Exploring married girls' subjective experiences of well-being and challenges

Overlooked and unaddressed: A narrative review of mental health consequences of child marriages

Child Marriage (before the age of 18) affects over 12 million young women globally, annually. Despite acknowledgement of the negative impacts of the practice on reproductive health, mental health consequences are largely overlooked. Given the ability for poor mental health to intensify other health and social challenges, understanding the mental health consequences linked to child marriage is vital. Our study is the first to examine how mental health is approached in current literature on child marriage. Our conceptual framework was informed by a rapid assessment of key issues in the field. Systematic searches of papers published between 2000-2020 were completed on four electronic databases with no language restrictions. Our protocol was registered on Prospero (CRD42019139685). Articles were assessed using PRISMA guidelines, and their quality assessed using the Joanna Briggs Institute Critical Appraisal Tools. Of the 4,457 records identified, 21 papers meeting inclusion criteria were analysed using narrative synthesis. The final sample included 5 qualitative, 1 mixed-methods and 15 quantitative studies (14 cross-sectional and 1 longitudinal study) reporting on data from 12 countries, largely in the global south. Intimate partner violence, poverty, challenges in childbirth and isolation were identified as social factors linked to emotional distress by those married as children. Depression was the most reported mental disorder. Anxiety, phobias, psychological distress, substance misuse, negative well-being and anti-social personality disorder were reported less frequently. Findings highlight that while significant emotional distress and specific mental health conditions are linked to child marriage, gaps in our understanding remain. Future studies are needed to; clarify directionality in these relationships; understand the mental health needs of young men, LGBTQI communities and those in humanitarian settings. Given the well documented cyclical relationship between social determinants and mental health conditions, we outline a series of community-oriented interventions which blend psychological, social and structural support to promote mental health and wellbeing in the contexts of child marriage.

Examining the intersection between marriage, perceived maturity and child marriage: perspectives of community elders in the Northern region of Ghana

Child marriage is a widespread global phenomenon that is prevalent in many developing countries including Ghana. The practice of child marriage has its roots in how marriage, adolescence and readiness for marriage are construed in practising communities. This study presents the views of community elders towards the practice and examines constructions of marriage and maturity and their influence on child marriage. Data were collected from seven elders from selected communities in the Northern region of Ghana. Individual in-depth interviews were used to gather participants' perceptions of constructions of marriage and markers for determining maturity of girls for marriage. An inductive qualitative method was used to analyse transcribed data. Elders' views indicated that early marriage was strongly influenced by community constructions of marriage and social indicators of readiness for marriage. The main indicators of maturity for marriage for men were economic independence and an awareness of sexual desire while the overt markers of physiological development and mastery of domestic tasks were indicators for girls. Knowledge about the cultural construction of marriage and readiness for marriage is helpful to influence policy making and interventions on early marriage.