Women's social networks and child survival in Mali
Women's social networks and child survival in Mali
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DOI：
10.1016/s0277-9536(01)00017-x
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发表时间：
2002-01-01
影响因子：
5.4
通讯作者：
Simon, D
中科院分区：
文献类型：
--
作者：
Adams, AM;Madhavan, S;Simon, D
本文通过对西非马里两个民族的比较调查，探讨了妇女的社交网络对儿童生存的影响。数据来自1996- 1997年期间进行的一项关于妇女社交网络和健康的研究。分别在代表Bamanan和Fulbe人口的两个地理上不同的地点对500名年龄在15-49岁的已婚妇女进行了调查。与已知的经济风险，家庭结构和文化规范的差异相一致，描述性分析揭示了一个更大的可能性之间的Fulbe儿童死亡，和一个更大的总的平均规模，材料，实际和认知网络之间的Bamanan。考克斯回归模型被用来检查社会网络的规模，功能和组成与儿童死亡（1-5岁）的几率之间的关联。在基本模型中测试的各种生物，家庭和社区一级的变量中，间隔对两组儿童死亡的几率产生了预期的负面影响，而家庭SES仅在Fulbe儿童中预测儿童存活率。当代表母亲的教育和社会心理属性的变量被包括在内时，在两组中都没有检测到任何影响。控制这些因素，总的，实际的，认知和情感网络的大小被发现显着增加的机会，儿童生存之间的富尔贝只有。组成变量，如在何种程度上纳塔尔的亲属，非亲属或丈夫的数字在一个女人的网络，也没有网络位于家庭内的程度产生任何显着的结果的富尔贝。然而，在巴马南妇女中，家庭中网络成员的比例越高，儿童死亡的可能性就越低。本文最后讨论了这些研究结果的方法，概念和实际意义。(C)2002爱思唯尔科技有限公司版权所有。
This paper explores the influence of women's social networks on child survival through a comparative investigation of two ethnic groups in Mali, West Africa. Data are drawn from a study of women's social networks and health conducted during the period 1996-97. Separate samples of 500 ever-married women aged 15-49 were surveyed at two geographically distinct sites representing Bamanan and Fulbe populations respectively. Consistent with known differences in economic risk, household structure, and cultural norms, descriptive analysis reveals a greater probability of child death among the Fulbe, and a larger mean size of total, material, practical and cognitive networks among the Bamanan. Cox regression models are used to examine the association between social network size, function and composition and the odds of child death (1-5 years). Among the various biological, household and community-level variables tested in the basic model, spacing exerts an expected negative effect on the odds of child death in both groups, while household SES predicts child survival only among Fulbe children. When variables representing the educational and psychosocial attributes of the mother are included, no effects are detected in either group. Controlling for these factors, the size of total, practical, cognitive and emotional networks are found to significantly increase the odds of child survival among the Fulbe only. Compositional variables, such as the extent to which natal kin, non-kin or husbands figure in a woman's network, nor the degree to which networks are located within household yield any significant results for the Fulbe. Among Bamanan women, however, the higher the proportion of network members living in the household, the lower the odds of child death. The paper concludes by discussing the methodological, conceptual and practical implications of these findings. (C) 2002 Elsevier Science Ltd. All rights reserved.