The Effect of Early Marriage Timing on Women's and Children's Health in Sub-Saharan Africa and Southwest Asia

BackgroundAge of marriage is a barrier to mother's health care around pregnancy and children health outcomes.ObjectiveWe provide evidence on the health benefits of postponing early marriage among young wives (from age 10-14 to ag...

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Autores principales:	Marcos Delprato, Kwame Akyeampong
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2017
Materias:	child mortality health empowerment prenatal care southwest Asia sub-Saharan Africa timing of early marriage Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/a48ff0a5c2c14fc29fae0a9d166f1efd
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spelling	oai:doaj.org-article:a48ff0a5c2c14fc29fae0a9d166f1efd2021-12-02T04:04:33ZThe Effect of Early Marriage Timing on Women's and Children's Health in Sub-Saharan Africa and Southwest Asia2214-999610.1016/j.aogh.2017.10.005https://doaj.org/article/a48ff0a5c2c14fc29fae0a9d166f1efd2017-11-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/171https://doaj.org/toc/2214-9996<p>Background</p><p>Age of marriage is a barrier to mother's health care around pregnancy and children health outcomes.</p><p>Objective</p><p>We provide evidence on the health benefits of postponing early marriage among young wives (from age 10-14 to age 15-17) on women's health care and children's health for sub-Saharan Africa (SSA) and Southwest Asia (SWA).</p><p>Methods</p><p>We use data for 39 countries from the Demographic and <a title="Learn more about Health Survey" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/health-survey">Health Surveys</a> to estimate the effects of postponing early marriage for women's health care and children's health outcomes and immunization using matching techniques. We also assess whether women's health empowerment and health constraints are additional barriers.</p><p>Findings</p><p>We found that in SSA, delaying the age of marriage from age 10-14 to age 15-17 and from age 15-17 to age 18 or older leads to an increase in maternal neotetanus <a title="Learn more about Vaccination" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/vaccination">vaccinations</a> of 2.4% and 3.2%, respectively; gains in the likelihood of postnatal checks are larger for delayed marriage among the youngest wives (aged 10-14). In SWA, the number of antenatal visits increases by 34% and the likelihood of having a skilled <a title="Learn more about Birth attendant" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/birth-attendant">birth attendant</a> goes up to 4.1% if young wives postpone marriage. In SSA, the probability of children receiving basic vaccinations is twice as large and their neonatal mortality reduction is nearly double if their mothers married between ages 15-17 instead of at ages 10-14. The extent of these benefits is also shaped by supply constraints and <a title="Learn more about Cultural Factor" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/cultural-factor">cultural factors</a>. For instance, we found that weak bargaining power on health decisions for young wives leads to 11% fewer antenatal visits (SWA) and 13% less chance of attending postnatal checks (SSA).</p><p>Conclusions</p>Delaying age of marriage among young wives can lead to considerable gains in <a title="Learn more about Health Care Utilization" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/health-care-utilization">health care utilization</a> and children health in SSA and SWA if supported by policies that lessen supply constraints and raise women's health empowerment.Marcos DelpratoKwame AkyeampongUbiquity Pressarticlechild mortalityhealth empowermentprenatal caresouthwest Asiasub-Saharan Africatiming of early marriageInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 83, Iss 3-4, Pp 557-567 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	child mortality health empowerment prenatal care southwest Asia sub-Saharan Africa timing of early marriage Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	child mortality health empowerment prenatal care southwest Asia sub-Saharan Africa timing of early marriage Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Marcos Delprato Kwame Akyeampong The Effect of Early Marriage Timing on Women's and Children's Health in Sub-Saharan Africa and Southwest Asia
description	<p>Background</p><p>Age of marriage is a barrier to mother's health care around pregnancy and children health outcomes.</p><p>Objective</p><p>We provide evidence on the health benefits of postponing early marriage among young wives (from age 10-14 to age 15-17) on women's health care and children's health for sub-Saharan Africa (SSA) and Southwest Asia (SWA).</p><p>Methods</p><p>We use data for 39 countries from the Demographic and <a title="Learn more about Health Survey" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/health-survey">Health Surveys</a> to estimate the effects of postponing early marriage for women's health care and children's health outcomes and immunization using matching techniques. We also assess whether women's health empowerment and health constraints are additional barriers.</p><p>Findings</p><p>We found that in SSA, delaying the age of marriage from age 10-14 to age 15-17 and from age 15-17 to age 18 or older leads to an increase in maternal neotetanus <a title="Learn more about Vaccination" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/vaccination">vaccinations</a> of 2.4% and 3.2%, respectively; gains in the likelihood of postnatal checks are larger for delayed marriage among the youngest wives (aged 10-14). In SWA, the number of antenatal visits increases by 34% and the likelihood of having a skilled <a title="Learn more about Birth attendant" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/birth-attendant">birth attendant</a> goes up to 4.1% if young wives postpone marriage. In SSA, the probability of children receiving basic vaccinations is twice as large and their neonatal mortality reduction is nearly double if their mothers married between ages 15-17 instead of at ages 10-14. The extent of these benefits is also shaped by supply constraints and <a title="Learn more about Cultural Factor" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/cultural-factor">cultural factors</a>. For instance, we found that weak bargaining power on health decisions for young wives leads to 11% fewer antenatal visits (SWA) and 13% less chance of attending postnatal checks (SSA).</p><p>Conclusions</p>Delaying age of marriage among young wives can lead to considerable gains in <a title="Learn more about Health Care Utilization" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/health-care-utilization">health care utilization</a> and children health in SSA and SWA if supported by policies that lessen supply constraints and raise women's health empowerment.
format	article
author	Marcos Delprato Kwame Akyeampong
author_facet	Marcos Delprato Kwame Akyeampong
author_sort	Marcos Delprato
title	The Effect of Early Marriage Timing on Women's and Children's Health in Sub-Saharan Africa and Southwest Asia
title_short	The Effect of Early Marriage Timing on Women's and Children's Health in Sub-Saharan Africa and Southwest Asia
title_full	The Effect of Early Marriage Timing on Women's and Children's Health in Sub-Saharan Africa and Southwest Asia
title_fullStr	The Effect of Early Marriage Timing on Women's and Children's Health in Sub-Saharan Africa and Southwest Asia
title_full_unstemmed	The Effect of Early Marriage Timing on Women's and Children's Health in Sub-Saharan Africa and Southwest Asia
title_sort	effect of early marriage timing on women's and children's health in sub-saharan africa and southwest asia
publisher	Ubiquity Press
publishDate	2017
url	https://doaj.org/article/a48ff0a5c2c14fc29fae0a9d166f1efd
work_keys_str_mv	AT marcosdelprato theeffectofearlymarriagetimingonwomensandchildrenshealthinsubsaharanafricaandsouthwestasia AT kwameakyeampong theeffectofearlymarriagetimingonwomensandchildrenshealthinsubsaharanafricaandsouthwestasia AT marcosdelprato effectofearlymarriagetimingonwomensandchildrenshealthinsubsaharanafricaandsouthwestasia AT kwameakyeampong effectofearlymarriagetimingonwomensandchildrenshealthinsubsaharanafricaandsouthwestasia
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The Effect of Early Marriage Timing on Women's and Children's Health in Sub-Saharan Africa and Southwest Asia

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