Stud Fam Plann. 2018 Mar;49(1):3-21. doi: 10.1111/sifp.12048.
The negative relationship between birth interval length and neonatal mortality risks is well documented, but heterogeneity in this relationship has been largely ignored. Using the Bangladesh Maternal Mortality and Health Care Survey 2010, this study investigates how the effect of birth interval length on neonatal mortality risks varies by maternal age at birth and maternal education. There is significant variation in the effect of interval length on neonatal mortality along these dimensions. Young mothers and those with little education, both of which make up a large share of the Bangladeshi population, can disproportionately benefit from longer intervals. Because these results were obtained from within-family models, they are not due to unobservable heterogeneity between mothers. Targeting women with these characteristics may lead to significant improvements in neonatal mortality rates, but there are significant challenges in reaching them.
出生间隔长度与新生儿死亡风险之间的负相关关系已有充分记录,但这种关系的异质性在很大程度上被忽视了。本研究利用 2010 年孟加拉国产妇死亡率和医疗保健调查数据,考察了出生间隔长度对新生儿死亡风险的影响如何因产妇出生时的年龄和受教育程度而异。在这些维度上,间隔长度对新生儿死亡率的影响存在显著差异。年轻母亲和受教育程度较低的母亲(这两者在孟加拉国人口中占很大比例)可以从更长的间隔中获得不成比例的好处。由于这些结果是从家庭内模型中得出的,因此它们不是由于母亲之间不可观察的异质性造成的。针对这些特征的妇女可能会导致新生儿死亡率的显著降低,但在接触到这些妇女方面存在重大挑战。