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.
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This project was supported by funds from NICHD Grant ROI-HDI7709, and Rockefeller Foundation Grant GA PS 9006. We gratefully acknowledge the International Centre for Diarrhoeal Disease Research, Bangladesh and the Cebu Study Team for providing the data for this analysis. We also thank Andrew Foster for his advice on the use of data from the ICDDRB’s Demographic Surveillance System, and Samuel Preston and three anonymous reviewers for their helpful comments. An earlier version of this paper was presented at the 1991 meetings of the Population Association of America in Washington. A more extensive version is available as a working paper (Miller et al. 1991).
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Miller, J.E., Trussell, J., Pebley, A.R. et al. Birth spacing and child mortality in bangladesh and the Philippines. Demography 29, 305–318 (1992). https://doi.org/10.2307/2061733
- Child Mortality
- Birth Order
- Birth Interval
- Child Survival
- Family Health History