Consequences of teenage childbearing on child health

This paper uses national longitudinal data to analyze the effects of having a teen mother on child health outcomes from birth to young adulthood. We use an empirical strategy that relies on miscarriages to put bounds on the causal effects of teen childbearing. Results show that having a teen mother does not have negative health consequences for children. In addition, children of teen mothers report fewer diagnosed disorders and conditions requiring medical attention. The results suggest that policies focused on delaying teen childbearing will not improve child health outcomes.     

Incidence of ecological factors on the evolution of infant mortality in a Mediterranean population (La Alpujarra,SE Spain)

The infant mortality evolution in the present century has been analyzed in a rural Mediterranean population (La Alpujarra, SE Spain). The “conventional infant mortality rate” shows a decrease from 184.82, in 1900–1904, to 25.16, in 1975–1978. The sexual proportion for all period studied indicates a male supermortality about 1.13. The biometric analysis reveals an excess of exogenous mortality at the first half of the century, attributed to digestive problems, as has been found in other Mediterranean populations. The seasonal distribution presents an evolutionary change from a maximum in estival months to a maximum in winter ones.     

Inequality of opportunity in infant mortality in South Asia: A decomposition analysis of survival data

Early-life environments into which newborn babies are born play principal roles in their development. This study explores inequalities in infant mortality that are rooted in household and parental socio-economic backgrounds in five South-Asian countries: Afghanistan, Bangladesh, India, Nepal and Pakistan. Considering multidimensional aspects of socio-demographic and socio-economic status, this study explores disparities in the trajectory of survival rates across infants with dissimilar circumstantial backgrounds over the first 12 months of their lives. This study proposes a new method to first cluster the data into advantaged and disadvantaged types and explore the differences in survival rates by a clustering approach and a random survival forest. Furthermore, this study extends a Shapley-value decomposition method to explore the determinants of inequality. The results indicate that demographic factors, parental educational background and household living standards are major factors contributing to inequality. In order to ameliorate the inequality of opportunity, priority should be given to protecting marginalised infants by compensating for their disadvantaged backgrounds.     

Deforestation and infant mortality: Evidence from Indonesia

Factors expected to change concurrently with forest loss—such as economic activity and air pollution—shape human health in different ways, making it difficult to ex ante predict the net impact of deforestation. This paper investigates the infant mortality effects of prenatal exposure to high biomass forest loss in Indonesia, a country with rich forest reserves increasingly being subjected to high levels of deforestation. Indonesia officially bans clearing in areas with high biomass natural forests (referred to henceforth as ‘protected forests’), yet these forests face illegal logging. The analysis uses a fixed effects approach, essentially tracking how mortality responds to protected forest cover changes over time within districts. Results suggest that protected forest loss favors survival among all infants. However, there is variation in the protected forest loss-infant mortality relationship by pregnancy order or gravidity—while children born from women’s higher order pregnancies are less likely to die when exposed to deforestation, children born from first pregnancies experience an increase in their risk of death. Potential mechanisms such as overall air pollution, economic activity and perinatal health care do not appear to explain the gravidity-specific effects of deforestation in protected areas. However, the observed pattern of results suggests that effects are being channeled through malaria—the disease, which is likely to increase with forest loss, tends to disproportionately infect women during their first pregnancy, thus causing greater harm to the children born from these pregnancies.     

Responses of foster-mothers and troop members to adopted newborns in a captive group of rhesus monkeys

Two rhesus monkey males and two females, born to females caged singly, were exchanged with same-sex infants born to females in a large troop which was held in an enclosure in a different building. The ages of the infants were between 24 and 120 hr. The selected foster mothers (FMs) immediately accepted the foreign infants, allowed them to suckle and treated them as their own offspring. Compared with interactions with previous offspring, the FMs initially tended to be more possessive and restrictive of their foster infants: generally they took longer before they allowed the infants to sit at a distance from them and more readily retrieved them. The foster infants tended to be more active (‘fidgety’) than natural (control) offspring born to the troop. Non-related members of the troop, differentiated between foster and control groups. These troop animals more frequently approached and sat in proximity, often in fur-contact with, touched, groomed, and lipsmacked to, foster infants than control infants. The attractiveness of the fostered infants seemed to be slightly associated with the FMs' dominance rank. The foster infants were therefore viewed by others as having assumed the role afforded by the FMs' rank. Thus both FMs and other troop members recognized the unfamiliarity and novelty of the foster infant but the infants were still accepted into the group. We suggest that the different treatment of the foster infants by the troop may have consequences on the infants' future social development.     

Evolution and sudden infant death syndrome (SIDS)

This paper and its subsequent parts (Part II and Part III) build on an earlier publication (McKenna 1986). They suggest that important clinical data on the relationship between infantile constitutional deficits and microenvironmental factors relevant to SIDS can be acquired by examining the physiological regulatory effects (well documented among nonhuman primates) that parents assert on their infants when they sleep together. I attempt to show why access to parental sensory cues (movement, touch, smell, sound) that induce arousals in infants while they sleep could possibly help one of many different subclasses of infants either to override certain kinds of sleep-induced breathing control errors suspected to be involved in SIDS or to avoid them altogether. I do not suggest that solitary nocturnal sleep “causes” SIDS, that all parents should sleep with their infants, or that traditional SIDS research strategies should be abandoned. However, using evolutionary data, I do suggest that an adaptive fit exists between parent-infant sleep contact and the natural physiological vulnerabilities of the neurologically immature human infant, whose breathing system is more complex than that of other mammals owing to its speech-breathing abilities. This “fit” is best understood, it is argued, in terms of the 4–5 million years of human evolution in which parent-infant contact was almost certainly continuous during at least the first year of an infant’s life. Thus, to dismiss the idea that solitary sleep has no physiological consequences for infants does not accord with scientific facts. James J. McKenna is Associate Professor of Anthropology and Chair of the Department of Sociology and Anthropology at Pomona College. He also has an appointment as an Adjunct Clinical Assistant Professor in the Departments of Pediatrics, Child Psychiatry, and Human Behavior at the University of California, Irvine, School of Medicine. His primary research interests and many of his publications concern aspects of primate parenting and infant development among both human and nonhuman primates. For the past seven years he has been investigating from an anthropological perspective possible environmental correlates of the sudden infant death syndrome (SIDS) and has just finished a preliminary study on the physiological correlates of human parent-infant co-sleeping. His earlier monograph on the subject (cited in this paper) has received much international attention. He and his colleagues (Mosko and Dungy) are the first to have used standard polysomnographic techniques to document simultaneously human parent-infant co-sleeping. He has won three awards for distinguished teaching at Pomona College.     

Birth-related behaviors in wild proboscis monkeys (Nasalis larvatus)

Two births of wild proboscis monkeys took place during a 1991/1992 field study at Tanjung Puting National Park, Indonesia. After conception, both females continued copulating with their group’s male. One of the births took place during the night, the other during mid-morning. In the latter case, the infant was born unassisted while the members of the group watched the birthing process. After parturition, the mother consumed the placenta.