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The problem
Intervention: None - this is an observational study examining child marriage as a risk factor
Who it was tested with: Currently married women in India (N=421,107) from the National Family and Health Survey 4 (2015-2016).
Experience from people who deliver programmes: stories, case studies and lessons learned. Valuable for understanding how and why, and for spotting what to test next, but not a measure of effect.
"We utilize biomarkers and self-reported data from the nationally representative National Family and Health Survey 4 (2015-2016) to examine the associations between child marriage and hypertension, diabetes, heart disease, asthma and thyroid disorder among currently married women (N = 421 107). We use regression models adjusted for a range of demographic and socio-economic controls to assess the association between child marriage and NCDs among women in India." This is a large-scale cross-sectional analysis with rigorous adjustment for confounders, providing strong observational evidence of an association between child marriage and NCDs.
Cross-sectional design prevents causal inference. Self-reported health outcomes may be subject to recall bias. The study cannot determine whether child marriage directly causes NCDs or whether unmeasured confounders explain the associations.
Across countries and designs
50 studies · 32 countries
