This study examines the prevalence of child marriage and its effect on reproductive outcomes among women in Bangladesh using the most recent 2011 Bangladesh Demographic and Health Survey data. Both bivariate and multivariate statistical techniques used in the study yielded quantitatively important and reliable estimates of child marriage and its impact on adverse reproductive and health outcomes. Overall, 77% of the marriages among women aged 20 to 49 years old took place before the age of 18 years. Women’s education is the most single significant determinant of child marriage. Findings revealed that after being adjusted for sociodemographic factors, child marriage significantly (P < .001) increases the likelihood of stillbirth/miscarriage (odds ratio [OR] = 1.80; 95% confidence interval [CI] = 1.45-2.24) and pregnancy termination (OR = 1.24; 95% CI = 1.12-1.38). Programs should aim to retain girls in school for longer periods not only to raise the age at first marriage but also for sound reproductive health and overall social development of Bangladesh.
GodhaDHotchkissDRGageAJ. Association between child marriage and reproductive health outcomes and service utilization: a multi-country study from South Asia. J Adolesc Health. 2013;52:552-558.
2.
International Center for Research on Women (ICRW). Child Marriage in Southern Asia. Washington, DC: ICRW; 2012.
3.
FieldEAmbrusA. Early marriage, age of menarche, and female schooling attainment in Bangladesh. J Polit Econ. 2008;116:881-930.
4.
International Center for Research on Women (ICRW). How to End Child Marriage: Action Strategies for Prevention and Protection. Washington, DC: ICRW; 2007.
5.
RajASaggurtiNBalaiahDSilvermanJG. Prevalence of child marriage and its effect on fertility and fertility-control outcomes of young women in India: a cross-sectional, observational study. Lancet. 2009;373:1883-1889.
6.
KamalSMM. Decline in child marriage and changes in its effect on reproductive outcomes in Bangladesh. J Health Popul Nutr. 2012;30:317-330.
7.
Save the Children. State of the World’s Mothers 2004. Westport, CT: Save the Children; 2004.
8.
MathurSGreeneMMalhotraA. Too Young to Wed: The Lives, Rights and Health of Young Married Girls. Washington, DC: International Center for Research on Women (ICRW); 2003.
9.
KaestleCEHalpernCTMillerWCFordCA. Young age at first sexual intercourse and sexually transmitted infections in adolescents and young adults. Am J Epidemiol. 2005;161:774-780.
10.
MaQOno-KiharaMCongL. Early initiation of sexual activity: a risk factor for sexually transmitted diseases, HIV infection, and unwanted pregnancy among university students in China. BMC Public Health. 2009;9:111.
11.
IkamariLDETowettR. Sexual initiation and contraceptive use among female adolescents in Kenya. Afr J Health Sci. 2007;14:1-13.
12.
National Institute of Population Research and Training (NIPORT); Mitra and Associates; ICF International. Bangladesh Demographic and Health Survey 2011. Dhaka, Bangladesh: NIPORT, Mitra & Associates and ICF International; 2013.
13.
RiceNLeylandA. Multilevel models: applications to health data. J Health Serv Res Policy. 1996;1:154-164.
14.
StephensonRBaschieriAClementsSHenninkMMadiseN. Contextual influences on modern contraceptive use in sub-Saharan Africa. Am J Public Health. 2007;97:1233-1240.
15.
IkamariLDE. The effect of education on the timing of marriage in Kenya. Demogr Res. 2005;12:1-28.
16.
KamalSMM. Socio-economic determinants of age at first marriage of the ethnic tribal women in Bangladesh. Asian Popul Stud. 2011;7:69-84.
17.
SinghSSamaraR. Early marriage among women in developing countries. Int Fam Plann Perspect. 1996;22:148-157, 175.
18.
BlossfeldHTimmAA. Who Marries Whom? Educational Systems as Marriage Markets in Modern Societies. Dordrecht, Netherlands: Kluwer Academic Publishers; 2003.
19.
SpeizerISPearsonE. Association between early marriage and intimate partner violence in India: a focus on youth from Bihar and Rajasthan. J Interpers Violence. 2011;26:1963-1981.
20.
RahmanMHoqueMAMostafaMGMakinodaS. Association between adolescent marriage and intimate partner violence: a study of young adult women in Bangladesh. Asia Pac J Public Health. 2014;26(2):160-168.
21.
RajASaggurtiNBalaiahDSilvermanJG. Association between adolescent marriage and marital violence among young adult women in India. Int J Gynaecol Obstet. 2010;110:35-39.
22.
SilvermanJGGuptaJDeckerMRKapurNRajA. Intimate partner violence and unwanted pregnancy, miscarriage, induced abortion, and stillbirth among a national sample of Bangladeshi women. BJOG. 2007;114:1246-1252.
23.
JejeebhoySJ. Associations between wife-beating and fetal and infant death: impressions from a survey in rural India. Stud Fam Plann. 1998;29:300-308.
24.
KaurRGargS. Domestic violence against women: a qualitative study in a rural community. Asia Pac J Public Health. 2010;22:242-251.
25.
TaftAJWatsonLF. Depression and termination of pregnancy (induced abortion) in a national cohort of young Australian women: the confounding effect of women’s experience of violence. BMC Public Health. 2008;8:75.
26.
BankoleASinghSHassT. Reasons why women have induced abortions: evidence from 27 countries. Int Fam Plann Perspect. 1998;24:117-127, 152.
27.
AfzalMKhanZChaudhryNA. Age at marriage, fertility and infant child mortality in a Lahore Suburb. Pak Dev Rev. 1976;15:90-109.
28.
JonesGW. Changing Marriage Patterns in Asia. Singapore: Asia Research Institute, National University of Singapore; 2010. Working Paper Series No. 131.
29.
AminSCainM. The rise of dowry in Bangladesh. In: JonesGWCaldwellJCDouglasRMD’SouzaRM, eds. The Continuing Demographic Transition. Oxford, UK: Oxford University Press; 1997:290-306.
30.
AminSSuranL. Terms of Marriage and Time-Use Patterns of Young Wives: Evidence From Rural Bangladesh. New York, NY: Population Council; 2008. Working Paper No. 10.
