HEALTH EFFECTS OFADOLESCENTMARRIAGE

Öz

The purpose o f this study is to explain the effects on the health o f adolescents in marriage. Although adolescent marriages seen very common in the world, it especially becomes a problem in low socioeconomic status and education rate among the girls. Illiteracy, poverty, some cultural and religious characteristics, wars and migration can be the reason o f adolescent marriages. As well as psychosocial outcomes such as inadequacy o f self-esteem, depression, suicidal thoughts, illiteracy, exposure to violence, social isolation; this marriages also may have physiological consequences such as lack o f contraceptive use, multiple births, hypertensive disorders, eclampsia-preeclampsia and infection. In order to prevent such a problem which may cause health problems, measures such as constituting awareness in the community, making legal arrangements and emphasis on adolescent education must be taken

Anahtar Kelimeler

• Adolescents,marriage,nursing

ADÖLESAN EVLİLİKLERİN SAĞLIĞA ETKİLERİ

Öz

Bu çalışmanın amacı adölesan evliliklerin sağlık üzerine etkilerinin açıklanmasıdır. Adölesan evlilikler dünyada yaygın olarak görülmekle birlikte özellikle sosyoekonomik düzeyi ve eğitim oranı düşük ailelerde genellikle kız çocukları arasında görülen bir sorundur. Eğitimsizlik, yoksulluk, bazı kültürel ve dini özellikler, savaşlar, göçler gibi faktörlerin etkisiyle oluşabilmektedir. Bu evliliklerin kişiler üzerinde, depresyon, intihar düşüncesi, eğitimsizlik, şiddet görme, sosyal izolasyon, özgüven yetersizlikleri gibi psikososyal sonuçlarının yanı sıra, kontraseptif kullanmama, çok sayıda doğum, hipertansif bozukluklar, eklemsi-preeklemsi, enfeksiyon gibi fizyolojik sonuçları da olabilmektedir. Bu denli sağlık problemlerine neden olan bir sorunun önlenebilmesi için toplumun bilinçlendirilmesi, yasal düzenlemeler yapılması, adölesanların eğitimine önem verilmesi gibi önlemler alınmalıdır

Anahtar Kelimeler

• Adölesan,evlilik,hemşirelik

Kaynakça

1. Aktaş E, Teksöz E, Ocakçı AF. Ailede Kadınının Değişen Rolünün Çocuk Sağlığına Etkisi ve Aile Merkezli Bakımın Önemi . Ege Üniversitesi Hemşirelik Fakültesi Dergisi 2012; 28 (1) : 73-8. Retrieved October, 2015 from http://hemsirelik.ege.edu.tr/files/cilt28sayi1-2012.pdf
2. Aydemir, E. Evlilik mi evcilik mi? Erken ve Zorla evlilikler: Çocuk gelinler. Uluslararası Stratejik Araştırmalar http://www.usak.org.tr/dosyalar/diger/bgofIciPmdxlmVsAMuEFTi0F1P4JiQ.pdfhttp://www.usak.org.tr/i mages_upload/files/11-08%20evlilik%20mi%20evcilik%20mi.pdf August 25, 2014, from
3. Chatterjee P. India Grapples with its Child Marriage Challenge. The Lancet 2011; 378: 1987-8. Retrieved January 11, 2015, +P.+(2011).+India+grapples+w ith+its+child+m arriage+challenge.+The+Lancet% www. 2C + 378% 3A + 1987-1988 http:// ncbi. nlm.nih.gov/pubmed/ ?term =Chatterjee+
4. Coskun M,Zoroğlu S,Ghaziuddin N. Suicide Rates Among Turkish and American Youth: A Cross-Cultural Comparison. Arc Suicide Res 2012; 16 (1):59-72. http://www.ncbi.nlm.nih .gov/ pubmed/22289028 doi: 10.1080/13811118.2012.640612.
5. Erken Yaşta Evlilikler Hakkında İnceleme Yapılmasına Dair Rapor. 2010. Retrieved December 28, 2014 from www.tbmm.gov.tr
6. Erulkar A. Adolescence Lost: The Realities of Child Marriage. Journal of Adolescent Health 2013; 52 (5): 513-4. Retrieved October 26, 2014, from http://www. sciencedirect. com/ science/article/pii/ S1054139X13001249 doi: 10.1016/j.jadohealth.2013.03.004.
7. Gage AJ. Association of Child Marriage with Suicidal Thoughts and Attempts Among Adolescent Girls in Ethiopia . Journal of Adolescent Health 2013; 252 (5): 654-6. Retrieved December 30, 2014, http://www.sciencedirect.com/science/article/pii/S1054139X12007987 10.1016/j.jadohealth.2012.12.007 doi
8. Ganchimeg T , Ota E, Morisaki N, Laopaiboon M, Lumbiganon P, Zhang J, Yamdamsuren B, Temmerman M , Say L, Tunçalp O, Vogel JP, Souza JP, Mori, R. Pregnancy and Childbirth Outcomes Among Adolescent Mothers: A World Health Organization Multicountry Study.WHO Multicountry Survey on Maternal Newborn. International Journal of Obstetrics and Gynecology 2014; 121 (1): 40-8. Retrieved January 11, 2015, from http://www.ncbi.nlm.nih.gov/pubmed/24641534 doi: 10.1111/1471- 0528.12630.

9. Godha D, Hotchkiss DR, Gage A J. Association between Child Marriage and Reproductive Health Outcomes and Service Utilization: A Multi-Country Study from South Asia. The Journal of Adolescent Health 2013; 52 (5):552-8. Retrieved December 26, 2014, from http://www. sciencedirect.com/ science /article/pii/ S1054139X13000773 doi: 10.1016/j.jadohealth. 2013 .01.021
10. Gottschalk N. Uganda: Early Marriage as a Form of Sexual Violence, Forced Migration Review 2007; 27: 51-3. Retrieved December 28, 2014, from https://books.google.com.tr/books?id=rpn6yHQhRGMC&
11. Gözlüpirinçoğlu A . Ergen evlilikleri. In: Derman O, Kanbur N, Editor. Ergen ve Riskler.1st ed.İzmir: 35 Ajans Matbaacılık; 2014. 85-90.
12. Huang CC, Lin YC, Huang YT, Huang KH. Comparison of Medical Issues in Antenatal And Perinatal Periods in Early Youth, Adolescent, and Young Adultmothers in Taiwan: A 10-Year Nationwide Study. BM C Pregnancy Childbirth 2014; http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4129098/ doi: 10.1186/1471-2393-14-260. 4:14 (260)
13. Retrieved December 30, 2014, from
14. Iacobelli S, Robillard PY, Gouyon JB , Nichols M , Boukerrou M , Barau G, Bonsante F. Longitudinal Health Outcome and Wellbeing of Mother-İnfant Pairs After Adolescent Pregnancy in Reunion Island, Indian Ocean.Int J Gynaecolo Obstet 2014; 125 (1):44-8. Retrieved January 12, 2015 from 10.1016/j.ijgo.2013.09.029.
15. Jensen R , Thornton R . Early Female Marriage in The Developing World. Gender and Development 2003; 11 (2): 9-19. Retrieved January 15 2015, from http://www.khubmarriage18.org/sites/default/files/100.pdf
16. Kadınlara Karşı Her Türlü Ayrımcılığın Önlenmesi Uluslararası Sözleşmesi. 1979. Retrieved January 14, 2015, from http://www.unicef.org/turkey/cedaw/_gi18.html
17. Karayaka E, Gençalp NS. Sosyoekonomik Düzeyi Düşük Bölgede Yaşayan Adölesan Evli Kadının Üreme Sağlığı Sorunları, Hemşirelikte Eğitim ve Araştırma Dergisi 2009; 6 (1): 34-40. Retrieved January 10, 2015, from http://www. journalagent. com/kuhead/ pdfs/KUHEAD_6_1_34_40.pdf
18. Marrying Too Young End Child Marriage. 2012. Retrieved January 03, 2015 from http://www.unfpa.org/ public/home/ publications/pid/12166
19. Mensch B , Singh S, Casterline J. Trends in the Timing of First Marriage Among M en And Women in The Developing World, Population Council 2005; 202:1-54 Retrieved January 08, 2015 from http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.175.7458&rep=rep1&type=pdf
20. Motil KJ, Kertz B, Thotathuchery M. Lactational Performance O f Adolescent Mothers Shows Preliminary Differences from that of Adult Women. J Adolesc Health 1997; 20 (6):442-9. Retrieved January 07, 2015 from http://jhl.sagepub.com/content/23/4/362.refs
21. Nasrullah M , Zakar R , Zakar MZ. Child Marriage and its Associations with Controlling Behaviors and Spousal Violence Against Adolescent and Young Women in Pakistan. Journal of Adolescent Health 2014a; 5 5(6):804-9. Retrieved October 18, 2014, from http://www.sciencedirect.com/science/article/pii/ S1054139X14002729 doi: 10.1016/j .jadohealth .2014. 06. 013.
22. Nasrullah M, Zakar R, Zakar MZ, Krämer A. Girl-child Marriage and its Association with Morbidity and Mortality of Children Under 5 Years of Age in A Nationally-Representative Sample of Pakistan. Journal of Pediatrics http://linkinghub.elsevier.com/retrieve/pii/S0022-3476(13)01426-1 doi: 10.1016/j.jpeds.2013.11.017 2014b
23. Ozcebe H, Biçer BK . An Important Female Child and Woman Problem: Child Marriages. Turk Arch Ped 2013; 195/buyuk/86-93-ing.pdf doi: 10.4274/tpa.1907
24. Ozkazanç A, Saylan F. Gendered Power Relations in the School: Construction School Girls in a Turkish High School. International Journal of Social Sciences 2008; 3 (1) Retrieved December 25, 2014, from http://kasaum.ankara.edu.tr/files/2013/03/alevfevziye-gender.pdf
25. Rahman M , Hoque MA, Mostofa MG, Makinoda S . Association between Adolescent Marriage and Intimate Partner Violence: A Study of Young Adult Women in Bangladesh. Asia Pac J Public Health 2014; 26 (2): 160-8. Retrieved December 18, 2014, from http://aph.sagepub.com/content/26/2/160. full.pdf+html doi: 10.1177/1010539511423301.
26. Raj A, Saggurti N, Lawrence D , Balaiah D, Silverman JG. Association between Adolescent Marriage and Marital Violence Among Young Adult Women in India. Int J Gynaecol Obstet 2010; 110 (1): 35-9. Retrieved December 29, 2014, from pii/S0020729210000937 doi: 10.1016/j.ijgo.2010.01.022.
27. Raj A, Saggurti N, Balaiah D, Silverman JG. Prevalence of Child Marriage and its Effect on Fertility and Fertility-Control Outcomes of Young Women in India: A Cross-Sectional, Observational Study. The Lancet pmc/articles /PMC2759702/ pdf/nihms120358. pdf doi:10.1016/S0140-6736(09) 60246-4
28. Salvi V. Child marriage in India: A Tradition with Alarming Implications. The Lancet 2011; 373 (9678):1826-27. Retrieved January 02, 2015, from http://www.sciencedirect. com/science/article/pii S0140673609604529# doi::10.1016/ S01406736(09)60452-9
29. Scholl T O , Hediger ML, Belsky DH. Prenatal Care and Maternal Health During Adolescent Pregnancy: A Review and Meta-Analysis. J Adolesc Health 1994; 15 (6): 4 4 4 -5 6 . Retrieved January 02, 2015, from http://www.ncbi.nlm.nih.gov/pubmed/7811676
30. Seella J, Audınatayana N. Determinants of Female Age at First Marriage in Tamil Nadu :An Analysis of NFHS D A TA . The Journal of Family Wellfare 2000; 46 (2): 25-32. Retrieved November 28, 2014, from http://www.popline.org/node/244539
31. State of World Population. 2013. Retrieved January 13, 2015, from http://www.unfpa.org/publications/state- world-population-2013
32. Türkiye Cumhuriyeti Ceza Kanunu. 2004. Retrieved January 14, 2015, from http:/ / www. mevzuat. gov.tr/ Metin1. 1& T ertip =5& N o= 5237
33. Türkiye Cumhuriyeti Medeni Kanunu. 2001. Retrieved January 14, 2015, from http:// www. mevzuat. gov.tr/ Metin.Aspx?MevzuatKod= .5.4721&MevzuatIliski=0&sourceXml Search=
34. Türkiye’de Aile Yapısı Araştırması. 2011. Retrieved January 16, 2015, from http:// www.cocukhaklariizleme. org/ wp-content /uploads/ turkiyenin-aile-yapisi-arastirmasi-20111.pdf
35. Türkiye’de Çocukların Durumu Raporu. 2011. Retrieved January 14, 2015, from http://www. izmiriplanliyorum.org/ static/ upload/ file/turkiye'de_cocuklarin _durumu_raporu_(2011).pdf
36. Türkiye istatistik Kurumu. 2013. Retrieved January 02, 2015, from http://www.tuik.gov.tr /PreHaber Bultenleri.do?id=16056
37. Türkiye Nüfus ve Sağlık Araştırması .2013. Retrieved January 02, 2015, from http://www.hips. hacettepe.edu.tr/TNSA_2013_ana_rapor.pdf
38. Treffers PE. Teenage Pregnancy: A Worldwide Problem, Ned Tijdschr Geneeskd 2003; 147:2320- 25.Retrieved January 05, 2015, from http://www.ncbi.nlm.nih.gov/pubmed/14669537
39. World Marriage patterns, United Nations, Population Division, Department of Economic and Social Affairs .2000. Retrieved January 16, 2015, from www.un.org/ esa/ population/ publications/ worldmarriage /worldmarriagepatterns2000