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What’s driving girls’ adolescent marriage decline in Rakai, Uganda? The interplay between adolescent pregnancies and social determinants, 1999 – 2018

Bibliographic Data

ID13899457
AuthorsEsther Spindler (0000-0002-5538-8909, Columbia University, corresponding author), Hoffman (0000-0002-1870-4853, Columbia University), Susie Hoffman (HIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York, NY, USA), Fred Nalugoda (0000-0001-6119-9293, Rakai Health Sciences Program (RHSP), Kalisizo, Uganda), Ivy S Chen (Columbia University), Goleen Samari (0000-0002-9506-3586, Columbia University), Tom Lutalo (0000-0003-3380-1720, Rakai Health Sciences Program (RHSP), Kalisizo, Uganda), Ying Wei (0009-0004-9401-0855, Columbia University), Man Luo (0009-0005-9201-4956, University of California San Diego), Rebecka Lundgren (0000-0002-9607-5722, Center on Gender Equity and Health (GEH), UCSD, La Jolla, CA, USA), John Santelli (0000-0003-2768-1910, Columbia University)
Year2024
Volume29
Issue1
Publication date2024-07-29
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Adolescence and Youth (JOURNAL)
Journal identifiersISSN: 0267-3843 • E-ISSN: 2164-4527
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/02673843.2024.2384863
PMID39308642
OpenAlexW4401075315
LanguageEN
References cited28

Few studies have sought to untangle the influence of social determinants and pregnancy on adolescent marriage declines. Using longitudinal data from 15- to 17-year-old girls in the Rakai Community Cohort Survey, we assessed how education, socio-economic status, orphanhood and pregnancy contributed to trends in adolescent marriage. We examined descriptive trends and logistic regressions of the associations between social determinants and adolescent marriage, and conducted causal mediation analysis to assess the extent that pregnancy mediated the effect of education on marriage. Between 1999-2018, adolescent marriages and pregnancies dropped substantially (24%-6% and 28%-8%). Girls' secondary schooling was strongly associated with lower marriage risk (aOR marriage=0.09; 95%CI=0.07-0.12), accounting for time. Lower pregnancy rates partially explained the effect of secondary schooling on lower adolescent marriage (aOR indirect effect=0.55; 95%CI=0.421-0.721). Findings affirm the importance of education in preventing adolescent marriages but call attention to the role of pregnancies in influencing adolescent marriages

Child marriage · Developmental psychology · Economic growth · Economics · Population · Social change · Sociology · Adolescent Sexual and Reproductive Health · Demography · Global Maternal and Child Health · Poverty, Education, and Child Welfare · Psychology

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Citation velocityhistorical
Highly citedNo
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