Minimum marriage age laws, child marriage and cumulative fertility: Evidence from sub-Saharan Africa Authors: Belinda Maswikwa, MA Linda Richter, PhD Chris Desmond, PhD Jay Kaufman, PhD Arijit Nandi, PhD Outline Background Research aims Research methods Results Discussion Questions Background 62.8 million 20-24year olds married before 18 Child marriage Child marriage Child marriage Child marriage Child marriage Child marriage Child marriage early child bearing higher maternal mortality higher child mortality higher HIV prevalence lower birth weights higher total fertility rates Research aims Focus on three marriage laws General minimum marriage age (civil) Minimum marriage age with parental consent Age of sexual consent Association between all three minimum marriage age laws set at 18 or higher and child marriage (consistent 18 + laws) Association between child marriage and fertility (total children born) Contribution Gap in the literature South Asia focus – disproportionate burden in Sub-Saharan Africa Few studies of effect of minimum marriage age laws Significance Reproductive health, mortality and morbidity concerns – child marriage and adolescent childbearing UN MDG goals 4 and 5 (child mortality and maternal health) RESEARCH METHODS Data sources Child marriage database World Policy Analysis Centre at UCLA Captures the legal minimum age of marriage Demographic and Health Surveys Funded by United States Agency for International Development (USAID) Captures population and reproductive health Collaboration with Institute for Health and Social Policy, McGill University, Montreal Canada Primary Research Question 3 consistent 18+ minimum marriage age laws Exposure: Marriage age law consistency 0 if any marriage laws < 18 1 if all three marriage laws > 18 Outcomes: Child marriage rates Analysis Risk ratios Weighted and controlled for clustering at country level Occurrence of child marriage RESULTS Sample Country Year Minimum marriage age Parental Consent Age of Sexual Consent % married before 18 Mean children Countries with 3 consistent 18+ laws Burundi 2010 18 18 18 34.0 1.9 Ethiopia 2011 18 18 18 65.7 2.1 Rwanda 2010 21 21 18 20.0 1.6 Uganda 2011 21 18 18 57.1 2.2 Mean 20.2 18.8 18 49.3 2.0 Countries with 3 inconsistent laws Burkina Faso 2010 20 17 13 65.3 2.0 Cameroon 2011 n/a 15 n/a 63.0 2.0 Gabon 2012 21 15 18 45.3 1.7 Malawi 2010 18 15 14 61.6 2.0 Mozambique 2011 18 16 16 65.0 1.9 Senegal 2010 18 16 16 58.8 2.0 Tanzania 2010 15 15 18 54.3 2.0 Zimbabwe 2010 18 16 16 45.6 1.6 Control variables Wealth quintile Poorest, Poor, Middle, Richer, Richest Location Rural, Urban - dummy variable Education None (0 years) Primary school (1-6 years), Secondary school ( 7 – 12 years) Post secondary school (+13 years) Religion Muslim, Catholic, Other Christian,Traditional – dummy variables Results: Law consistency and child marriage Child marriage Consistent 18+ laws Risk ratios (95% confidence intervals) 0.79 (0.55 to 1.12) Richest quintile (ref) Richer 1.12*** (1.04 to 1.21) Middle 1.15*** (1.06 to 1.25) Poorer 1.21*** (1.11 to 1.31) Poorest 1.23** School years 0.96*** (0.95 to 0.98) (1.10 to 1.38) Location (rural: urban) 1.10** (1.01 to 1.20) No religion (ref) Muslim 0.97 (0.86 to 1.09) Catholic 0.88* (0.77 to 1.02) Traditional 0.98 (0.85 to 1.13) Other Christian 0.99 (0.90 to 1.09) Secondary Research Question 3 consistent 18+ minimum marriage age laws Exposure: Child marriage 0 if first age at marriage >= 18 1 if first age at marriage < 18 Outcomes: Fertility Total children born Adolescent Fertility Analysis Poisson regression Weighted and controlled for clustering at country level Controls Covariates: Wealth quintile Poorest, Poor, Middle, Richer, Richest Location Rural, Urban - dummy variable Education None (0 years) Primary school (1-6 years), Secondary school ( 7 – 12 years) Post secondary school (+13 years) Age Religion Muslim, Catholic, Protestant, Traditional – dummy variables Results: child marriage and fertility CEB β coefficients (95% confidence intervals) Child marriage 0.53*** Consistent 18+ laws -0.04 (-0.22 to 0.14) Richest quintile (ref) Richer 0.07*** (0.02 to 0.13) Middle 0.11*** (0.05 to 0.18) Poorer 0.12*** (0.05 to 0.20) Poorest 0.16*** (0.07 to 0.24) School years -0.02*** (-0.03 to 0.00) Location 0.09*** (0.04 to 0.14) Age 0.17*** (0.16 to 0.18) No religion (ref) Muslim -0.05 (-0.13 to 0.04) Catholic -0.01 (-0.09 to 0.06) Other Christian -0.04 (-0.11 to 0.04) Traditional -0.01** (-0.08 to 0.06) (0.46 to 0.60) Discussion No significant association between law consistency and child marriage at country level Households in countries with consistent minimum marriage age laws of 18 years or over for girls are 21% less likely to have women who marry as children Significant positive association between child marriage and adolescent fertility Girls who marry before the age of 18 years have more children than those who marry as adults. Study limitations Further work Questions/Comments Thank you