Child Marriage and Later-Life Risk of Obesity in Women: A Cohort Analysis Using Nationally Representative Repeated Cross-Sectional Data from Tajikistan

Child marriage, defined as union before age 18 years, has detrimental health and socioeconomic consequences. This study examines whether women married as children have a disproportionately higher risk of being obese at adulthood compared to their peers married as adults. Using data from the 2012 and...

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Main Authors: Biplab Datta, Ashwini Tiwari, Sara Attari
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Women
Subjects:
Online Access:https://www.mdpi.com/2673-4184/3/1/4
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author Biplab Datta
Ashwini Tiwari
Sara Attari
author_facet Biplab Datta
Ashwini Tiwari
Sara Attari
author_sort Biplab Datta
collection DOAJ
description Child marriage, defined as union before age 18 years, has detrimental health and socioeconomic consequences. This study examines whether women married as children have a disproportionately higher risk of being obese at adulthood compared to their peers married as adults. Using data from the 2012 and 2017 waves of the Tajikistan Demographic and Health Survey, we matched women aged 25 to 49 years by birth year and month to create four birth cohorts. We fitted multivariable logistic regressions to assess the differential odds of being obese and estimated simultaneous quantile regression models to examine the differences in average body mass index (BMI) between women married as adults and as children within birth cohorts. We found that the adjusted odds of being obese for women married as children were 1.5 (CI: 1.3–1.7) times those of those who were married as adults, after controlling for sociodemographic correlates along with birth cohort and survey wave fixed effects. Results of the quantile regression analyses suggest higher expected BMI levels among women married as children compared to those of women married as adults across different quantiles of BMI. The differences though were more pronounced in the younger cohorts than in the older cohorts.
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spelling doaj.art-9d2d7bb60d14480db391495c7fd2b7472023-11-17T14:29:02ZengMDPI AGWomen2673-41842023-01-0131537010.3390/women3010004Child Marriage and Later-Life Risk of Obesity in Women: A Cohort Analysis Using Nationally Representative Repeated Cross-Sectional Data from TajikistanBiplab Datta0Ashwini Tiwari1Sara Attari2Institute of Public and Preventive Health, Augusta University, Augusta, GA 30912, USAInstitute of Public and Preventive Health, Augusta University, Augusta, GA 30912, USAMedical College of Georgia, Augusta University, Augusta, GA 30912, USAChild marriage, defined as union before age 18 years, has detrimental health and socioeconomic consequences. This study examines whether women married as children have a disproportionately higher risk of being obese at adulthood compared to their peers married as adults. Using data from the 2012 and 2017 waves of the Tajikistan Demographic and Health Survey, we matched women aged 25 to 49 years by birth year and month to create four birth cohorts. We fitted multivariable logistic regressions to assess the differential odds of being obese and estimated simultaneous quantile regression models to examine the differences in average body mass index (BMI) between women married as adults and as children within birth cohorts. We found that the adjusted odds of being obese for women married as children were 1.5 (CI: 1.3–1.7) times those of those who were married as adults, after controlling for sociodemographic correlates along with birth cohort and survey wave fixed effects. Results of the quantile regression analyses suggest higher expected BMI levels among women married as children compared to those of women married as adults across different quantiles of BMI. The differences though were more pronounced in the younger cohorts than in the older cohorts.https://www.mdpi.com/2673-4184/3/1/4child marriageobesityTajikistan
spellingShingle Biplab Datta
Ashwini Tiwari
Sara Attari
Child Marriage and Later-Life Risk of Obesity in Women: A Cohort Analysis Using Nationally Representative Repeated Cross-Sectional Data from Tajikistan
Women
child marriage
obesity
Tajikistan
title Child Marriage and Later-Life Risk of Obesity in Women: A Cohort Analysis Using Nationally Representative Repeated Cross-Sectional Data from Tajikistan
title_full Child Marriage and Later-Life Risk of Obesity in Women: A Cohort Analysis Using Nationally Representative Repeated Cross-Sectional Data from Tajikistan
title_fullStr Child Marriage and Later-Life Risk of Obesity in Women: A Cohort Analysis Using Nationally Representative Repeated Cross-Sectional Data from Tajikistan
title_full_unstemmed Child Marriage and Later-Life Risk of Obesity in Women: A Cohort Analysis Using Nationally Representative Repeated Cross-Sectional Data from Tajikistan
title_short Child Marriage and Later-Life Risk of Obesity in Women: A Cohort Analysis Using Nationally Representative Repeated Cross-Sectional Data from Tajikistan
title_sort child marriage and later life risk of obesity in women a cohort analysis using nationally representative repeated cross sectional data from tajikistan
topic child marriage
obesity
Tajikistan
url https://www.mdpi.com/2673-4184/3/1/4
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AT ashwinitiwari childmarriageandlaterliferiskofobesityinwomenacohortanalysisusingnationallyrepresentativerepeatedcrosssectionaldatafromtajikistan
AT saraattari childmarriageandlaterliferiskofobesityinwomenacohortanalysisusingnationallyrepresentativerepeatedcrosssectionaldatafromtajikistan