Volume 4, Issue 2 (April 2025)                   Health Science Monitor 2025, 4(2): 140-149 | Back to browse issues page


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Harouni J, Sharafkhani N, Mehdipour birgani S, Roustaei N, Sharifi M, Zinat Motlagh S F. Predictors of pregnancy intention among child marriage based on the theory of planned behavior. Health Science Monitor 2025; 4 (2) :140-149
URL: http://hsm.umsu.ac.ir/article-1-201-en.html
Department of Health Education and Promotion, School of Health and Nutrition Sciences, Yasuj University of Medical Sciences, Yasuj, Iran
Abstract:   (339 Views)
Background & Aims: The phenomenon of child marriages, or the marriage of children under the age of 18, jeopardizes the mental and physical health of millions of children and adolescents worldwide. This study aimed to investigate the predictors of pregnancy intention among child marriages using the theory of planned behavior in the city of Karun, Southwest Iran.
Materials & Methods: A descriptive-analytical study was conducted on 344 child marriages in the city of Karun, located in Southwest Iran. The data collection tools consisted of a demographic information questionnaire and a structured theory of planned behavior questionnaire, which included questions related to attitude, subjective norms, perceived behavioral control, and behavioral intention. The collected data were analyzed using SPSS version 22.
Results: All study participants had completed no more than a high school education, with 96.7% having only completed elementary or middle school. Additionally, 99% of participants were housewives. Of the child marriages surveyed, 50.3% reported intending to become pregnant before the age of 18. Attitude, subjective norms, and perceived behavioral control were found to predict 57% of the variance in intended pregnancy among child marriages. Among these factors, subjective norms had the strongest impact on intended pregnancy among child marriages.
Conclusion: The results of this study showed a high prevalence of pregnancy intention below the age of 18 among child marriages who presented to healthcare centers, which could endanger their health. Given the correlation between the structured theory of planned behavior and intended pregnancy below the age of 18 in child marriage, educational strategies based on predictive factors can be used to educate women about respecting the appropriate age and conditions for pregnancy.
Full-Text [PDF 295 kb]   (102 Downloads)    
Type of Study: Research | Subject: General
Received: 2024/09/24 | Accepted: 2025/02/23 | Published: 2025/04/30

References
1. OHCHR. Recommendations for Action Against Child and Forced Marriages. UNICEF/UN05222/Dragaj 2017 https://www.ohchr.org/Documents/Issues/Women/WRGS/CEFM/RecommendationsForActionEbook.pdf. [Google Scholar]
2. Rumble L, Peterman A, Irdiana N, Triyana M, Minnick E. An empirical exploration of female child marriages determinants in Indonesia. BMC public health. 2018;18(1):1-13. [DOI] [PMID] [PMCID]
3. Graduate Women International. Child Marriage Facts and Figures 2015 http://www.icrw.org/child-marriage-facts-and-figures. [URL]
4. UNICEF. Child marriage. UNICEF. [cited 2021 Mar 1] 2021 https://data.unicef.org/topic/child-protection/child-marriage/ [URL]
5. United Nations Population Fund; Avenir Health, Johns Hopkins University; Victoria University (Australia). Impact of the COVID-19 pandemic on family planning and ending gender-based violence, female genital mutilation and child marriage. Interim Technical Note. 2020;7. [URL]
6. Zaman M, Koski A. Child marriage in Canada: A systematic review. PloS one. 2020 Mar 3;15(3):e0229676. [DOI] [PMID] [PMCID]
7. Azimi K. The trend of girl child marriages in Iran based on national census data. Sexual and reproductive health matters. 2020;28(1):1820655. [DOI] [PMID] [PMCID]
8. Liang M, Simelane S, Chalasani S, Snow R. New estimations of child marriages: Evidence from 98 low-and middle-income countries. PLoS One. 2021;16(10):e0258378. [DOI] [PMID] [PMCID]
9. Zaman M, Koski A. Child marriage in Canada: A systematic review. Plos one. 2020;15(3):e0229676. [DOI] [PMID] [PMCID]
10. Raj A, Salazar M, Jackson EC, Wyss N, McClendon KA, Khanna A, et al. Students and marriage : a qualitative analysis of the relationship between girls' education and early marriage in Ethiopia and India. BMC public health. 2019;19(1):1-20. [DOI] [PMID] [PMCID]
11. Gage AJ. Association of child marriages with suicidal thoughts and attempts among adolescent girls in Ethiopia. Journal of Adolescent Health. 2013;52(5):654-6. [DOI] [PMID]
12. Delprato M, Akyeampong K, Dunne M. Intergenerational education effects of early marriage in sub-Saharan Africa. World Development. 2017;91:173-92. [DOI]
13. Kidman R. Child marriage and intimate partner violence: a comparative study of 34 countries. International journal of epidemiology. 2017;46(2):662-75. [DOI] [PMID]
14. Mahato SK. Causes and consequences of child marriages: A perspective. International Journal of Scientific and engineering research. 2016;7(7):698-702. [DOI]
15. Yaya S, Odusina EK, Bishwajit G. Prevalence of child marriages and its impact on fertility outcomes in 34 sub-Saharan African countries. BMC international health and human rights. 2019;19(1):1-11. [DOI] [PMID] [PMCID]
16. Mustafa M, Zakar R, Zakar MZ, Chaudhry A, Nasrullah M. Under-Five Child Mortality and Morbidity Associated with Consanguineous Child Marriage in Pakistan: Retrospective Analysis using Pakistan Demographic and Health Surveys, 1990-91, 2006-07, 2012-13. Maternal and child health journal 2017;21(5):1095-104. [DOI] [PMID]
17. Organization WH. Global Health Estimates 2015: Deaths by Cause, Age, Sex, by Country and by Region, 2000-2015. Geneva, Switzerland; 2016. 2018. [Google Scholar]
18. Yu SH, Mason J, Crum J, Cappa C, Hotchkiss DR. Differential effects of young maternal age on child growth. Global health action. 2016;9(1):31171. [DOI] [PMID] [PMCID]
19. Ajzen I. The theory of planned behavior. Organizational Behavior and Human Decision Processes 1991;50(2):179-211. [DOI]
20. Menon JA, Kusanthan T, Mwaba SOC, Juanola L, Kok MC. Ring'your future, without changing diaper-Can preventing teenage pregnancy address child marriages in Zambia? PloS one. 2018;13(10):e0205523. [DOI] [PMID] [PMCID]
21. Williamson N. Motherhood in Childhood: Facing the Challenge of Adolescent Pregnancy: UNFPA State of World Population 2013, United Nations Population Fund. CONSENTIMENTO DO PARTICIPANTE. 2012. [Google Scholar]
22. Hossain MG, Mahumud RA, Saw A. Prevalence of child marriages among Bangladeshi women and trend of change over time. Journal of biosocial science. 2016;48(4):530-8. [DOI] [PMID]
23. Reiss F. Child marriage in the United States: prevalence and implications. Journal of Adolescent Health. 2021;69(6):S8-S10. [DOI] [PMID]
24. John NA, Edmeades J, Murithi L. Child marriage and psychological well-being in Niger and Ethiopia. BMC public health. 2019;19:1-12. [DOI] [PMID] [PMCID]
25. Kamal SM, Hassan CH, Alam GM, Ying Y. Child marriage in Bangladesh: trends and determinants. Journal of biosocial Science. 2015;47(1):120-39. [DOI] [PMID]
26. Maswikwa B, Richter L, Kaufman J, Nandi A. Minimum marriage age laws and the prevalence of child marriages and adolescent birth: evidence from sub-Saharan Africa. International perspectives on sexual and reproductive health. 2015;41(2):58-68. [DOI] [PMID]
27. Cader AA. Ending child, early, and forced marriage: SRHR as Central to the Solution. Asian-Pacific Resource & Research Centre for Women (ARROW). 2017;40. [Google Scholar]
28. Sayi TS, Sibanda A. Correlates of child marriages in Zimbabwe. Journal of Family issues. 2018;39(8):2366-88. [DOI]
29. Hotchkiss DR, Godha D, Gage AJ, Cappa C. Risk factors associated with the practice of child marriages among Roma girls in Serbia. BMC international health and human rights. 2016;16:1-10. [DOI] [PMID] [PMCID]
30. Yaghobi Z, Hakkak HM, Ghoochani HT, Joveini H, Maheri M, Taherpour M, et al. Factors Affecting the Intention to Choose the Natural vaginal delivery based on the Theory of Planned Behavior among Primigravidae. Journal of Education and Community Health. 2019;6(3):169-76. [DOI]
31. Malek L, Umberger WJ, Makrides M, ShaoJia Z. Predicting healthy eating intention and adherence to dietary recommendations during pregnancy in Australia using the Theory of Planned Behaviour. Appetite. 2017;116:431-41. [DOI] [PMID]
32. Ismail TAT, Muda WAMW, Bakar MI. The extended Theory of Planned Behavior in explaining exclusive breastfeeding intention and behavior among women in Kelantan, Malaysia. Nutrition research and practice. 2016;10(1):49-55. [DOI] [PMID] [PMCID]
33. Whitaker KM, Wilcox S, Liu J, Blair SN, Pate RR. Pregnant women's perceptions of weight gain, physical activity, and nutrition using Theory of Planned Behavior constructs. Journal of behavioral medicine. 2016;39:41-54. [DOI] [PMID] [PMCID]
34. Beyki Z, Miri M, Moasheri N, Alizadeh M. Predictive capacity of" the theory of planned behavior" regarding the intention of having "natural childbirth" in pregnant women in Birjand. Journal of Birjand University of Medical Sciences. 2017;24(2):117-25. [Google Scholar]

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