Effect of Child Marriage on Use of Maternal Health Care Services in Pakistan

Nasrullah M, Zakar R, Krämer A (2013)
Obstetrics and Gynecology 122(3): 517-524.

Journal Article | Published | English

No fulltext has been uploaded

Author
Abstract
OBJECTIVE: To assess the association between child marriage (before 18 years of age) and maternal health care services use in Pakistan. METHODS: We limited the data from Pakistan Demographic and Health Survey, 2006-2007, to ever-married females aged 15-24 years with at least one childbirth (n=1,404) to identify differences in prenatal care provision (skilled or unskilled medical care provider), antenatal care (antenatal visits; care at home or a hospital), care at delivery (assistance by unskilled medical care provider), and place of birth by early (younger than 18 years) compared with adult (18 years or older) age at marriage. Associations between child marriage and health care services use were assessed by calculating adjusted odds ratios (OR) using logistic regression models after controlling for demographics, social equity indicators (education, wealth index, rural residence), employment status, and partners' education. RESULTS: Overall, 66.1% of ever-married respondents aged 15-24 years in Pakistan with at least one childbirth were married before the age of 18 years. More than half (61.9%) of females married as children had no formal education, and the majority (71.0%) resided in rural areas. Child marriage was significantly associated with decreased likelihood of any prenatal care (adjusted OR 0.73, 95% confidence interval [CI] 0.534-0.993) and prenatal care by skilled medical care providers (adjusted OR 0.64, 95% CI 0.476-0.871) and increased likelihood of delivery assistance by unskilled medical providers (adjusted OR 1.90, 95% CI 1.435-2.518) and delivery at home (adjusted OR 2.17, 95% CI 1.617-2.915). CONCLUSIONS: Efforts to increase the age of marriage and delay childbearing may have population-level effects on reducing disparities between females married as children and adults and improving maternal and child health in Pakistan.
Publishing Year
ISSN
PUB-ID

Cite this

Nasrullah M, Zakar R, Krämer A. Effect of Child Marriage on Use of Maternal Health Care Services in Pakistan. Obstetrics and Gynecology. 2013;122(3):517-524.
Nasrullah, M., Zakar, R., & Krämer, A. (2013). Effect of Child Marriage on Use of Maternal Health Care Services in Pakistan. Obstetrics and Gynecology, 122(3), 517-524.
Nasrullah, M., Zakar, R., and Krämer, A. (2013). Effect of Child Marriage on Use of Maternal Health Care Services in Pakistan. Obstetrics and Gynecology 122, 517-524.
Nasrullah, M., Zakar, R., & Krämer, A., 2013. Effect of Child Marriage on Use of Maternal Health Care Services in Pakistan. Obstetrics and Gynecology, 122(3), p 517-524.
M. Nasrullah, R. Zakar, and A. Krämer, “Effect of Child Marriage on Use of Maternal Health Care Services in Pakistan”, Obstetrics and Gynecology, vol. 122, 2013, pp. 517-524.
Nasrullah, M., Zakar, R., Krämer, A.: Effect of Child Marriage on Use of Maternal Health Care Services in Pakistan. Obstetrics and Gynecology. 122, 517-524 (2013).
Nasrullah, Muazzam, Zakar, Rubeena, and Krämer, Alexander. “Effect of Child Marriage on Use of Maternal Health Care Services in Pakistan”. Obstetrics and Gynecology 122.3 (2013): 517-524.
This data publication is cited in the following publications:
This publication cites the following data publications:

16 References

Data provided by Europe PubMed Central.

Health consequences of child marriage in Africa.
Nour NM., Emerging Infect. Dis. 12(11), 2006
PMID: 17283612
Child marriage: a silent health and human rights issue.
Nour NM., Rev Obstet Gynecol 2(1), 2009
PMID: 19399295
Changes in prevalence of girl child marriage in South Asia.
Raj A, McDougal L, Rusch ML., JAMA 307(19), 2012
PMID: 22665097

Muazzam, Ann Emerg Med 56(), 2010
Reducing maternal, newborn, and infant mortality globally: an integrated action agenda.
Bhutta ZA, Cabral S, Chan CW, Keenan WJ., Int J Gynaecol Obstet 119 Suppl 1(), 2012
PMID: 22883919
Maternal health and survival in Pakistan: issues and options.
Khan YP, Bhutta SZ, Munim S, Bhutta ZA., J Obstet Gynaecol Can 31(10), 2009
PMID: 19941721
Newspaper reports: a source of surveillance for burns among women in Pakistan.
Nasrullah M, Muazzam S., J Public Health (Oxf) 32(2), 2010
PMID: 19892782
Home deliveries: reasons and adverse outcomes in women presenting to a tertiary care hospital.
Shah N, Rohra DK, Shams H, Khan NH., J Pak Med Assoc 60(7), 2010
PMID: 20578606

Export

0 Marked Publications

Open Data PUB

Web of Science

View record in Web of Science®

Sources

PMID: 23921855
PubMed | Europe PMC

Search this title in

Google Scholar