The association between early in marriage fertility pressure from in-laws' and family planning behaviors, among married adolescent girls in Bihar and Uttar Pradesh, India.

The association between early in marriage fertility pressure from in-laws' and family planning behaviors, among married adolescent girls in Bihar and Uttar Pradesh, India.
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DOI:
10.1186/s12978-021-01116-9
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发表时间:
2021-03-09
影响因子:
3.4
通讯作者:
Raj A
Raj A
中科院分区:
医学2区
文献类型:
--
作者:
Dixit A;Bhan N;Benmarhnia T;Reed E;Kiene SM;Silverman J;Raj A

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已婚少女很容易遭受危险的性健康和生殖健康后果。我们研究了已婚少女中姻亲早婚带来的生育压力与曾经使用过避孕药具、胎次、距第一胎的时间以及夫妻关于家庭规模的沟通之间的关系。数据取自 2015 年 9 月至 2016 年 7 月在印度比哈尔邦和北方邦收集的 15-19 岁已婚女孩 (N = 4893) 的横断面调查。多变量回归评估了姻亲的生育压力与每个结果之间的关联,并调整了社会人口统计协变量。我们发现,五分之一的女孩在婚后会受到来自姻亲的压力,要求立即生孩子。姻亲的生育压力与较低的胎次(Adj. β Coef. - 0.10,95% CI - 0.17,- 0.37)和夫妻关于家庭规模的沟通(AOR = 1.77,95% CI 1.39,2.26)有关,但与避孕措施的使用或分娩时间无关。我们的研究补充了文献,表明姻亲对生育的压力很常见,影响夫妻对家庭规模的沟通,对于那些尚未生育的人来说可能更有可能,但在这种使用不规范的情况下,可能对阻碍避孕药具的使用影响不大。在线版本包含可在 10.1186/s12978-021-01116-9 获取的补充材料。
Married adolescent girls are vulnerable to risky sexual and reproductive health outcomes. We examined the association of fertility pressure from in-laws’ early in marriage with contraceptive use ever, parity, time until first birth, and couple communication about family size, among married adolescent girls. Data were taken from a cross-sectional survey with married girls aged 15–19 years (N = 4893) collected from September 2015 to July 2016 in Bihar and Uttar Pradesh, India. Multivariable regression assessed associations between in-laws’ fertility pressure and each outcome, adjusting for sociodemographic covariates. We found that 1 in 5 girls experienced pressure from in-laws’ to have a child immediately after marriage. In-laws’ fertility pressure was associated with lower parity (Adj. β Coef. − 0.10, 95% CI − 0.17, − 0.37) and couple communication about family size (AOR = 1.77, 95% CI 1.39, 2.26), but not contraceptive use or time until birth. Our study adds to the literature identifying that in-laws’ pressure on fertility is common, affects couple communication about family size, and may be more likely for those yet to have a child, but may have little effect impeding contraceptive use in a context where such use is not normative. The online version contains supplementary material available at 10.1186/s12978-021-01116-9.
DOI: 10.5958/2249-7315.2015.00132.x
发表时间: 2015-01-01
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