Sustained Effects of the 1974–5 Famine on Infant and Child Mortality in a Rural Area of Bangladesh

Abstract

In this paper the sustained effects of the 1974–75 famine on cohort mortality in a rural area of Bangladesh are studied. In the analysis, mortality rates for children born and conceived during the famine are compared with those from a post-famine cohort. In the famine-born cohort, mortality was higher during the first and second years of life, while in the famine-conceived cohort it was higher during the first year and lower during the second compared to the non-famine cohort. No significant differences in mortality by cohort were observed between the ages of 24 and 59 months. Using logistic regression, interactions between famine and socio-demographic characteristics were also studied. Three principal results emerged: first, a differential effect of the famine by socio-economic group was only present during the post-neonatal period for the famine-born cohort; secondly, children aged 12–23 months who were born to younger mothers were more adversely affected by the famine than those born to older mothers; and thirdly, although there was excess mortality for girls aged 24–59 months relative to boys of the same age in the non-famine and famine-conceived cohorts, there was little difference between mortality by sex for the famine-born.