Association between child marriage and high blood glucose level in women: A birth cohort analysis

IF 2.2 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Public Health in Practice Pub Date : 2024-10-28 DOI:10.1016/j.puhip.2024.100556
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Abstract

Objectives

Child marriage prematurely forces girls (<18 years of age) to perform adult roles prior to physical and psychological maturity. Such precocious transitions to young adulthood can have consequences on their long-term health, however, limited work has examined such relationships to date. As such, this study examines whether child marriage is associated with the risk of having hyperglycemia, or high blood glucose, in adulthood.

Study design

Observational study using repeated cross-sectional data.

Methods

Using data from the 2015-16 and 2019-21 waves of the India National Family Health Survey, we matched 432,080 and 418,409 women, aged 20–49 years, by birth year and month to create birth cohorts. Fitting multivariable binomial and multinomial logistic models, we compared the odds of having hyperglycemia across groups by marriage age (i.e., before or after age 18 years) within respective birth cohorts.

Results

We found that the adjusted odds of having high blood glucose among women married as children were 1.12 (95 % CI: 1.07–1.16) times that of their peers married as adults in the full-sample. The adjusted relative risks of having blood glucose levels higher than normal but lower than diabetic and diabetic ranges were 1.09 (95 % CI: 1.04–1.14) and 1.23 (95 % CI: 1.15–1.31), respectively, in comparison to blood glucose within normal range. These results were persistent across sub-groups of different birth cohorts.

Conclusion

Our findings suggest that child marriage was associated with higher risk of having high blood glucose in women, later in life.
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童婚与女性高血糖之间的关系:出生队列分析
目标过早的童婚迫使女孩(18 岁)在生理和心理成熟之前就扮演成人角色。这种早熟的成年过渡可能会对她们的长期健康造成影响,但迄今为止,研究这种关系的工作还很有限。因此,本研究探讨了童婚是否与成年后患高血糖症或高血糖的风险有关。研究设计使用重复横截面数据进行观察研究。方法利用印度全国家庭健康调查 2015-16 年和 2019-21 年两波的数据,我们按出生年份和月份对 432,080 名和 418,409 名 20-49 岁的女性进行了配对,以创建出生队列。结果我们发现,在全样本中,儿童时期结婚的女性患高血糖的调整后几率是成年时期结婚的女性的 1.12 倍(95 % CI:1.07-1.16)。与血糖在正常范围内相比,血糖水平高于正常但低于糖尿病和糖尿病范围的调整后相对风险分别为 1.09 (95 % CI: 1.04-1.14) 和 1.23 (95 % CI: 1.15-1.31)。我们的研究结果表明,童婚与女性日后患高血糖的风险较高有关。
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来源期刊
Public Health in Practice
Public Health in Practice Medicine-Health Policy
CiteScore
2.80
自引率
0.00%
发文量
117
审稿时长
71 days
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