Department of Epidemiology and Biostatics, Institute of Public Health College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia.
BMC Womens Health. 2020 Dec 7;20(1):268. doi: 10.1186/s12905-020-01103-5.
Besides, the presence of national law, the country has to set up its own mid-term and long term goals to bring about a significant reduction in child marriages in Ethiopia. As my search concerned, there is no study conducted on the spatial distribution of early marriage in Ethiopia. Determining the spatial distribution of early marriage and factors associated is important for government, other concerned bodies, program implementers, and policy developers to end up early childhood marriage. Thus, this study aimed to assess the spatial distribution and associated factors of Early marriage among reproductive-age women in Ethiopia.
This study analyzed retrospectively a cross-sectional data on a weighted sample of 11,646 reproductive age women after requesting from Ethiopian Demographic and Health Survey 2016. ArcGIS and SaTScan software were for spatial analysis. Multiple logistic regression analysis was used to identify factors associated with early marriage. Finally, variables with a p-value of less than or equal 0.05 were considered as statistically significant.
In this analysis, about 62.8% (95% CI 61.9, 63.74%) of the study participants were married before they reached 18 years. The overall median age at first marriage was 17.1 with IQR 5 years. The high clustering of early marriage was located in Amhara, Afar, and Gambella Regions. In spatial Scan statistics, 87 clusters (RR = 1.28) significant primary clusters were identified. The associated factors of early marriage were lesser among women's attending primary (AOR = 0.60; 95% CI 0.51, 0.71), secondary (AOR = 0.19; 95% CI 0.13, 0.26) and tertiary education (AOR = 0.11; 95% CI 0.07, 0.18). Similarly, women found in Addis Ababa were at a lesser risk of early marriage compared to other regions of the country.
Marriage below age 18 is high in Ethiopia. High-risk area of early marriage was located in Amhara, Afar, and Gambella. Governmental and non-governmental organizations should design an effective intervention in these regions to reduce Early marriage. Therefore, providing educational opportunities to young girls was important in addition to inhibiting the marriage of girls under 18 years.
除了国家法律，埃塞俄比亚还必须制定自己的中期和长期目标，以大幅减少童婚。据我所知，目前还没有关于埃塞俄比亚早婚空间分布的研究。确定早婚的空间分布和相关因素对于政府、其他有关机构、方案执行者和政策制定者来说至关重要，有助于结束儿童早婚。因此，本研究旨在评估埃塞俄比亚育龄妇女早婚的空间分布和相关因素。
本研究回顾性分析了 2016 年埃塞俄比亚人口与健康调查请求的 11646 名育龄妇女加权样本的横断面数据。使用 ArcGIS 和 SaTScan 软件进行空间分析。采用多因素逻辑回归分析确定与早婚相关的因素。最后，将 P 值小于或等于 0.05 的变量视为具有统计学意义。
在这项分析中，约 62.8%（95%置信区间 61.9，63.74%）的研究参与者在 18 岁之前结婚。首次结婚的平均年龄中位数为 17.1 岁，IQR 为 5 岁。早婚的高度聚集发生在阿姆哈拉、阿法尔和甘贝拉地区。在空间扫描统计中，确定了 87 个（RR=1.28）显著原发性聚类。早婚的相关因素包括妇女接受初等教育（AOR=0.60；95%置信区间 0.51，0.71）、中等教育（AOR=0.19；95%置信区间 0.13，0.26）和高等教育（AOR=0.11；95%置信区间 0.07，0.18）的几率较低。同样，与该国其他地区相比，居住在亚的斯亚贝巴的妇女早婚的风险较低。
埃塞俄比亚 18 岁以下结婚的比例很高。早婚的高风险地区位于阿姆哈拉、阿法尔和甘贝拉。政府和非政府组织应在这些地区设计有效的干预措施，以减少早婚。因此，除了禁止 18 岁以下少女结婚外，为年轻女孩提供教育机会也很重要。
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