Han Qing, Ye Wenting, Fang Zuyi, Eagling-Peche Stephanie, Wang Yuwei, Zheng Bang, Lachman Jamie
Department of Social Policy and Intervention, University of Oxford, Oxford, UK.
Faculty of Psychology, Southwest University (SWU), Chongqing, China.
EClinicalMedicine. 2025 Feb 13;81:103084. doi: 10.1016/j.eclinm.2025.103084. eCollection 2025 Mar.
The global prevalence of child marriage remains high. This systematic review and meta-analysis aims to provide global estimates of the prevalence of intimate partner violence (IPV) among women who are, or have been, child brides (i.e., child marriage population), and the relative risks compared with the adult marriage population.
We searched PubMed, Embase, APA PsycArticles, APA PsycInfo, Web of Science Core Collection, EBSCO, and ProQuest Dissertations & Theses Global for studies published from database inception to November 6, 2024. Eligible studies that reported IPV data either in the child marriage population or in both child marriage and adult marriage populations were included. Random effects meta-analyses were conducted to synthesise the data. The study protocol was registered on PROSPERO (CRD42023408835).
A total of 16 studies on IPV experienced in the past 12 months among child brides (N = 232,928) and 23 studies on ever-experienced IPV (N = 196,929) were included. The lifetime prevalence and 12-month prevalence of any IPV in women who underwent child marriage were 35% (95% CI: 28-43) and 24% (95% CI: 16-31), respectively. Compared with women married in adulthood, women married as children had substantially higher odds of experiencing any IPV over lifetime (OR = 1.42, 95% CI: 1.22-1.65) or in the past 12 months (OR = 1.37, 95% CI: 1.18-1.57). The excess risks persisted even after child brides reached adulthood. Consistent findings were obtained after restricting to nationally representative data.
Women who underwent child marriage are vulnerable to and disproportionally affected by IPV, emphasising the need for international efforts on targeted IPV interventions and ending child marriage globally to prevent more victims.
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童婚在全球的流行率仍然很高。本系统评价和荟萃分析旨在提供全球范围内童养媳（即童婚人群）中亲密伴侣暴力（IPV）流行率的估计值，以及与成年婚姻人群相比的相对风险。
我们检索了PubMed、Embase、美国心理学会心理学文摘数据库、美国心理学会心理学数据库、科学引文索引核心合集、EBSCO以及ProQuest全球博硕士论文数据库，查找从数据库建立至2024年11月6日发表的研究。纳入报告了童婚人群或童婚与成年婚姻人群中IPV数据的合格研究。进行随机效应荟萃分析以综合数据。该研究方案已在国际前瞻性系统评价注册库（PROSPERO）上注册（注册号：CRD42023408835）。
共纳入16项关于童养媳在过去12个月内经历IPV的研究（N = 232,928）和23项关于曾经经历过IPV的研究（N = 196,929）。童养媳中任何形式IPV的终身患病率和12个月患病率分别为35%（95%置信区间：28 - 43）和24%（95%置信区间：16 - 31）。与成年结婚的女性相比，童养媳一生中经历任何形式IPV的几率（比值比[OR] = 1.42，95%置信区间：1.22 - 1.65）或在过去12个月内经历的几率（OR = 1.37，95%置信区间：1.18 - 1.57）显著更高。即使童养媳成年后，这种额外风险仍然存在。在仅限于具有全国代表性的数据后，也获得了一致的结果。
童养媳容易遭受IPV且受到的影响不成比例，这凸显了国际社会需要努力开展有针对性的IPV干预措施，并在全球范围内消除童婚，以防止更多受害者。
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