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Breast-feeding and child survival in Matlab, Bangladesh

Published online by Cambridge University Press:  31 July 2008

M. Shahidullah
Affiliation:
International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh

Summary

This study investigates the effect of both total and unsupplemented breast-feeding in conjunction with birth interval on early childhood mortality, using longitudinal data from Matlab, Bangladesh. A discrete hazard model approach shows that it is not the duration of total breast-feeding but the duration of unsupplemented breast-feeding which increases child survival. Unsupplemented breast-feeding appears as such a crucial determinant of early childhood mortality that its effect could not be substantially attenuated even when important demographic and socioeconomic factors were controlled. Each of the covariates—supplementation, previous birth interval and onset of a subsequent conception—has an independent influence on early childhood mortality.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1994

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References

Adlakha, A. & Suchindran, C. M. (1985) Factors affecting infant and child mortality. J. biosoc. Sci. 17, 481.Google Scholar
Allison, P. (1982) Analysis of discrete time event histories. In: Sociological Methodology, pp. 6197. Jossey Bassa, San Francisco.Google Scholar
Bhuiya, A. (1989) Factors Affecting Child Survival in Matlab, Bangladesh. PhD thesis, Australian National University, Canberra.Google Scholar
Butz, W. R., Habicht, J. P. & Da Vanzo, J. (1984) Environmental factors in the relationship between breastfeeding and infant mortality: the role of sanitation and water in Malaysia. Am. J. Epidemiol. 119, 516.Google Scholar
Caldwell, J. C. (1979) Education as a factor of mortality decline: an examination of Nigerian data. Popul. Stud. 33, 395.Google Scholar
Chandra, R. K. (1978) Immunological aspects of human milk. Nutr. Rev. 36, 265.Google Scholar
Chen, L. C., Huq, E. & D'Souza, S. (1981) Sex bias in the family allocation of food and health care in rural Bangladesh. Popul. Dev. Rev. 7, 55.Google Scholar
Cunningham, A. S. (1983) Morbidity in breastfed and artificially fed children. J. Pediat. 90, 126.Google Scholar
D'Souza, S. & Chen, L. C. (1980) Sex differentials in mortality in rural Bangladesh. Popul. Dev. Rev. 6, 257.Google Scholar
Goldberg, H. I., Rodrigues, W., Thome, A. M., Janowitz, B. & Morris, L. (1984) Infant mortality and breastfeeding in north-eastern Brazil. Popul. Stud. 38, 105.Google Scholar
Janowitz, B., Lewis, J. H., Parnell, A., Hefnawi, F., Younis, M. N. & Serour, G. A. (1981) Breast-feeding and child survival in Egypt. J. biosoc. Sci. 13, 287.Google Scholar
Jelliffe, D. B. & Jelliffe, E. F. P. (1978) Human Milk in the Modern World, pp. 8496. Oxford University Press, Oxford.Google Scholar
Koenig, M. A., Fauveau, V. & Chowdhury, A. I.. (1988) Maternal mortality in Matlab, Bangladesh: 1976–85. Stud. Fam. Plann. 19, 69.Google Scholar
Koenig, M. A., Phillips, J. F., Campbell, O. M. & D'Souza, S. (1990) Birth intervals and childhood mortality in rural Bangladesh. Demography, 27, 251.Google Scholar
Majumder, A. M. (1989) Determinants of Infant and Child Mortality in Bangladesh. PhD thesis, Australian National University, Canberra.Google Scholar
Mata, L. J. & Wyatt, R. G. (1971) Host resistance to infection. Am. J. clin. Nutr. 24, 976.Google Scholar
McCann, M. F., Liskin, L. S., Piotrow, P. T., Rinehart, W. & Fox, G. (1981) Breastfeeding, Fertility and Family Planning. Population Reports, Series J, No. 24, pp. 526575. Johns Hopkins University, Baltimore.Google Scholar
Palloni, A. & Millman, S. (1986) Effects of inter-birth intervals and breastfeeding on infant and early childhood mortality. Popul. Stud. 40, 236.CrossRefGoogle Scholar
Palloni, A. & Tienda, M. (1986) The effects of breastfeeding and pace of childbearing on mortality at early ages. Demography, 23, 31.Google Scholar
Plank, S. J. & Milanesi, M. L. (1973) Infant feeding and infant mortality in rural Chile. WHO Bull. 48, 203.Google Scholar
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.Google Scholar
Robinson, M. (1951) Infant morbidity and mortality: a study of 3266 infants. Lancet, i, 788.Google Scholar
Trussell, J.& Hammerslough, C. (1983) A hazards-model analysis of the covariates of infant and child mortality in Sri Lanka. Demography, 20, 1.Google Scholar