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.
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Aaby, P. (1989). “Malnutrition Versus Overcrowding in Child Survival.” In Proceedings of the 21st International Population Conference (Vol. 1). New Delhi: International Union for the Scientific Study of Population, pp. 351–362.
Aaby, P., Bukh, J., Lisse, I. M., & Smits, A. J. (1983). “Measles Mortality, State of Nutrition, and Family Structure: A Community Study From Guinea-Bissau.” Journal of Infectious Diseases, 147, 693–701.
— (1984). “Overcrowding and Intensive Exposure as Determinants of Measles Mortality.” American Journal of Epidemiology, 120, 49–63.
Alberman, E. (1977). “Sociobiological Factors and Birth Weight in Great Britain.” In The Epidemiology of Prematurity, eds. D. M. Reed & F. J. Stanley. Baltimore, MD: Urban & Scharzenberg, pp. 145–156.
Bhalla, J. N., Rohatgi, P., & Bhalla, M. (1974). “Relation of Birth Spacing With Birth Weight, Morbidity and Mortality of the Newborn.” Indian Journal of Pediatrics, 41, 299–303.
Bhatia, S., Mosley, W. H., Faruque. A. S. G., & Chakraborty, J. (1980). “The Matlab Family Planning-IIealth Services Project.” Studies in Family Planning, 11, 202–212.
Boerma, J. T., & van Vianen, H. A. W. (1984). “Birth Interval, Mortality and Growth of Children in a Rural Area in Kenya.” Journal of Biosocial Science, 16, 475–486.
Bongaarts, J. (1987). “Does Family Planning Reduce Infant Mortality Rates?” Population and Development Review, 13, 323–334.
— (1988). “Docs Family Planning Reduce Infant Mortality?” Population and Development Review, 14. 188–190.
Cantrelle, P., & Leridon, H. (1971). “Breastfeeding, Mortality in Childhood and Fertility in a Rural Zone of Senegal.” Population Studies, 25, 505–533.
Chowdhury, M. K., Becker, S., Razzaque, A., Sarder, A. M., Shaikh, K., & Chen, L. C. (1981). Demographic Surveillance System—Matlab: Vital Events and Migration—1978, Scientific Report No. 47. Dhaka, Bang-ladesh: International Centre for Diarrhocal Disease Research.
Clark, C. A. M. (1981). Demographic and Socioeconomic Correlates of Infant Growth in Guatemala, Technical Note N-1702. Santa Monica, CA: Rand Corp.
Cleland, J. G., & Sathar, Z. A. (1984). “The Effect of Birth Spacing on Childhood Mortality in Pakistan.” Population Studies, 38, 401–418.
Committee on Population. ( 1989). Contraception and Reproduction: Health Consequences for Women and Children in the Developing World. Washington, DC: National Academy Press.
Das, K., Ganguly, S. S., Saha, R., & Ghosh, B. N. (1981). “Interrelationship of Birth Weight With Certain Biological and Socio-economic Factors.” Indian Journal of Public Health, 25, 11–19.
DaVanzo, J., Butz, W. P., & Habicht, J.-P. (1983). “How Biological and Behavioural Influences on Mortality in Malaysia Vary During the First Year of Life.” Population Studies, 37, 381–402.
DaVanzo, J., Habicht, J.-P., & Butz, W. P. (1984). “Assessing Socioeconomic Correlates of Birthweight in Peninsular Malaysia: Ethnic Differences and Changes Over Time.” Social Science and Medicine, 18, 387–404.
Demographic Surveillance System—Matlab: Methods and Procedures, Scientific Report No. 9. (1978). Dhaka, Bangladesh: Cholera Research Laboratory.
De Sweemer, C. (1984). “The Influence of Child Spacing on Child Survival.” Population Studies, 38, 47–72.
Douglas, J. W. B. (1950). “Some Factors Associated With Prematurity: The Results of a National Survey. Journal of Obstetrics and Gynecology, 57, 143–170.
Doyle, P., Morley, D., Woodland, M., & Cole, J. (1978). “Birth Intervals, Survival and Growth in a Nigerian Village.” Journal of Biosocial Science, 10, 81–94.
Fedrick, J., & Adelstein, P. (1973). “Influence of Pregnancy Spacing on Outcome of Pregnancy.” British Medical Journal, 4, 753–756.
Gubhaju, B. B. (1985). “The Effect of Previous Child Death on Infant and Child Mortality in Rural Nepal.” Studies in Family Planning, 16, 231–236.
— (1986). “Effect of Birth Spacing on Infant and Child Mortality in Rural Nepal. Journal of Biosocial Science, 18, 435–447.
Harrington, J. (1971). “The Effect of High Infant and Childhood Mortality on Fertility: The West African Case.” Concerned Demography, 3, 22–33.
Hobcraft, J. N., McDonald, J. W., & Rutstein, S. O. (1985). “Demographic Determinants of Infant and Early Child Mortality: A Comparative Analysis.” Population Studies, 39, 363–385.
Huffman, S. L., & Lamphere, B. B. (1984). “Breastfeeding Performance and Child Survival.” In Child Survival: Strategies for Research, eds. W. H. Mosley & L. C. Chen. Population and Development Review, 10 (suppl.), 93–116.
Jelliffe, D. B. (1966). The Assessment of the Nutritional Status of the Community, Monograph Series No. 53. Geneva: World Health Organization.
Knodel, J. (1968). “Infant Mortality and Fertility in Three Bavarian Villages: An Analysis of Family Histories From the 19th Century.” Population Studies, 22, 297–318.
Koenig, M. A., Phillips, J. F., Simmons, R. S., & Khan, M. A. (1987). “Trends in Family Size Preferences and Contraceptive Use in Matlab, Bangladesh.” Studies in Family Planning, 18, 117–127.
Mata, L. M. (1978). The Children of Santa Maria Cauque. Cambridge, MA: MIT Press.
Palloni, A., & Millman, S. (1986). “Effects of Inter-birth Intervals and Breastfeeding on Infant and Early Childhood Mortality.” Population Studies, 40, 215–236.
Pebley, A. R., & Elo, I. T. (1989). “The Relationship of Birth Spacing and Child Health.” In Proceedings of the 21st International Population Conference (Vol. I ). New Delhi: International Union for the Scientific Study of Population, pp. 403–417.
Pebley, A., & Millman, S. (1986). “Birthspacing and Child Survival.” International Family Planning Perspectives, 12, 71–74.
Pebley, A. R., & Stupp, P. W. (1987). “Reproductive Patterns and Child Mortality in Guatemala.” Demography, 24, 43–60.
Potter, J. E. (1988a). “Birth Spacing and Child Survival: A Cautionary Note Regarding the Evidence From the WFS.” Population Studies, 42, 443–450.
— (1988b). “Does Family Planning Reduce Infant Mortality?” Population and Development Review, 14, 179–187.
Puffer, P. R., & Serrano, C. V. (1975). Birthweight, Maternal Age and Birth Order: Three Important Determinants in Infant Mortality, Scientific Publication No. 294. Washington, DC: Pan American Health Organization.
Retherford, R. D., Choe, M. K., Thapa, S., & Gubhaju, B. B. (1989). “To What Extent Does Breastfeeding Explain Birth-Interval Effects on Early Childhood Mortality?” Demography, 26, 439–450.
Russell, M. (1976). “The Relationship of Family Size and Spacing to the Growth of Preschool Mayan Children in Guatemala.” American Journal of Public Health, 66, 1165–1172.
Rutstein, S. (1984). Infant and Child Mortality: Levels, Trends and Demographic Differentials, World Fertility Survey Comparative Studies No. 24. Voorburg, Netherlands: International Statistical Institute.
Ruzicka, L. T., & Chowdhury, A. K. M. A. (1978a). Demographic Surveillance Systems in Matlab: Vital Events and Migration—1974, Scientific Report No. 11. Dhaka, Bangladesh: Cholera Research Laboratory.
— (1978b). Demographic Surveillance System—Matlab: Vital Events and Migration—1975, Scientific Report No. 12. Dhaka, Bangladesh: Cholera Research Laboratory.
Santow, C, & Bracher, M. D. (1984). “Child Death and Time to the Next Birth in Central Java.” Population Studies, 38, 241–253.
Sommerfeit, E., Rutstein, S., Rearson, R., Steinhoff, M., & Way, A. (1989). “The Effect of the Length of the Birth Interval on the Nutritional Status of Preschool Children.” Paper presented at the Annual Meeting of the Population Association of America, Baltimore, MD.
Stoeckel, J., & Chowdhury, A. K. M. A. (1972). “Neo-natal and Post-neo-natal Mortality in a Rural Area of Bangladesh.” Population Studies, 26, 113–120.
Swenson, I. (1978). “Early Childhood Survivorship Related to the Subsequent Interpregnancy Interval and Outcome of the Subsequent Pregnancy.” Tropical Pediatrics and Environmental Child Health, 24, 103–106.
— (1981). “Relationships Between Pregnancy Spacing, Sex of Infants, Maternal Age, and Birth Order, and Neonatal and Post-neonatal Mortality in Bangladesh.” Social Biology, 28, 299–307.
Trussell, J. (1988). “Does Familv Planning Reduce Infant Mortality? An Exchange.” Population and Development Review, 14, 171–178.
Winikoff, B. (1980). “Weaning: Nutrition, Morbidity, and Mortality Consequences.” In Biological and Social Aspects of Mortality and the Length of Life, ed. S. H. Preston. Liege: Ordina Editions, pp. 113–149.
— (1983). “The Effects of Birth Spacing on Child and Maternal Health.” Studies in Family Planning, 14, 231–245.
Wolfers, D., & Scrimshaw, S. (1975). “Child Survival and Intervals Between Pregnancies in Guayaquil, Ecuador.” Population Studies, 29, 479–496.
Wray, J. D., & Aguirre, A. (1969). “Protein-Calorie Malnutrition in Candelaria, Colombia. I: Prevalence—Social and Demographic Causal Factors.” Journal of Tropical Pediatrics, 15, 76–98.
Wyon, J. B., & Gordon, J. E. (1962). “A Long-Term Prospective-Type Field Study of Population Dynamics in the Punjab, India.” In Research in Family Planning, ed. C. V. Kiser. Princeton, NJ: Princeton University Press, pp. 17–32.
Yerulshalmy, J. M. (1945). “On the Interval Between Successive Births and Its Effect on Survival of Infant. 1: An Indirect Method of Study. Human Biology, 17, 65–106.
An erratum to this article is available at http://dx.doi.org/10.1007/BF03208243.
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Koenig, M.A., Phillips, J.F., Campbell, O.M. et al. Birth Intervals and Childhood Mortality in Rural Bangladesh. Demography 27, 251–265 (1990). https://doi.org/10.2307/2061452
- Childhood Mortality
- Neonatal Mortality
- Birth Interval
- Child Survival
- Family Planning Program