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

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...

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Main Authors: B.K. Datta, A. Tiwari, L. Glenn
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Public Health in Practice
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Online Access:http://www.sciencedirect.com/science/article/pii/S2666535224000934
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author B.K. Datta
A. Tiwari
L. Glenn
author_facet B.K. Datta
A. Tiwari
L. Glenn
author_sort B.K. Datta
collection DOAJ
description 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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spelling doaj-art-9b7c2616b1ca41bf99ade420bc5c4ba02024-12-12T05:23:30ZengElsevierPublic Health in Practice2666-53522024-12-018100556Association between child marriage and high blood glucose level in women: A birth cohort analysisB.K. Datta0A. Tiwari1L. Glenn2Institute of Public and Preventive Health, Augusta University, Augusta, GA, USA; Department of Health Management, Economics and Policy, Augusta University, Augusta, GA, USA; Corresponding author. Institute of Public and Preventive Health, Augusta University, 1120 15th St., CJ 2300, Augusta, GA, 30912, USA.Institute of Public and Preventive Health, Augusta University, Augusta, GA, USA; Department of Community &amp; Behavioral Health Sciences, Augusta University, Augusta, GA, USADepartment of Nursing Science, College of Nursing, Augusta University, Augusta, GA, USAObjectives: 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.http://www.sciencedirect.com/science/article/pii/S2666535224000934Marriage ageChild marriageBlood glucoseHyperglycemiaWomen's health
spellingShingle B.K. Datta
A. Tiwari
L. Glenn
Association between child marriage and high blood glucose level in women: A birth cohort analysis
Public Health in Practice
Marriage age
Child marriage
Blood glucose
Hyperglycemia
Women's health
title Association between child marriage and high blood glucose level in women: A birth cohort analysis
title_full Association between child marriage and high blood glucose level in women: A birth cohort analysis
title_fullStr Association between child marriage and high blood glucose level in women: A birth cohort analysis
title_full_unstemmed Association between child marriage and high blood glucose level in women: A birth cohort analysis
title_short Association between child marriage and high blood glucose level in women: A birth cohort analysis
title_sort association between child marriage and high blood glucose level in women a birth cohort analysis
topic Marriage age
Child marriage
Blood glucose
Hyperglycemia
Women's health
url http://www.sciencedirect.com/science/article/pii/S2666535224000934
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AT lglenn associationbetweenchildmarriageandhighbloodglucoselevelinwomenabirthcohortanalysis