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Izugbara C, Suubi K, Afifu C, Salami T, Opondo E. The persistence of high rates of child marriage in Sub-Saharan Africa, the Middle East and North Africa, and Asia: A scoping review. Health Care Women Int 2024:1-24. [PMID: 39088101 DOI: 10.1080/07399332.2024.2385328] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2023] [Revised: 07/22/2024] [Accepted: 07/23/2024] [Indexed: 08/02/2024]
Abstract
While there is evidence that child marriage (CM) is reducing globally, rates in many contexts remain far too high. To understand the persistence of high rates of CM, we searched multiple databases for peer-reviewed, English language articles published between 2000 and 2023. High CM rates are continuing in circumstances of tenacious unequal gender norms, widespread poverty, limited schooling and economic prospects for girls, and weak awareness and enforcement of CM laws. Other contributing factors were opposition to women and girls' sexual, bodily, and reproductive rights; weak birth registration systems; a high proportion of women who married young in previous generations; early puberty; improved girls' agency; and the growing number of boys and young men who, having acquired locally prized masculinity resources, feel compelled to marry. We highlight the implications of the review findings for future research, policy and programmatic efforts aimed at addressing the persistence of CM.
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Affiliation(s)
- Chimaraoke Izugbara
- International Center for Research on Women, Washington, District of Columbia, USA
| | - Kirabo Suubi
- International Center for Research on Women, Kampala, Uganda
| | - Chryspin Afifu
- International Center for Research on Women, Nairobi, Kenya
| | - Tijani Salami
- International Center for Research on Women, Washington, District of Columbia, USA
| | - Evelyne Opondo
- International Center for Research on Women, Nairobi, Kenya
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Urassa M, Marston M, Mangya C, Materu J, Elsabe D, Safari K, Kagoye S, Todd J, Boerma T. Cohort Profile Update: Magu Health and Demographic Surveillance System, Tanzania. Int J Epidemiol 2024; 53:dyae058. [PMID: 38676640 PMCID: PMC11055399 DOI: 10.1093/ije/dyae058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2023] [Accepted: 04/04/2024] [Indexed: 04/29/2024] Open
Affiliation(s)
- Mark Urassa
- National Institute for Medical Research, Mwanza, Tanzania
| | - Milly Marston
- Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK
| | - Charles Mangya
- National Institute for Medical Research, Mwanza, Tanzania
| | | | - Duplessis Elsabe
- Department of Community Health Science, Institute for Global Public Health, University of Manitoba, Winnipeg, MB, Canada
| | | | - Sophia Kagoye
- National Institute for Medical Research, Mwanza, Tanzania
| | - Jim Todd
- Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK
| | - Ties Boerma
- Department of Community Health Science, Institute for Global Public Health, University of Manitoba, Winnipeg, MB, Canada
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Lawson DW, Chen Z, Kilgallen JA, Brand CO, Ishungisa AM, Schaffnit SB, Kumogola Y, Urassa M. Misperception of peer beliefs reinforces inequitable gender norms among Tanzanian men. EVOLUTIONARY HUMAN SCIENCES 2024; 6:e17. [PMID: 38572225 PMCID: PMC10988154 DOI: 10.1017/ehs.2024.6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Revised: 12/20/2023] [Accepted: 02/02/2024] [Indexed: 04/05/2024] Open
Abstract
Gender role ideology, i.e. beliefs about how genders should behave, is shaped by social learning. Accordingly, if perceptions about the beliefs of others are inaccurate this may impact trajectories of cultural change. Consistent with this premise, recent studies report evidence of a tendency to overestimate peer support for inequitable gender norms, especially among men, and that correcting apparent 'norm misperception' promotes transitions to relatively egalitarian beliefs. However, supporting evidence largely relies on self-report measures vulnerable to social desirability bias. Consequently, observed patterns may reflect researcher measurement error rather than participant misperception. Addressing this shortcoming, we examine men's gender role ideology using both conventional self-reported and a novel wife-reported measure of men's beliefs in an urbanising community in Tanzania. We confirm that participants overestimate peer support for gender inequity. However, the latter measure, which we argue more accurately captures men's true beliefs, implies that this tendency is relatively modest in magnitude and scope. Overestimation was most pronounced among men holding relatively inequitable beliefs, consistent with misperception of peer beliefs reinforcing inequitable norms. Furthermore, older and poorly educated men overestimated peer support for gender inequity the most, suggesting that outdated and limited social information contribute to norm misperception in this context.
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Affiliation(s)
- David W. Lawson
- Department of Anthropology, University of California, Santa Barbara, USA
| | - Zhian Chen
- Department of Anthropology, University of California, Santa Barbara, USA
| | | | - Charlotte O. Brand
- Human Behaviour and Cultural Evolution Group, College of Life and Environmental Sciences, University of Exeter, Penryn, UK
| | - Alexander M. Ishungisa
- National Institute for Medical Research, Mwanza, Tanzania
- Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania
| | | | | | - Mark Urassa
- National Institute for Medical Research, Mwanza, Tanzania
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Pourtaheri A, Mahdizadeh M, Tehrani H, Jamali J, Peyman N. Socio-ecological factors of girl child marriage: a meta-synthesis of qualitative research. BMC Public Health 2024; 24:428. [PMID: 38341573 PMCID: PMC10858465 DOI: 10.1186/s12889-023-17626-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Accepted: 12/31/2023] [Indexed: 02/12/2024] Open
Abstract
BACKGROUND Child marriage of girls is one example of human rights violations, and is increasingly recognized as a key obstacle to global public health. Given the importance of a comprehensive understanding of the motivations for child marriage, this study aimed to identify socio-ecological factors contributing to gills child marriage. METHODS A comprehensive search was conducted of all English-language studies measuring causes of child marriage between 2000 and October 2022 in the Web of Science, PubMed, Scopus, PsycInfo, ProQuest, Poplin and Google Scholar databases. Girl child marriage is defined as a marriage under the age of 18. In this study, the CASP evaluation checklist was used to collect data. Two independent reviewers reviewed all articles. RESULTS A total of 34 eligible qualitative articles were included. The most salient causes of child marriage among girls include low skills and knowledge, internal and external beliefs and motivations, and physical advantages at the individual level. Family characteristics and structure contribute to child marriage at the interpersonal level, while environmental and economic factors play a role at the community level. Social factors and cultural norms, as well as the shortcomings and weaknesses of legislation, are also contributing factors at the society level. CONCLUSION The results showed that cultural beliefs supporting gender inequality and economic status were the most important causes of child marriage. These results can help policymakers and decision-makers implement strategies to reduce gender inequality to prevent child marriage.
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Affiliation(s)
- Asma Pourtaheri
- Student Research Committee, Mashhad University of Medical Sciences, Mashhad, Iran
- Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Mehrsadat Mahdizadeh
- Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
- Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Hadi Tehrani
- Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
- Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Jamshid Jamali
- Department of Biostatistics, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran
- Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Nooshin Peyman
- Department of Health Education and Health Promotion, School of Health, Mashhad University of Medical Sciences, Mashhad, Iran.
- Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
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Baraka J, Lawson DW, Schaffnit SB, Wamoyi J, Urassa M. Why marry early? Parental influence, agency and gendered conflict in Tanzanian marriages. EVOLUTIONARY HUMAN SCIENCES 2022; 4:e49. [PMID: 37588904 PMCID: PMC10426069 DOI: 10.1017/ehs.2022.46] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2022] [Revised: 10/12/2022] [Accepted: 10/13/2022] [Indexed: 11/05/2022] Open
Abstract
Global health interventions increasingly target the abolishment of 'child marriage' (marriage under 18 years, hereafter referred to as 'early marriage'). Guided by human behavioural ecology theory, and drawing on focus groups and in-depth interviews in an urbanising Tanzanian community where female early marriage is normative, we examine the common assumption that it is driven by the interests and coercive actions of parents and/or men. We find limited support for parent-offspring conflict. Parents often encouraged early marriages, but were motivated by the promise of social and economic security for daughters, rather than bridewealth transfers alone. Moreover, forced marriage appears rare, and adolescent girls and young women (AGYW) were active agents in the transition to marriage, sometimes marrying against parental wishes. Support for gendered conflict was stronger. AGYW were described as being lured into unstable relationships by men misrepresenting their long-term intentions. Community members voiced concerns over these marriages. Overall, early marriage appears rooted in limited options, encouraging strategic, but risky choices on the marriage market. Our results highlight plurality and context dependency in drivers of early marriage, even within a single community. We conclude that engaging with the importance of context is fundamental in forging culturally sensitive policies and programs on early marriage.
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Affiliation(s)
| | - David W Lawson
- Department of Anthropology, Pennsylvania State University, Pennsylvania, USA
| | - Susan B Schaffnit
- Department of Anthropology, University of California, Santa Barbara, California, USA
| | - Joyce Wamoyi
- National Institute for Medical Research, Mwanza, Tanzania
| | - Mark Urassa
- National Institute for Medical Research, Mwanza, Tanzania
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Al Akash R, Chalmiers MA. Early marriage among Syrian refugees in Jordan: exploring contested meanings through ethnography. Sex Reprod Health Matters 2021; 29:2004637. [PMID: 34873990 PMCID: PMC8654413 DOI: 10.1080/26410397.2021.2004637] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Early marriage remains a central concern among reproductive and sexual rights advocates worldwide. Mainstream researchers have often focused on the negative effects of early marriage on young women, presenting them as powerless victims of social and cultural traditions. Yet the voices and perceptions of young women remain strongly absent in many studies on early marriage. Our study addresses this knowledge gap by utilising participatory and ethnographic methodologies to better understand what early marriage means to those who have experienced it and how these emic perspectives may diverge from humanitarian paradigms. Since the war began in 2011, Syrians have become one of the largest groups of refugees worldwide, with over 5.5 million individuals seeking asylum abroad. Humanitarian organisations have called attention to high rates of early marriage within this population and its unique drivers in the specific context of displacement. We draw upon data collected between 2018 and 2020 during 90 individual interviews and 14 participatory action research meetings to explore how Syrian refugee women conceptualise the practice of early marriage and its drivers after displacement. Our findings reveal that early marriage is perceived as a practice that benefits young women and is justified in terms of its beneficial effects. Participants described early marriage as a rational solution to present-day problems, many of which they associate with the unique context of displacement. Our findings echo prior qualitative studies that illustrate the complexity of attitudes towards early marriage and the importance of understanding the specific contexts in which it is practised.
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Affiliation(s)
- Ruba Al Akash
- Assistant Professor, Faculty of Archaeology and Anthropology, Anthropology Department, Yarmouk University, Irbid, Jordan
| | - Morgen A Chalmiers
- PhD Student, Medical Scientist Training Program, Anthropology Department, University of California San Diego, La Jolla, CA, USA. Correspondence:
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Abstract
For girls and women, marriage under 18 years is commonplace in many low-income nations today and was culturally widespread historically. Global health campaigns refer to marriage below this threshold as ‘child marriage’ and increasingly aim for its universal eradication, citing its apparent negative wellbeing consequences. Here, we outline and evaluate four alternative hypotheses for the persistence of early marriage, despite its associations with poor wellbeing, arising from the theoretical framework of human behavioral ecology. First, early marriage may be adaptive (e.g., it maximizes reproductive success), even if detrimental to wellbeing, when life expectancy is short. Second, parent–offspring conflict may explain early marriage, with parents profiting economically at the expense of their daughter’s best interests. Third, early marriage may be explained by intergenerational conflict, whereby girls marry young to emancipate themselves from continued labor within natal households. Finally, both daughters and parents from relatively disadvantaged backgrounds favor early marriage as a ‘best of a bad job strategy’ when it represents the best option given a lack of feasible alternatives. The explanatory power of each hypothesis is context-dependent, highlighting the complex drivers of life history transitions and reinforcing the need for context-specific policies addressing the vulnerabilities of adolescence worldwide.
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