Effects of adult deaths on subsequent health and socioeconomic well-being of rural families of Bangladesh were examined. Data for this study were drawn from the longitudinal Sample Registration System (SRS) operational in two rural areas of the then MCH-FP Extension Project (Rural) of ICDDR,B. In total, deaths of 327 married adults aged 15-59 years, during January 1983-December 1987, were reviewed. The families of the deceased were followed up for five years after death. Factors, such as survival status of children, educational status of children aged 6-12 years, and out-migration status among adolescents aged 12-20 years in those families, was observed and recorded. A control group of 3,350 families experiencing no adult deaths was also followed up for five years. The health and socioeconomic impacts on children in both the groups five years after death of the adult were compared. The findings of the study showed that negative impact was more pronounced among the children of poor families, and the female children were most severely affected. Death of a father or a mother was associated with a higher rate of out-migration (especially marriage) of adolescent daughters. An adult death was associated with a significantly higher mortality risk of children during the five years following death of the adult. These child-mortality risks were significantly higher when an adult female died, and when the index child was a female and/or aged less than five years at the time of death of an adult. The children, aged 6-12 years, in families where a parent had died were significantly more likely to be uneducated and out-of-school after the death of a father or a mother compared to the children in families where neither of the parents had died. This finding remained valid even after controlling for the educational status of the parents who died and of those who did not die. Since the study used a limited number of independent variables and since there is a need to understand the specific reasons why such significant differences occurred, it is recommended to conduct a more in-depth qualitative study to know more clearly the nature and mechanisms of the socioeconomic and health impacts of death of an adult on the family and the society.

译文

研究了成人死亡对孟加拉国农村家庭随后健康和社会经济福祉的影响。这项研究的数据来自当时ICDDR B的mch-fp扩展项目 (农村) 的两个农村地区运行的纵向样本登记系统 (SRS)。在1983年1月1987年12月中,总共审查了327名年龄在15-59岁之间的已婚成年人的死亡。死者家属在死后接受了五年的随访。观察并记录了这些因素,例如儿童的生存状况,6-12岁儿童的教育状况以及这些家庭中12-20岁青少年的外出迁移状况。还对3,350个未发生成人死亡的家庭组成的对照组进行了为期五年的随访。比较了成年人死亡五年后两组儿童的健康和社会经济影响。研究结果表明,贫困家庭的孩子受到的负面影响更为明显,而女童受到的影响最为严重。父亲或母亲的死亡与青春期女儿的迁出率 (尤其是婚姻) 较高有关。在成人死亡后的五年中,成人死亡与儿童的死亡风险显着增加有关。当成年女性死亡时,以及当成人死亡时,索引儿童是女性和/或年龄小于五岁时,这些儿童死亡风险明显更高。与父母都没有的家庭中的孩子相比,父母去世的家庭中的6-12岁的孩子在父亲或母亲去世后没有受过教育和失学的可能性要大得多。已经死了。即使在控制了去世的父母和未去世的父母的教育状况之后,这一发现仍然有效。由于该研究使用了有限数量的自变量,并且由于需要了解发生这种显着差异的具体原因,建议进行更深入的定性研究,以更清楚地了解成年人死亡对家庭和社会的社会经济和健康影响的性质和机制。

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