A Sibling Death in the Family: Common and Consequential

Although a large literature analyzes the determinants of child mortality and suggests policy and medical interventions aimed at its reduction, there is little existing analysis illuminating the consequences of child mortality for other family members. In particular, there is little evidence exploring the consequences of experiencing the death of a sibling on one’s own development and transition to adulthood. This article examines the prevalence and consequences of experiencing a sibling death during one’s childhood using two U.S. data sets. We show that even in a rich developed country, these experiences are quite common, affecting between 5 % and 8 % of the children with one or more siblings in our two data sets. We then show that these experiences are associated with important reductions in years of schooling as well as a broad range of adult socioeconomic outcomes. Our findings also suggest that sisters are far more affected than brothers and that the cause of death is an important factor in sibling effects. Overall, our findings point to important previously unexamined consequences of child mortality, adding to the societal costs associated with childhood mortality as well as suggesting additional benefits from policy and medical innovations aimed at curbing both such deaths and subsequent effects on family members.     

Factors affecting adoption in China, 1950-87

Though adoption in China is known to have increased as more girls were abandoned and became available for adoption following the introduction of the country's one-child policy in the 1980s, little is known about Chinese adoption practices. This paper investigates the factors affecting adoption in China in the period 1950-87 using data from the National Two-Per-Thousand Sample Survey on Fertility and Contraception of 1988. The results show that the national adoption rate was 2.3 per cent. Childless women were more likely than women with children to adopt and did not show a sex preference. Women with children by birth used adoption to secure a child of the 'missing' sex. Women who had experienced the death of a child were more likely to adopt than those who had not. Women with children may have used adoption as a strategy to circumvent the strict family planning policies.     

The impact of child mortality on spacing by parity: A Cox-regression analysis

Child mortality may affect spacing through biological and behavioral channels. The death of a child may elicit a desire to have another one soon; further, it may interrupt breastfeeding and shorten the sterile period following childbirth. The hypothesis that the child mortality-spacing linkage varies across parities, being strongest in the middle parities, is examined using microdata from Malaysia and the Cox-regression technique. The empirical results lend support to the hypothesis.     

中国失独妇女总量、结构及变动趋势计算机仿真研究

在回顾以往对独生子女死亡和失独家庭研究的基础上，文章从基本概念、分析方法和关键研究问题等方面指出以往研究中存在的问题，提出终身失独概率估计方法和失独育龄妇女再生育可能性等，指出用独生子女死亡概念近似失独妇女，其结果有可能大大高估时期失独妇女的总量。由于受计划生育政策影响，中国育龄妇女二孩生育水平和生育模式发生巨大变化，将失独育龄妇女再生育看做是1－＞2递进生育也有可能高估失独妇女的总量。通过人口普查、抽样调查数据和计算机微观人口系统仿真分析技术，估计目前35岁及以上失独妇女数量在140万左右，2050年前中国时期失独妇女总量超过600万的可能性不大，失独家庭达到或超过1000万的可能性也不大。     

The impact of infant and child death on subsequent fertility in Ethiopia

This paper uses hazard regression models to assess the impact of experienced infant and child mortality on the risk of subsequent conceptions in Ethiopia. The purpose of this paper is to test for the presence of a fertility response to an infant or child death, net of the effects of truncated breastfeeding on fecundity. Using retrospective birth history data from a national survey in Ethiopia, we find a significantly higher risk of a conception in the months following the death of an index child, even after controlling for postpartum amenorrhoea and breastfeeding status. The fertility response is strongest after the death of the fourth or fifth child, which is when most women in Ethiopia are at or near their desired family size. However, we find no evidence of a fertility response to the death of a nonindex child. We attribute the higher risk of a conception following an index child’s death to the intentional efforts of couples to reduce the waiting time to a next birth and thereby replace the deceased child. However, absent evidence of replacement fertility in response to the death of older nonindex children, we interpret the response to the death of an index child as an emotional response to child loss rather than a conscious strategy to meet a fertility target.

Estimating the effect of child mortality on the number of births

This article rigorously derives the properties of the regression of births on child deaths. It is shown how the raw regression coefficient may be corrected for the effects of fertility on mortality so that the rate at which dead children are replaced may be estimated. The method is applied to data from Colombia. It is found that the mortality rate differs across individuals and is correlated with fertility. Such conditions vitiate the use of birth intervals and parity progression ratios yet can be dealt with using the new method. On average each death produces 0.2 new births as a direct result of the death. Fertility hoarding may raise the total fertility response to roughly one-half birth per death.     

Some aspects of the relationship between the levels of infant mortality and fertility in the ESCAP region

The death of a child within the first year of life is a crucial factor in fertility decisions in a developing country. The infant mortality rate gives a close, inverse indication of the socioeconomic conditions of a country. This paper presents studies by Brass, Rutherford, Chowdhury, Khan and Chen, Agrawal, Iskander and Jones, in summary/abstract form. It concludes that the probabilities of survival are poorer for births of older women and/or higher parities. Early child deaths may increase the total period of exposure to the risk of conception. A lower infant and child mortality norm calls for fewer births to meet the needs for survivors. Child replacement motivational response seems to be strongest with the birth immediately following a death event. Agrawal analyzed the interval between successive births of 1107 women of Patna, Pakistan, according to the age of mother and sex and fate of the previous child. He observed that if a child died shortly after its birth, often a new pregnancy began within a short interval. The interval between 2 consecutive live births when the previous child was male and alive was greater than when the previous child was female and alive. The interval between 2 births was reduced if the child died in infancy and specially if this was a male child.     

Divorce and parity progression following the death of a child: A register-based study from Finland

Most studies that have examined whether a child’s death influences parental relationship stability have used small-scale data sets and their results are inconclusive. A likely reason is that child loss affects not only the risk of parental separation, but also the risk of having another child. Hence parity progression and separation must be treated as two competing events in relation to child loss. The analysis in this paper used Finnish register data from 1971 to 2003, covering over 100,000 married couples whose durations of both first marriage and parenthood could be observed. We ran parity-specific Cox regressions in which process time started from the birth of each additional child. All marriages included women of childbearing age, none of whom had experienced any child death on entering the analysis. We find that child loss only modestly influences the divorce risk, whereas its effect on the risk of parity progression is considerable.     

Birth Spacing and Child Survival: A Cautionary Note Regarding the Evidence from the WFS

In this paper results recently published in this journal concerning the influence of birthspacing on child survival are reviewed, and two reasons are suggested why the statistical associations observed in the data collected in the World Fertility Survey may be, at least in part, spurious. Where reporting is poor, it is argued that errors may often be responsible for a substantial portion of the association between interval length and mortality, and also for the apparent influence of the death of one child on the survival prospects of a younger sibling. Where the reported dates of birth and death are reliable but contraceptive prevalence is high, there is the problem that contraceptive practice is apt to be closely associated with other behaviour likely to have a direct effect on mortality.     

The effect of child mortality experience on subsequent fertility: in Pakistan and Bangladesh

Summary This paper presents an empirical analysis of the effects, behavioural and biological, of child mortality experience on subsequent fertility in two South Asian Islamic nations. Data for the investigation came from retrospective pregnancy histories of 2,910 currently married women interviewed in the Pakistan National Impact Survey (1968-69) and from longitudinal vital registration data (1966-2070) of 5,236 women residing in a rural area of Bangladesh collected by the Cholera Research Laboratory. The aim of this study was to assess the importance of the child-replacement motivational response to child death experience after biological effects have been controlled adequately. A common approach employed previously has been to examine cumulative fertility according to child death experience. In Pakistan and Bangladesh, a consistently positive relationship was demonstrated between the number of children ever born and the number of child deaths. This method, however, did not exclude the inverse relationship, the influence of fertility on mortality, nor did it dissect out behavioural from biological effects. Utilizing a measure of subsequent fertility, live-birth-to-live-birth intervals, the study further illustrated another common pitfall. Since the risk of infant death, which leads to shorter birth intervals, is associated with the mother's reproductive history, women with child mortality experience are more likely to experience shorter intervals because of the biological effect of subsequent infant death. Behavioural influences may, therefore, be observed by considering only those birth intervals in which the first-born child survives to the end of the interval. With these limitations controlled, very few, if any, behavioural influences were noted in the Pakistan and Bangladesh data. Median birth intervals in Pakistan varied between 35-43 and 41-42 months, increasing with parity. Within each parity group, no consistent difference was observed between women with and without previous child loss. In Bangladesh, the median birth interval for all women with a surviving infant was 37-2 months. This was shortened to 24-31 months by an infant death. When intervals with infant deaths were excluded, little or no behavioural influence was detected among women of the same parity, but with varying levels of previous child loss. Even without behavioural effects, elimination of infant mortality in Bangladesh would reduce fertility by prolonging the average period of post-partum sterility. In the Bangladesh setting, however, the size of the effect was only about four per cent. This modest effect, more-over, was counterbalanced by an overall increase of net reproduction by seven per cent due to better survivorship of infants.     

Child poverty and changes in child poverty

This article offers a cross-country overview of child poverty, changes in child poverty, and the impact of public policy in North America and Europe. Levels and changes in child poverty rates in 12 Organisation for Economic Co-operation and Development (OECD) countries during the 1990s are documented using data from the Luxembourg Income Study project, and a decomposition analysis is used to uncover the relative role of demographic factors, labor markets, and income transfers from the state in determining the magnitude and direction of the changes. Child poverty rates fell noticeably in only three countries and rose in three others. In no country were demographic factors a force for higher child poverty rates, but these factors were also limited in their ability to cushion children from adverse shocks originating in the labor market or the government sector. Increases in the labor market engagement of mothers consistently lowered child poverty rates, while decreases in the employment rates and earnings of fathers were a force for higher rates. Finally, there is no single road to lower child poverty rates. Reforms to income transfers intended to increase labor supply may or may not end up lowering the child poverty rate.     

Fertility and replacement: Some alternative stochastic models and results for Brazil

The observed joint distribution of births and child deaths for a cohort of women at a given point in time depends on the number of children that would have been born had the family experienced no deaths, the number of child deaths experienced, and the proportion of these deaths that are replaced by a subsequent birth. In this paper we estimate the parameters of the assumed distributions of these three events using a minimum distance estimation model and data from the 1970 Brazilian census. The parameter estimates are shown to be similar to those obtained previously using a maximum likelihood estimation model. When the data are subdivided according to women's years of schooling, estimates of probability of a child death and mean and variance of children born if no deaths decrease while estimates of probability of replacement of a dead child increase as years of schooling increase.     

生育一孩弱化二孩生育意愿吗？——基于北京市“单独”家庭的考察

本文使用北京市西城区2013年生育意愿调查数据,基于不同的生育意愿测度指标,采用描述分析和回归分析方法检验城市＂单独＂家庭中生育一孩对二孩生育意愿的作用,并借助倾向值分析方法控制生育状况的自选择问题,从而使得研究结论更具稳健性和可靠性。结果表明,城市＂单独＂家庭的二孩生育意愿并不低迷,生育一孩能够强化育龄妇女的二孩生育意愿,而且生育状况的作用在生育意愿的众多影响因素中较为突出。上述结果需要在生育意愿的评估和生育政策的制定中有所关注。     

Consanguinity and child mortality: The risk faced by families

Previous research reveals that the characteristics and practices of a child's family are important determinants of its chances of surviving beyond childhood. This study investigates the effects of consanguinity on a family's odds of experiencing the death of a child in Pakistan, a society in which marriage among close relatives is common. Analysis of data from the 1991 Pakistan Demographic and Health Survey reveals that first cousin marriages increase a couple's risk of enduring the death of one or more of their children. These couples are 1.18 times as likely to have a child die by its fifth birthday than couples not related by blood net of other factors associated with child mortality. Elimination of first cousin marriages would contribute to a modest decrease in the proportion of Pakistani families suffering the death of a child.     

Mothers' Education and Survival of Female Children in a Rural Area of Bangladesh

In this paper it is investigated whether the positive effect of mothers' education on child survival is similar for boys and girls in Matlab, Bangladesh. The study is based on follow-up of 7,913 live births that occurred in the study area during the whole of 1982. The five independent variables included in the analysis are: sex of children, mother's education, mother's age at the time of birth, household economic condition, and health programme block. Hazard analysis shows that the positive effect of mother's education on child survival is different for boys and girls. For boys, a change in mother's education from no schooling to 1–5 years resulted in reducing the predicted risk of death by 45 per cent, while for the girls the reduction came to only seven per cent. Similarly, a change in mother's education from no schooling to six or more years of schooling resulted in a reduction of risk of 70 per cent for boys, while for girls it was only 32 per cent.     

Family formation and the life cycle

Mathematical expressions are developed for certain life cycles when only the age-specific birth and death rates are known. The probability at birth that a woman will have a specified number of children and the expected length of time spent before the first birth, between the first and the last child, and between the last child and the time of the woman's death are shown to be calculable. Expressions for the probability of at least one child outliving the mother and for the expected number of children outliving the mother are also developed and are evaluated for three selected countries with different birth and death rates to show how these life cycles depend on birth and death rates.     

Infant death clustering in families: magnitude, causes, and the influence of better health services, Bangladesh 1982-2005

This analysis of infant mortality in Bangladesh focuses on explaining death clustering within families, using prospective data from a rural region in Bangladesh, split into areas with and without extensive health services (the area covered by the International Centre for Diarrhoeal Disease Research and the comparison area, respectively). The modelling framework distinguishes between two explanations of death clustering: (observed and unobserved) heterogeneity across families and a causal 'scarring' effect of the death of one infant on the survival chances of the next to be born. Keeping observed and unobserved characteristics constant, we find scarring in the comparison area only. There the likelihood of infant death is about 29 per cent greater if the previous sibling died in infancy than otherwise. This effect mainly works through birth intervals: infant deaths are followed by shorter birth intervals, which increases the risk of infant death for the next child.     

Growing Up Together: Cohort Composition and Child Investment

In sub-Saharan Africa, 60 % of child deaths are preventable by investments in child health as simple as immunizations, bed nets, or water purification. This article investigates how a household’s decisions regarding such investments are affected by the size and gender composition of a child’s cohort. I focus on a previously overlooked type of investment: nonrival, child-specific goods (club goods). I empirically estimate the response of immunization status to cohort characteristics. I carefully address the problem of endogenous fertility, which is common in cohort studies. Because most rural Senegalese households are composed of multiple nuclear families, a child’s cohort is composed of both siblings and nonsibling children. Estimating within households, I instrument cohort characteristics with those of the nonsibling (exogenous) portion. I find that children with larger (or more predominantly male) cohorts of vaccine-eligible age are significantly more likely to receive immunization. These findings suggest that children with larger cohorts may be better off in terms of club investments; this is a significant finding for child health given that many illness prevention methods are of a club good nature.     

Place and Child Health: The Interaction of Population Density and Sanitation in Developing Countries

A long literature in demography has debated the importance of place for health, especially children’s health. In this study, we assess whether the importance of dense settlement for infant mortality and child height is moderated by exposure to local sanitation behavior. Is open defecation (i.e., without a toilet or latrine) worse for infant mortality and child height where population density is greater? Is poor sanitation is an important mechanism by which population density influences child health outcomes? We present two complementary analyses using newly assembled data sets, which represent two points in a trade-off between external and internal validity. First, we concentrate on external validity by studying infant mortality and child height in a large, international child-level data set of 172 Demographic and Health Surveys, matched to census population density data for 1,800 subnational regions. Second, we concentrate on internal validity by studying child height in Bangladeshi districts, using a new data set constructed with GIS techniques that allows us to control for fixed effects at a high level of geographic resolution. We find a statistically robust and quantitatively comparable interaction between sanitation and population density with both approaches: open defecation externalities are more important for child health outcomes where people live more closely together.     

Mortality level,desired family size,and population increase: Comment

In this paper an attempt is made to elaborate on the behavioral assumptions underlying a simulation model published in a previous volume of this journal (Heer and Smith, 1968). The present paper contains a discussion of the ways in which a fall in the death rate of children will affect the desirability of another birth if the family's objective is to have a son surviving to the father's sixty-fifth birthday. The death rate affects both the expected costs of and benefits from an additional birth. An examination of the effects of a decline in child mortality indicates that the benefits from an additional birth fall and the expected costs rise as a result of the decline. Thus a death rate will eventually be reached where costs exceed benefits, and parents will not desire an additional pregnancy.