Early marriage, poor reproductive health status of mother and child well-being in India

Early marriage, poor reproductive health status of mother and child well-being in India
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DOI:
10.1136/jfprhc-2011-0080
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发表时间:
2011-07-01
影响因子:
--
通讯作者:
Parasuraman, Sulabha
Parasuraman, Sulabha
中科院分区:
社会科学2区
文献类型:
--
作者:
Prakash, Ravi;Singh, Abhishek;Parasuraman, Sulabha

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早婚、妇女生殖健康和儿童福祉不良是令人关切的重要领域,特别是在印度这样的发展中国家。第三波全国家庭健康调查(NFHS,2005-2006年)的数据被用来研究早婚对妇女生殖健康状况及其子女福祉的影响。结果早婚对妇女生殖健康状况有不利影响。早婚妇女面临频繁生育、计划外生育和堕胎的风险,这对她们的营养状况产生了不利影响。生殖健康状况差的母亲所生的儿童存活的机会较低,而人体测量失败的可能性较高(即发育不良、消瘦和体重不足)。必须更加重视满足贫穷少女母亲的生殖需要,改善其子女的营养状况,以打破生殖健康不良和贫穷的恶性循环。
Background and methodology Early marriage, women's poor reproductive health and child well-being are important areas of concern, especially in developing countries like India. Data from the third wave of National Family Health Survey (NFHS, 2005-2006) was used to examine the effects of early marriage on the reproductive health status of women and on the well-being of their children. Bivariate analyses, multiple linear regression and logistic regression were used for analyses.Results The results show that early age at marriage had detrimental effects on the reproductive health status of women. Women married at an early age were exposed to frequent childbearing, unplanned motherhood and abortions, which negatively affected their nutritional status. Children born to mothers with poor reproductive health had lower chances of survival and a higher likelihood of anthropometric failure (i.e. stunting, wasting and underweight).Discussion and conclusions Programmes should focus on delaying entry of adolescents into wedlock and motherhood through information, education and communication. More emphasis needs to be put on meeting the reproductive needs of poor adolescent mothers, and improving the nutritional status of their children, to break the vicious circle of poor reproductive health and poverty.