Document Type : Original Article

Authors

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.

Keywords

  1. 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.
  2. 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.