The association between early in marriage fertility pressure from in-laws’ and family planning behaviors, among married adolescent girls in Bihar and Uttar Pradesh, India

Reproductive Health

Nandita Bhan¹  Jay Silverman¹  Anita Raj²  Anvita Dixit³  Susan M. Kiene⁴  Elizabeth Reed⁵  Tarik Benmarhnia⁶ 

[1] Center on Gender Equity and Health, Division of Infectious Diseases and Global Public Health, School of Medicine, University of California San Diego, 9500 Gilman Drive #0507, 92093-0507, La Jolla, CA, USA;Center on Gender Equity and Health, Division of Infectious Diseases and Global Public Health, School of Medicine, University of California San Diego, 9500 Gilman Drive #0507, 92093-0507, La Jolla, CA, USA;Department of Education Studies, Division of Social Sciences, University of California San Diego, 9500 Gilman Dr, 92093, La Jolla, CA, USA;Center on Gender Equity and Health, Division of Infectious Diseases and Global Public Health, School of Medicine, University of California San Diego, 9500 Gilman Drive #0507, 92093-0507, La Jolla, CA, USA;Joint Doctoral Program in Public Health, San Diego State University-University of California San Diego, 9500 Gilman Dr, 92093, La Jolla, CA, USA;Division of Epidemiology and Biostatistics, School of Public Health, San Diego State University, 5500 Campanile Dr, 92182, San Diego, CA, USA;Division of Health Promotion and Behavioral Science, School of Public Health, San Diego State University, 5500 Campanile Dr, 92182, San Diego, CA, USA;Scripps Institution of Oceanography, University of California San Diego, 8622 Kennel Way, 92037, La Jolla, CA, USA;Department of Family Medicine and Public Health, University of California San Diego, 9500 Gilman Dr, 92093, La Jolla, CA, USA;

关键词: In-laws’ pressure;    Married adolescent girls;    Fertility;    Family planning;    India;   

DOI  :  10.1186/s12978-021-01116-9

来源: Springer

【 摘 要 】

BackgroundMarried adolescent girls are vulnerable to risky sexual and reproductive health outcomes. We examined the association of fertility pressure from in-laws’ early in marriage with contraceptive use ever, parity, time until first birth, and couple communication about family size, among married adolescent girls.MethodsData were taken from a cross-sectional survey with married girls aged 15–19 years (N = 4893) collected from September 2015 to July 2016 in Bihar and Uttar Pradesh, India. Multivariable regression assessed associations between in-laws’ fertility pressure and each outcome, adjusting for sociodemographic covariates.ResultsWe found that 1 in 5 girls experienced pressure from in-laws’ to have a child immediately after marriage. In-laws’ fertility pressure was associated with lower parity (Adj. β Coef. − 0.10, 95% CI − 0.17, − 0.37) and couple communication about family size (AOR = 1.77, 95% CI 1.39, 2.26), but not contraceptive use or time until birth.ConclusionsOur study adds to the literature identifying that in-laws’ pressure on fertility is common, affects couple communication about family size, and may be more likely for those yet to have a child, but may have little effect impeding contraceptive use in a context where such use is not normative.

【 授权许可】

CC BY