Early school failure predicts teenage pregnancy and marriage: A large population-based cohort study in northern Malawi

PloS One
Judith R GlynnAmelia C Crampin

Abstract

School dropout has been linked to early pregnancy and marriage but less is known about the effect of school performance. We aimed to assess whether school performance influenced age at sexual debut, pregnancy and marriage, and from what age school drop-out and performance were associated with these later life events. Data from 2007-2016 from a demographic surveillance site in northern Malawi with annual updating of schooling status and grades, and linked sexual behaviour surveys, were analysed to assess the associations of age-specific school performance (measured as age-for-grade) and status (in or out of school) on subsequent age at sexual debut, pregnancy and marriage. Landmark analysis with Cox regression was used to estimate hazard ratios of sexual debut, pregnancy and marriage by schooling at selected (landmark) ages, controlling for socio-economic factors. Information on at least one outcome was available for >16,000 children seen at ages 10-18. Sexual debut was available on a subset aged ≥15 by 2011. For girls, being out of school was strongly associated with earlier sexual debut, pregnancy and marriage. For example, using schooling status at age 14, compared to girls in primary, those who had dropped out had adjusted h...Continue Reading

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Citations

Nov 21, 2019·PloS One·Gowokani Chijere ChirwaJesman Chintsanya
Jan 16, 2021·The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine·Anju Malhotra, Shatha Elnakib
Mar 6, 2021·International Journal of Women's Health·Haymanot MezmurTadesse Alemayehu

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