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International Journal of

                                                                          Population Studies




                                        RESEARCH ARTICLE
                                        Associations between early marriage, women’s

                                        empowerment, and infant mortality in Sub-
                                        Saharan Africa



                                                        1,2
                                        Sunday A. Adedini * , Sunday Matthew Abatan 1  ,
                                                                                           1
                                        Kazeem Adebayo Sunmola 1,3  , Adesoji Dunsin Ogunsakin , and
                                        Sarafa Babatunde Shittu 1
                                        1 Department of Demography and Social Statistics, Faculty of Social Sciences, Federal University
                                        Oye-Ekiti, Ekiti State, Nigeria
                                        2 Programme in Demography and Population Studies, Schools of Public Health and Social Sciences,
                                        University of the Witwatersrand, Johannesburg, Gauteng, South Africa
                                        3 Centre for Gender and Development Studies, Ekiti State University, Ado-Ekiti, Ekiti State, Nigeria




                                        Abstract
                                        Sub-Saharan Africa (SSA) is characterized by high gender inequality and a high rate of

            *Corresponding author:      early marriages of girl children, which could have a negative influence on child health
            Sunday A. Adedini           outcomes and child mortality in the region. This study examined the influence of child
            (sunday.adedini@fuoye.edu.ng)  marriage on infant mortality in selected countries in SSA. We used Cox proportional
            Citation: Adedini, S.A., Abatan,   hazard models to analyze pooled data (N = 33,549 children) from the Demographic
            S.M., Sunmola, K.A., Ogunsakin,   and Health Surveys of 28 SSA countries. Our study established that children of child
            A.D., & Shittu, S.B. (2025).   brides faced heightened risks of infant mortality compared with children of women
            Associations between early
            marriage, women’s empowerment,   who married after the age of 18, although this relationship became insignificant after
            and infant mortality in Sub-Saharan   controlling for women’s empowerment and other control variables. Therefore, the
            Africa. International Journal of   findings support the hypothesis that a certain extent of women’s empowerment
            Population Studies, 11(4): 53-67.
            https://doi.org/10.36922/ijps.2411  could moderate the relationship between early marriage and infant mortality in
                                        regions where early marriages occur due to the low socioeconomic status of women.
            Received: December 12, 2023
                                        We conclude that ensuring women empowerment and increasing their economic
            1st revised: March 26, 2024  opportunities (such as involvement in the agriculture and formal employment
            2nd revised: May 20, 2024   sectors) will lead to decreases in child marriage, thereby reducing infant mortality
                                        in SSA.
            3rd revised: June 12, 2024
            Accepted: October 12, 2024
                                        Keywords: Child marriage; Child mortality; Infant mortality; Women’s empowerment;
            Published Online: November 13,   Sub-Saharan Africa
            2024
            Copyright: © 2024 Author(s).
            This is an Open-Access article
            distributed under the terms of the
            Creative Commons Attribution   1. Introduction
            License, permitting distribution,
            and reproduction in any medium,   Improving child health outcomes remains a key national and international priority. The
            provided the original work is   world seeks to reduce the under-5 mortality rate to 25 deaths per 1000 live births by
            properly cited.             2030, as enshrined in the international agenda, for instance, target 3.2 of the Sustainable
            Publisher’s Note: AccScience   Development Goals. To a large extent, considerable progress has been achieved in
            Publishing remains neutral with   reducing global child mortality: 1 in 27 children died before the age of 5 in 2020 compared
            regard to jurisdictional claims in
            published maps and institutional   with 1 in 11 in 1990 (UNICEF et al., 2020a). Notwithstanding this improvement, the
            affiliations.               global burden of child death remains high. Around 5 million children died before age 5


            Volume 11 Issue 4 (2025)                        53                        https://doi.org/10.36922/ijps.2411
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