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Child marriage and intimate partner violence: a comparative study of 34 countries
1Core Faculty, Program in Public Health, Department of Family, Population, and Preventive Medicine, Stony Brook Medicine, Health Sciences Center, Level 3, Stony Brook, NY 11794, USA.
Background:
: Studies in South Asia suggest that child marriage is a strong risk factor for intimate partner violence (IPV), but evidence outside the region is lacking.
Methods:
: This study uses standardized data from demographic and health surveys in 34 countries to test the hypothesis that young women (age 20-24) who married as children are at increased risk of past year physical and/or sexual IPV as compared with those women who married as adults.
Results:
: Globally, 9% of respondents were married before they turned 15; another 25% were married between the ages of 15 and 17. Past year physical and/or sexual IPV was higher among women who married as children (29%) compared with those who married as adults (20%). This difference persisted in logistic regression models that adjust for sociodemographic characteristics [odds ratio (OR) 1.41 (1.30-1.52) for marriage before 15, and 1.42 (1.35-1.50) for marriage at 15-17]. However, there was considerable heterogeneity between countries: marriage before age 15 was associated with a combined measure of past year physical and/or sexual IPV in nine countries; women married between 15 and 17 were at increased risk of physical and/or sexual IPV in 19 countries. This heterogeneity was most evident in sub-Saharan Africa, and warrants further investigation in so far as it may help identify protective policies and norms.
Conclusion:
: Substantial reductions in IPV will likely require interventions to combat child marriage itself and to protect women from IPV within child marriages.
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