Child Wantedness and Low Weight at Birth: Differential Parental Investment among Roma.

Studies investigating child wantedness, birthweight and parental care are limited. This study assessed relationships of child wantedness, low birthweight and differential parental investment in a poor population of Serbian Roma. Data from the Multiple Indicator Cluster Survey round 5 for Roma settlements were used to account for the association between child wantedness and birthweight, and three measures of parental investment: breastfeeding practices, immunization of children and quality of mother-child interaction. The sample included 584 children aged 0-24 months. The child variables were gender, birth order, birthweight (low birthweight at <2500 g and normal birthweight at >2500 g) and whether the child was wanted, while maternal independent variables included age, literacy and household wealth. The results show that unwanted children were at greater risk of having low birthweight. After controlling for birthweight, child wantedness emerged as a predictor of breastfeeding practices and immunization status: Roma mothers biased their investment toward children who were wanted. The quality of mother-child interaction varied with the mother's household wealth. Given the high rates of infant and child mortality among Roma, investments in children's health should be prioritized within the family, where maternal bias in parental investment may contribute to their children's health disparities.