):305-11. doi: 10.1002/ajhb.20860.

Abstract

Previous research reports mixed results about the association between maternal height and child mortality. Some studies suggest that the negative association might be stronger in contexts with fewer resources. This hypothesis has yet not been tested in a cross-nationally comparative design. We use data on 307,223 children born to 194,835 women in 444 districts of 42 developing countries to estimate the association between maternal height and child mortality and test whether this association is modified by indicators at the level of the household (like sex, age and twin status of the child and socio-economic characteristics of the mother and her partner), district (regional level of development, public health facilities and female occupational attainment) and country (GDP per capita). We find a robust negative effect of logged maternal height on child mortality. The effect of maternal health is strongest for women with least education and is more important in the first year after birth and for twin births. The indicators of development at the district and country level do not modify the effect of maternal height.

摘要

以往的研究报告了关于母亲身高与儿童死亡率之间关联的不同结果。一些研究表明,在资源较少的环境中,这种负相关可能更强。这一假设尚未在跨国比较设计中得到检验。我们使用了42个发展中国家444个地区194,835名妇女所生的307,223名儿童的数据,来估计母亲身高与儿童死亡率之间的关联,并检验这种关联是否会受到家庭层面指标(如孩子的性别、年龄和双胞胎状况以及母亲及其伴侣的社会经济特征)、地区层面指标(区域发展水平、公共卫生设施和女性职业成就)和国家层面指标(人均国内生产总值)的影响。我们发现,母亲身高的对数对儿童死亡率有显著的负面影响。母亲健康的影响对于受教育程度最低的女性最为显著,且在出生后的第一年以及双胞胎出生时更为重要。地区和国家层面的发展指标并未改变母亲身高的影响。

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