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Tytuł:
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The association of child marriage with morbidities and mortality among children under 5 years in Afghanistan: findings from a national survey.
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Autorzy:
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Dadras O; Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway. .; Section Global Health and Rehabilitation, Høgskulen På Vestlandet (HVL), Bergen, Norway. .
Hazratzai M; Department of Public Health Sciences, School of Medicine, University of California, Davis (UC Davis), Davis, USA.
Dadras F; Department of Gynecology and Obstetrics, Graduate School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
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Źródło:
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BMC public health [BMC Public Health] 2023 Jan 05; Vol. 23 (1), pp. 32. Date of Electronic Publication: 2023 Jan 05.
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Typ publikacji:
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Journal Article; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Original Publication: London : BioMed Central, [2001-
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MeSH Terms:
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Marriage*
Infant Mortality*
Infant ; Infant, Newborn ; Female ; Child ; Humans ; Pregnancy ; Child, Preschool ; Adolescent ; Young Adult ; Adult ; Afghanistan/epidemiology ; Child Mortality ; Morbidity
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References:
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Rev Obstet Gynecol. 2009 Winter;2(1):51-6. (PMID: 19399295)
Br J Obstet Gynaecol. 1999 Feb;106(2):116-21. (PMID: 10426676)
BMJ. 2010 Jan 21;340:b4258. (PMID: 20093277)
PLoS One. 2022 Feb 9;17(2):e0262927. (PMID: 35139075)
Stud Fam Plann. 2022 Sep;53(3):417-431. (PMID: 35736515)
J Matern Fetal Med. 2001 Dec;10(6):393-7. (PMID: 11798449)
PLoS One. 2021 Jan 15;16(1):e0245007. (PMID: 33449922)
Int J Epidemiol. 2017 Apr 1;46(2):662-675. (PMID: 27733435)
Acta Paediatr. 2007 Mar;96(3):396-400. (PMID: 17407464)
J Adolesc. 2019 Apr;72:101-111. (PMID: 30878690)
Biomed Res Int. 2021 Mar 08;2021:1969721. (PMID: 33763468)
J Pediatr. 2014 Mar;164(3):639-46. (PMID: 24367981)
Reprod Health. 2022 Feb 25;19(1):52. (PMID: 35216612)
BMC Public Health. 2018 Feb 26;18(1):285. (PMID: 29482546)
Curr Opin Pediatr. 2000 Jun;12(3):291-6. (PMID: 10836168)
Curr Opin Obstet Gynecol. 2011 Oct;23(5):334-9. (PMID: 21836504)
Int Fam Plan Perspect. 2006 Jun;32(2):79-88. (PMID: 16837388)
BMC Pregnancy Childbirth. 2020 Jul 28;20(1):427. (PMID: 32723332)
PLoS One. 2020 Jul 17;15(7):e0235959. (PMID: 32678862)
BMJ Open. 2019 Sep 3;9(9):e027377. (PMID: 31481551)
J Adolesc Health. 1997 Jun;20(6):442-9. (PMID: 9178081)
Violence Against Women. 2013 Apr;19(4):536-51. (PMID: 23698937)
BMC Womens Health. 2020 Mar 4;20(1):46. (PMID: 32131810)
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Contributed Indexing:
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Keywords: Afghanistan; Child marriage; Child morbidity; Child mortality
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Entry Date(s):
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Date Created: 20230105 Date Completed: 20230109 Latest Revision: 20230203
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Update Code:
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20240105
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PubMed Central ID:
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PMC9817260
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DOI:
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10.1186/s12889-023-14977-5
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PMID:
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36604673
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Background: There is still a gap in knowledge of the impact that child marriage could have on the mortality and morbidity of children in Afghanistan. This study used the data from the latest Afghanistan demographic health survey conducted in 2015 (ADHS) to address this gap and advance the current knowledge.
Methods: A secondary analysis of the 2015 ADHS, including the births in the past 5 years to ever-married women aged 15-24 years old, was carried out. Logistic regression analyses were employed to examine the association of child marriage (< 18y) with morbidities (diarrhea, acute respiratory infection, and fever in the last 2 weeks), mortality (neonatal, infant, child), and size at birth among the children under 5 born to women aged 15-24 years, before and after adjusting for the effect of sociodemographic and structural inequalities.
Results: Approximately two-thirds of births in the past 5 years belong to 15-24 years old mothers who married at ages < 18. The majority of them were born to mothers residing in rural areas (75.67%) with no education (51.68%) from poor households (39.39%). As compared to the births to women married at ages ≥ 18, there was a significantly higher likelihood of neonatal mortality among births to women married at ages < 18 (crude OR = 2.30, 95% CI: 1.52-3.49 & adjusted OR = 1.94, 95% CI: 1.25-3.01) and higher infant mortality among the births to the women married at ages ≤ 14y (crude OR = 1.94, 95% CI: 1.06-3.53). However, it disappeared for neonatal mortality after adjustment for adequacy of antenatal care (ANC) and infant mortality after adjustment for sociodemographic inequalities.
Conclusion: Although the births to women married as a child (< 18) were more likely to die at an early age, this association disappeared after adjustment for the adequacy of ANC. Given the unavoidable practice of child marriage in Afghanistan, this finding emphasizes the importance of providing adequate ANC for young brides to prevent child mortality. In addition, strong global advocacy is required to empower and support young Afghan women in negotiating their reproductive and maternity rights with their partners by reducing social and gender-based inequalities.
(© 2023. The Author(s).)
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