Role of Child Marriage and Adolescent Childbearing on Hysterectomy Among Married Women in India: A Cross-Sectional and Time-to-Event Analysis.
BJOG
; 2024 Sep 06.
Article
em En
| MEDLINE
| ID: mdl-39238474
ABSTRACT
OBJECTIVE:
Child marriage forces a girl into adult roles before physical and psychological maturity, which can take a toll on women's health over the life course. This article aims to assess whether child marriage and adolescent childbearing are associated with elevated risk of gynaecologic disorders leading to hysterectomy.DESIGN:
Cross-sectional and time-to-event analysis.SETTING:
India. POPULATION 528 816 ever-married women, aged 20-49 years.METHODS:
Women were grouped in four mutually exclusive categories (i) married adult-not an adolescent mother (reference category), (ii) married adult-adolescent mother, (iii) married child-not an adolescent mother and (iv) married child-adolescent mother. Multivariable logistic regressions were fitted to assess the odds of hysterectomy for these groups. Nonparametric Kaplan-Meier survivor functions were estimated to evaluate survival rates across the groups. MAIN OUTCOMEMEASURES:
Whether had a hysterectomy and age when hysterectomy was performed.RESULTS:
Compared to women married as adults, not an adolescent mother, women married in childhood and gave birth in adolescence were 1.87 (95% CI 1.78-1.96) times more likely to have a hysterectomy. The latter group also had the lowest survival probability for hysterectomy at all ages (e.g., 85.80% [95% CI 85.41-86.18] at age 49 years as compared to 91.65% [95% CI 91.37-91.89] for the former group). Women married as children but not adolescent mothers and married as an adult but gave birth in adolescence also had higher odds of hysterectomy-1.40 (95% CI 1.31-1.50) and 1.53 (95% CI 1.40-1.66) times of that of the reference group, respectively.CONCLUSIONS:
Our results, showing a strong relationship between child marriage and hysterectomy, contribute to the literature on later-life health consequences of child marriage.
Texto completo:
1
Base de dados:
MEDLINE
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article