Prevalence and determinants of consanguineous marriage and its types in India: evidence from the National Family Health Survey, 2015–2016

Abstract The aim of the present study was to estimate the prevalence and examine the determinants of consanguineous marriage types in India. Data for 456,646 ever-married women aged 15–49 years were analysed from the National Family Health Survey (NFHS)-4 conducted in 2015–16. The overall prevalence of consanguineous marriage was 9.9%; the South region (23%) and North-East region (3.1%) showed the highest and lowest prevalences, respectively. Muslims had a higher prevalence (15%) than Hindus (9%). The prevalence of first cousin marriage (8.7%) was more than that of second cousin (0.7%) and of uncle–niece marriages (0.6%). Women living in urban areas and in nuclear families, having a higher level of education and belonging to affluent families were less likely to marry their cousins (p < 0.01). Women living in the South region of the country were more likely to marry their cousins, as well as uncles (p < 0.001). Close scrutiny of the trends in the results (odds ratios) revealed no clear relationship between socioeconomic condition and consanguineous marriage. The study results suggest that religion and north–south regional dichotomy in culture largely determine consanguineous marriage rather than socioeconomic condition in India.

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A SPATIAL ANALYSIS OF CHILD HEALTH IN NORTH-EAST STATES, INDIA: EVIDENCE FROM NATIONAL FAMILY HEALTH SURVEY 4 (2015-16).

International Journal of Advanced Research ◽

10.21474/ijar01/4622 ◽

2017 ◽

Vol 5 (6) ◽

pp. 1910-1921

Author(s):

KhJitenkumar Singh ◽

◽

Apoorva Nambiar ◽

Damini Yadav ◽

Swati Kadian ◽

...

Keyword(s):

Spatial Analysis ◽

Child Health ◽

Health Survey ◽

Family Health ◽

National Family Health Survey ◽

North East ◽

National Family

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Comparison of Growth in Children of 6 to 59 Months of Age According to Birth Order: Insights from the National Family Health Survey-4

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2021/49080.15301 ◽

2021 ◽

Author(s):

Aravind Dharmaraj ◽

Ananta Ghimire ◽

Saravanan Chinnaiyan ◽

Amrendra Kumar Tiwari ◽

Rajendra Kumar Barik

Keyword(s):

Birth Order ◽

Health Survey ◽

Family Health ◽

Public Health Problem ◽

Major Public Health Problem ◽

National Family Health Survey ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Study Results ◽

National Family

Introduction: Undernutrition continues to be a major public health problem throughout the world. Higher birth order of the child contributes to higher chance of being undernutrition. But, the relationship between birth order and undernutrition has not been fully studied and understood, especially in India where the fertility rate was high. Aim: To understand the prevalence and determinants of undernutrition using National Family Health Survey-4 (NFHS-4) India. Materials and Methods: A national cross-sectional survey was conducted during January 2015 to December 2016. This study used information from a total weighted sample of 128859 children from India NFHS-4. Univariate and multivariate binary logistic regression were used to investigate the association of undernutrition with birth order, other child, maternal and socio-economic factors. Three models were constructed for the study, model 1 as univariate, model 2 adjusting with birth order and socio-economic predictors and model 3 adjusting with all the predictors included in the study. Results: Of the 128859 children, median Inter Quartile Range (IQR) age was 26 (16-41) months with female/male ratio was 1:1.2. The prevalence of stunting, underweight and wasting was 37.93% (95% Confidence Interval (CI) 37.67-38.20), 34.02% (95% CI 33.76-34.28) and 20.70% (95% CI 20.48-20.92), respectively. Model-1, 2 and 3 showed that the child's higher birth order was found to have higher odds of being stunted and underweight compared with first born children. Children with lower wealth quintiles, male, vaginal delivery had higher odds of being stunted, wasted and underweight in the model-3 adjusted analysis. Conclusion: This study indicates that higher birth order was a significant predictor of a child being stunted and underweight, as it is significant in all three models. However, further longitudinal studies are required to establish a cause-effect relationship between birth order and undernutrition and future interventions to prevent undernutrition should consider birth order as an important factor.

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Comparison of Growth in Children 6 to 59 Months of Age According to Birth Order: Insights From the National Family Health Survey-4 India

10.21203/rs.3.rs-91657/v1 ◽

2020 ◽

Author(s):

Ananta Ghimire ◽

Aravind Dharmaraj

Keyword(s):

Birth Weight ◽

Birth Order ◽

Health Survey ◽

Strong Predictor ◽

Family Health ◽

Public Health Problem ◽

Major Public Health Problem ◽

National Family Health Survey ◽

Study Results ◽

National Family

Abstract Background Undernutrition continues to be a major public health problem throughout the world. The present study aimed to understand the prevalence and determinants of undernutrition in India and determine what extent it differs by birth order, other child level, maternal and socioeconomic factors.MethodsThis study used information from a total weighted sample of 128859 mothers from India National Family Health Survey 4. Univariate and Multivariate logistic regression were used to investigate the association between undernutrition with birth order, other child level, maternal and socio-economic factors. Three models were constructed for the study, model 1 as univariate, model 2 adjusting with birth order and socioeconomic predictors and model 3 adjusting with all the predictors included in the study. Results The prevalence of stunting, underweight and wasting were 37.9, 34.0 and 20.7 respectively. The mean age of children was 2.4 years (standard deviation 1.3) of which majority were second order birth (33.6%), males (54.5%), anemic (58.9%) and normal birth weight (87.2%). All three models showed that higher birth order was a strong predictor of a child being stunted and underweight after adjusting for potential confounders. Children with lower wealth quintiles, anemia, male, low birth weight and vaginal delivery had higher odds of being stunted, wasted and underweight in model-3 adjusted analysis.Conclusion The findings from this study provide an important interaction between birth order and child undernutrition status in India. However, further longitudinal studies are required to establish such cause-effect relationship between birth order and undernutrition.

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Changing Trends of Consanguineous Marriages in South India

Journal of Asian and African Studies ◽

10.1177/00219096211012017 ◽

2021 ◽

pp. 002190962110120

Author(s):

Harihar Sahoo ◽

Paramita Debnath ◽

Chaitali Mandal ◽

R. Nagarajan ◽

Sathiyasusuman Appunni

Keyword(s):

Health Survey ◽

Tamil Nadu ◽

South India ◽

Family Health ◽

Consanguineous Marriage ◽

National Family Health Survey ◽

Level Of Education ◽

Consanguineous Marriages ◽

Changing Trends ◽

National Family

Consanguineous marriage is still a preferred option in many societies of southern India. Therefore, this study addresses the state and district wise variation in consanguineous marriages and also attempts to find out the underlying factors of this practice in different marriage cohorts of South India. Drawing data from National Family Health Survey-4, the result revealed that there is a reduction in consanguineous marriages from 32.6% who married before 1985 to 23% during 2010–2014. About 13 districts in Tamil Nadu had the highest prevalence of consanguineous marriages, indicating that recent socio-demographic changes such as delays in age at marriages, lesser age gaps between partners, increase in the level of education, etc., did not explicitly affect the consanguineous marriages.

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Spatial Pattern of Maternal Health in Northeastern States, India-evidence from national family health survey 4 (2015-16)

Asian Pacific Journal of Health Sciences ◽

10.21276/apjhs.2017.4.2.25 ◽

2017 ◽

Vol 4 (2) ◽

pp. 147-156 ◽

Cited By ~ 1

Author(s):

Kh. Jitenkumar Singh ◽

◽

Swati Kadian ◽

Amandeep Kaur ◽

Kiran Saini ◽

...

Keyword(s):

Maternal Health ◽

Spatial Pattern ◽

Health Survey ◽

Family Health ◽

National Family Health Survey ◽

National Family

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Inequalities in utilisation of maternal health services in urban India: Evidences from national family health survey-4

Clinical Epidemiology and Global Health ◽

10.1016/j.cegh.2020.11.005 ◽

2021 ◽

Vol 10 ◽

pp. 100672

Author(s):

Balhasan Ali ◽

Paramita Debnath ◽

Tarique Anwar

Keyword(s):

Maternal Health ◽

Health Services ◽

Health Survey ◽

Family Health ◽

Maternal Health Services ◽

National Family Health Survey ◽

Urban India ◽

National Family

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Missed opportunities for delivering nutrition interventions in first 1000 days of life in India: insights from the National Family Health Survey, 2006 and 2016

BMJ Global Health ◽

10.1136/bmjgh-2020-003717 ◽

2021 ◽

Vol 6 (2) ◽

pp. e003717

Author(s):

Phuong Hong Nguyen ◽

Rasmi Avula ◽

Lan Mai Tran ◽

Vani Sethi ◽

Alok Kumar ◽

...

Keyword(s):

Health Survey ◽

Urban Areas ◽

Family Health ◽

Universal Coverage ◽

National Family Health Survey ◽

Nutrition Interventions ◽

Missed Opportunities ◽

Health And Nutrition ◽

National Family ◽

Opportunity Gaps

ObjectivesExisting health and community nutrition systems have the potential to deliver many nutrition interventions. However, the coverage of nutrition interventions across the delivery platforms of these systems has not been uniform. We (1) examined the opportunity gaps between delivery platforms and corresponding nutrition interventions through the continuum of care in India between 2006 and 2016 and and (2) assessed inequalities in these opportunity gaps.MethodsWe used two rounds of the National Family Health Survey data from 2005 to 2006 and 2015–2016 (n=36 850 and 190 898 mother–child dyads, respectively). We examine the opportunity gaps over time for seven nutrition interventions and their associated delivery platforms at national and state levels. We assessed equality and changes in equality between 2006 and 2016 for opportunity gaps by education, residence, socioeconomic status (SES), public and private platforms.ResultsCoverage of nutrition interventions was consistently lower than the reach of their associated delivery platforms; opportunity gaps ranging from 9 to 32 percentage points (pp) during the pregnancy, 17 pp during delivery and 9–26 pp during childhood in 2006. Between 2006 and 2016, coverage improved for most indicators, but coverage increases for nutrition interventions was lower than for associated delivery platforms. The opportunity gaps were larger among women with higher education (22–57 pp in 2016), higher SES status and living in urban areas (23–57 pp), despite higher coverage of most interventions and the delivery platforms among these groups. Opportunity gaps vary tremendously by state with the highest gaps observed in Tripura, Andaman and Nicobar islands, and Punjab for different indicators.ConclusionsIndia’s progress in coverage of health and nutrition interventions in the last decade is promising, but both opportunity and equality gaps remained. It is critical to close these gaps by addressing policy and programmatic delivery systems bottlenecks to achieve universal coverage for both health and nutrition within the delivery system.

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