Koenig M A, Phillips J F, Campbell O M, D'Souza S
International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh.
Demography. 1990 May;27(2):251-65.
This study investigates the relationship between birth intervals and childhood mortality, using longitudinal data from rural Bangladesh known to be of exceptional accuracy and completeness. Results demonstrate significant but very distinctive effects of the previous and subsequent birth intervals on mortality, with the former concentrated in the neonatal period and the latter during early childhood. The impact of short birth intervals on mortality, however, is substantially less than that found in many previous studies of this issue, particularly for the previous birth interval. The findings are discussed in terms of the potential for family planning programs to contribute to improved child survival in settings such as Bangladesh.
本研究利用孟加拉国农村地区已知具有极高准确性和完整性的纵向数据,调查生育间隔与儿童死亡率之间的关系。结果表明,前一个和后一个生育间隔对死亡率有显著但非常独特的影响,前者集中在新生儿期,后者集中在幼儿期。然而,短生育间隔对死亡率的影响远小于此前许多关于该问题的研究中所发现的影响,尤其是前一个生育间隔的影响。文中根据计划生育项目在孟加拉国等地区促进儿童生存改善的潜力对研究结果进行了讨论。