Hossain Md Golam, Mahumud Rashidul Alam, Saw Aik
*Department of Statistics,University of Rajshahi,Bangladesh.
†Health Economic and Financing,ICDDR,B, Mohakhali,Dhaka,Bangladesh.
J Biosoc Sci. 2016 Aug;48(4):530-8. doi: 10.1017/S0021932015000279. Epub 2015 Aug 19.
Many Bangladeshi women marry early, and many marry before the legal age of 18 years. This practice has been associated with a higher risk of health and medical morbidities, and also early pregnancy with higher pre- and postnatal complications. The aim of this study was to determine the prevalence, and factors associated with, child marriage among Bangladeshi women using multiple binary logistic regression analysis of data from the BDHS-2011. Further analysis on the trend of age at first marriage was performed with additional data sets from previous surveys. The mean and median of ages at first marriage of Bangladeshi women in 2011 were 15.69±2.97 and 15.00 years, respectively. A remarkably high percentage (78.2%) married before the age of 18; of these, 5.5% married at a very early age (before 13 years of age). Binary logistic regression analysis demonstrated that uneducated women were more likely to be married early (p<0.001) than those with secondary and higher education. Child marriage was especially pronounced among women with uneducated husbands, Muslims, those with poor economic backgrounds and those living in rural areas. Further analysis including data from previous BDHS surveys showed that child marriage among Bangladeshi women had a decreasing trend from 1993-94 to 2011. These results show that child marriage was very common in Bangladesh, and closely associated with low level of education and low economic status. The decreasing trend in child marriage indicates an improvement over the past two decades but more effort is needed to further reduce and eventually eliminate the practice.
许多孟加拉国女性早婚，且很多在18岁法定年龄之前结婚。这种做法与更高的健康和医疗发病风险相关，也与早孕及更高的产前和产后并发症有关。本研究的目的是利用2011年孟加拉国人口与健康调查（BDHS - 2011）的数据，通过多元二元逻辑回归分析来确定孟加拉国女性童婚的患病率及相关因素。利用以往调查的额外数据集对初婚年龄趋势进行了进一步分析。2011年孟加拉国女性的初婚平均年龄和中位数分别为15.69±2.97岁和15.00岁。相当高比例（78.2%）的女性在18岁之前结婚；其中，5.5%在非常早的年龄（13岁之前）结婚。二元逻辑回归分析表明，未受过教育的女性比受过中等及以上教育的女性更有可能早婚（p<0.001）。童婚在丈夫未受过教育的女性、穆斯林、经济背景差的女性以及农村地区的女性中尤为明显。包括以往BDHS调查数据在内的进一步分析表明，孟加拉国女性的童婚从1993 - 1994年到2011年呈下降趋势。这些结果表明，童婚在孟加拉国非常普遍，且与低教育水平和低经济地位密切相关。童婚的下降趋势表明在过去二十年中有了改善，但需要做出更多努力来进一步减少并最终消除这种做法。
