Center on Gender Equity and Health, Division of Infectious Diseases and Global Public Health, School of Medicine, University of California San Diego, 9500 Gilman Drive #0507, La Jolla, CA, 92093-0507, USA.
Joint Doctoral Program in Public Health, San Diego State University-University of California San Diego, 9500 Gilman Dr, La Jolla, CA, 92093, USA.
Reprod Health. 2021 Mar 9;18(1):60. doi: 10.1186/s12978-021-01116-9.
Married adolescent girls are vulnerable to risky sexual and reproductive health outcomes. We examined the association of fertility pressure from in-laws' early in marriage with contraceptive use ever, parity, time until first birth, and couple communication about family size, among married adolescent girls.
Data were taken from a cross-sectional survey with married girls aged 15-19 years (N = 4893) collected from September 2015 to July 2016 in Bihar and Uttar Pradesh, India. Multivariable regression assessed associations between in-laws' fertility pressure and each outcome, adjusting for sociodemographic covariates.
We found that 1 in 5 girls experienced pressure from in-laws' to have a child immediately after marriage. In-laws' fertility pressure was associated with lower parity (Adj. β Coef. - 0.10, 95% CI - 0.17, - 0.37) and couple communication about family size (AOR = 1.77, 95% CI 1.39, 2.26), but not contraceptive use or time until birth.
Our study adds to the literature identifying that in-laws' pressure on fertility is common, affects couple communication about family size, and may be more likely for those yet to have a child, but may have little effect impeding contraceptive use in a context where such use is not normative.
已婚少女容易面临危险的性健康和生殖健康后果。我们研究了早婚时期公婆施加的生育压力与已婚少女使用避孕药具、生育子女数量、首次生育时间以及夫妻关于家庭规模的沟通之间的关系。
这项横断面调查的数据来自于 2015 年 9 月至 2016 年 7 月在印度比哈尔邦和北方邦收集的年龄在 15-19 岁之间的已婚少女（N=4893）。多变量回归分析了公婆的生育压力与每种结果之间的关系，并调整了社会人口统计学协变量。
我们发现，每 5 个女孩中就有 1 个受到公婆在婚后立即生育的压力。公婆的生育压力与较低的生育子女数量（调整后 β 系数 -0.10，95%置信区间 -0.17，-0.37）和夫妻关于家庭规模的沟通（优势比 AOR=1.77，95%置信区间 1.39，2.26）有关，但与避孕药具的使用或生育时间无关。
我们的研究增加了文献的证据，表明公婆对生育的压力很普遍，影响了夫妻关于家庭规模的沟通，并且对于那些尚未生育的人来说，这种压力可能更为常见，但在避孕药具使用不受规范的情况下，这种压力可能对阻碍避孕药具的使用影响不大。
