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Polygyny, maternal HIV status and child survival: Rakai, Uganda

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Author Info

  • Brahmbhatt, Heena
  • Bishai, David
  • Wabwire-Mangen, Fred
  • Kigozi, Godfrey
  • Wawer, Maria
  • Gray, Ronald H.

Abstract

The objective of this research was to assess the association of child mortality with polygyny and maternal HIV status through a prospective community-based study in Rakai district, Uganda. We sought to test whether there was an indirect evidence that polygynous households in an HIV prevalent area may divert resources away from the children of HIV-infected mothers in favor of children with better survival prospects. We test this theory using data from a follow-up study which collected detailed behavioral and medical information at 10-month intervals on a cohort of over 4000 pregnant women and their infants (5300 person years of observation). Cox proportional hazards models estimated the mortality hazard (RR) associated with polygyny for children of HIV-negative and HIV-positive mothers. HIV prevalence in the full cohort of mothers was 11.9%, and 23% of mothers lived in polygynous households. Multivariate analysis showed an increased hazard of child mortality if the mother was HIV-positive (RR=1.75, p

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Bibliographic Info

Article provided by Elsevier in its journal Social Science & Medicine.

Volume (Year): 55 (2002)
Issue (Month): 4 (August)
Pages: 585-592

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Handle: RePEc:eee:socmed:v:55:y:2002:i:4:p:585-592

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Related research

Keywords: Child survival Polygyny HIV/AIDS STD Uganda;

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Cited by:
  1. James Fenske, 2012. "African polygamy: Past and present," CSAE Working Paper Series 2012-20, Centre for the Study of African Economies, University of Oxford.
  2. Lépine, Aurélia & Strobl, Eric, 2013. "The Effect of Women’s Bargaining Power on Child Nutrition in Rural Senegal," World Development, Elsevier, vol. 45(C), pages 17-30.

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