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童婚及其与孟加拉国女性不良生殖结局的关联。

Child marriage and its association with adverse reproductive outcomes for women in Bangladesh.

作者信息

Kamal S M Mostafa, Hassan Che Hashim

机构信息

University of Malaya, Kuala Lumpur, Malaysia Islamic University, Kushtia, Bangladesh

University of Malaya, Kuala Lumpur, Malaysia.

出版信息

Asia Pac J Public Health. 2015 Mar;27(2):NP1492-506. doi: 10.1177/1010539513503868. Epub 2013 Oct 4.

Abstract

This study examines the prevalence of child marriage and its effect on reproductive outcomes among women in Bangladesh using the most recent 2011 Bangladesh Demographic and Health Survey data. Both bivariate and multivariate statistical techniques used in the study yielded quantitatively important and reliable estimates of child marriage and its impact on adverse reproductive and health outcomes. Overall, 77% of the marriages among women aged 20 to 49 years old took place before the age of 18 years. Women's education is the most single significant determinant of child marriage. Findings revealed that after being adjusted for sociodemographic factors, child marriage significantly (P < .001) increases the likelihood of stillbirth/miscarriage (odds ratio [OR] = 1.80; 95% confidence interval [CI] = 1.45-2.24) and pregnancy termination (OR = 1.24; 95% CI = 1.12-1.38). Programs should aim to retain girls in school for longer periods not only to raise the age at first marriage but also for sound reproductive health and overall social development of Bangladesh.

摘要

本研究利用2011年孟加拉国最新人口与健康调查数据,考察了孟加拉国童婚的流行情况及其对女性生殖结局的影响。该研究中使用的双变量和多变量统计技术,得出了关于童婚及其对不良生殖和健康结局影响的数量上重要且可靠的估计。总体而言,20至49岁女性中有77%的婚姻在18岁之前举行。女性教育是童婚最显著的单一决定因素。研究结果显示,在对社会人口因素进行调整后,童婚显著(P < .001)增加了死产/流产的可能性(优势比[OR] = 1.80;95%置信区间[CI] = 1.45 - 2.24)以及终止妊娠的可能性(OR = 1.24;95% CI = 1.12 - 1.38)。相关项目应旨在让女孩在学校待更长时间,这不仅是为了提高初婚年龄,也是为了孟加拉国良好的生殖健康和整体社会发展。

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