Socioeconomic and reproductive factors associated with child marriage in Africa: A path model

Laurasona Leigh , Jiunn-Jye Sheu , Colleen Taylor

Global Health Economics and Sustainability ›› 2025, Vol. 3 ›› Issue (3) : 162 -171.

PDF (570KB)
Global Health Economics and Sustainability ›› 2025, Vol. 3 ›› Issue (3) :162 -171. DOI: 10.36922/ghes.7117
ORIGINAL RESEARCH ARTICLE
research-article

Socioeconomic and reproductive factors associated with child marriage in Africa: A path model

Author information +
History +
PDF (570KB)

Abstract

Child marriage is a significant public health issue, resulting in adverse effects that violate the rights of girls below 18 years old. Six out of ten countries with the highest prevalence of child marriage (over 50%) are located in Africa. Although numerous studies have been carried out to explore ways to reduce child marriage, there is limited research focusing on how ecological factors influence the prevalence of child marriage. This study’s objective was to determine the socioeconomic and reproductive factors linked to child marriage in Africa. Utilizing the Socio-ecological Model of Health as a guide, a correlational analysis was conducted using data from 54 African countries. Information for each country was obtained from surveys conducted with the support of reputable international agencies. Path analysis was utilized to determine the magnitude and direction of the factors connected to child marriage. The results illustrate that adolescent fertility, gross domestic product (GDP) per capita, and youth female literacy rates significantly accounted for 83% (R2) of variance for child marriage. In addition, child marriage and GDP per capita significantly predict maternal mortality ratio with 0.59 R2. African nations are encouraged to implement strategies and interventions that reduce child marriage and its associated critical factors by increasing enrollment, retention, and completion of school; improving economic opportunities; and establishing relevant laws and policies.

Keywords

Child marriage / Early marriage / Ecological model / Africa

Cite this article

Download citation ▾
Laurasona Leigh, Jiunn-Jye Sheu, Colleen Taylor. Socioeconomic and reproductive factors associated with child marriage in Africa: A path model. Global Health Economics and Sustainability, 2025, 3(3): 162-171 DOI:10.36922/ghes.7117

登录浏览全文

4963

注册一个新账户 忘记密码

Funding

None.

Conflict of interest

The authors declare they have no competing interests.

References

[1]

Barrett, P. (2007). Structural equation modelling: Adjudging model fit. Personality and Individual Differences, 42(5):815-824. https://doi.org/10.1016/j.paid.2006.09.018

[2]

Belachew, T.B., Negash, W.D., Kefale, G.T., Tafere, T.Z., & Asmamaw, D.B. (2022). Determinants of early marriage among married women in nine high fertility sub-Saharan African countries: A multilevel analysis of recent demographic and health surveys. BMC Public Health, 22:2355. https://doi.org/10.1186/s12889-022-14840-z

[3]

Bollen, K.A. (1990). Overall fit in covariance structure models: Two types of sample size effects. Psychological Bulletin, 107(2):256-259. https://doi.org/10.1037/0033-2909.107.2.256

[4]

Brown, G. (2012). Out Of Wedlock, into School: Combating Child Marriage through Education. Available from: https://educationenvoy.org/wp-content/uploads/2013/09/child-marriage.pdf [Last accessed on 2024 Jul 26].

[5]

Budu, E., Ahinkorah, B.O., Seidu, A., Hagan, J.E., Agbemavi, W., Frimpong, J.B., et al. (2021). Child marriage and sexual autonomy among women in Sub-Saharan Africa: Evidence from 31 demographic and health surveys. International Journal of Environmental Research and Public Health, 18(7):3754. https://doi.org/10.3390/ijerph18073754

[6]

Greene, M.E., Siddiqi, M., & Abularrage, T.F. (2023). Systematic scoping review of interventions to prevent and respond to child marriage across Africa: Progress, gaps and priorities. BMJ Open, 13(5):e061315. https://doi.org/10.1136/bmjopen-2022-061315

[7]

Hooper, D., Coughlan, J., & Mullen, M.R. (2008). Structural equation modelling: Guidelines for determining model fit. Electronic Journal of Business Research Methods, 6(1):53-60.

[8]

Hu, L., & Bentler, P.M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6(1):1-55. https://doi.org/10.1080/10705519909540118

[9]

Irani, M., & Roudsari, R.L. (2019). Reproductive and sexual health consequences of child marriage: A review of literature. Journal of Midwifery and Reproductive Health, 7(1):1491-1497. https://doi.org/10.22038/jmrh.2018.31627.1342

[10]

Kamara, A.B. (2024). Protecting children from Adult Affairs: An Appraisal of the Prohibition of Child Marriage Act 2024 and Its Implications for Sierra Leone. Available from: https://sierralii.gov.sl/articles/2024-07-09/Boy/protecting-children-from-adult-affairsanappraisal-of-the-prohibition-of-child-marriage-act-2024-and-its-implications-for-sierra-leone [Last accessed on 2024 Jul 30].

[11]

Mahato, S.K. (2016). Causes and consequences of child marriage: A perspective. International Journal of Scientific and Engineering Research, 7(7):698-702. https://doi.org/10.14299/ijser.2016.07.002

[12]

McGavock, T. (2021). Here waits the bride? The effect of Ethiopia’s child marriage law. Journal Development Economics, 149:102580. https://doi.org/10.1016/j.jdeveco.2020.10258

[13]

Molitoris, J., Kantorova, V., Ezdi, S., & Gonnella, G. (2023). Early childbearing and child marriage: An update. Studies in Family Planning, 54(3):503-521. https://doi.org/10.1111/sifp.12243

[14]

Musa, S.M., Haruna, U.A., Manirambona, E., Eshun, G., Ahmad, D.M., Dada, D.A., et al. (2023). Paucity of health data in Africa: An obstacle to digital health implementation and evidence-based practice. Public Health Reviews, 44:1605821. https://doi.org/10.3389/phrs.2023.1605821

[15]

Pourtaheri, A., Sany, S.B.T., Aghaee, M.A., Ahangari, H., & Peyman, N. (2023). Prevalence and factors associated with child marriage, a systematic review. BMC Women’s Health, 23(1):531. https://doi.org/10.1186/s12905-023-02634-3

[16]

Rasmussen, B., Maharaj, N., Sheehan, P., & Friedman, H.S. (2019). Evaluating the employment benefits of education and targeted interventions to reduce child marriage. Journal of Adolescent Health, 65(1S):S16-S24. https://doi.org/10.1016/j.jadohealth.2019.03.022

[17]

Rokicki, S. (2021). Impact of family law reform on adolescent reproductive health in Ethiopia: A quasi-experimental study. World Development, 144:105484. https://doi.org/10.1016/j.worlddev.2021.105484

[18]

Tabachnick, B.G., & Fidell, L.S. (2001). Using Multivariate Statistics. 4th ed. Boston, MA: Allyn and Bacon.

[19]

UNAIDS. (2019). Women and HIV: A Spotlight on Adolescent Girls and Young Women. Available from: https://www.unaids.org/sites/default/files/media_asset/2019_women-andhiv_en.pdf [Last accessed on 2024 Jul 25].

[20]

UNESCO Institute for Statistics. (2015). EFA Indicator Monitoring Framework: Youth Literacy Rate. Available from: https://uis.unesco.org/en/search/site/youth%20literacy%20rate [Last accessed on 2024 Jul 26].

[21]

UNFPA, & UNICEF. (2021). Sierra Leone: Country Profile. Available from: https://www.unicef.org/media/111401/file/child-marriage-country-profile-sierra-leone-2021.pdf [Last accessed on 2024 Jul 25].

[22]

UNFPA, & UNICEF. (2023). Sustaining the Gains in the Polycrisis Era: Annual Report 2022. Available from: https://www.unicef.org/media/146276/file/2022%20Annual%20Report.pdf [Last accessed on 2024 Jul 25].

[23]

UNFPA, & UNICEF. (2018), Child Marriage in West and Central Africa: At a Glance. Available from: https://www.unicef.org/wca/media/2596/file/Child%20Marriage%20in%20WCA%20-%20At%20a%20glance.pdf [Last accessed on 2024 Jul 25].

[24]

UNICEF. (2014). UNICEF Data Warehouse. Available from: https://data.unicef.org/resources/data_explorer/unicef_f/?ag=unicef&df=global_dataflow&ver=1.0&dq=.pt_f_20-24_mrd_u18.&startperiod=2005&endperiod=2013 [Last accessed on 2024 Jul 26].

[25]

UNICEF. (2023). Child Marriage. Available from: https://www.unicef.org/protection/childmarriage [Last accessed on 2024 Jul 26].

[26]

UNICEF. (2024). Child Marriage. Available from: https://data.unicef.org/topic/childprotection/child-marriage [Last accessed on 2024 Jul 25].

[27]

United, Nations. (2025). The Sustainable Development Goals Report 2022. Available: https://unstats.un.org/sdgs/report/2022/goal-05 [Last accessed 2025 Mar 02].

[28]

World, Bank. (2014). GDP per Capita (Current US$). Available from: https://data.worldbank.org/indicator/NY.GDP.PCAP.CD?end=2014&page=3&start=1960 [Last accessed on 2024 Jul 26].

[29]

World, Bank. (2013). Maternal Mortality Ratio (modeled Estimate, Per 100,000 Live Births). Available from: https://data.worldbank.org/indicator/sh.sta.mmrt?end=2013&start=1990 [Last accessed on 2024 Jul 26].

[30]

World, Bank. (2014). Adolescent Fertility Rate (Births Per 1,000 Women Ages 15-19). Available from: http://data.worldbank. org/indicator/SP.ADO.TFRT [Last accessed on 2024 Jul 26].

[31]

World, Bank. (2014). GNI Per Capita, PPP (Current International $). Available from: https://data.worldbank.org/indicator/ny.gnp.pcap.pp.cd?end=2014&page=3&start=1960 [Last accessed on 2024 Jul 26].

[32]

World, Bank. (2014). Prevalence of HIV, Female (% Ages 15-24). Available from: https://data.worldbank.org/indicator/sh.hiv.1524.fe.zs?end=2014&start=1990 [Last accessed on 2024 Jul 26].

[33]

World, Bank. (2014). Prevalence of HIV, Male (% Ages 15-24). Available from: https://data.worldbank.org/indicator/sh.hiv.1524.ma.zs?end=2014&start=1990 [Last accessed on 2024 Jul 26].

[34]

Worthington, R.L., & Whittaker, T.A. (2006). Scale Development Research: A Content Analysis and Recommendations for Best Practices. The Counseling Psychologist, 34(6):806-838. https://doi.org/10.1177/0011000006288127

[35]

Yokobori, Y., Obara, H., Sugiura, Y., & Kitamura, T. (2021). Gaps in the civil registration and vital statistics systems of low- and middle-income countries and the health sector’s role in improving the situation. Global Health and Medicine, 3(4):243-245. https://doi.org/10.35772/ghm.2020.01103

PDF (570KB)

67

Accesses

0

Citation

Detail

Sections
Recommended

/