Evidence map›Paper›PMID 40091116›Full record

ArticleConflict and health2025

"What other option did I have?"- The effect of conflict and displacement on child marriage and early childbearing among displaced Rohingya adolescents.

Kate Mieth, Tahia Hasan, Adrija Chakrabarty, Kenna Lee, Adrita Kaiser, Tanvir Hasan, Shatha Elnakib, Caitlin Jackson, W Courtland Robinson, Linnea A Zimmerman

Abstract read
In one paragraph

Article in Conflict and health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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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

3 citing papers in PubMed.

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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.

Kate MiethJohns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD, 21205, USA.
Tahia HasanBRAC James P Grant School of Public Health, 28, 6th Floor, Medona Tower, Bir Uttam AK Khandakar Rd, Dhaka, 1213, Bangladesh.
Adrija ChakrabartyJohns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD, 21205, USA.
Kenna LeeJohns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD, 21205, USA.
Adrita KaiserBRAC James P Grant School of Public Health, 28, 6th Floor, Medona Tower, Bir Uttam AK Khandakar Rd, Dhaka, 1213, Bangladesh.
Tanvir HasanBRAC James P Grant School of Public Health, 28, 6th Floor, Medona Tower, Bir Uttam AK Khandakar Rd, Dhaka, 1213, Bangladesh.
Shatha ElnakibJohns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD, 21205, USA.
Caitlin JacksonJohns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD, 21205, USA.
W Courtland RobinsonJohns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD, 21205, USA.
Linnea A ZimmermanJohns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD, 21205, USA. linnea.zimmerman@jhu.edu.

Funding

Research for Health in Humanitarian Crises 70182
6 · The paper itself

Abstract

backgroundHumanitarian emergencies are postulated to increase rates of early marriage and early childbearing, as drivers of both are heightened or exacerbated in crisis settings. There is a critical need for research that explores the causal mechanisms that motivate family formation, i.e. the process from marriage into childbearing, and how this process is affected by conflict and displacement.

objectiveThis paper aims to describe how displacement and living within a camp context has affected norms and drivers around family formation, focusing on the lived experience of female and male adolescents and young adults.

methodsWe coded and analyzed qualitative data from forty-nine in-depth interviews and sixteen focus group discussions conducted with Forcibly Displaced Myanmar Nationals aged 15-24 who arrived in Cox's Bazar during or after October 2016.

resultsParticipants largely agreed that rates of child marriage have increased post-conflict and displacement. They attributed this increase to a variety of drivers, including fears around protection, socioeconomic need, lack of education and employment opportunities, and a perceived loosening of restrictions around legal age of marriage within camp. While some of these were pre-existing drivers exacerbated by conflict and displacement, others were new drivers that developed as a result. The ways that adolescents and young adults experienced each driver were highly gendered. Conversely, conflict and displacement had seemingly little effect on cultural expectations to demonstrate fecundity immediately after marriage. Finally, participants felt that adverse living conditions within camp have significantly lowered fertility intentions and have increased cultural acceptance and adoption of family planning.

conclusionsOur results demonstrate that many Rohingya families view child marriage as a practical tool to overcome challenges associated with being displaced, and early childbearing as an inevitable natural consequence of child marriage. The Government of Bangladesh must ease restrictions on income-generating opportunities as well as continue working with humanitarian organizations to provide and fund education and skills-building opportunities for both adolescent girls and boys, who otherwise have no alternatives to child marriage and few other opportunities to productively contribute to their communities.

Indexed as

Adolescent healthChildbearingChild marriageConflictCox’s BazarDisplacementEarly marriageFamily formationFecundityFertilityForcibly-displaced Myanmar nationalsHumanitarian settingsRohingya

Identifiers

PMID40091116
PMCPMC11912763

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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.