Evidence map›Paper›PMID 39308642›Full record

ArticleInternational journal of adolescence and youth2024

What's driving girls' adolescent marriage decline in Rakai, Uganda? The interplay between adolescent pregnancies and social determinants, 1999 - 2018.

Esther Spindler, Susie Hoffman, Fred Nalugoda, Ivy S Chen, Goleen Samari, Tom Lutalo, Ying Wei, Man Luo, Rebecka Lundgren, John S Santelli

Abstract read
In one paragraph

Article in International journal of adolescence and youth, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Esther SpindlerDepartment of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY, USA.
Susie HoffmanHIV Center for Clinical and Behavioral Studies, New York State Psychiatric Institute and Columbia University, New York, NY, USA.
Fred NalugodaRakai Health Sciences Program (RHSP), Kalisizo, Uganda.
Ivy S ChenDepartment of Biostatistics, Mailman School of Public Health, Columbia University, New York, NY, USA.
Goleen SamariDepartment of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY, USA.
Tom LutaloRakai Health Sciences Program (RHSP), Kalisizo, Uganda.
Ying WeiDepartment of Biostatistics, Mailman School of Public Health, Columbia University, New York, NY, USA.
Man LuoDepartment of Biostatistics, University of California San Diego (UCSD), San Diego, CA, USA.
Rebecka LundgrenCenter on Gender Equity and Health (GEH), UCSD, San Diego, CA, USA.
John S SantelliDepartment of Population and Family Health, Mailman School of Public Health, Columbia University, New York, NY, USA.

Funding

Structural and Social Transitions Among Adolescents in Rakai (SSTAR)R01HD091003 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI SANTELLI, JOHN S. · 2017 to 2021
$3.7M
NICHD NIH HHS R01 HD091003
6 · The paper itself

Abstract

Few studies have sought to untangle the influence of social determinants and pregnancy on adolescent marriage declines. Using longitudinal data from 15- to 17-year-old girls in the Rakai Community Cohort Survey, we assessed how education, socio-economic status, orphanhood and pregnancy contributed to trends in adolescent marriage. We examined descriptive trends and logistic regressions of the associations between social determinants and adolescent marriage, and conducted causal mediation analysis to assess the extent that pregnancy mediated the effect of education on marriage. Between 1999-2018, adolescent marriages and pregnancies dropped substantially (24%-6% and 28%-8%). Girls' secondary schooling was strongly associated with lower marriage risk (aOR marriage=0.09; 95%CI=0.07-0.12), accounting for time. Lower pregnancy rates partially explained the effect of secondary schooling on lower adolescent marriage (aOR indirect effect=0.55; 95%CI=0.421-0.721). Findings affirm the importance of education in preventing adolescent marriages but call attention to the role of pregnancies in influencing adolescent marriages.

Indexed as

adolescent marriagechild marriageeducationteenage pregnancyUganda

Identifiers

PMID39308642
PMCPMC11412314

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.