DeRose Laurie F, Salazar-Arango Andrés, Corcuera García Paúl, Gas-Aixendri Montserrat, Rivera Reynaldo
a University of Maryland.
b Universidad de La Sabana.
Popul Stud (Camb). 2017 Jul;71(2):211-228. doi: 10.1080/00324728.2017.1316866. Epub 2017 May 16.
Efforts to improve child survival in lower-income countries typically focus on fundamental factors such as economic resources and infrastructure provision, even though research from post-industrial countries confirms that family instability has important health consequences. We tested the association between maternal union instability and children's mortality risk in Africa, Latin America and the Caribbean, and Asia using children's actual experience of mortality (discrete-time probit hazard models) as well as their experience of untreated morbidity (probit regression). Children of divorced/separated mothers experience compromised survival chances, but children of mothers who have never been in a union generally do not. Among children of partnered women, those whose mothers have experienced prior union transitions have a higher mortality risk. Targeting children of mothers who have experienced union instability-regardless of current union status-may augment ongoing efforts to reduce childhood mortality, especially in Africa and Latin America where union transitions are common.
在低收入国家，改善儿童生存状况的努力通常集中在经济资源和基础设施建设等基本因素上，尽管来自后工业化国家的研究证实家庭不稳定会对健康产生重要影响。我们使用儿童的实际死亡经历（离散时间概率风险模型）以及未治疗疾病的经历（概率回归），测试了非洲、拉丁美洲和加勒比地区以及亚洲母亲的婚姻不稳定与儿童死亡风险之间的关联。离婚/分居母亲的孩子生存机会受到影响，但从未结婚的母亲的孩子通常不受影响。在有伴侣的女性的孩子中，母亲曾经历过婚姻转变的孩子死亡风险更高。针对经历过婚姻不稳定的母亲的孩子——无论其目前的婚姻状况如何——可能会加强目前为降低儿童死亡率所做的努力，特别是在婚姻转变普遍的非洲和拉丁美洲。
