Child Marriage Acceptability Index (CMAI) as an essential indicator: an investigation in South and Central Sulawesi, Indonesia

Abstract Background Child marriage remains an important social issue in Indonesia. Child marriages were reported from 14.67% in 2008 to 10.82% in 2019. However, 22 out of 34 provinces in Indonesia still had high child marriage rates above the national average in 2019. This study aims to assess child...

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Main Authors: Muliani Ratnaningsih, Heribertus Rinto Wibowo, Nicholas J. Goodwin, Ade Ayu Kartika Sari Rezki, R. Ridwan, Ratnakanya Nitya Hadyani, Emilie Minnick, Derry Fahrizal Ulum, Tanti Kosmiyati Kostaman, Sitti Nur Faizah
Format: Article
Language:English
Published: BMC 2022-09-01
Series:Global Health Research and Policy
Subjects:
Online Access:https://doi.org/10.1186/s41256-022-00252-4
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author Muliani Ratnaningsih
Heribertus Rinto Wibowo
Nicholas J. Goodwin
Ade Ayu Kartika Sari Rezki
R. Ridwan
Ratnakanya Nitya Hadyani
Emilie Minnick
Derry Fahrizal Ulum
Tanti Kosmiyati Kostaman
Sitti Nur Faizah
author_facet Muliani Ratnaningsih
Heribertus Rinto Wibowo
Nicholas J. Goodwin
Ade Ayu Kartika Sari Rezki
R. Ridwan
Ratnakanya Nitya Hadyani
Emilie Minnick
Derry Fahrizal Ulum
Tanti Kosmiyati Kostaman
Sitti Nur Faizah
author_sort Muliani Ratnaningsih
collection DOAJ
description Abstract Background Child marriage remains an important social issue in Indonesia. Child marriages were reported from 14.67% in 2008 to 10.82% in 2019. However, 22 out of 34 provinces in Indonesia still had high child marriage rates above the national average in 2019. This study aims to assess child marriage acceptability in the two locations in Indonesia by gender inequality, financial security, education rates, legal frameworks, dowry, and sexual and gender-based violence (SGBV). Methods This study used a quantitative approach with a cross-sectional study design. A total of 1000 respondents consisting of 500 households in Bone District, South Sulawesi and 500 households in Palu, Sigi, and Donggala District in Central Sulawesi participated in the study. Data analyses were conducted based on the Child Marriage Acceptability Index (CMAI) using the bivariate correlation, ANOVA (analysis of variance), and logistic regression. Results This study found several significant factors that contributed to child marriage acceptance in Central and South Sulawesi: household financial security (p = 0.016), dowry (p < 0.001) and legal frameworks (p = 0.017) based on ANOVA analysis. After conducting a bivariate correlation, dowry (p < 0.001) and sexual and gender-based violence (p < 0.001) remain significant factors. Dowry (p < 0.001), with expected B = 0.122, and sexual and gender-based violence (p < 0.001, with expected B = 0.064) remains significant after the linear regression analysis. Conclusions Dowry practice and sexual and gender-based violence were the most significant factors contributing to child marriage acceptance in Central and South Sulawesi. There is a need to conduct interventions to prevent child marriage, including providing sexual and reproductive health education.
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spelling doaj.art-ae1156fc63884d4898eeb63d97da30b72022-12-22T04:29:01ZengBMCGlobal Health Research and Policy2397-06422022-09-017111210.1186/s41256-022-00252-4Child Marriage Acceptability Index (CMAI) as an essential indicator: an investigation in South and Central Sulawesi, IndonesiaMuliani Ratnaningsih0Heribertus Rinto Wibowo1Nicholas J. Goodwin2Ade Ayu Kartika Sari Rezki3R. Ridwan4Ratnakanya Nitya Hadyani5Emilie Minnick6Derry Fahrizal Ulum7Tanti Kosmiyati Kostaman8Sitti Nur Faizah9PT Tulodo Indonesia MakmurPT Tulodo Indonesia MakmurPT Tulodo Indonesia MakmurPT Tulodo Indonesia MakmurPT Tulodo Indonesia MakmurPT Tulodo Indonesia MakmurUNICEF IndonesiaUNICEF IndonesiaUNICEF IndonesiaSekolah Tinggi Ilmu Kesehatan Tamalatea MakassarAbstract Background Child marriage remains an important social issue in Indonesia. Child marriages were reported from 14.67% in 2008 to 10.82% in 2019. However, 22 out of 34 provinces in Indonesia still had high child marriage rates above the national average in 2019. This study aims to assess child marriage acceptability in the two locations in Indonesia by gender inequality, financial security, education rates, legal frameworks, dowry, and sexual and gender-based violence (SGBV). Methods This study used a quantitative approach with a cross-sectional study design. A total of 1000 respondents consisting of 500 households in Bone District, South Sulawesi and 500 households in Palu, Sigi, and Donggala District in Central Sulawesi participated in the study. Data analyses were conducted based on the Child Marriage Acceptability Index (CMAI) using the bivariate correlation, ANOVA (analysis of variance), and logistic regression. Results This study found several significant factors that contributed to child marriage acceptance in Central and South Sulawesi: household financial security (p = 0.016), dowry (p < 0.001) and legal frameworks (p = 0.017) based on ANOVA analysis. After conducting a bivariate correlation, dowry (p < 0.001) and sexual and gender-based violence (p < 0.001) remain significant factors. Dowry (p < 0.001), with expected B = 0.122, and sexual and gender-based violence (p < 0.001, with expected B = 0.064) remains significant after the linear regression analysis. Conclusions Dowry practice and sexual and gender-based violence were the most significant factors contributing to child marriage acceptance in Central and South Sulawesi. There is a need to conduct interventions to prevent child marriage, including providing sexual and reproductive health education.https://doi.org/10.1186/s41256-022-00252-4Child Marriage Acceptability Index (CMAI)DowrySexual and gender-based violence (SGBV)
spellingShingle Muliani Ratnaningsih
Heribertus Rinto Wibowo
Nicholas J. Goodwin
Ade Ayu Kartika Sari Rezki
R. Ridwan
Ratnakanya Nitya Hadyani
Emilie Minnick
Derry Fahrizal Ulum
Tanti Kosmiyati Kostaman
Sitti Nur Faizah
Child Marriage Acceptability Index (CMAI) as an essential indicator: an investigation in South and Central Sulawesi, Indonesia
Global Health Research and Policy
Child Marriage Acceptability Index (CMAI)
Dowry
Sexual and gender-based violence (SGBV)
title Child Marriage Acceptability Index (CMAI) as an essential indicator: an investigation in South and Central Sulawesi, Indonesia
title_full Child Marriage Acceptability Index (CMAI) as an essential indicator: an investigation in South and Central Sulawesi, Indonesia
title_fullStr Child Marriage Acceptability Index (CMAI) as an essential indicator: an investigation in South and Central Sulawesi, Indonesia
title_full_unstemmed Child Marriage Acceptability Index (CMAI) as an essential indicator: an investigation in South and Central Sulawesi, Indonesia
title_short Child Marriage Acceptability Index (CMAI) as an essential indicator: an investigation in South and Central Sulawesi, Indonesia
title_sort child marriage acceptability index cmai as an essential indicator an investigation in south and central sulawesi indonesia
topic Child Marriage Acceptability Index (CMAI)
Dowry
Sexual and gender-based violence (SGBV)
url https://doi.org/10.1186/s41256-022-00252-4
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