, Volume 29, Issue 2, pp 305–318 | Cite as

Birth spacing and child mortality in bangladesh and the Philippines

  • Jane E. Miller
  • James Trussell
  • Anne R. Pebley
  • Barbara Vaughan


This analysis uses data from Bangladesh and the Philippines to demonstrate that children who are born within 15 months of a preceding birth are 60 to 80% more likely than other children to die in the first two years of life, once the confounding effects of prematurity are removed. The risks associated with short conception intervals are confined to children who are also high birth order; they persist in the presence of controls for prior familial child mortality, breast-feeding, mother’s age, and socioeconomic status. In Bangladesh but not in the Philippines, these effects are confined to the neonatal period.


Child Mortality Birth Order Birth Interval Child Survival Family Health History 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. Adair, Linda and Barry M. Popkin. 1991. “Post-Partum Weight in Nutritionally At-Risk Filipino Women: Implications for Maternal Depletion.” Presented at the annual meetings of the Population Association of America, Washington.Google Scholar
  2. Ballard, Jeanne L., Kathy K. Novak, and Marshall Driver. 1979. “A Simplified Score for Assessment of Fetal Maturation in Newly Born Infants.” The Journal of Pediatrics 95:769–74.CrossRefGoogle Scholar
  3. Bongaarts, John. 1987. “Does Family Planning Reduce Infant Mortality Rates?” Population and Development Review 13(2):323–34.CrossRefGoogle Scholar
  4. Chowdhury, A.K.M.A. and Stan Becker. 1981. “Determinants of Natural Fertility Study. Volume 1: Methods and Descriptive Tables for the Prospective Study, 1975–78.” ICDDRB Scientific Report 48. Dacca: ICDDRB.Google Scholar
  5. Cleland, John and Zeba Sathar. 1984. “The Effect of Birth Spacing on Child Mortality in Pakistan.” Population Studies 38(3):401–18.CrossRefGoogle Scholar
  6. Curtis, Sian L., John W. McDonald, and Ian Diamond. 1991. “Random-Effects Models for Birth Interval Effects on Infant Mortality in Brazil.” Presented at the annual meetings of the Population Association of America, Washington.Google Scholar
  7. Das Gupta, Monica. 1990. “Death Clustering, Mother’s Education, and the Determinants of Child Mortality in Rural Punjab, India.” Population Studies 44(3):489–505.CrossRefGoogle Scholar
  8. DaVanzo, Julie, William P. Butz, and Jean-Pierre Habicht. 1983. “How Biological and Behavioral Influences on Mortality in Malaysia Vary during the First Year of Life.” Population Studies 37:381–402.CrossRefGoogle Scholar
  9. DeSweemer, Cecile. 1984. “The Influence of Child Spacing on Child Survival.” Population Studies 38:47–72.CrossRefGoogle Scholar
  10. Guo, Guang and Germán Rodríguez. 1991. “Estimating a Multivariate Proportional Hazard Model via the EM Algorithm, with an Application to Child Survival in Guatemala.” Working Paper 91–11, Office of Population Research, Princeton University.Google Scholar
  11. Hobcraft, John. 1987. “Does Family Planning Save Children’s Lives?” Prepared for the International Conference on Better Health for Women and Children through Family Planning, Nairobi.Google Scholar
  12. Hobcraft, John, John W. McDonald, and Shea O. Rutstein. 1985. “Demographic Determinants of Infant and Child Mortality.” Population Studies 39:363–85.CrossRefGoogle Scholar
  13. Huffman, Sandra L., Kathleen Ford, H.A. Allen Jr., and P. Streble. 1987. “Nutrition and Fertility in Bangladesh: Breast-feeding and Post Partum Amenorrhoea.” Population Studies 41:447–62.CrossRefGoogle Scholar
  14. Jelliffe, Derrick B. and I. Maddocks. 1964. “Ecologic Malnutrition in the New Guinea Highlands.” Clinical Pediatrics 3(7):432–38.CrossRefGoogle Scholar
  15. Koenig, Michael A., James F. Phillips, Oona M. Campbell, and Stan D’Souza. 1990. “Birth Intervals and Childhood Mortality in Rural Bangladesh.” Demography 27(2):251–65.CrossRefGoogle Scholar
  16. Leridon, Henri. 1977. Human Fertility. Chicago: University of Chicago Press.Google Scholar
  17. Majumder, A.K. 1990. “Child Survival and Its Effects on Mortality of Siblings in Bangladesh.” Journal of Biosocial Science 22:333–47.CrossRefGoogle Scholar
  18. Miller, Jane E. 1989. “Is the Relationship Between Birth Intervals and Perinatal Mortality Spurious? Evidence from Hungary and Sweden.” Population Studies 43:479–95.CrossRefGoogle Scholar
  19. Miller, Jane E. 1991a. “Birth Order, Interpregnancy Interval and Birth Outcomes among Filipino Infants.” Working Paper 91–13, Office of Population Research, Princeton University.Google Scholar
  20. — 1991b. “Birth Spacing and Perinatal Health: An Investigation of Three Hypotheses.” Family Planning Perspectives 23(2):62–70.CrossRefGoogle Scholar
  21. Miller, Jane E., James Trussell, Anne R. Pebley, and Barbara Vaughan. 1991. “Birth Spacing and Child Mortality in Bangladesh and the Philippines: How Much Is Explained by Gestation?” Working Paper 91–9, Office of Population Research, Princeton University.Google Scholar
  22. National Research Council. 1989. Contraception and Reproduction: Health Consequences/or Women and Children in the Developing World. Washington DC: National Academy Press.Google Scholar
  23. Office of Population Studies, University of San Carlos. 1989. “Metro Cebu Longitudinal Health and Nutrition Study: Survey Procedures and Survey Instruments.” Unpublished report, University of North Carolina at Chapel Hill.Google Scholar
  24. Palloni, Alberto and Marta Tienda. 1986. “The Effects of Breast-feeding and Pace of Childbearing on Mortality at Early Ages.” Demography 23(1):31–52.CrossRefGoogle Scholar
  25. Pebley, Anne R. 1984. “Intervention Projects and the Study of Socioeconomic Determinants of Mortality.” pp. 281–306 in Population and Development Review, Supplement to Vol. 10, Child Survival: Strategies/or Research, edited by H. Mosley and L. Chen. New York: The Population Council.Google Scholar
  26. Pebley, Anne R. and Julie DaVanzo. 1988. “Maternal Depletion and Child Survival in Guatemala and Malaysia.” Presented at the annual meetings of the Population Association of America, New Orleans.Google Scholar
  27. Pebley, Anne R. and Sara Millman. 1986. “Birthspacing and Child Survival.” International Family Planning Perspectives 12(3):71–79.CrossRefGoogle Scholar
  28. Pebley, Anne R. and Paul Stupp. 1987. “Reproductive Patterns and Child Mortality in Guatemala.” Demography 24(1):43–60.CrossRefGoogle Scholar
  29. Popkin, Barry M., Linda Adair, John S. Akin, Robert Black, John Briscoe, and Wilhelm Flieger. 1990. “Breast-feeding and Diarrheal Morbidity.” Pediatrics 86(6):874–82.Google Scholar
  30. Trussell, James. 1988. “Does Family Planning Reduce Infant Mortality Rates? An Exchange.” Population and Development Review 14(1):171–78.CrossRefGoogle Scholar
  31. Trussell, James, Laurence Grummer-Strawn, Germán Rodríguez, and Mark VanLandingham. Forthcoming. “Trends and Differentials in Breast-feeding Behavior: Evidence from the WFS and DHS.” Population Studies.Google Scholar
  32. Trussell, James and Charles Harnmerslough. 1983. “A Hazards-Model Analysis of the Covariates of Infant and Child Mortality in Sri Lanka.” Demography 20(1):1–26.CrossRefGoogle Scholar
  33. Trussell, James and Anne R. Pebley. 1984. “The Potential Impact of Changes in Fertility on Infant, Child and Maternal Mortality.” Studies in Family Planning 15(6):267–80.CrossRefGoogle Scholar
  34. Winikoff, Beverly. 1983. “The Effects of Birth Spacing on Child and Maternal Health.” Studies in Family Planning 14(10):231–45.CrossRefGoogle Scholar
  35. Wolfers, David and Susan Scrimshaw. 1975. “Child Survival and Intervals Between Pregnancies in Guayaquil, Ecuador.” Population Studies 29(3):479–96.CrossRefGoogle Scholar
  36. Zenger, Elizabeth. 1991. “Heterogeneity Among Families in Neonatal Mortality and Birth Intervals in Matlab, Bangladesh.” Presented at the annual meetings of the Population Association of America, Washington.Google Scholar

Copyright information

© Population Association of America 1992

Authors and Affiliations

  • Jane E. Miller
    • 1
  • James Trussell
    • 1
  • Anne R. Pebley
    • 1
  • Barbara Vaughan
    • 1
  1. 1.Office of Population ResearchPrinceton UniversityPrinceton

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