Health Systems and Population Studies Division, International Centre for Diarrhoeal Disease Research Bangladesh (icddrb), Dhaka, Bangladesh.
Front Public Health. 2022 Jul 6;10:840145. doi: 10.3389/fpubh.2022.840145. eCollection 2022.
Bangladesh reports one of the highest rates of child marriage (CM) (59%) in the world and the highest rate within South Asia. Age at marriage of girls is a critical human rights and developmental issue in Bangladesh. Migration has been documented to be positively associated with age at marriage. Bangladesh experiences one of the highest rates of rural to urban migration in the world. An increase in rural-urban migration of adolescent girls has been observed over the last few decades in Bangladesh with the expansion of employment opportunities particularly in the ready-made garment industry (RMG). This analysis explores the effect of migration on age at marriage and CM among adolescent girls living in urban slums of Dhaka.
The sample was selected from icddr,b's Urban Health and Demographic Surveillance System (UHDSS) and comprises of never-married adolescent girls aged 15-19, who migrated in from rural Bangladesh to slums in and around Dhaka during 2015-2019. These in-migrants were matched with their rural counterparts from icddr,b's Matlab HDSS (MHDSS), using one to one nearest neighbor matching with caliper 0.1 using propensity score matching (PSM) method. The sample derived included a total of 2,700 never-married adolescent girls from Dhaka and Matlab. The association between migration and age at first marriage was estimated using a linear regression model and the effect of migration on CM was explored using logistic regression analyses.
The in-migrants perfectly matched with their rural peers in terms of age, household wealth and religion. However, their income earning status was hugely different. Urban migrants had significantly higher age at marriage than the rural non-migrants for both 15-19 (Coefficient, 1.77; 95% CI, 1.07-2.46) and 20-24 years age group (Coefficient, 2.87; 95% CI, 2.18-3.55). The migrant girls aged 20-24 years were 71% (aOR, 0.29; 95% CI, 0.12-0.69) less likely to get married before CM age bar in Bangladesh compared to their rural counterparts.
Migration has a positive effect on delaying marriage and reducing CM among adolescent girls. Findings from this study suggest that CM can be reduced by creating educational and economic opportunities for females.
孟加拉国是世界上报告的儿童婚姻率(CM)最高的国家之一(59%),也是南亚最高的国家。女孩的结婚年龄是孟加拉国一个关键的人权和发展问题。有记录显示,移民与结婚年龄呈正相关。孟加拉国是世界上农村向城市移民率最高的国家之一。过去几十年,随着服装制造业(RMG)等就业机会的扩大,孟加拉国农村到城市的少女移民人数有所增加。本分析探讨了移民对达卡城市贫民窟中少女婚姻年龄和 CM 的影响。
该样本是从 icddr,b 的城市健康和人口监测系统(UHDSS)中选取的,包括在 2015 年至 2019 年期间从孟加拉国农村移民到达卡及其周边贫民窟的 15-19 岁未婚少女。这些移民与 icddr,b 的马塔卜健康和人口动态监测系统(MHDSS)的农村同龄人进行了一对一匹配,使用卡尺为 0.1 的倾向评分匹配(PSM)方法进行了 1:1 最近邻匹配。从达卡和马塔卜共获得了 2700 名从未结婚的少女。使用线性回归模型估计了移民与初婚年龄之间的关联,并使用逻辑回归分析探讨了移民对 CM 的影响。
移民在年龄、家庭财富和宗教方面与农村同龄人完全匹配。然而,他们的收入状况却大不相同。与农村非移民相比,城市移民的初婚年龄明显更大,包括 15-19 岁(系数,1.77;95%置信区间,1.07-2.46)和 20-24 岁年龄组(系数,2.87;95%置信区间,2.18-3.55)。与农村同龄人相比,20-24 岁的移民女孩在孟加拉国的 CM 年龄限制之前结婚的可能性降低了 71%(aOR,0.29;95%置信区间,0.12-0.69)。
移民对推迟少女婚姻和减少 CM 有积极影响。本研究结果表明,可以通过为女性创造教育和经济机会来减少 CM。