Pourtaheri Asma, Mahdizadeh Mehrsadat, Tehrani Hadi, Jamali Jamshid, Peyman Nooshin
Health Education and Health Promotion, Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran.
Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
Front Public Health. 2025 Jan 21;12:1477197. doi: 10.3389/fpubh.2024.1477197. eCollection 2024.
Girl child marriage is an example of a human rights violation, the unfortunate consequences of which have raised growing concerns in the health system and have become a development challenge. Therefore, this research was conducted to identify the factors driving girl child marriage based on the Socio-Ecological Model.
The present qualitative study employed guided content analysis and a deductive approach to identify the driving factors behind girl child marriage in Bam City. Sampling was targeted among Women aged 15-30 got married under the age of 15, family members, informants, and policymakers. Data were collected through semi-structured interviews and analyzed using Hsieh and Shannon approach and MAXQDA software.
The data was classified into five categories: individual, interpersonal, organizational, community, and society. Individual factors were classified into biological, psychological, and demographic factors. Interpersonal factors were categorized into two categories: family structure, Ineffective interactions and social support. Organizational factors included Weakness in the education and care system. Community factors included the economic situation governing the society. The society factors were divided into two categories: Cultural and social factors governing the society, and Weakness in policy making and legislation.
The findings showed that the socio-ecological model is a suitable framework for explaining the driving factors of child marriage. Girl child marriage is not merely a personal or familial decision; rather, it is influenced by the interactions of different systems that can either exacerbate or mitigate the issue. Consequently, the management, control, and prevention of Girl child marriage necessitate comprehensive efforts at regional, national, and international levels. In addition to creating platforms for the empowerment of girls at both national and regional levels, international policies can also foster a supportive environment.
女童婚姻是侵犯人权的一个例子，其不幸后果在卫生系统中引发了越来越多的关注，并已成为一项发展挑战。因此，本研究旨在基于社会生态模型确定推动女童婚姻的因素。
本定性研究采用指导性内容分析和演绎法来确定巴姆市女童婚姻背后的驱动因素。抽样对象是15岁以下结婚的15 - 30岁女性、家庭成员、信息提供者和政策制定者。通过半结构化访谈收集数据，并使用谢和香农方法及MAXQDA软件进行分析。
数据分为五类：个人、人际、组织、社区和社会。个人因素分为生物、心理和人口因素。人际因素分为两类：家庭结构、无效互动和社会支持。组织因素包括教育和护理系统薄弱。社区因素包括社会的经济状况。社会因素分为两类：社会的文化和社会因素，以及政策制定和立法薄弱。
研究结果表明，社会生态模型是解释童婚驱动因素的合适框架。女童婚姻不仅仅是个人或家庭的决定；相反，它受到不同系统相互作用的影响，这些系统可能会加剧或缓解这一问题。因此，对女童婚姻的管理、控制和预防需要在区域、国家和国际层面做出全面努力。除了在国家和区域层面为增强女孩权能创造平台外，国际政策还可以营造一个支持性的环境。
