Sociocultural factors perpetuating the practices of early marriage and childbirth in Sylhet District, Bangladesh

Henry, Elizabeth G.; Lehnertz, Nicholas; Alam, Ashraful; Ali, Nabeel Ashraf; Williams, Emma; Rahman, Syed Moshfiqur; Ahmed, Salahuddin; Arifeen, Shams El; Baqui, Abdullah H; Winch, Peter J.

doi:10.1093/inthealth/ihu074

Cited by 24 publications

(45 citation statements)

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“…; Henry et al. ). Some men do not approve of contraception because they are concerned that it could encourage infidelity, challenge their own fertility preferences, or undermine their authority as heads of households (Watkins, Rutenberg, and Wilkinson ; Harrington et al.…”

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confidence: 98%

“…A number of qualitative studies suggest that many women who decide to use contraception secretly do so for serious reasons and could face dire consequences if their partners discover their contraceptive use. In many cultures women are expected to be obedient to their husbands, to conceive soon after marriage, and to be sexually available to their husbands (Wilson-Williams et al 2008;Henry et al 2015). Some men do not approve of Ifta Choiriyyah is doctoral student and Stan Becker is Professor, Department of Population, Family, and Reproductive Health, Johns Hopkins Bloomberg School of Public Health.…”

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confidence: 99%

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Measuring Women's Covert Use of Modern Contraception in Cross‐Sectional Surveys

Choiriyyah¹,

Becker²

2018

Studies in Family Planning

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A proportion of women in couples use contraception without their partners' knowledge. There are two principal ways to measure this covert use in cross-sectional surveys like the Demographic and Health Surveys (DHS). First is a direct question, "Does your husband/partner know that you are using a method of family planning?" Second is an indirect method: the reports of both partners to the question on contraceptive use are matched, and if the woman reports a modern contraceptive method and the male partner reports nonuse, her use is considered covert. For 21 DHS surveys for which both estimates could be made, there are large discrepancies between the two. We found that a proxy variable-responses to the question, "Would you say that using contraception is mainly your decision, mainly your husband's/partner's decision, or did you both decide together?"-has high sensitivity and specificity for classifying those in the open category for both methods and those in the covert category for both methods. Recommendations are that the direct question be reinstated in the DHS and that the indirect method not be used by itself but in conjunction with the decision-making variable.

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confidence: 98%

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confidence: 99%

Measuring Women's Covert Use of Modern Contraception in Cross‐Sectional Surveys

Choiriyyah¹,

Becker²

2018

Studies in Family Planning

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“…The National Campaign to Prevent Teen Pregnancy of World Health Organization reported that career opportunity for many young women was reduced by earlier childbearing and failure to complete high school education [30]. Despite these obvious problems and undesirable consequences, most of the adolescent pregnancies in Bangladesh were pre-planned and highly valued [33]. With poverty and lack of education, the young families would not know the medical and health problems associated with their behaviour.…”

Section: Discussionmentioning

confidence: 99%

Socio-economic and demographic factors influencing nutritional status among early childbearing young mothers in Bangladesh

Islam

Bharati

et al. 2016

BMC Women's Health

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BackgroundEarly childbearing influences women’s health. This study aims to examine the effects of socio-demographic factors on nutritional status of early childbearing mothers in Bangladesh based on Body Mass Index (BMI) as the indicator.MethodsData was extracted from Bangladesh Demographic and Health Survey (BDHS)-2011. The survey was performed on 17,842 married women aged 15–49. We focused on early childbearing mothers (age ≤ 24, and who had delivered their first child ≤ 20). Mothers who were underweight (BMI ≤ 18.5 kg/m2) would be further classified into various grades of chronic energy deficiency (CED): mild (17.0 ≤ BMI < 18.5 kg/m2), moderate (16.0 ≤ BMI <17.0 kg/m2), and severe (BMI < 16.0 kg/m2). Multiple logistic regression model was used to examine the effect of socio-demographic factors on nutritional status.ResultsMean age of the mothers was 20.49 ± 2.37 years (ranged 15–24 years). The prevalence of underweight among early childbearing mothers was 32.1 % (urban 25 % and rural 35.1 %). Most of the underweight mothers had mild (62.2 %) CED, while the remaining had either moderate (25.9 %) or severe (11.9 %) CED. Multiple logistic regression analysis demonstrated that young mothers from rural areas, poor families, and those who were illiterate or with low level of education, working, and married to unemployed husband were at higher risk for being underweight. Young mothers who had non-caesarean delivered, delivered at home, or married at early age and had more than two children were also at higher risk for being underweight.ConclusionsThe prevalence of underweight among early childbearing mothers in Bangladesh is very high (32.1 %), associated with the still common practice of teenage marriage. Education level, wealth index, occupation, place of residence, age at first marriage and parity were important predictors for their nutritional status. The government and non-government organizations should take initiatives to reduce the prevalence of underweight mothers in Bangladesh.

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“…1,5,6 Other causes of early marriage that have been identified include customs, gender discrimination, ignorance, peer group influence, and unexpected pregnancy, but the extent to which these affect different communities is not clear. 2,[9][10][11] It is noted for instance, in Bangladesh that the standard age-disparity between husband and wife is 8-10 years and families purposely seek for a much young woman for the son to marry. 10 Thus, where for instance a 25 years old man want to get married, the likelihood is that under-aged girl is the target.…”

Section: Introductionmentioning

confidence: 99%

“…2,[9][10][11] It is noted for instance, in Bangladesh that the standard age-disparity between husband and wife is 8-10 years and families purposely seek for a much young woman for the son to marry. 10 Thus, where for instance a 25 years old man want to get married, the likelihood is that under-aged girl is the target. Powerlessness is less articulated as a cause and this is exemplified in the story of 15 years old Kenyan girl Naisiae, who together with.…”

Section: Introductionmentioning

confidence: 99%

Parents’ perception on factors of early marriage among the Urhobos in Delta State of Nigeria

Agege

Nwose

Odjimogho

2018

Int J Community Med Public Health

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Early marriage forces girls into adulthood before they are emotionally and physically matured, and it has harmful effects on their health, educational, economic and social development. In many countries, 18 years is the legal age of marriage and Nigeria has made a constitutional effort to establish same as a minimum age for marriage. This narrative review examined the causes and consequences of early marriage with a view to establish framework to assess the perception on factors among Urhobos in Nigeria. Unpublished stories are appraised alongside news media and published literature to illustrate scenarios that exemplify discussed causes. Several causes of early marriage were noted and gender discrimination, ignorance, and unexpected pregnancy appear salient or are under-discussed. There is evidence that men and women prefer husbands to earn higher wages than wives and females are less ambitious. Although there are public health concerns in the literature, data on perception of parents, especially those in low socioeconomic status, regarding public health is lacking. Critical appraisal posits that early marriage is not only shrouded in legalities, but is also caused by multiple factors. The factors that cause or lead to early marriages need to be identified for each society to appropriately address the associated ramifications. The lack of data on perception of parents suggests that educational intervention needs to start with community needs assessment.

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Sociocultural factors perpetuating the practices of early marriage and childbirth in Sylhet District, Bangladesh

Abstract: Future efforts to promote delay in marriage and subsequent early childbearing should focus on allaying the fears of infertility related to delay in childbearing or secondary to contraceptive use, both for newly married couples and household decision-makers such as mothers-in-law.

Cited by 24 publications

References 24 publications

Measuring Women's Covert Use of Modern Contraception in Cross‐Sectional Surveys

Measuring Women's Covert Use of Modern Contraception in Cross‐Sectional Surveys

Socio-economic and demographic factors influencing nutritional status among early childbearing young mothers in Bangladesh

Parents’ perception on factors of early marriage among the Urhobos in Delta State of Nigeria

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