Girl child marriage and its association with maternal healthcare services utilization in sub-Saharan Africa.
- Publisher:
- BioMed Central
- Publication Type:
- Journal Article
- Citation:
- BMC Health Services Research, 2022, 22, (1), pp. 1-15
- Issue Date:
- 2022-06-13
Open Access
Copyright Clearance Process
- Recently Added
- In Progress
- Open Access
This item is open access.
Full metadata record
Field | Value | Language |
---|---|---|
dc.contributor.author | Ahinkorah, BO | |
dc.contributor.author | Budu, E | |
dc.contributor.author | Seidu, A-A | |
dc.contributor.author | Bolarinwa, OA | |
dc.contributor.author | Agbaglo, E | |
dc.contributor.author | Adu, C | |
dc.contributor.author | Arthur-Holmes, F | |
dc.contributor.author | Samad, N | |
dc.contributor.author | Yaya, S | |
dc.date.accessioned | 2022-11-08T03:55:03Z | |
dc.date.available | 2022-05-23 | |
dc.date.available | 2022-11-08T03:55:03Z | |
dc.date.issued | 2022-06-13 | |
dc.identifier.citation | BMC Health Services Research, 2022, 22, (1), pp. 1-15 | |
dc.identifier.issn | 1472-6963 | |
dc.identifier.issn | 1472-6963 | |
dc.identifier.uri | http://hdl.handle.net/10453/163311 | |
dc.description.abstract | BACKGROUND: Previous studies on child marriage have revealed its association with adverse health behaviors and outcomes, such as increased fertility, reduced modern family planning, less safe delivery, mental health disorders, suicidal attempt, and ideation, poor socio-economic status, morbidity, and mortality of children under- five. In this study, we investigate the association between child marriage and the utilization of maternal healthcare services in sub-Saharan Africa. METHODS: We utilized data from 29 sub-Saharan African countries' Demographic and Health Surveys conducted between 2010 and 2018. A total of 36,215 childbearing young women between the ages of 20-24 years constituted our sample size. A multilevel binary logistic regression analysis was carried out to examine the association between child marriage and the utilization of maternal healthcare services, and the results were presented as crude and adjusted odds ratios at 95% confidence interval. RESULTS: Young women who experienced child marriage were less likely to have ≥4 antenatal care visits during pregnancy [cOR = 0.60, CI = 0.57-0.63] compared to those who did not experience child marriage, and this was persistent after controlling for individual and community-level factors [aOR = 0.88, CI = 0.84-0.93]. Young women who experienced child marriage were less likely to use skilled birth attendance during delivery [cOR = 0.45, CI = 0.43-0.48] compared to those who did not experience child marriage, and this was persistent after controlling for individual and community-level factors [aOR = 0.87, CI = 0.82-0.93]. Young women who experienced child marriage were less likely to use postnatal care services [cOR = 0.79, CI = 0.75-0.82] compared to those who did not experience child marriage, but this was insignificant after controlling for individual and community-level factors. CONCLUSION: Our study found child marriage to be a major contributor to the low use of maternal healthcare services, including antenatal care visit and the use of skilled birth attendance during child delivery. Hence, there is a need to develop an intervention to address child marriage in sub-Saharan Africa and strengthen existing ones. In addition, framework that considers child marriage as a key determinant of maternal healthcare utilization must be developed as part of policies in sub-Saharan African countries to enable universal achievement of low maternal mortality ratio by 2030 as a target of the Sustainable Development Goals. | |
dc.format | Electronic | |
dc.language | eng | |
dc.publisher | BioMed Central | |
dc.relation.ispartof | BMC Health Services Research | |
dc.relation.isbasedon | 10.1186/s12913-022-08117-9 | |
dc.rights | info:eu-repo/semantics/openAccess | |
dc.subject | 0807 Library and Information Studies, 1110 Nursing, 1117 Public Health and Health Services | |
dc.subject.classification | Health Policy & Services | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Child | |
dc.subject.mesh | Facilities and Services Utilization | |
dc.subject.mesh | Female | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Marriage | |
dc.subject.mesh | Maternal Health Services | |
dc.subject.mesh | Patient Acceptance of Health Care | |
dc.subject.mesh | Pregnancy | |
dc.subject.mesh | Prenatal Care | |
dc.subject.mesh | Young Adult | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Child | |
dc.subject.mesh | Facilities and Services Utilization | |
dc.subject.mesh | Female | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Marriage | |
dc.subject.mesh | Maternal Health Services | |
dc.subject.mesh | Patient Acceptance of Health Care | |
dc.subject.mesh | Pregnancy | |
dc.subject.mesh | Prenatal Care | |
dc.subject.mesh | Young Adult | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Prenatal Care | |
dc.subject.mesh | Marriage | |
dc.subject.mesh | Pregnancy | |
dc.subject.mesh | Adult | |
dc.subject.mesh | Child | |
dc.subject.mesh | Maternal Health Services | |
dc.subject.mesh | Patient Acceptance of Health Care | |
dc.subject.mesh | Female | |
dc.subject.mesh | Young Adult | |
dc.subject.mesh | Facilities and Services Utilization | |
dc.title | Girl child marriage and its association with maternal healthcare services utilization in sub-Saharan Africa. | |
dc.type | Journal Article | |
utslib.citation.volume | 22 | |
utslib.location.activity | England | |
utslib.for | 0807 Library and Information Studies | |
utslib.for | 1110 Nursing | |
utslib.for | 1117 Public Health and Health Services | |
pubs.organisational-group | /University of Technology Sydney | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health | |
pubs.organisational-group | /University of Technology Sydney/Faculty of Health/Public Health | |
utslib.copyright.status | open_access | * |
pubs.consider-herdc | false | |
dc.date.updated | 2022-11-08T03:54:59Z | |
pubs.issue | 1 | |
pubs.publication-status | Published | |
pubs.volume | 22 | |
utslib.citation.issue | 1 |
Abstract:
BACKGROUND: Previous studies on child marriage have revealed its association with adverse health behaviors and outcomes, such as increased fertility, reduced modern family planning, less safe delivery, mental health disorders, suicidal attempt, and ideation, poor socio-economic status, morbidity, and mortality of children under- five. In this study, we investigate the association between child marriage and the utilization of maternal healthcare services in sub-Saharan Africa. METHODS: We utilized data from 29 sub-Saharan African countries' Demographic and Health Surveys conducted between 2010 and 2018. A total of 36,215 childbearing young women between the ages of 20-24 years constituted our sample size. A multilevel binary logistic regression analysis was carried out to examine the association between child marriage and the utilization of maternal healthcare services, and the results were presented as crude and adjusted odds ratios at 95% confidence interval. RESULTS: Young women who experienced child marriage were less likely to have ≥4 antenatal care visits during pregnancy [cOR = 0.60, CI = 0.57-0.63] compared to those who did not experience child marriage, and this was persistent after controlling for individual and community-level factors [aOR = 0.88, CI = 0.84-0.93]. Young women who experienced child marriage were less likely to use skilled birth attendance during delivery [cOR = 0.45, CI = 0.43-0.48] compared to those who did not experience child marriage, and this was persistent after controlling for individual and community-level factors [aOR = 0.87, CI = 0.82-0.93]. Young women who experienced child marriage were less likely to use postnatal care services [cOR = 0.79, CI = 0.75-0.82] compared to those who did not experience child marriage, but this was insignificant after controlling for individual and community-level factors. CONCLUSION: Our study found child marriage to be a major contributor to the low use of maternal healthcare services, including antenatal care visit and the use of skilled birth attendance during child delivery. Hence, there is a need to develop an intervention to address child marriage in sub-Saharan Africa and strengthen existing ones. In addition, framework that considers child marriage as a key determinant of maternal healthcare utilization must be developed as part of policies in sub-Saharan African countries to enable universal achievement of low maternal mortality ratio by 2030 as a target of the Sustainable Development Goals.
Please use this identifier to cite or link to this item:
Download statistics for the last 12 months
Not enough data to produce graph