Under-Five Child Mortality and Morbidity Associated with Consanguineous Child Marriage in Pakistan: Retrospective Analysis using Pakistan Demographic and Health Surveys, 1990-91, 2006-07, 2012-13.

摘要: Objective To assess the combined effect of consanguineous and child marriages (CCM) on children health, which has not previously been explored, either globally or locally. Methods We analyzed secondary data from a series cross-sectional, nationally representative Pakistan Demographic Health Surveys 1990–91, 2006–07, 2012–13. A total 5406 mothers with 10,164 were included in analysis. Child health was assessed by variables such as history diarrhea, acute respiratory infection (ARI), ARI fever, Under-5 mortality (U5CM) small-size birth (SSB). Associations among calculating unadjusted Odd Ratios (OR) adjusted OR (AOR). Results majority (n = 6,247, 61%) births to having CCM compare non-CCM (3917, 39%). There significant association between U5CM during 1990–91 (AOR 1.24, 95% CI 1.03–1.49) 2006–07 1.25, 1.05–1.51), infant 1.39, 1.05–1.85) 1.61, 1.17–2.21). also found SSB infants period 1.19, 1.01–1.42) 2012–13 1.22, 1.02–1.46). noted no ARI, fever. Conclusion increases likelihood U5CM, infants. Further quantitative qualitative research should be conducted effects environmental, congenital genetic factors born CCM.