Child Marriage in the United States: How Common Is the Practice, and Which Children Are at Greatest Risk?
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Child Marriage in the United States: How Common Is the Practice, And Which Children Are at Greatest Risk? CONTEXT: Marriage before the age of 18, commonly referred to as child marriage, is legal under varying conditions By Alissa Koski and across the United States. The prevalence of child marriage among recent cohorts is unknown. Jody Heymann METHODS: American Community Survey data for 2010–2014 were used to estimate the average national and state- level proportions of children who had ever been married. Prevalence was calculated by gender, race and ethnicity, and Alissa Koski is a postdoctoral scholar, birthplace, and the living arrangements of currently married children were examined. and Jody Heymann is dean, both at the Uni- RESULTS: Approximately 6.2 of every 1,000 children surveyed had ever been married. Prevalence varied from more versity of California, than 10 per 1,000 in West Virginia, Hawaii and North Dakota to less than four per 1,000 in Maine, Rhode Island and Los Angeles, Fielding Wyoming. It was higher among girls than among boys (6.8 vs. 5.7 per 1,000), and was lower among white non- School of Public Health. Hispanic children (5.0 per 1,000) than among almost every other racial or ethnic group studied; it was especially high among children of American Indian or Chinese descent (10.3 and 14.2, respectively). Immigrant children were more likely than U.S.-born children to have been married; prevalence among children from Mexico, Central America and the Middle East was 2–4 times that of children born in the United States. Only 20% of married children were living with their spouses; the majority of the rest were living with their parents. CONCLUSIONS: Child marriage occurs throughout the country. Research on the social forces that perpetuate child marriage is needed to inform eff orts to prevent it. Perspectives on Sexual and Reproductive Health, 2018, 50(2): TK, doi:10.1363/psrh.12055 Marriage before the age of 18, commonly referred to as strictest laws currently in place prohibit marriage before child marriage, is widely considered a violation of human the age of 16 or 17, but some states do not have an explic- rights that threatens the health and well-being of chil- itly legislated minimum, below which marriage is prohib- dren around the globe.1 The United Nations Convention ited without exception.7 on Consent to Marriage, Minimum Age for Marriage and Girls who marry as children in the United States achieve Registration of Marriages, adopted in 1962, required that lower educational attainment than their peers who delay member countries establish a minimum age for marriage, marriage.8 Marrying as a child also increases the risk of liv- but did not provide specifi c guidance on what that age ing in poverty in adulthood, even more so than dropping should be.2 Nearly 20 years later, the Convention on the out of high school. A study based on data from the 1960, Elimination of All Forms of Discrimination Against Women 1970 and 1980 U.S. censuses found that marriage before reiterated that requirement and declared that the marriage the age of 16 increased the risk of poverty by 31 percent- of children “shall have no legal eff ect.”3 It was not until the age points, while dropping out of high school increased adoption of the Convention on the Rights of the Child in the risk by 11 points.9 Married girls are more likely to start 1989–1990 that the United Nations defi ned a child as any having children of their own as teenagers, and give birth person younger than 18.4,5 This defi nition has since been at shorter intervals, than women who marry later.10 They used to establish quantifi able targets for international devel- are at greater risk of experiencing mental health and sub- opment, including child marriage. The UN Sustainable stance abuse disorders later in life.8 Early marriages are Development Goals call for the elimination of child mar- also much less stable than those entered into at later ages. riage before the year 2030, and progress toward this goal Marriages involving girls and boys younger than 20 have a is measured by estimating the proportion of women aged lower probability than those involving any other age-group 20–24 who were married before age 18.6 of remaining intact after fi ve years; they are also reported to The marriage of minors remains legal throughout the be less satisfying.11,12 United States. All states ostensibly set the minimum age for Child marriage remains very common in some regions marriage at 18, but exceptions can be granted in every state of the world,13 and studies from low- and middle-income under various circumstances, most commonly parental countries have examined a wider range of outcomes. In consent and some measure of judicial approval. The earli- these settings, child marriage is associated with limited est age at which a child can legally be married varies. The access to contraception and more unwanted pregnancy, Volume 50, Number 2, June 2018 Child Marriage in the United States HIV infection, domestic violence and suicidal ideation.14–18 unaware of any quantitative studies that compare child These relationships have not been examined in high-income marriage rates among native-born and immigrant children settings. Some of the health-related consequences of child within the United States or other high-income countries. marriage may be similar, and others may diff er, in wealthier However, studies from Sweden and Canada have shown contexts, where public health infrastructure is stronger and that immigrants and their children marry earlier, on aver- health care is more accessible. For example, obstetric com- age, than native-born persons.27,28 plications are the leading cause of death among 15–19-year- In this study, we estimated the prevalence of child mar- old girls in low-income countries,19 largely because of poor riage within the United States as a whole and within each access to emergency obstetric care and underlying nutri- state. We measured diff erences in the prevalence of child tional defi ciencies. In contrast, the eff ect of maternal age on marriage by gender, race and ethnicity, and place of birth at the risk of adverse obstetric outcomes among older adoles- the national level, and examined the living arrangements of cents in high-income countries is debated.20 married children in the country. Although child marriage is legally permitted throughout the United States, its prevalence in recent years and which METHODS children are at greatest risk are unclear. Prevalence among Data younger cohorts, which would help to establish the extent The American Community Survey (ACS) is a household to which the practice continues in the United States, has survey conducted annually by the U.S. Census Bureau. not been examined. Some studies of early marriage in the Households from every county in the United States country have included youth aged 18 and 19 and those in are selected for participation on the basis of the Census their early 20s.21,22 Others have used nationally representa- Bureau’s master address fi le, which lists all known living tive survey samples that include respondents from broad age quarters in the country. Response to the survey is manda- ranges.8,23 These estimates are an average of the prevalence of tory. Selected households are contacted through the mail child marriage across several generations and may not accu- and may respond by completing a paper questionnaire or rately refl ect prevalence among younger people. For exam- via the Internet. Households that do not respond within ple, Le Strat and colleagues reported that 9% of women aged fi ve weeks receive a telephone call or in-person visit. Each 18 and older who responded to the 2001–2002 National annual sample is representative of the population of the Epidemiologic Survey on Alcohol and Related Conditions country as a whole and the population of each state. Full had married as children.8 However, the proportion rose from details of the survey design and sampling methods are 8% among 18–29-year-olds to 24% among 30–44-year-olds available from the Census Bureau.29 and 41% among 45–64-year-olds. Another study, based One person from each selected household, usually the on data from the 2002 National Survey of Family Growth, owner or renter of the home, is asked to provide infor- found that the probability of marriage before age 18 was 6% mation on all of the individuals who usually reside there. among women and 2% for men, and that Hispanic women Each person’s gender, race and ethnicity, and relationship had a higher probability of having married as children than to the household head are documented. Birthplace is also non-Hispanic white or black women.23 recorded, along with the year any individual not born in The timing of marriage varies according to demographic the country arrived in the United States. The marital status characteristics, geographic region and other traits. Earlier of all persons aged 15 and older is also recorded, on the work has shown that Hispanic women, women from dis- basis of responses to the question “What is this person’s advantaged households, and women living in the Southern marital status?” Response categories are “now married,” United States are more likely than others to have married “widowed,” “divorced,” “separated” and “never married.” as children.24 Additionally, persons from Mormon and con- The respondent is also asked how many times each person servative Protestant traditions marry at younger ages than has been married and the year in which the most recent those from other religious backgrounds.22,25 However, cen- marriage took place.