عوامل موثر بر ازدواج زودهنگام و پیامدهای سلامتی آن در زنان زیر 18 سال شهر مهاجران: پژوهشی ترکیبی

نوع مقاله : مقاله پژوهشی

نویسندگان

1 استادیار مرکز تحقیقات عوامل اجتماعی موثر بر سلامت، دانشگاه علوم پزشکی همدان

2 دانشیار گروه بهداشت عمومی، دانشکده بهداشت و مرکز تحقیقات علوم بهداشتی، دانشگاه علوم پزشکی همدان

3 دانشکده پزشکی، بیمارستان بعثت، دانشگاه علوم پزشکی همدان

4 معاونت امور بهداشتی، دانشگاه علوم پزشکی همدان

چکیده

زمینه: ازدواج در سنین پایین به ویژه در زمانی که شخص هنوز به بلوغ روانی و اجتماعی لازم نرسیده است، می­تواند آسیب­های جدی برای فرد، خانواده و حتی جامعه داشته باشد.
هدف: این مطالعه با هدف تعیین عوامل موثر بر ازدواج زود هنگام و پیامدهای سلامتی آن در زنان زیر 18 سال بود.
روش: این پژوهش شامل یک مطالعۀ توصیفی-تحلیلی از نوع مقطعی و سپس یک مطالعۀ کیفی بود شد. روش نمونه­گیری به صورت سرشماری بود. در مطالعۀ مقطعی 133 زن و در مطالعۀ کیفی 36 زن مورد مطالعه قرار گرفتند. ابزار جمع­آوری داده­ها در مطالعۀ مقطعی پرسشنامۀ محقق­ساخته بود و در مطالعۀ کیفی از مصاحبه استفاده شد. در مطالعۀ مقطعی از آزمون کای­دو و در مطالعۀ کیفی از تحلیل محتوا برای تحلیل داده‌ها استفاده شد.
یافته‌ها: نتایج نشان داد سن ازدواج اکثر زنان 13 تا 14 سالگی بود. سن اولین قاعدگی زنان 12 سالگی بود (6/28%) گزارش شده است. بین شغل مادر، شغل پدر، درآمد ماهیانۀ والدین و سن اولین قاعدگی با سن ازدواج ارتباط آماری معنی­دار وجود داشت. مطالعۀ کیفی درباره مشکلات ازدواج زودهنگام شامل چهار مضمون اصلی مشکلات جسمی، مشکلات روحی-روانی، مشکلات رشد و تکاملی و مشکلات اجتماعی در پی ازدواج زودهنگام بود.
نتیجه‌گیری: نتایج این پژوهش بینش دقیق‌تری به پدیدۀ کودک همسری ارائه می‌کند و می‌توان برای مداخلات مربوط به ازدواج زودهنگام، به ویژه در جمعیت رو به افزایش مهاجران، مورد استفاده قرار گیرد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Factors Affecting Early Marriage and its Health Consequences in Women under 18 in Migrant City: A Mixed Research

نویسندگان [English]

  • Maryam Afshari 1
  • Salman Khazaei 2
  • Jalaleddin Amiri 3
  • Jalal Khalaji 4
  • Ali Afsar 4
1 Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
2 Assistant Professor, Hamadan University of Medical Sciences, Hamadan, Iran
3 MD, Department of Pediatrics, Hamadan University of Medical Sciences, Hamadan, Iran
4 Hamadan University of Medical Sciences, Hamadan, Iran
چکیده [English]

Background: Marriage at a young age, especially when a person has not yet reached the necessary psychological and social maturity, can cause serious harm to the individual, family, and even society.
Aim: The aim of determining the factors affecting early marriage and its health consequences in women under 18 in Migrant City.
Method: The research design was mixed method, including a descriptive-analytical cross-sectional study and then a qualitative study that was conducted on migrant women under 18. The sampling method was a census. In the cross-sectional study, 133 women and in the qualitative study, 36 women were studied. The data collection tool in the cross-sectional study was a researcher-made questionnaire and in the qualitative study was interview. In the cross-sectional study, the Chi-square test and in the qualitative study, content analysis was used.
Results: The results showed that the marriage age of most women was 13 to 14 years old. It has been reported that the age of women's first menstruation was 12 years old (28.6%). There was a statistically significant relationship between mother's occupation, father's occupation, parents' monthly income and the age of first menstruation with the age of marriage. A qualitative study about the problems of early marriage included four main themes: physical problems, mental-psychological problems, developmental and developmental problems, and social problems following early marriage.
Conclusions: The results of this research provide a more detailed insight into the phenomenon of child marriage and can be used for interventions related to early marriage, especially in the growing immigrant population.

کلیدواژه‌ها [English]

  • early marriage
  • child spouse
  • child marriage
  • health consequences
  • women
  • migrants
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