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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

BACKGROUND: Married 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 marri...

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Autores principales: Dixit, Anvita, Bhan, Nandita, Benmarhnia, Tarik, Reed, Elizabeth, Kiene, Susan M., Silverman, Jay, Raj, Anita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7941884/
https://www.ncbi.nlm.nih.gov/pubmed/33750403
http://dx.doi.org/10.1186/s12978-021-01116-9
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author Dixit, Anvita
Bhan, Nandita
Benmarhnia, Tarik
Reed, Elizabeth
Kiene, Susan M.
Silverman, Jay
Raj, Anita
author_facet Dixit, Anvita
Bhan, Nandita
Benmarhnia, Tarik
Reed, Elizabeth
Kiene, Susan M.
Silverman, Jay
Raj, Anita
author_sort Dixit, Anvita
collection PubMed
description BACKGROUND: Married 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. METHODS: Data 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. RESULTS: We 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. CONCLUSIONS: Our 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12978-021-01116-9.
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spelling pubmed-79418842021-03-09 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 Dixit, Anvita Bhan, Nandita Benmarhnia, Tarik Reed, Elizabeth Kiene, Susan M. Silverman, Jay Raj, Anita Reprod Health Research BACKGROUND: Married 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. METHODS: Data 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. RESULTS: We 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. CONCLUSIONS: Our 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. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12978-021-01116-9. BioMed Central 2021-03-09 /pmc/articles/PMC7941884/ /pubmed/33750403 http://dx.doi.org/10.1186/s12978-021-01116-9 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Dixit, Anvita
Bhan, Nandita
Benmarhnia, Tarik
Reed, Elizabeth
Kiene, Susan M.
Silverman, Jay
Raj, Anita
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
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort association between early in marriage fertility pressure from in-laws’ and family planning behaviors, among married adolescent girls in bihar and uttar pradesh, india
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7941884/
https://www.ncbi.nlm.nih.gov/pubmed/33750403
http://dx.doi.org/10.1186/s12978-021-01116-9
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