Department of Population and Health, National Population Studies and Comprehensive Management Institute, Tehran, Iran
Abstract
INTRODUCTION: One of the most thought‑provoking problems in the world is child marriage that is affected by various factors. Therefore, the purpose of this study is to identify the social determinants of child marriage in Kurdish regions of Iran. MATERIALS AND METHODS: This qualitative study was conducted using conventional content analysis approach. The participants of the study were 30 Iranian‑Kurdish women married under the age of 18 who were selected through purposeful and snowballing sampling. Data collection was conducted through semi‑structured interviews and face‑to‑face interviews and continued until the saturation of concepts was achieved. Graneheim and Lundman method was used to analyze the data, and Guba and Lincoln criteria were used to strengthen the research. RESULTS: In general, findings include 5 categories and 17 subcategories: 1 – economic factors (financial problems and economic benefits); 2 – sociocultural factors (social customs, cultural beliefs, community encouragement, social learning, gaining prestige, and social support); 3 – individual factors (physical characteristics, personality traits, lack of awareness of the damaging consequences of early marriage, and fear of the future); 4 – family factors (dysfunctional family, weak awareness of parents, and harm prevention); and 5 – structural factors (high demand, limited access to educational services, and the lack of supportive social and legal structures). CONCLUSION: By raising the level of awareness and attitude of girls and their families about the consequences of early marriage, creating the culture of correcting cultural beliefs and social misconceptions, passing appropriate laws, and the use of local and national media to prevent child marriage, this social harm can be reduced.
Freedman R, Takeshita JY. Family Planning in Taiwan: An Experiment in Social Change The United States of America, Princeton University Press; 2015. 2. Liversage A. Gender, conflict and subordination within the household: Turkish migrant marriage and divorce in Denmark. J Ethnic Migr Stud 2012;38:1119‑36. 3. United Staff. The State of the World’s Children 2011‑Executive Summary: Adolescence an Age of Opportunity. UNICEF; 2011. 4. Parsons J, Edmeades J, Kes A, Petroni S, Sexton M, Wodon Q. Economic impacts of child marriage: A review of the literature. Rev Faith Int Affairs 2015;13:12‑22. 5. Prakash R, Beattie TS, Javalkar P, Bhattacharjee P, Ramanaik S, Thalinja R, et al. The Samata intervention to increase secondary school completion and reduce child marriage among adolescent girls: Results from a cluster‑randomised control trial in India. J Glob Health 2019;9:10430. 6. Shahi P, Tamang P, Simkhada P, Rawat K. Child marraige: Knowledge, practive and its attributed consequences among early married women in Jumla, Nepal. Asian Pac J Health Sci 2019;6:140‑8. 7. Özcebe H, Biçer BK. An important female child and woman problem: Child marriages. Turk Arch Pediatr 2013;48:86‑93. 8. Ganchimeg T, Ota E, Morisaki N, Laopaiboon M, Lumbiganon P, Zhang J, et al. Pregnancy and childbirth outcomes among adolescent mothers: A World Health Organization multicountry study. BJOG 2014;121 Suppl 1:40‑8. 9. Kidman R. Child marriage and intimate partner violence: Acomparative study of 34 countries. Int J Epidemiol 2017;46:662‑75. 10. Godha D, Hotchkiss DR, Gage AJ. Association between child marriage and reproductive health outcomes and service utilization: A multi‑country study from South Asia. J Adolesc Health 2013;52:552‑8. 11. Gage AJ. Association of child marriage with suicidal thoughts and attempts among adolescent girls in Ethiopia. J Adolesc Health 2013;52:654‑6. 12. Yoosefi Lebni J, Mansourian M, Hossain Taghdisi M, Khosravi B, Ziapour A, Demir Özdenk G. A study of Kurdish women›s tragic self‑immolation in Iran: A qualitative study. Burns 2019;45:1715‑22. 13. Wahi A, Zaleski KL, Lampe J, Bevan P, Koski A. The lived experience of child marriage in the United States. Soc Work Public Health 2019;34:201‑13. 14. Nour NM. Health consequences of child marriage in Africa. Emerg Infect Dis 2006;12:1644‑9. 15. Paul P. Effects of education and poverty on the prevalence of girl child marriage in India: A district–level analysis. Children Youth Serv Rev 2019;100:16‑21. 16. Islam MM, Islam MK, Hasan MS, Hossain MB. Adolescent motherhood in Bangladesh: Trends and determinants. PLoS One 2017;12:e0188294. 17. Efevbera Y, Bhabha J, Farmer P, Fink G. Girl child marriage, socioeconomic status, and undernutrition: Evidence from 35 countries in Sub‑Saharan Africa. BMC Med 2019;17:55. 18. Montazeri S, Gharacheh M, Mohammadi N, Alaghband Rad J, Eftekhar Ardabili H. Determinants of early marriage from married girls’ perspectives in Iranian setting: A qualitative study. J Environ Public Health 2016;2016:8615929. 19. Kamal SM. Adolescent motherhood in Bangladesh: Evidence from 2007 BDHS data. Canadian Studies in Population. Archives 2012;39:63‑82. 20. Khan HT, Raeside R. Factors affecting the most recent fertility rates in urban‑rural Bangladesh. Soc Sci Med 1997;44:279‑89. 21. ErtemM, Kocturk T. Opinions on early‑age marriage and marriage customs among Kurdish‑speaking women in southeast Turkey. J Fam Plann Reprod Health Care 2008;34:147‑52. 22. Tenkorang EY. Explaining the links between child marriage and intimate partner violence: Evidence from Ghana. Child Abuse Negl 2019;89:48‑57. 23. Steinhaus M, Hinson L, Rizzo AT, Gregowski A. Measuring social norms related to child marriage among adult decision‑makers of young girls in Phalombe and Thyolo, Malawi. J Adolesc Health 2019;64:S37‑44. 24. Rahman M, Hoque MA, Mostofa MG, Makinoda S. Association between adolescent marriage and intimate partner violence: A study of young adult women in Bangladesh. Asia Pac J Public Health 2014;26:160‑8. 25. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today 2004;24:105‑12. 26. Yoosefi Lebni J, Ziapour A, Khosravi B, Khalifeh Kandi ZR. Lived experience of mothers of children with disabilities: A qualitative study of Iran. J Public Health 2020; 1‑7. In Press 27. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res 2005;15:1277‑88. 28. Irandoost SF, Taghdisi MH, Dehdari T, Bayangani B, Azadi NA. Obesity consequences from the people’s perspective living in Kurdish regions of Iran: A qualitative content analysis. J Educ Health Promot 2019;8:159.
29. Yoosefi Lebni J, Ziapour A, Qorbani M, Khosravi B, Mirzaei A, Safari O, et al. Explaining the causes of crystal addiction in Tehran: A qualitative approach. J Public Health 2019; 1‑7. In Press 30. Lincoln Y, Guba E. Naturalistic Inquiry. London, England: Sage Publications; 1985. 31. Hotchkiss DR, Godha D, Gage AJ, Cappa C. Risk factors associated with the practice of child marriage among Roma girls in Serbia. BMC Int Health Hum Rights 2016;16:6. 32. Schaffnit SB, Urassa M, Lawson DW. “Child marriage” in context: Exploring local attitudes towards early marriage in rural Tanzania. Sex Reprod Health Matters 2019;27:1571304. 33. Pandey S. Persistent nature of child marriage among women even when it is illegal: The case of Nepal. Children Youth Serv Rev 2017;73:242‑7. 34. Cislaghi B, Mackie G, Nkwi P, Shakya H. Social norms and child marriage in Cameroon: An application of the theory of normative spectrum. Glob Public Health 2019;14:1479‑94. 35. Gage AJ. Child marriage prevention in Amhara Region, Ethiopia: Association of communication exposure and social influence with parents/guardians’ knowledge and attitudes. Soc Sci Med 2013;97:124‑33. 36. Taylor AY, Murphy‑Graham E, Van Horn J, Vaitla B, Del Valle Á, Cislaghi B. Child marriages and unions in Latin America: Understanding the roles of agency and social norms. J Adolesc Health 2019;64:S45‑51. 37. Male C, Wodon Q. Girls’ education and child marriage in West and central Africa: Trends, impacts, costs, and solutions. Forum Soc Econ 2018;47:262‑74. 38. Lloyd CB, Mensch BS. Marriage and childbirth as factors in dropping out from school: An analysis of DHS data from sub‑Saharan Africa. Popul Stud (Camb) 2008;62:1‑3. 39. Delprato M, Akyeampong K, Sabates R, Hernandez‑Fernandez J. On the impact of early marriage on schooling outcomes in Sub‑Saharan Africa and South West Asia. Int J Educ Dev 2015;44:42‑55. 40. Petroni S, Das M, Sawyer SM. Protection versus rights: Age of marriage versus age of sexual consent. Lancet Child Adolesc Health 2019;3:274‑80.
Javad Yoosefi Lebni,.. , Mahnaz Solhi,.. , Farbod Ebadi Fard Azar,.. and Farideh Khalajabadi Farahani,.. (2020). Qualitative study of social determinants of child marriage in Kurdish regions of Iran: Evidence for health promotion interventions. Journal of Education and Health Promotion, 10(9), 1-11.
MLA
Javad Yoosefi Lebni,.. , , Mahnaz Solhi,.. , , Farbod Ebadi Fard Azar,.. , and Farideh Khalajabadi Farahani,.. . "Qualitative study of social determinants of child marriage in Kurdish regions of Iran: Evidence for health promotion interventions", Journal of Education and Health Promotion, 10, 9, 2020, 1-11.
HARVARD
Javad Yoosefi Lebni .., Mahnaz Solhi .., Farbod Ebadi Fard Azar .., Farideh Khalajabadi Farahani .. (2020). 'Qualitative study of social determinants of child marriage in Kurdish regions of Iran: Evidence for health promotion interventions', Journal of Education and Health Promotion, 10(9), pp. 1-11.
CHICAGO
.. Javad Yoosefi Lebni, .. Mahnaz Solhi, .. Farbod Ebadi Fard Azar and .. Farideh Khalajabadi Farahani, "Qualitative study of social determinants of child marriage in Kurdish regions of Iran: Evidence for health promotion interventions," Journal of Education and Health Promotion, 10 9 (2020): 1-11,
VANCOUVER
Javad Yoosefi Lebni .., Mahnaz Solhi .., Farbod Ebadi Fard Azar .., Farideh Khalajabadi Farahani .. Qualitative study of social determinants of child marriage in Kurdish regions of Iran: Evidence for health promotion interventions. J Educ Health Promot, 2020; 10(9): 1-11.