Prakash Ravi, Singh Abhishek, Pathak Praveen Kumar, Parasuraman Sulabha
Department of Monitoring and Evaluation, Karnataka Health Promotion Trust, Bangalore 560044, India.
J Fam Plann Reprod Health Care. 2011 Jul;37(3):136-45. doi: 10.1136/jfprhc-2011-0080. Epub 2011 May 31.
Early marriage, women's poor reproductive health and child well-being are important areas of concern, especially in developing countries like India. Data from the third wave of National Family Health Survey (NFHS, 2005-2006) was used to examine the effects of early marriage on the reproductive health status of women and on the well-being of their children. Bivariate analyses, multiple linear regression and logistic regression were used for analyses.
The results show that early age at marriage had detrimental effects on the reproductive health status of women. Women married at an early age were exposed to frequent childbearing, unplanned motherhood and abortions, which negatively affected their nutritional status. Children born to mothers with poor reproductive health had lower chances of survival and a higher likelihood of anthropometric failure (i.e. stunting, wasting and underweight).
Programmes should focus on delaying entry of adolescents into wedlock and motherhood through information, education and communication. More emphasis needs to be put on meeting the reproductive needs of poor adolescent mothers, and improving the nutritional status of their children, to break the vicious circle of poor reproductive health and poverty.
早婚、女性不良生殖健康及儿童福祉是重要的关注领域,在印度这样的发展中国家尤为如此。利用第三次全国家庭健康调查(NFHS,2005 - 2006年)的数据来研究早婚对女性生殖健康状况及其子女福祉的影响。采用双变量分析、多元线性回归和逻辑回归进行分析。
结果表明,早婚对女性生殖健康状况有不利影响。早婚女性面临频繁生育、意外怀孕和堕胎情况,这对她们的营养状况产生了负面影响。生殖健康状况不佳的母亲所生子女存活几率较低,出现人体测量指标不良(即发育迟缓、消瘦和体重不足)的可能性较高。
项目应通过信息、教育和宣传,着重推迟青少年步入婚姻和生育的年龄。需要更加重视满足贫困青少年母亲的生殖需求,并改善其子女的营养状况,以打破不良生殖健康与贫困的恶性循环。