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首页> 美国卫生研究院文献>British Medical Journal >The effect of maternal child marriage on morbidity and mortality of children under 5 in India: cross sectional study of a nationally representative sample
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The effect of maternal child marriage on morbidity and mortality of children under 5 in India: cross sectional study of a nationally representative sample

机译：印度童婚对5岁以下儿童发病率和死亡率的影响：全国代表性样本的横断面研究

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>Objective To assess associations between maternal child marriage (marriage before age 18) and morbidity and mortality of infants and children under 5 in India.>Design Cross-sectional analyses of nationally representative household sample. Generalised estimating equation models constructed to assess associations. Adjusted models included maternal and child demographics and maternal body mass index as covariates.>Setting India.>Population Women aged 15-49 years (n=124 385); data collected in 2005-6 through National Family Health Survey-3. Data about child morbidity and mortality reported by participants. Analyses restricted to births in past five years reported by ever married women aged 15-24 years (n=19 302 births to 13 396 mothers).>Main outcome measures In under 5s: mortality related infectious diseases in the past two weeks (acute respiratory infection, diarrhoea); malnutrition (stunting, wasting, underweight); infant (age <1 year) and child (1-5 years) mortality; low birth weight (<2500 kg).>Results The majority of births (73%; 13 042/19 302) were to mothers married as minors. Although bivariate analyses showed significant associations between maternal child marriage and infant and child diarrhoea, malnutrition (stunted, wasted, underweight), low birth weight, and mortality, only stunting (adjusted odds ratio 1.22, 95% CI 1.12 to 1.33) and underweight (1.24, 1.14 to 1.36) remained significant in adjusted analyses. We noted no effect of maternal child marriage on health of boys versus girls.>Conclusions The risk of malnutrition is higher in young children born to mothers married as minors than in those born to women married at a majority age. Further research should examine how early marriage affects food distribution and access for children in India.
机译：>目的：评估印度孕产妇婚姻（18岁之前的婚姻）与5岁以下婴幼儿的发病率和死亡率之间的关联。>设计全国代表性家庭的横断面分析样品。构造用于评估关联的广义估计方程模型。调整后的模型包括孕产妇和儿童的人口统计学数据和孕产妇体重指数作为协变量。>设置印度>人口年龄在15-49岁之间的妇女（n = 124 385）； 2005-6年通过全国家庭健康调查3收集的数据。参与者报告的儿童发病率和死亡率数据。 15-24岁已婚妇女报告的过去五年中仅限于生育的分析（n = 19 302出生，母亲13 396例）。>主要结果指标：5岁以下儿童：与死亡率相关的传染病过去两周（急性呼吸道感染，腹泻）；营养不良（昏迷，浪费，体重不足）；婴儿（年龄<1岁）和儿童（1-5岁）的死亡率；出生体重不足（<2500公斤）。>结果大多数生育（73％; 13 042/19 302）是未成年人结婚的母亲。尽管二元分析显示了孕产妇婚姻与婴幼儿腹泻之间的显着相关性，但营养不良（震惊，浪费，体重不足），低出生体重和死亡率之间存在显着关联，只有发育迟缓（调整后的优势比为1.22，95％CI为1.12至1.33）和体重不足（ 1.24、1.14至1.36）在调整后的分析中仍然很重要。我们注意到，母子婚姻对男孩和女孩的健康没有影响。>结论：未成年母亲所生的幼儿的营养不良风险要比成年女性所生的幼儿更高。进一步的研究应检查早婚如何影响印度儿童的食物分配和获取。

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