Evaluation of the Sociodemographic and Psychiatric Features of the Adolescents who were Referred to a Child Psychiatry Clinic for the Forensic Evaluation for Early Marriage
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Original Article
P: 125-130
November 2019

Evaluation of the Sociodemographic and Psychiatric Features of the Adolescents who were Referred to a Child Psychiatry Clinic for the Forensic Evaluation for Early Marriage

Turk J Child Adolesc Ment Health 2019;26(3):125-130
1. Marmara Üniversitesi Pendik Eğitim ve Araştırma Hastanesi, Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Kliniği, İstanbul, Türkiye
2. Balıkesir Atatürk Şehir Hastanesi, Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Kliniği, Balıkesir, Türkiye
3. Marmara Üniversitesi Tıp Fakültesi, Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Anabilim Dalı, İstanbul, Türkiye
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Received Date: 01.06.2019
Accepted Date: 06.09.2019
Publish Date: 21.11.2019
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ABSTRACT

Objectives:

Although there is a legal age limit for marriage in most countries, early marriage, which is defined as marriages under the age of 18 years, still persists. Early marriages, in which major gender inequality is observed, particularly affect the physical and mental well-being of girls in a negative way. The aim of this study was to examine sociodemographic factors and psychiatric diagnoses that might be associated with early marriages.

Materials and Methods:

Our study included forty-two adolescents referred by the courts for forensic evaluation for early marriage. The case files, social examination reports and psychometric evaluation results were examined retrospectively. Psychiatric diagnoses were established by clinical interview based on DSM-5.

Results:

All of the cases were adolescent girls, 20% were illiterate, 40% were graduated from primary school. Of the sample, 56.8% lived in rural areas. Before the time of their forensic evaluation, 81% carried out informal marriage with religious marriage. Of girls, 59.5% were pregnant, 9.5% had a child. The rate of having any psychiatric diagnosis was 9.5% according to DSM 5. It was observed that those who were pregnant at earlier ages were married with religious marriage at a younger age, and the age gap between them and their spouses was higher, compared to those who never became cpregnant (p<0.05).

Conclusion:

Early marriages are associated with low levels of education and socioeconomic difficulties. Keeping the girls in the school setting for longer is one of the most substantial prevention to reduce early marriagies. There is a need to establish special networks for married girls to support the development of their education, knowledge and skills.

References

1
United Nations Children’s Fund (UNICEF). Child marriage around the world. 2019. 26 Mayıs 2019’da Available from: https://www.unicef.org/stories/child-marriage-around-world
2
Le Strat Y, Dubertret C, Le Foll B. Child marriage in the United States and its association with mental health in women. Pediatrics. 2011;128:524-530.
3
Türkiye İstatistik Kurumu (TÜİK). İstatistikle ile Çocuk 2014. 2015; Yayin No:4372. 20 Mayıs 2019’ da Available from: https://www.tuseb.gov.tr/enstitu/tacese/yuklemeler/istatistik/istatistiklerle_cocuk_2014.pdf.
4
Türkiye İstatistik Kurumu (TÜİK). İstatistiklerle Çocuk, 2017. 2018; Sayı: 27596. 01 Haziran 2019’da Available from: www.tuik.gov.tr/PdfGetir.do?id=27596
5
Kaptanoğlu İ, Ergöçmen B. Çocuk Gelin Olmaya Giden Yol. J Soc Res. 2012;15:128-161.
6
Efevbera Y, Bhabha J, Farmer PE, Fink G. Girl child marriage as a risk factor for early childhood development and stunting. Soc Sci Med. 2017;185:91-101.
7
Petroni S, Das M, Sawyer SM. Protection versus rights: age of marriage versus age of sexual consent, Lancet Child Adolesc Health. 2019;3:274-280.
8
Güler Ö, Küçüker H. Early marriages among adolesencent girls in Afyonkarahisar, Turkey, Eur J Gen Med. 2010;7:365-371.
9
Dahl GB. Early teen marriage and future poverty. Demography. 2010;47:689-718.
10
Nour NM. Child marriage: a silent health and human rights issue. Rev Obstet Gynecol. 2009;2:51.
11
Gage AJ. Association of child marriage with suicidal thoughts and attempts among adolescent girls in Ethiopia, J Adolesc Health. 2013;52:654-656.
12
Pandey S. Physical or sexual violence against women of childbearing age within marriage in Nepal: Prevalence, causes, and prevention strategies. Int Soc Work. 2016;59:803-820.
13
Soylu N, Ayaz M. Adli değerlendirme için yönlendirilen küçük yaşta evlendirilmiş kız çocuklarının sosyodemografik özellikleri ve ruhsal değerlendirmesi, Anadolu Psikiyatri Derg. 2013;14:136-44.
14
Güneş M, Selcuk H, Demir S, İbiloğlu AO, Bulut M, Kaya MC, Yılmaz A, Atli A, Sır A. Çocuk Evliliği Yapan Kadınlarda Çift Uyumu ve Çocukluk Çağı Ruhsal Travması, J Mood Disord. 2016;6:63-70.
15
United Nations Children’s Fund (UNICEF). Ending Child Marriage: Progress and prospects. 2014. 26 Mayıs 2019’da Available from: https://www.unicef.org/media/files/Child_Marriage_Report_7_17_LR..pdf
16
Raj A. When the mother is a child: The impact of child marriage on the health and human rights of girls, Arch Dis Child. 2010;95:931-935.
17
Türkiye İstatistik Kurumu (TÜİK). Hayati İstatistikler, Evlenme İstatistikleri. 27 Mayıs 2019’da Available from: http://www.tuik.gov.tr/PreTablo.do?alt_id=1060
18
Eyüboğlu D, Eyüboğlu M. Küçük Yaşta Evlendirilmek İstenen Çocuklarda Psikiyatrik Bozukluklar ve Sosyodemografik Özellikler. J Clin Psy. 2018;21:122-129.
19
Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü. 2013 Türkiye Nüfus ve Sağlık Araştırması-TNSA. Hacettepe Üniversitesi Nüfus Etütleri Enstitüsü, T.C. Kalkınma Bakanlığı ve TÜBİTAK, Ankara; 2014.
20
Erulkar, A. Early marriage, marital relations and intimate partner violence in Ethiopia, Int Perspect Sex Reprod Health. 2013;39:6-13.
21
Santhya KG, Ram U, Acharya R Jejeebhoy SJ, Ram F, Singh A. Associations between early marriage and young women’s marital and reproductive health outcomes: evidence from India, Int Perspect Sex Reprod Health. 2010;36:132-139.
22
Turğut M, Feyzioğlu S. Türkiye Aile Yapısı Araştırması: Tespitler, Öneriler. T.C. Aile ve Sosyal Politikalar Bakanlığı Aile ve Toplum Hizmetleri Genel Müdürlüğü, İstanbul; 2014.
23
Kasım B, Cem U, Mustafa K, Süleyman S. Evaluation of the Early Age Married Girls Applying to Our Department, Open J Pediatr. 2015;5:334-338.
24
Koski A, Heymann J. Child Marriage in the United States: How Common Is the Practice, And Which Children Are at Greatest Risk?. Perspect Sex Reprod Health. 2018;50:59-65.
25
Kalmuss DS, Namerow PB. Subsequent childbearing among teenage mothers: the determinants of a closely spaced second birth. Fam Plann Perspect. 1994;26:149-153,159.
26
Kalamar AM, Lee-Rife S, Hindin MJ. Interventions to prevent child marriage among young people in low-and middle-income countries: a systematic review of the published and gray literature. J Adolesc Health. 2016;59:16-21.
27
Nasrullah M, Zakar R, Zakar MZ. Child marriage and its associations with controlling behaviors and spousal violence against adolescent and young women in Pakistan. J Adolesc Health. 2014;55:804-809.
28
Machel G, Pires E, Carlsson G. The world we want: an end to child marriage. Lancet. 2013;382:1005-1006.