关键词: Child death Demographic transition Intergenerational clustering Mortality mobility Under-five mortality

Mesh : Humans Female Child Mortality / trends Developing Countries Infant Bereavement Adult Child, Preschool Mothers / statistics & numerical data Socioeconomic Factors Young Adult Infant Mortality / trends Intergenerational Relations Adolescent Infant, Newborn Sociodemographic Factors Cluster Analysis

来  源:   DOI:10.1215/00703370-11477436

Abstract:
A burgeoning demographic literature documents the exceedingly high rates at which contemporary cohorts of women across the Global South experience the death of their children-even amid historic declines in child mortality. Yet, the patterning of maternal bereavement remains underinvestigated, as does the extent to which it replicates across generations of the same family. To that end, we ask: Are the surviving daughters of bereaved mothers more likely to eventually experience maternal bereavement? How does the intergenerational clustering of maternal bereavement vary across countries and cohorts? To answer these questions, we make use of Demographic and Health Survey Program data from 50 low- and middle-income countries, encompassing data on 1.05 million women and their mothers spanning three decadal birth cohorts. Descriptive results demonstrate that maternal bereavement is increasingly patterned intergenerationally across cohorts, with most women experiencing the same fate as their mothers. Multivariable hazard models further show that, on average, women whose mothers were maternally bereaved have significantly increased odds of losing a child themselves. In most countries, the association is stable across cohorts; however, in select countries, the risk associated with having a bereaved mother is shrinking among more recent birth cohorts.
摘要:
新兴的人口文献记录了全球南方当代女性群体经历子女死亡的极高比率-即使在儿童死亡率历史性下降的情况下。然而,母亲丧亲的模式仍未得到充分调查,它在同一家族的几代人之间复制的程度也是如此。为此,Weask:Arethesurvivingdaughtersofbelievedmothersmorelikelytoeventuallyexperiencematernalbelievement?Howdoestheintergenerationalclueringofmaternalbelievementvasacrosscountryandcollets?Toanswerthesequestions,我们利用来自50个低收入和中等收入国家的人口和健康调查计划数据,涵盖了跨越三个十年出生队列的105万妇女及其母亲的数据。描述性结果表明,母系丧亲在队列中的代际模式越来越多,大多数女性都经历着和母亲一样的命运。多变量风险模型进一步表明,平均而言,母亲失去亲人的妇女失去孩子的可能性大大增加。在大多数国家,该协会在不同的队列中是稳定的;然而,在选定的国家,在最近的出生队列中,与失去亲人的母亲相关的风险正在减少。
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