PMID- 36852378
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230301
IS  - 2352-8273 (Print)
IS  - 2352-8273 (Electronic)
IS  - 2352-8273 (Linking)
VI  - 22
DP  - 2023 Jun
TI  - Patterns in age at first marriage and its determinants in India: A historical 
      perspective of last 30 years (1992-2021).
PG  - 101363
LID - 10.1016/j.ssmph.2023.101363 [doi]
LID - 101363
AB  - Reproductive health and well-being of a woman are associated with factors such as 
      menarche, first marriage, first sex, first birth, and menopause. The beginning of 
      these events also brings about significant changes in women's lives. Despite 
      marrying early being acknowledged as a detrimental and discriminatory 
      socio-cultural global practice, a huge proportion of girls are being married at 
      an early age, often detrimental to maternal and child health. Adding to the 
      current national debate for the revision of the minimum age at marriage for girls 
      from 18 to 21 years it becomes important to understand the past scenario and 
      current situation of age at marriage in India. In this study, first five rounds 
      of the National Family Health Survey (NFHS) have been used as a data source. Cox 
      Proportional Hazard Model, Multiple Classification Analysis (MCA), Kaplan Meier 
      Curve, Life table survival analysis, hierarchical clustered heat map, 
      Multivariate Decomposition Analysis (MDA), and geospatial mapping were used to 
      fulfill the objective of the study. The results showed that almost 65.9% of women 
      got married before reaching the age of 18 years in the year 1992-93 which reduced 
      to 23.2% among women aged 20-24 years in 2019-21. Region, respondent's level of 
      education, caste, religion, wealth, and mass media exposure were significantly 
      associated with the age at first marriage. The hazard of age at marriage declined 
      significantly with higher educational attainment [higher education- AHR:0.37; 
      CI:0.36 to 0.37], improving household wealth [richest wealth- AHR:0.91; CI:0.90 
      to 0.91], and mass media exposure [AHR:0.96; CI:0.95 to 0.96]. Since, the age at 
      marriage has a substantial impact on fertility pattern and has a strong 
      association with maternal & child health, policies regarding improving the age at 
      marriage and better enforcement of the concerned laws are required to meet the 
      SDG targets.
CI  - (c) 2023 Published by Elsevier Ltd.
FAU - Singh, Mayank
AU  - Singh M
AD  - Department of Fertility & Social Demography, International Institute for 
      Population Sciences (IIPS), Mumbai, 400088, India.
FAU - Shekhar, Chander
AU  - Shekhar C
AD  - Department of Fertility & Social Demography, International Institute for 
      Population Sciences (IIPS), Mumbai, 400088, India.
FAU - Shri, Neha
AU  - Shri N
AD  - Department of Survey research and Data analytics, International Institute for 
      Population Sciences (IIPS), Mumbai, 400088, India.
LA  - eng
PT  - Journal Article
DEP - 20230210
PL  - England
TA  - SSM Popul Health
JT  - SSM - population health
JID - 101678841
PMC - PMC9958403
OTO - NOTNLM
OT  - Age at marriage
OT  - India
OT  - MCA
OT  - MDA
OT  - Survival analysis
OT  - Women's health
COIS- The authors declare that they have no competing interest.
EDAT- 2023/03/01 06:00
MHDA- 2023/03/01 06:01
PMCR- 2023/02/10
CRDT- 2023/02/28 02:35
PHST- 2022/11/15 00:00 [received]
PHST- 2023/02/09 00:00 [revised]
PHST- 2023/02/09 00:00 [accepted]
PHST- 2023/02/28 02:35 [entrez]
PHST- 2023/03/01 06:00 [pubmed]
PHST- 2023/03/01 06:01 [medline]
PHST- 2023/02/10 00:00 [pmc-release]
AID - S2352-8273(23)00028-9 [pii]
AID - 101363 [pii]
AID - 10.1016/j.ssmph.2023.101363 [doi]
PST - epublish
SO  - SSM Popul Health. 2023 Feb 10;22:101363. doi: 10.1016/j.ssmph.2023.101363. 
      eCollection 2023 Jun.