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Research Article

Determinants of child marriage among rural women in the West Guji Zone, Southern Ethiopia, 2024: a community-based cross-sectional study

[version 1; peer review: 1 approved with reservations]
PUBLISHED 05 Nov 2024
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This article is included in the Global Public Health gateway.

Abstract

Background of the study

Child marriage is linked with multiple maternal and child health issues. However, there is insufficient information regarding the factors influencing child marriage among rural women.

Objective

To identify the determinants of child marriage among rural women of reproductive age women in the West Guji Zone, Southern Ethiopia, 2024.

Methods

A community-based cross-sectional study was conducted from April 1 to May 5, 2024. A multistage sampling procedure was used to select 711 participants. The SPSS version 25 was used for data analysis. A multivariable logistic regression model was fitted to determine the determinants of child marriage. Adjusted odd ratio with a 95% confidence interval was used to assess the strength of the associations, and statistical significance was declared at p < 0.05.

Results

The prevalence of child marriage was 49.6% (95% CI: 0.472-0.524). Being Muslim (AOR=2.104, 95% CI =1.176-3.764), nonformal fathers’ education (AOR=2.633, 95% CI=1.135-6.109), primary level of fathers’ education (AOR=3.326, 95% CI=1.421-7.787); not exposed to media (AOR=1.56, 95% CI=1.033-2.356); living with a relative (AOR=1.592, 95% CI=1.012-2.504); not knowing the legal age of marriage (AOR=2.528, 95% CI=1.593-4.010); marital decision making by girls (AOR=.666, 95% CI=.463-.959), and poor parental wealth status (AOR=4.464, 95% CI=2.795-7.129) were associated with child marriage.

Conclusion

Almost one in every two women married before 18 in the study area. The determinant factors include religion, fathers’ level of education, exposure to media, living arrangements; awareness of the legal marital age, marriage decision making, and parents’ wealth status. Thus, intervention efforts should focus on these factors to increase the marital age and improve women’s prospects.

Keywords

Child marriage, rural women, determinants, West Guji

Introduction

Age at first marriage has a significant effect on women’s prospects. Child marriage is a widespread cultural tradition globally and involves the marriage of girls under the age of 18 years.1 Marriage before the age of eighteen is regarded as a discriminatory practice that violates human rights and exposes women to numerous challenges.2 Marriage at an early age is associated with a lower level of education, dissatisfaction with married life, poor physical and mental health outcomes, a lack of autonomy, increased gender inequality, marital insecurity, divorce, a low status of women in society, curtailed economic empowerment, limited access to job opportunities, and a higher fertility rate.35 In contrast, marriage at a later age than 18 years has been correlated with higher rates of female involvement in the labor force, improved mother and child health, more bargaining power, higher levels of education, and lower fertility rates.6

A report by the United Nations Children’s Fund (UNICEF) states that more than 650 million women and girls alive today were married before turning 18.7 More than half 55.11% of women in sub-Saharan Africa are married at a young age less than18 years old.8 Among them, Eastern and Southern Africa is home to about 32%. With 17.3 million early-married women, Ethiopia is the leading country in the region.7

Globally, there was an increase in the mean age at first marriage among women between 1995 and 2015 from 22.3 years to 23.3 years.6 In Western countries, between 1965 and 2000, the mean age of marriage improved from 24.7 to 28.3 years.9 Similarly, the proportion of women married before 18 years of age has declined over the past three decades from 1 in 3 girls to 1 in 4 girls.10 In Sab-Saharan Africa (SSA) from 1950-2005, there was an increase in marital age of 3.3 years in urban areas and 1.1 years in rural areas.11 Nonetheless, the region as a whole had a 55.11% prevalence of early marriage, with a range of 28.11% in Burundi to 80.77% in Niger.8 Similarly, in Ethiopia, the mean age of first marriage among women improved from 14.34 years in 2000 to 15.5 years in 2016.12 However, Ethiopia remains one of the top ten countries in the world in terms of the number of girls married at an early age.10

Child marriage is associated with several factors, including women’s education status, employment opportunities, family wealth status, family size,8 religion,13 living in rural areas, knowledge of legal marital age,14 marriage decision making,15 ethnicity, exposure to media,16,17 lack of alternative options for girls rather than marriage, absence of supporting agencies, social norms, fear of pregnancy,18 maternal education,19 lack of awareness of the legal age of marriage,20 feelings of loneliness,21 an unsecured environment, conflict within the family, the presence of fragmented families22 and stigma associated with girls’ virginity,23 which are factors that influence early marriage.

Eliminating cultural practices that affect women’s health, such as marriage before the age of 18 is a national and international concern. According to Sustainable Development Goal (SDG) 5.3, early marriages should cease by 2030,24 and Ethiopia pledged to end under 18 marriages by 2025.25 However, more than half (56.34%) of Ethiopian girls married before turning 18 years.26 Moreover, research has revealed that rural women are more likely to marry at an early age than urban women, and experience the negative effects of doing so.20,26 Arranged marriages are more common in the research area than love marriages are, which increases the likelihood of early marriage.27 An increase in age at first marriages has been documented over the past several decades.12 However, there is a paucity of information on whether changes accompany rural women. In Ethiopia, little is known about child marriage among rural women.

Therefore, this research aims to investigate the prevalence of child marriage and its determinants among rural women of reproductive-age. This study has implications for policymakers in designing policies targeting rural girls by engaging local institutions in the study area, such as ‘Haadha siiqee’, an organization dedicated to defending women’s rights, the ‘Gadaa’, a governance organization that formulates and implements laws, and religious institutions to work against child marriage.

Methods

Study setting: This study was conducted in the West Guji zone of southern Oromia. The zone was located 470 kilometers south of Ethiopia’s capital, Addis Ababa. The zone has three climatic zones: 37.8% lowlands (desert), 54.2% mid-highlands (Wayne degas), and 8% highlands (Degas). The zone is situated between 500 and 2200 m above sea level. The climatic conditions of the zone are relatively hot, and the annual average rainfall varies between 500 and 1200 ml. The zone has 10 administrative districts (9 rural districts and 1 urban district) and 196 kebeles (the lower-level administrative unit). The zone is bordered to the west and north by the southern nation, nationalities, and peoples region; to the east by the East Guji zone; and south by the Borana zone.

Guji society is an Oromo ethnic group that preserves and practices Oromo traditional institutions such as the Gada system (indigenous governance system) which formulates and implements law. Another is the siinqee institution, which aims to protect women’s rights. Guji Oromo practiced arranged marriages (parents decided on marriage) rather than love marriages.28

The West Guji Zone Administration Office’s 2023 report that there were approximately 2.5 million residents in the zone, 50.4% of whom were men and 49.6% of whom were women. There are 303,636 women of reproductive age living in rural districts.

Study period: This study was carried out from April 1 to May 5, 2024.

Study design: A community-based cross-sectional study design was applied in this study.

Source population: The source population for this study included all women of reproductive age (15-49 years) living in the rural districts of the West Guji zone.

Study population: The study population for this study include randomly selected women of reproductive age (15-49 years) living in selected Kebeles of the West Guji zone more than six months and who were available in their residential home during the study period from April 1 to May 5, 2024.

Inclusion criteria: Women of reproductive-age who were married and lived in selected Kebele for more than six months were included in the study.

Exclusion criteria: Women who were sick, had mental or hearing impairments, were in cohabiting relationships, and who did not stay for more than six months in selected Kebele were excluded.

Sample size determination

A single population proportion formula was used to determine the sample size for this study with the assumptions of Zα/2 = 1.96, 95% confidence level, 5% margin of error, 69.9% proportion of child marriage from the previous study,29 and design effect = 2, By adding a nonresponse rate contingency of 10%, the final sample size for this study was 711.

Sampling technique and procedure

A multistage sampling technique was adapted from earlier published studies20,30 and applied to select participants for this study. Out of the 9 rural districts, 4 districts were selected randomly. From the 96 kebeles found in the selected districts, 37 kebeles were selected based on proportion to size. After households (HHs) with eligible women were identified, a sampling frame was prepared for each selected kebele. Finally, the random sampling technique (computer-generated table of random number) was implemented to select households with eligible participants. In the case of more than one eligible woman of reproductive age in a single household, a lottery method was applied. By this method, 250 HHs with eligible women were selected in Bule Hora districts, 96 from Duda Dawa, 192 HHs in Kercha, and 173 HHs in Abaya Districts. This resulted in a total of 711 respondents selected from the households.

Study variables

Dependent variable: In this study, child marriage is based on self-reported age during marriage. Women who get married before turning 18 are seen as experiencing child marriage.

The independent variables were sociodemographic factors such as age, marital status, education level, religion, occupation, family size, and family economic status. Service-related factors include the accessibility of media; the availability of girl’s supporting agencies, legal punishments against offenders of early marriage, and the availability of job opportunities for girls. Individual-related attributes, such as living arrangement, perceived marital age, and awareness of legal age, and context-related factors, such as criteria girl’s reached for marriage, custom of girls’ marriage at an early age, stigma associated with girls’ age, honor for girls and parents related to girls’ virginity, insecurity in the surroundings, conflict within the family, and marriage decision making are included.

Operational definition

Child marriage: Child marriage is any marriage that takes place before the girl reaches the age of eighteen and for which she is not prepared for marriage and childbirth.20

Wealth index: The principal component analysis method was used to generate the wealth index. By factor loadings, three components were extracted. Each home was divided into three categories according to its score (low, medium, and high), which represented poor, medium, and rich households, respectively.

Data collection tools, techniques, and quality control

The data collection instrument was adapted after the relevant literature was reviewed.14,20,31 The tools were pretested and administered via face-to-face interview techniques. The questionnaires cover the sociodemographic and economic characteristics of the participant’s parent; the sociodemographic attributes of individual participants and predictors of marital age. The tools’ were prepared in English and reviewed by two language experts. The questionnaires translated into Afan Oromo, the official working language of the Oromia region, and then translated them back to English for consistency. A statistical analysis of the tools’ reliability revealed that their internal consistency Cronbach’s alpha score of 0.76 (76%) fell within an acceptable range. Tools were pretested in 5% (36 married women) of the study participants who lived in similar settings outside of the study area in the Uraga district of the East Guji zone, and on the basis of the findings, amendments were made. Ethical approval was obtained from the Bule Hora University Institute of Health Ethical Review Committee before the commencement of the study on 14 February 2024, reference number (Ref.no. BHU-IOH 02-012). Twenty health extension workers participated in the data collection. A total of ten supervisors supervised the data collection processes. The study assistants were trained for two days on the study instruments, and data collection procedures, including the relevance of the study, objective of the study, confidentiality of the collected data, and informed consent. The data collectors work under the close supervision of the supervisors.

Data analysis

Before the data were entered into Epi-Data version 4.4.3.1, all the data were cleaned, coded, and verified for completeness. The data were subsequently exported to the Statistical Package for Social Science (SPSS) version 25 for analysis. Both descriptive and inferential statistics were applied in this study. Descriptive statistics, frequencies, percentages, and means were calculated and are presented in the table.

Binary and multivariable logistic regression models were used to identify determinants of child marriage. For bivariate analysis, variables that had a significant association at p <0.2 were selected for multivariable logistic regressions to determine the determinants of child marriage. The Hosmer-Lemeshow (HL) and Omnibus tests were used to assess the model’s fitness for the data, and the results revealed that the model fit the data well. A multicollinearity test was carried out to assess the correlation between independent variables. An adjusted odd ratio (AOR) with a 95% confidence interval (CI) was used to quantify the strength of the associations between the determinant factors and a response variable, and a p-value < 0.05 was taken to declare statistical significance.

Results

Sociodemographic characteristics of the women

In this study, 711 women were interviewed and the response rate was 100%. The mean marital age of the surveyed women was 17.5 ± (2.456 SD), and the median was 18 ± (3 IQR). The minimum and maximum ages at first marriage were 13 and 25 years, respectively. In terms of the respondents’ marital status, the majority of the women 682 (95.9%) were in a union, whereas a few of them 20 (2.8%) divorced. With respect to the participants’ level of education, 333 (46.8%) had a primary level of education, and only 37(4.9%) had attained a higher level of education, college education or above. The majority of the participants’ parents 464 (65.3%) had a large family size ≥7, and slightly more than half 369 (51.9%) of the study participants had a medium family size of 4-6 members. In terms of family wealth, one-third of the participants’ parents were in the poor wealth category (Table 1).

Table 1. Sociodemographic characteristics of rural reproductive-age women in West Guji zone, Southern Ethiopia, 2024 (n=711).

CharacteristicsFrequency (n)Percent (%)
Participants current age
 <20304.2
 20-2935449.8
 30-3930342.6
 ≥40243.4
Marital status of parents
 In union66593.5
 Divorced243.4
 Widowed223.1
Marital status of the participants
 In union68295.9
 Divorced202.8
 Widowed91.3
Ethnicity
 Oromo57480.7
 Amhara334.7
 Others (Gedio, Burji)10414.6
Religion
 Orthodox10715
 Muslim14720.7
 Protestant38454
 Waqefata7310.3
Father education level
 Had no formal46164.8
 Primary (1-8)18626.2
 Secondary (9-12) and above649
Mother Education level
 Had no formal61686.6
 Primary (1-8)7510.5
 Secondary (9-12) and above202.8
Participant education level
 Had no formal25135.3
 Primary (1-8)33346.8
 Secondary (9-12) and above12717.9
Participants occupation
 Farmer12717.9
 Housewife37953.3
 Merchant12517.6
 Others (daily worker, government employee)8011.3
Parents family size
 1-3172.4
 4-623032.3
 ≥746465.3
Participants family size
 1-317424.5
 4-636951.9
 ≥716823.6
Wealth Index
 Poor23733.33
 Middle23733.33
 Rich23733.33

Among the interviewed women, nearly half 353 [49.6% (95% CI: 0.472-0.524)] had an age at first marriage less than 18 years (Figure 1).

4285bf9e-8cf1-4cdd-905e-9d82d2079621_figure1.gif

Figure 1. Prevalence of child marriage among rural reproductive-age women in the West Guji Zone, Southern Ethiopia, 2024.

Service-related to child marriage

The majority of the respondents 548 (77.1%) had followed media and of those who had access to media, two-thirds listened radio. A remarkable number of study participants 567 (79.7%) reported the absence of girls supporting agencies in their vicinity. More than half of them 423 (59.5%) reported a lack of legal punishment against perpetrators of early marriage. The majority of surveyed women 625 (87.9%) stated a lack of job opportunities in their locality for females (Table 2).

Table 2. Service-related attributes of rural reproductive-age women in West Guji zone, Southern Ethiopia, 2024 (n=711).

Service-related variablesFrequency (n)Percent (%)
Exposure to media
 No16322.9
 Yes54877.1
The type of media exposed
 Radio37067.5
 TV17832.5
Availability of girls‘ supporting agencies
 No56780
 Yes14420
Legal punishment against perpetrators of early marriage
 No42359.5
 Yes28840.5
Job opportunities for females in your locality
 No62587.9
 Yes8612.1

Perceptions of respondents on child marriage

A significant number of the respondents 638 (89.7%) believed that sexual intercourse before marriage was incorrect. Similarly, more than half of the participants 365 (51.3%) mentioned that sexual intercourse before marriage led to a girls’ marriage at an early age. Two-thirds 514 (72.3%) of the interviewed women lived with their parents before marriage, and 585 (82.3%) of them perceived the correct age of marriage as greater than or equal to 18 years. Similarly, 586 (82.4) respondents were aware of the legal age of marriage (Table 3).

Table 3. Personal related characteristics of rural reproductive age women in West Guji zone, Southern Ethiopia, 2024 (n=711).

Personal-related characteristics of the participantsFrequency (n)Percent (%)
Your opinion on having sex before getting married
 Not correct63889.7
 Correct7310.3
Do you believe that having sex before marriage leads to early marriage?
 No36551.3
 Yes34648.7
Live with before marriage
 Parent51472.3
 Relative13018.3
 Alone679.4
Perceived age of marriage
 <1812617.7
 ≥1858582.3
Know the legal age of marriage
 No12517.6
 Yes58682.4

Context related factors of child marriage

Among the surveyed women, 591 (83.1%) reported the appearance of signs of puberty (breast enlargement, occurrence of menstruation) which is considered a criterion for a girl reaching marriage, and 469 (66%) women confirmed the custom of a girls’ marriage, age less than 18 years in their vicinity. The main reason for a girls’ marriage at a young age was to avoid premarital sexual practices and protect her virginity. The majority of women 664 (93.4%) reported that there was fear related to girls’ age, and the main reason for this fear was that they may miss the chance of marriage, family reputation, and stigma associated with girls’ age becoming older. A total of 632 (88.9%) and 591(83.1%) interviewed women reported that there is honor related to girls’ virginity for girls as well as for girls’ parents (Table 4).

Table 4. Context-related factors of rural reproductive-age women in the West Guji zone, Southern Ethiopia, 2024.

Context related characteristicsFrequency (n)Percent (%)
The criterion for girl’s reached for marriage in your vicinity
 Signs of puberty (breast enlargement, menses)59183.1
 Age greater than 18 years old8211.5
 Finished school or graduate385.3
The custom of girls marriage age <18 years old in your locality
 No24234
 Yes46966
Reason for marriage age <18 years old in your vicinity
 To protect girls’ virginity15833.7
 To avoid premarital affairs19240.9
 To strengthen inter-family relationship459.6
 Lack of other options for girls7415.8
Is there fear in your area if girls grow older?
 No476.6
 Yes66493.4
Reason for fear
 Face difficulty to marry33450.3
 For family reputation27541.4
 Stigma related to older age558.3
Who decided your marriage?
 Not self (father, mother, relative)24133.9
 Self47066.1
Honor for girls related to girls’ virginity
 No7911.1
 Yes63288.9
Honor for parents related to girls’ virginity
 No12016.9
 Yes59183.1
Security problem in your vicinity
 No39155
 Yes32045
Conflict within family
 No60685.2
 Yes10514.8

Factors associated with child marriage

A bivariable logistic regression analysis was carried out to select variables for multivariable logistic regression, and 11 variables were significant at p < 0.2. These variables are the parent’s marital status, religion, fathers’ level of education, mothers’ education, the respondents’ level of education, exposure to media, live with before marriage, awareness of the legal age of marriage, marriage decision making, conflict within the family, and parents’ wealth status.

In the multivariable logistic regression, seven variables were significant at p < 0.05 religion, fathers’ level of education, exposure to media, live with before marriage, awareness of the legal age of marriage, marriage decision making, and parents’ wealth status.

Muslim and Protestant followers were 2 times more likely to practice child marriage than Orthodox followers (AOR=2.104, 95% CI =1.176-3.764) and (AOR=1.877 95% CI=1.126-3.127). The participants whose fathers had no formal education were 2.6 times (AOR=2.633, 95% CI=1.135-6.109) more likely to marry before 18 years than those whose fathers had secondary education or above. Similarly, those fathers who attended the primary level were 3 times (AOR=3.326, 95% CI=1.421-7.787) more likely to practice child marriage than their counterparts. The odd of child marriage were 1.6 times (AOR=1.56, 95% CI=1.033-2.356) higher among the participants who had not been exposed to media than those who had been exposed to media. The participants, who lived with their relatives were 1.6 times (AOR=1.592, 95% CI=1.012-2.504) more likely to marry below 18 years than those who lived with their parents. Participants who were not aware of the legal age of marriage were 2.5 times (AOR=2.528, 95% CI=1.593-4.010) more likely married before 18 years than those who aware of the legal age of marriage. Participants who made marriage decisions by themselves were 33.4% (AOR=.666, 95% CI=.463-.959) less likely to marry below the age of 18 years than those whose marriage was decided by others. The participants whose parents were in the poor wealth category were 4.5 times (AOR=4.464, 95% CI=2.795-7.129) more likely to marry below the age of 18 than those whose parents were in the rich wealth category. Similarly, participants whose parents were in the middle wealth category were 2 times (AOR=2.040, 95% CI=1.318-3.156) more likely to marry before the age of 18 than their counterparts (Table 5).

Table 5. A logistic regression analysis for the determinants of child marriage among rural reproductive-age women in the West Guji zone, Southern Ethiopia, 2024.

VariablesCategoryAge at first marriageCOR(95% CI)AOR(95% CI)p-value
<18≥18
Parent marital statusIn union32234311
Divorced1591.775(.766-4.114)1.782(.245-4.720).245
Widowed1662.841(1.098-7.349)2.283(.118-6.422).118
ReligionOrthodox406711
Muslim87602.429(1.456-4.050)2.104(1.176-3.764).012*
Protestant2001841.821(1.173-2.826)1.877(1.126-3.127).016*
Waqefata2647.927(.499-1.720).909(.448-1.844).792
Father education levelNon formal2542076.626(3.293-13.333)2.633(1.135-6.109).024*
Primary89974.955(2.379-10.318)3.326(1.421-7.787).006*
Sec & above10541
Mother education levelNon formal3272896.412(1.860-22.102).970(.208-4.537).970
Primary23522.506(.668-9.400).475(.099-2.286).353
Sec & above31711
Participant education levelNon formal1291222.386(1.520-3.746)1.303(.744-2.283).354
Primary1851482.821(1.826-4.356)1.534(.908-2.589).109
Sec & above398811
Media exposureNo99641.790(1.254-2.557)1.560(1.033-2.356).035*
Yes25429411
Live with before marriageParent23428011
Relative81491.978(1.333-2.936)1.592(1.012-2.504).044*
Alone38291.568(.938-2.620)1.015(.568-1.811).961
Awareness of legal ageNo79461.956(1.313-2.912)2.528(1.593-4.010).000*
Yes27431211
Marriage decision makerNot self14010111
Self213257.598(.437-.818).666(.463-.959).029*
Conflict within familyNo286320.507(.330-.778).707(.434-1.150.163
Yes673811
Parents Wealth StatusPoor156814.160(2.835-6.104)4.464(2.795-7.129).000*
Middle1221152.291(1.577-3.331)2.040(1.318-3.156).001*
Rich7516211

Discussion

This study aims to identify the determinants of child marriage among women of reproductive age in the West Guji zone, southern Ethiopia. The results of this study demonstrated the mean age of first marriage, prevalence, and the determinants of child marriage. In this study, the mean and median ages at first union were 17.5 and 18 years, respectively. This means that almost half of the surveyed women were married before 18 years of age. In the study area, the onset of secondary sexual characteristics (occurrence of menses and breast enlargement) was considered as the criterion that the girls met for marriage. In addition, to avoid premarital affairs and protect girls’ virginity up to marriage, early marriage was encouraged by parents. These results are in line with those of previous studies carried out in Ethiopia, where the mean and median ages of the first union were 17.2 and 17.5,13 respectively,and in India, the median age of the first marriage was 18.2 years.32

However, there was a slight improvement in the mean age of the first union compared with another study conducted in Ethiopia, which reported that the mean age of first marriage was 14.8 years.29 The observed discrepancy is perhaps due to study time, differences in the study population, sample size, and the commitment of the government to eliminate violence against women including early marriage. This implies that more effort is needed to scale up the age at first marriage and achieve the goal outlined in the national reproductive health policy, no gender-based violence, including early marriage by 2025,25 and the SDG 5.3 target.24

The present study revealed that the prevalence of child marriage among rural women was 49.6%. This finding is lower than previous studies conducted in Ethiopia the magnitude of child marriage ranges from 62.8% to 73%.29,31,33 The difference might be due to population size. The sample size of the former studies was larger. Furthermore, improvement in perceived age of marriage and awareness of legal marital age could contribute to the differences. However, the result was higher than the studies done in Eastern Ethiopia, Harari region (33.7%),20 central region of Eritrea (42%),15 Egypt (13.22%),34 and Indonesia (12.53%).35 The discrepancy might be due to differences in the study population. Both rural and urban women participated in the previous studies. The study results revealed that there was fear associated with girls’ age, and the reasons for this fear were may face difficulty to marry and age-related stigma. This finding is supported by a study conducted in the Harari region, in eastern Ethiopia.20 This could be because early marriage is a widely accepted and practiced custom in Ethiopia.

Religion was one of the determinants of child marriages. The participants who follow Muslim were 2 times more likely to practice child marriage than Orthodox Christianity followers. This result is in agreement with a study carried out in Eastern Ethiopia.20 This is because religion is the cultural component that encourages early marriage as a means of preventing extramarital sex. Furthermore, Muslims believe that the union of Mohammed and Aisha is the cause of the practices of child marriage. Similarly, family wealth status was a significant predictor of child marriage. The participants whose parents were in the poor wealth category were 4.5 times more likely to marry below the age of 18 than those whose parents were in the rich wealth category. Similarly, participants whose parents were in the middle wealth category were 2 times more likely to marry before the age of 18 than their counterparts. This finding is in line with previous studies8,30,31 showing parents’ economic status is a potential determinant of child marriage in developing countries. Marriage at an early age is motivated by challenging economic conditions and families pressure their daughters to get married at an early ages for financial relief.36 Another piece of evidence suggests that poverty is closely associated with marital age. Early marriage is viewed by parents as a way to lessen the financial strain of raising and educating daughters.37 This has the implications for improving the living standards of girls’ families and increasing job opportunities for females to increase their age at first marriage.

Despite the legal age of marriage being 18 years old in Ethiopia,25 lack of awareness of legal age marriage was risk factor of child marriage. Participants who were not aware of the legal age of marriage were 2.5 times more likely married before 18 years than those who aware of the legal age of marriage. The finding in line with report from Harari region that not know legal age marriage 4.49 time more likely married age below 18 years.20

The participants whose fathers had no formal education were 2.6 times more likely to marry before 18 years than those whose fathers had secondary education or above. Similarly, those fathers who attended the primary level were 3 times more likely to practice child marriage than their counterparts. This result supported by study conducted in the Amhara region, where the fathers’ education status was significantly associated with early marriage.30 The parents’ level of education has an influence on girls’ age at first marriage.22,38 This is because educated parents are aware of the negative consequences of marriage at an early age on the prospects of women’s lives.

Participants who made marriage decisions by themselves were 33.4% less likely to marry below the age of 18 years than those whose marriage was decided by others. This finding contradicts a cross-sectional study carried out in the central region of Eritrea, where the odds of early marriage were four times higher for women who had made marital decisions on their own.15 The difference might be due to sociocultural and population size. The population size in the current study is larger than that in previous study. This finding is supported by earlier studies conducted in Ethiopia20,31,39 showing that marriage decisions by parents are significantly associated with early marriage. In Ethiopia, parents have a major influence on marriage decisions.40

Strengths and limitations of the study

The large sample size in this study enables generalization to the target population, and face-to-face interviews conducted by native speakers of Afan Omomo can facilitate dialogue and ensure accurate data collection. However, there are certain drawbacks. First, the cross-sectional study design made it impossible to determine a cause-and-effect relationship between the predictor variables and the outcome. Second, the age at first marriage was asked retrospectively perhaps the possibility of recall bias.

Conclusion

In this study, nearly one in every two women were married before turning 18 years old and the mean age at first marriage was 17.5 ± (2.456 SD). The key determinant factors of child marriage in the study area marriage include religion, fathers’ level of education, exposure to media, living arrangements; awareness of the legal marital age, marriage decision making, and parents’ wealth status. The intervention strategies focus on these factors in order to rise the age at first marriage above 18 years, which can either directly or indirectly improve mother’s or children’s well-being. Improving family income, encouraging female participation in education, increasing awareness on the legal age of marriage, and increasing girls’ autonomy in marital decisions are essential to curve child marriage among rural women in the West Guji Zone. Moreover, the involvement of girl’s families, local elders, and religious leaders is vital to prevent the practice of child marriage in the study area.

Ethical considerations

This study involved human participants and complied with all relevant rules and regulations of the Helsinki Declaration of Medical Research Ethics.41 The Bule Hora University Institute of Health Ethical Review Committee granted ethical approval before the start of the study (Ref.no. BHU-IOH 02-012). Before signing the written informed consent form, all research participants were well-informed about the study’s goals, advantages, and significance. A permission letter was provided to the West Guji Zone administration office, selected districts, and Kebeles. The participants were informed of their freedom to withdraw from the study at any time, and their anonymity was protected by providing pseudonyms. The collected data were stored in electronic files with a code and password to ensure confidentiality.

Author contributions

SG - Conceptualization, methodology, Data curation, Formal analysis, Software, Writing-Original draft, DW- Investigation, editing and reviewing, and supervision., MD - Methodology, Visualization and Validation.

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Gelchu S, Wirtu D and Dheresa M. Determinants of child marriage among rural women in the West Guji Zone, Southern Ethiopia, 2024: a community-based cross-sectional study [version 1; peer review: 1 approved with reservations]. F1000Research 2024, 13:1322 (https://doi.org/10.12688/f1000research.157735.1)
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ApprovedThe paper is scientifically sound in its current form and only minor, if any, improvements are suggested
Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit.
Not approvedFundamental flaws in the paper seriously undermine the findings and conclusions
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Reviewer Report 28 Dec 2024
John Boulard Forkuor, Department of Sociology and Social Work, Kwame Nkrumah University of Science and Technology, Kumasi, Ashanti Region, Ghana 
Approved with Reservations
VIEWS 10
Overview. The authors address a topic that is of international and African concern. A topic that has socio-cultural and legal determinants and implications. I appreciate the attempt to tease out the key determinants as this has potential implications for intervention/re-dress
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Forkuor JB. Reviewer Report For: Determinants of child marriage among rural women in the West Guji Zone, Southern Ethiopia, 2024: a community-based cross-sectional study [version 1; peer review: 1 approved with reservations]. F1000Research 2024, 13:1322 (https://doi.org/10.5256/f1000research.173230.r344911)
NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article.
  • Author Response 28 Apr 2025
    Shiferaw Gelchu, Nursing, Bule Hora University, Bule Hora, Ethiopia
    28 Apr 2025
    Author Response
    Dear Reviewer
    We extremely appreciate the time and effort given to improve our paper. Based on the comments and suggestions given, we have responded to each comment accordingly. Most comments ... Continue reading
COMMENTS ON THIS REPORT
  • Author Response 28 Apr 2025
    Shiferaw Gelchu, Nursing, Bule Hora University, Bule Hora, Ethiopia
    28 Apr 2025
    Author Response
    Dear Reviewer
    We extremely appreciate the time and effort given to improve our paper. Based on the comments and suggestions given, we have responded to each comment accordingly. Most comments ... Continue reading

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Alongside their report, reviewers assign a status to the article:
Approved - the paper is scientifically sound in its current form and only minor, if any, improvements are suggested
Approved with reservations - A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit.
Not approved - fundamental flaws in the paper seriously undermine the findings and conclusions
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