| Literature DB >> 35538527 |
Obasanjo Afolabi Bolarinwa1,2, Bright Opoku Ahinkorah3, Joshua Okyere4, Abdul-Aziz Seidu4,5, Olalekan Seun Olagunju6.
Abstract
BACKGROUND: Globally, there has been a decline in female child marriage (FCM) from 1 in 4 girls married a decade ago to approximately 1 in 5 currently. However, this decline is not homogenous because some regions are still experiencing a high prevalence of FCM. As such, the United Nations reiterated the need for concentrated efforts towards ending FCM to avoid more than 120 million girls getting married before their eighteenth birthday by 2030. Following this, we examined the prevalence and factors associated with FCM in Nigeria using multi-level analysis.Entities:
Keywords: Factors; Female child marriage; NDHS; Nigeria; Prevalence; Public health
Mesh:
Year: 2022 PMID: 35538527 PMCID: PMC9092767 DOI: 10.1186/s12905-022-01733-x
Source DB: PubMed Journal: BMC Womens Health ISSN: 1472-6874 Impact factor: 2.742
Distribution of age at first marriage by explanatory variables
| Variables | Frequency (n) | Percentage (%) | Age at first marriage (%) | p-value (χ2) | |
|---|---|---|---|---|---|
| Individual-level variables | 18 years and above | Below 18 years | |||
| Educational level | p < 0.001 | ||||
| No education | 2,104 | 46.33 | 15.23 | 84.77 | |
| Primary | 620 | 13.65 | 27.05 | 72.95 | |
| Secondary and above | 1,818 | 40.03 | 59.84 | 40.16 | |
| Currently working | p < 0.001 | ||||
| Unemployed | 2,024 | 44.55 | 30.11 | 69.89 | |
| Employed | 2,519 | 55.45 | 38.38 | 61.62 | |
| Religious affiliation | p < 0.001 | ||||
| Christianity | 1,299 | 28.59 | 61.05 | 38.95 | |
| Islam | 3,222 | 70.93 | 24.17 | 75.83 | |
| Traditionalist and others | 21 | 0.48 | 20.81 | 79.19 | |
| Ethnicity | p < 0.001 | ||||
| Hausa | 2,428 | 53.44 | 18.13 | 81.87 | |
| Yoruba | 400 | 8.82 | 74.07 | 25.93 | |
| Igbo | 311 | 6.86 | 74.29 | 25.71 | |
| Others | 1,403 | 30.89 | 43.33 | 56.67 | |
| Ever circumcised | P < 0.05 | ||||
| No | 4,370 | 96.18 | 34.19 | 65.81 | |
| Yes | 173 | 3.82 | 47.54 | 52.46 | |
| Parity | p < 0.001 | ||||
| None | 595 | 13.10 | 63.11 | 36.89 | |
| 1–3 | 3,743 | 82.39 | 31.89 | 68.11 | |
| 4–6 | 204 | 4.51 | 3.51 | 96.49 | |
| Media exposure | p < 0.001 | ||||
| No | 1,921 | 42.29 | 20.33 | 79.67 | |
| Yes | 2,622 | 57.71 | 45.22 | 54.78 | |
| Household/community level variables | |||||
| Place of residence | p < 0.001 | ||||
| Urban | 1,427 | 31.43 | 52.21 | 47.79 | |
| Rural | 3,115 | 68.57 | 26.67 | 73.33 | |
| Wealth index | p < 0.001 | ||||
| Poorest | 1,094 | 24.09 | 16.27 | 83.73 | |
| Poorer | 1,186 | 26.12 | 21.15 | 78.05 | |
| Middle | 990 | 21.79 | 35.95 | 64.05 | |
| Richer | 808 | 17.70 | 56.54 | 43.46 | |
| Richest | 463 | 10.21 | 72.10 | 27.90 | p < 0.001 |
| Sex of household head | |||||
| Male | 4,174 | 91.88 | 33.39 | 66.61 | |
| Female | 369 | 8.12 | 49.44 | 50.56 | |
| Region | p < 0.001 | ||||
| North Central | 696 | 15.33 | 46.86 | 53.14 | |
| North East | 927 | 20.42 | 21.91 | 78.09 | |
| North West | 1907 | 41.99 | 18.64 | 81.36 | |
| South East | 264 | 5.82 | 73.76 | 26.24 | |
| South South | 293 | 6.46 | 59.59 | 40.41 | |
| South West | 453 | 9.98 | 70.82 | 29.18 | |
| Community literacy level | p < 0.001 | ||||
| Low | 2,327 | 51.23 | 21.81 | 78.19 | |
| Medium | 739 | 16.28 | 29.33 | 70.67 | |
| High | 1,476 | 32.49 | 57.70 | 42.30 | |
| Community socioeconomic status | p < 0.001 | ||||
| Low | 3,527 | 77.63 | 28.11 | 71.89 | |
| High | 1,016 | 22.37 | 57.55 | 42.45 | |
| Nigeria | n = 4543 | 100 | 34.70 | 65.30 | |
Weighted NDHS, 2018
Multilevel logistic regression models for individual and household/community factors associated with girl child marriage
| Variables | Model 0 | Model I | Model II | Model III |
|---|---|---|---|---|
| aOR[95% CI] | aOR[95% CI] | aOR[95% CI] | ||
| Fixed effects results | ||||
| Individual-level variables | ||||
| Educational level | ||||
| No education | RC | RC | ||
| Primary | 0.63***[0.49–0.81] | 0.75*[0.58–0.97] | ||
| Secondary and above | 0.24***[0.20–0.30] | 0.36***[0.29–0.46] | ||
| Currently working | ||||
| Unemployed | RC | RC | ||
| Employed | 1.23*[1.04–1.45] | 1.16 [0.98–1.37] | ||
| Religious affiliation | ||||
| Christianity | RC | RC | ||
| Islam | 1.44**[1.15–1.80] | 1.40**[1.09–1.81] | ||
| Traditionalist and others | 1.65 [0.70–3.88] | 1.52 [0.63–3.70] | ||
| Ethnicity | ||||
| Hausa | RC | RC | ||
| Yoruba | 0.17***[0.13–0.25] | 0.37***[0.22–0.62] | ||
| Igbo | 0.20***[0.14–0.29] | 0.41**[0.23–0.74] | ||
| Others | 0.46***[0.37–0.57] | 0.53***[0.41–0.68] | ||
| Ever circumcised | ||||
| No | RC | RC | ||
| Yes | 0.75 [0.49–1.16] | 0.80 [0.52–1.24] | ||
| Parity | ||||
| None | RC | RC | ||
| 1–3 | 5.94***[4.74–7.46] | 5.96***[4.73–7.52] | ||
| 4–6 | 50.54***[25.13–101.66] | 52.39***[25.91–105.92] | ||
| Media exposure | ||||
| No | RC | RC | ||
| Yes | 0.78**[0.84–1.71] | 0.96 [0.80–1.16] | ||
| Household/community level variables | ||||
| Place of residence | ||||
| Urban | RC | RC | ||
| Rural | 0.90 [0.73–1.11] | 1.00 [0.80–1.24] | ||
| Wealth index | ||||
| Poorest | RC | RC | ||
| Poorer | 0.92 [0.73–1.16] | 1.14 [0.90–1.46] | ||
| Middle | 0.62***[0.49–0.80] | 0.86 [0.66–1.12] | ||
| Richer | 0.38***[0.29–0.50] | 0.59**[0.43–0.80] | ||
| Richest | 0.18***[0.12–0.27] | 0.35***[0.23–0.54] | ||
| Sex of household head | ||||
| Male | RC | RC | ||
| Female | 0.71*[0.54–0.92] | 0.84 [0.64–1.11] | ||
| Region | ||||
| North Central | RC | RC | ||
| North East | 2.40***[1.89–3.06] | 1.55**[1.19–2.10] | ||
| North West | 3.35***[2.66–4.21] | 1.59**[1.18–2.16] | ||
| South East | 0.48***[0.34–0.68] | 0.73 [0.40–1.33] | ||
| South South | 1.01 [0.74–1.38] | 1.31 [0.94–1.82] | ||
| South West | 0.60**[0.44–0.82] | 0.80 [0.50–1.27] | ||
| Community literacy level | ||||
| Low | RC | RC | ||
| Medium | 0.67**[0.52–0.86] | 0.74*[0.57–0.95] | ||
| High | 0.48***[0.39–0.59] | 0.74**[0.59–0.92] | ||
| Community socioeconomic status | ||||
| Low | RC | RC | ||
| High | 1.21 [0.92–1.58] | 1.04 [0.79–1.37] | ||
| Random effects results | ||||
| PSU variance (95% CI) | 1.88 [1.50–2.34] | 0.20 [0.09–0.45] | 0.28 [0.15–0.49] | 0.16 [0.06–0.43] |
| ICC | 0.36 | 0.06 | 0.08 | 0.05 |
| LR test | χ2 = 346.66, p < 0.001 | χ2 = 8.06, p < 0.05 | χ2 = 17.60, p < 0.001 | χ2 = 5.06, p < 0.05 |
| Wald χ2 | Reference | 852.30*** | 649.36*** | 838.61*** |
| Model fitness | ||||
| Log-likelihood | − 2759.72 | − 2192.48 | − 2396.81 | − 2141.45 |
| AIC | 5523.45 | 4412.95 | 4825.62 | 4338.91 |
| BIC | 5536.28 | 4502.77 | 4928.26 | 4518.53 |
| Number of clusters | 1191 | 1191 | 1191 | 1191 |
Weighted NDHS, 2018
Exponentiated coefficients; 95% confidence intervals in brackets; AOR: adjusted Odds Ratios; CI: Confidence Interval; RC: Reference Category
*p < 0.05; **p < 0.01; ***p < 0.001
AIC: Akaike’s Information Criterion; BIC: Schwarz’s Bayesian Information Criteria; PSU: Primary Sampling Unit; ICC: Intra-Class Correlation; LR Test: Likelihood ratio Test
Model 0 is the null model, a baseline model without any determinant variable
The model I is adjusted for individual-level variables (Educational level, currently working, Religious, Ethnicity ever circumcised, parity and media exposure)
Model II is adjusted for household/community level variables (Place of residence, region, wealth index and sex of household head)
Model III is the final model adjusted for both individual and household/community level variables