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童婚和未成年母亲:孟加拉国妇女的全国性脆弱性问题。

Child Marriage and Adolescent Motherhood: A Nationwide Vulnerability for Women in Bangladesh.

机构信息

Department of Health Science and Biostatistics, Swinburne University of Technology, Hawthorn, VIC 3122, Australia.

Transport and Road Safety (TARS) Research Centre, School of Aviation, University of New South Wales, Sydney, NSW 2052, Australia.

出版信息

Int J Environ Res Public Health. 2021 Apr 12;18(8):4030. doi: 10.3390/ijerph18084030.

Abstract

The persistently high prevalence of girl-child marriage and adolescent motherhood is a public health concern in Bangladesh. This study investigated the division-wise prevalence and the influence of education and religious affiliation on child marriage and adolescent motherhood among women in Bangladesh along with their consequences using 15,474 women aged 15-49 years from the Bangladesh Demographic and Health Survey 2017-18. Staggeringly, 82.5% women were married before 18, 43.1% were married before 15, and 61.8% gave birth before 18 years of age. Binary logistic regression models for the complex survey showed that girl-children with primary, secondary, and higher secondary or above education were 16% (95% CI: 0.69, 1.03), 32% (95% CI: 0.55, 0.84), and 87% (95% CI: 0.10, 0.17) less likely to get married <18 years of age, respectively, compared to the uneducated. Also, girl-children with secondary and higher education were 21 and 83% less likely to become adolescent mothers, respectively, than the uneducated. Women married during childhood (<18 years) and adolescent mothers were 36 and 55% less likely to continue studies after marriage, respectively, and expressed that they significantly preferred a late marriage. Policy interventions need to address culturally-laden social norms influenced by religious-related beliefs, especially in rural areas.

摘要

孟加拉国一直存在高比例的童婚和未成年母亲现象,这是一个公共卫生关注的问题。本研究利用 2017-18 年孟加拉国人口与健康调查(BDHS)中 15474 名 15-49 岁的女性数据,调查了孟加拉国女性的童婚和未成年母亲的按地区划分的流行率,以及教育和宗教信仰对其的影响,以及这些问题所带来的后果。令人震惊的是,82.5%的女性在 18 岁之前结婚,43.1%的女性在 15 岁之前结婚,61.8%的女性在 18 岁之前生育。针对复杂调查的二元逻辑回归模型显示,与未受教育的女孩相比,接受过小学、中学和高中或以上教育的女孩结婚年龄小于 18 岁的可能性分别降低了 16%(95%CI:0.69,1.03)、32%(95%CI:0.55,0.84)和 87%(95%CI:0.10,0.17)。此外,接受过中学和高等教育的女孩成为未成年母亲的可能性分别降低了 21%和 83%。童婚和未成年母亲婚后继续学业的可能性分别降低了 36%和 55%,且她们均表示自己更倾向于晚婚。政策干预需要解决受宗教信仰影响的、具有文化内涵的社会规范,尤其是在农村地区。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e1b/8069693/2690bf2ef31e/ijerph-18-04030-g001.jpg

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