Spatial analysis of individual- and village-level sociodemographic characteristics associated with age at marriage among married adolescents in rural Niger

被引:11
|
作者
Shakya, Holly B. [1 ]
Weeks, John [2 ]
Challa, Sneha [1 ]
Fleming, Paul J. [3 ]
Cislaghi, Beniamino [4 ]
McDougal, Lotus [1 ]
Boyce, Sabrina C. [5 ]
Raj, Anita [1 ]
Silverman, Jay G. [1 ]
机构
[1] Univ Calif San Diego, Ctr Gender Equ & Hlth, 9100 Gilman Dr, La Jolla, CA 92093 USA
[2] San Diego State Univ, 5500 Campanile Dr, San Diego, CA 92182 USA
[3] Univ Michigan, 500 S State St, Ann Arbor, MI 48109 USA
[4] London Sch Hyg & Trop Med, Keppel St, London WC1E 7HT, England
[5] Univ Calif Berkeley, 50 Univ Ave Hall 7360, Berkeley, CA 94720 USA
关键词
Social norms; Early marriage; Niger; Hot spot analysis; Spatial analysis; geographically weighted regression; PREVENT CHILD MARRIAGE; HIGH-RISK BIRTHS; CONTRACEPTIVE USE; HEALTH; FERTILITY; TRENDS; IMPACT;
D O I
10.1186/s12889-020-08759-6
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
BackgroundNiger has the highest prevalence of child marriage in the world. While child marriage in Niger is clearly normative in the sense that it is commonly practiced, the social and contextual factors that contribute to it are still unclear.MethodsHere, we tested the importance of village-level factors as predictors of young age at marriage for a group of married adolescent girls (N=1031) in the Dosso district of rural Niger, using multi-level and geographic analyses. We aggregated significant individual level factors to determine whether, independent of a girl's own sociodemographic characteristics, the impact of each factor is associated at the village level. Finally, we tested for spatial dependence and heterogeneity in examining whether the village-level associations we find with age at marriage differ geographically.ResultsThe mean age of marriage for girls in our study was 14.20years (SD 1.8). Our statistical results are consistent with other literature suggesting that education is associated with delayed marriage, even among adolescent girls. Younger ages at marriage are also associated with a greater age difference between spouses and with a greater likelihood of women being engaged in agricultural work. Consistent with results at the individual level, at the village level we found that the proportion of girls who do agricultural work and the mean age difference between spouses were both predictive of a lower age at marriage for individual girls. Finally, mapping age at marriage at the village level revealed that there is geographical variation in age at marriage, with a cluster of hot spots in the Hausa-dominated eastern area where age at marriage is particularly low and a cluster of cold spots in the Zarma-dominated western areas where age at marriage is relatively high.ConclusionsOur findings suggest that large-scale approaches to eliminating child marriage in these communities may be less successful if they do not take into consideration geographically and socially determined contextual factors at the village level.
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页数:15
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