title: The Effect of Early Marriages and Early Childbearing on Women's Nutritional Status in India.
abstract: The consequences of early childbearing on the growth and nutritional status of women in India has not been quantified in previous studies. Our study aimed to fill this gap by analysing the association between early marriage and early childbearing on nutritional status of Indian women, with a focus on Bihar and Andhra Pradesh, the two states accounting for the highest proportion of women marrying and giving first birth before 18 years of age. Our findings revealed that a substantial number of women were married before 18 years and thereby exposed to early pregnancy. Furthermore, a significantly higher proportion of women in the 'thin' category were married before 18 years, both in the Indian sample (33 %, p < 0.001) and in the selected states, Andhra Pradesh (31 %, p < 0.001) and Bihar (43 %, p < 0.001), compared to those women married at higher ages. Similarly, across all our samples women whose first birth was before age 18 years also had a significantly higher probability of being in the 'thin' category across all our samples. This pattern was also observed for associations between early childbirth and anemia levels. We conclude that the net effect of the early age at marriage and age at first birth on nutritional status is significant. Our results underline the need for preventing early marriages and the consequent high adolescent pregnancies in India, particularly in high prevalence states. This will help to improve nutritional status and health care utilisation among women, thereby, prevent maternal and child mortality and thus, achieve the MDGs 4-5.
authors: Population Studies, Centre for the Study of Regional Development (CSRD), School of Social Sciences (SSS), Jawaharlal Nehru University (JNU), New Mehrauli Road, New Delhi, 110067, DE, India, sirispeaks2u@gmail.com.
authors: Srinivas
authors: S
authors: Goli
authors: Anu
authors: A
authors: Rammohan
authors: Deepti
authors: D
authors: Singh
mesh_terms: D000293:Adolescent; D000367:Age Factors; D005260:Female; D005298:Fertility; D006801:Humans; D007194:India / Q000453:epidemiology; D008393:Marriage / Q000208:ethnology*; D009752:Nutritional Status; D011247:Pregnancy; D011253:Pregnancy in Adolescence; D012959:Socioeconomic Factors; D055815:Young Adult
references: J Nutr. 2001 Apr;131(4):1217-24
references: 11285330
references: J Adolesc Health. 2004 Nov;35(5):402-18
references: 15488435
references: J Nutr. 2008 Aug;138(8):1505-11
references: 18641198
references: Nutr Rev. 1986 Dec;44(12):381-6
references: 3822266
references: Eur J Clin Nutr. 2003 Jan;57(1):52-60
references: 12548297
references: Soc Sci Med. 1998 May;46(10):1275-90
references: 9665560
references: Reprod Health Matters. 2001 May;9(17):53-62
references: 11468846
references: Stud Fam Plann. 1998 Jun;29(2):201-9
references: 9664632
references: J Am Coll Nutr. 1993 Apr;12(2):101-7
references: 8463508
references: Food Nutr Bull. 2006 Dec;27(4):311-5
references: 17209473
references: J Biosci. 2001 Nov;26(4 Suppl):481-9
references: 11779961
references: J Fam Plann Reprod Health Care. 2011 Jul;37(3):136-45
references: 21628349
references: Ann Hum Biol. 2010 Aug;37(4):475-87
references: 20113182
references: Fam Plann Perspect. 1985 May-Jun;17(3):132-9
references: 2431924
references: Int J Obes. 1988;12(3):205-15
references: 3391737
references: Curr Opin Pediatr. 2000 Jun;12(3):291-6
references: 10836168
references: Int Perspect Sex Reprod Health. 2010 Sep;36(3):132-9
references: 20880798
references: J Nutr. 2012 Feb;142(2):358-62
references: 22190028
references: Am J Clin Nutr. 2000 May;71(5 Suppl):1285S-7S
references: 10799403