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Projecting the Impact of the COVID-19 Pandemic on Child Marriage

PURPOSE: The study projects the potential impact of COVID-19 on child marriage in the five countries in which the burden of child marriage is the largest: Bangladesh, Brazil, Ethiopia, India, and Nigeria. METHODS: The projected impact of the pandemic on child marriage is based on a Markov model. A r...

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Autores principales: Yukich, Joshua, Worges, Matt, Gage, Anastasia J., Hotchkiss, David R., Preaux, Annie, Murray, Colleen, Cappa, Claudia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Society for Adolescent Health and Medicine. Published by Elsevier Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8610224/
https://www.ncbi.nlm.nih.gov/pubmed/34809896
http://dx.doi.org/10.1016/j.jadohealth.2021.07.037
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author Yukich, Joshua
Worges, Matt
Gage, Anastasia J.
Hotchkiss, David R.
Preaux, Annie
Murray, Colleen
Cappa, Claudia
author_facet Yukich, Joshua
Worges, Matt
Gage, Anastasia J.
Hotchkiss, David R.
Preaux, Annie
Murray, Colleen
Cappa, Claudia
author_sort Yukich, Joshua
collection PubMed
description PURPOSE: The study projects the potential impact of COVID-19 on child marriage in the five countries in which the burden of child marriage is the largest: Bangladesh, Brazil, Ethiopia, India, and Nigeria. METHODS: The projected impact of the pandemic on child marriage is based on a Markov model. A review of empirical and theoretical literature informed construction and parameter estimates of five pathways through which we expect an elevated marriage hazard: death of a parent, interruption of education, pregnancy risk, household income shocks, and reduced access to programs and services. Models are produced for an unmitigated scenario and a mitigated scenario in which effective interventions are applied to reduce the impact. RESULTS: The total number of excess child marriages in these five countries could range from 3.5 million to 4.9 million in the unmitigated scenario and from 1.8 million to 2.7 million in the mitigated scenario. The elevated risk compared with the baseline projection would continue until 2035. CONCLUSIONS: These projections represent the impact in five countries that account for 50% of child marriages globally, implying that if similar patterns hold, we might expect the number of excess child marriages due to the pandemic to reach 7 million to 10 million globally. These estimates are necessarily subject to high levels of uncertainty because of limited evidence on the impacts in relation to child marriage and for parameter estimates. It will likely take years to understand the full impact of the pandemic. Despite these limitations, the potential for harm is unquestionably large.
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spelling pubmed-86102242021-11-24 Projecting the Impact of the COVID-19 Pandemic on Child Marriage Yukich, Joshua Worges, Matt Gage, Anastasia J. Hotchkiss, David R. Preaux, Annie Murray, Colleen Cappa, Claudia J Adolesc Health Original Article PURPOSE: The study projects the potential impact of COVID-19 on child marriage in the five countries in which the burden of child marriage is the largest: Bangladesh, Brazil, Ethiopia, India, and Nigeria. METHODS: The projected impact of the pandemic on child marriage is based on a Markov model. A review of empirical and theoretical literature informed construction and parameter estimates of five pathways through which we expect an elevated marriage hazard: death of a parent, interruption of education, pregnancy risk, household income shocks, and reduced access to programs and services. Models are produced for an unmitigated scenario and a mitigated scenario in which effective interventions are applied to reduce the impact. RESULTS: The total number of excess child marriages in these five countries could range from 3.5 million to 4.9 million in the unmitigated scenario and from 1.8 million to 2.7 million in the mitigated scenario. The elevated risk compared with the baseline projection would continue until 2035. CONCLUSIONS: These projections represent the impact in five countries that account for 50% of child marriages globally, implying that if similar patterns hold, we might expect the number of excess child marriages due to the pandemic to reach 7 million to 10 million globally. These estimates are necessarily subject to high levels of uncertainty because of limited evidence on the impacts in relation to child marriage and for parameter estimates. It will likely take years to understand the full impact of the pandemic. Despite these limitations, the potential for harm is unquestionably large. Society for Adolescent Health and Medicine. Published by Elsevier Inc. 2021-12 2021-11-19 /pmc/articles/PMC8610224/ /pubmed/34809896 http://dx.doi.org/10.1016/j.jadohealth.2021.07.037 Text en © 2021 Society for Adolescent Health and Medicine. Published by Elsevier Inc. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Original Article
Yukich, Joshua
Worges, Matt
Gage, Anastasia J.
Hotchkiss, David R.
Preaux, Annie
Murray, Colleen
Cappa, Claudia
Projecting the Impact of the COVID-19 Pandemic on Child Marriage
title Projecting the Impact of the COVID-19 Pandemic on Child Marriage
title_full Projecting the Impact of the COVID-19 Pandemic on Child Marriage
title_fullStr Projecting the Impact of the COVID-19 Pandemic on Child Marriage
title_full_unstemmed Projecting the Impact of the COVID-19 Pandemic on Child Marriage
title_short Projecting the Impact of the COVID-19 Pandemic on Child Marriage
title_sort projecting the impact of the covid-19 pandemic on child marriage
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8610224/
https://www.ncbi.nlm.nih.gov/pubmed/34809896
http://dx.doi.org/10.1016/j.jadohealth.2021.07.037
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