PDF(Pubmed)
Abstract：
OBJECTIVE: Child marriage remains a significant socio-cultural phenomenon with profound implications for the quality of marital relationships, particularly among young women. This study investigates the association between child marriage and the quality of marriage among young married women in Iran.
METHODS: This study employed a population-based cross-sectional research design. A total of 70 young women, aged 18-20 years, who had married before reaching 18 years of age, were selected from four primary health care (PHC) centers in Papi District, Lorestan Province, Iran, employing a systematic random sampling approach. Subjects were categorized into women experiencing relationship distress and those without such distress using the Quality of Marriage Index (QMI). Concurrently, their level of sexual satisfaction was assessed utilizing the Hudson\'s Index of Sexual Satisfaction (ISS). Furthermore, Social Support was evaluated using the Social Support Questionnaire (SSQ).
RESULTS: The mean age (SD) of women was 18.9 (0.7) years, and their mean age (SD) of marriage was 15.2 (2.1) years. Women experiencing distress showed significant differences in age of menarche (P = 0.006), education levels (P = 0.039), spouses\' education (P = 0.025), spouses\' occupations (P = 0.004), household income satisfaction (P = 0.041), and household structure (P = 0.045). Pearson\'s correlation coefficient analysis revealed significant and positive correlations between sexual self-efficacy and social support with marital quality (r = 0.73, p < 0.001 and r = 0.55, p < 0.001, respectively). Conversely, there was a significant negative correlation between the score of indexes of sexual satisfaction and marital quality (r = -0.65, p < 0.001).
CONCLUSIONS: These findings emphasize the complex factors affecting marital quality and underscore the urgent need for interventions to support young women in early marriages. It is essential to reinforce policies aimed at reducing child marriage to improve the quality of marriage among young married women.
METHODS: This study employed a population-based cross-sectional research design. A total of 70 young women, aged 18-20 years, who had married before reaching 18 years of age, were selected from four primary health care (PHC) centers in Papi District, Lorestan Province, Iran, employing a systematic random sampling approach. Subjects were categorized into women experiencing relationship distress and those without such distress using the Quality of Marriage Index (QMI). Concurrently, their level of sexual satisfaction was assessed utilizing the Hudson\'s Index of Sexual Satisfaction (ISS). Furthermore, Social Support was evaluated using the Social Support Questionnaire (SSQ).
RESULTS: The mean age (SD) of women was 18.9 (0.7) years, and their mean age (SD) of marriage was 15.2 (2.1) years. Women experiencing distress showed significant differences in age of menarche (P = 0.006), education levels (P = 0.039), spouses\' education (P = 0.025), spouses\' occupations (P = 0.004), household income satisfaction (P = 0.041), and household structure (P = 0.045). Pearson\'s correlation coefficient analysis revealed significant and positive correlations between sexual self-efficacy and social support with marital quality (r = 0.73, p < 0.001 and r = 0.55, p < 0.001, respectively). Conversely, there was a significant negative correlation between the score of indexes of sexual satisfaction and marital quality (r = -0.65, p < 0.001).
CONCLUSIONS: These findings emphasize the complex factors affecting marital quality and underscore the urgent need for interventions to support young women in early marriages. It is essential to reinforce policies aimed at reducing child marriage to improve the quality of marriage among young married women.
摘要：
目的：童婚仍然是一个重要的社会文化现象，对婚姻关系的质量有着深远的影响，尤其是在年轻女性中。这项研究调查了伊朗年轻已婚妇女的童婚与婚姻质量之间的关系。
方法：本研究采用基于人群的横断面研究设计。共有70名年轻女性，18-20岁,在18岁之前结婚的人，从Papi区的四个初级卫生保健（PHC）中心中选择，洛雷斯坦省,伊朗,采用系统随机抽样的方法。使用婚姻质量指数（QMI）将受试者分为经历关系困扰的女性和没有这种困扰的女性。同时,使用Hudson性满意度指数（ISS）评估他们的性满意度水平。此外，使用社会支持问卷（SSQ）评估社会支持。
结果：女性的平均年龄（SD）为18.9（0.7）岁，他们的平均年龄（SD）为15.2（2.1）岁。经历痛苦的女性在月经初潮年龄方面存在显着差异（P=0.006），教育水平（P=0.039），配偶受教育程度(P=0.025)，配偶职业(P=0.004)，家庭收入满意度(P=0.041)，和家庭结构(P=0.045)。Pearson相关系数分析显示,性自我效能感、社会支持与婚姻质量呈显著正相关(r=0.73,p<0.001,r=0.55,p<0.001)。相反，性生活满意度指数与婚姻质量呈显著负相关(r=-0.65,p<0.001)。
结论：这些发现强调了影响婚姻质量的复杂因素，并强调迫切需要干预措施来支持年轻女性早婚。必须加强旨在减少童婚的政策，以提高年轻已婚妇女的婚姻质量。
方法：本研究采用基于人群的横断面研究设计。共有70名年轻女性，18-20岁,在18岁之前结婚的人，从Papi区的四个初级卫生保健（PHC）中心中选择，洛雷斯坦省,伊朗,采用系统随机抽样的方法。使用婚姻质量指数（QMI）将受试者分为经历关系困扰的女性和没有这种困扰的女性。同时,使用Hudson性满意度指数（ISS）评估他们的性满意度水平。此外，使用社会支持问卷（SSQ）评估社会支持。
结果：女性的平均年龄（SD）为18.9（0.7）岁，他们的平均年龄（SD）为15.2（2.1）岁。经历痛苦的女性在月经初潮年龄方面存在显着差异（P=0.006），教育水平（P=0.039），配偶受教育程度(P=0.025)，配偶职业(P=0.004)，家庭收入满意度(P=0.041)，和家庭结构(P=0.045)。Pearson相关系数分析显示,性自我效能感、社会支持与婚姻质量呈显著正相关(r=0.73,p<0.001,r=0.55,p<0.001)。相反，性生活满意度指数与婚姻质量呈显著负相关(r=-0.65,p<0.001)。
结论：这些发现强调了影响婚姻质量的复杂因素，并强调迫切需要干预措施来支持年轻女性早婚。必须加强旨在减少童婚的政策，以提高年轻已婚妇女的婚姻质量。
