Elnakib Shatha, K Ali Ahmed, Mieth Kate, Chandra-Mouli Venkatraman
Assistant Scientist, International Health Department, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Adolescent and Youth Sexual and Reproductive Health and Rights Consultant, Department of Sexual and Reproductive Health and Research (which includes the Human Reproduction Programme), World Health Organization, Geneva, Switzerland.
Sex Reprod Health Matters. 2024 Dec;32(1):2449310. doi: 10.1080/26410397.2024.2449310. Epub 2025 Jun 2.
More than 650 million women alive today were married as children. Relative to efforts to prevent child marriage, efforts to support child brides have received much less attention. This review set out to map and describe interventions that support child brides. We performed a scoping review using seven electronic databases coupled with a grey literature search in January 2022. Data were extracted using a piloted extraction tool and findings were reported in narrative synthesis. A total of 34 projects were included in our review. Most projects focused on improving sexual and reproductive health (SRH) knowledge and behaviours among child brides, which was often achieved through a combination of SRH education, counselling and information provision, along with linkages to SRH services. Some interventions were health facility-based and aimed at improving responsiveness of health service providers to the needs of child brides. Very few described economic interventions as one component of a broader health intervention, and only three interventions focused on improving girls' educational outcomes. We also note the paucity of media-based interventions, despite their popularity among adolescents. Over time, interventions addressing the needs of child brides have increased, but the preponderance of evidence has focused on SRH interventions, with interventions that couple education with adolescent-friendly health services demonstrating promise. Interventions addressing other areas of health and social wellbeing of this group, such as mental health, sexual health, and economic independence, have been overlooked in comparison. The review highlights the need for additional empirical evidence on what works to support child brides.
当今在世的6.5亿多名女性在儿童时期就已结婚。相对于预防童婚的努力,支持童养媳的努力受到的关注要少得多。本综述旨在梳理和描述支持童养媳的干预措施。我们于2022年1月使用七个电子数据库并结合灰色文献检索进行了一项范围综述。使用经过试点的提取工具提取数据,并通过叙述性综合报告研究结果。我们的综述共纳入了34个项目。大多数项目侧重于提高童养媳的性健康和生殖健康(SRH)知识及行为,这通常是通过SRH教育、咨询和信息提供以及与SRH服务的联系相结合来实现的。一些干预措施以医疗机构为基础,旨在提高医疗服务提供者对童养媳需求的响应能力。很少有项目将经济干预措施描述为更广泛健康干预措施的一个组成部分,只有三项干预措施侧重于改善女童的教育成果。我们还注意到,尽管基于媒体的干预措施在青少年中很受欢迎,但此类措施却很少。随着时间的推移,针对童养媳需求的干预措施有所增加,但大量证据都集中在SRH干预措施上,将教育与青少年友好型医疗服务相结合的干预措施显示出前景。相比之下,针对该群体其他健康和社会福祉领域(如心理健康、性健康和经济独立)的干预措施则被忽视了。该综述强调需要更多关于何种措施对支持童养媳有效的实证证据。