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International Journal of

                                                                          Population Studies




                                        RESEARCH ARTICLE
                                        Association between school dropouts, early

                                        marriages, childbearing, and mental health in
                                        early adulthood of women: Evidence from a

                                        cohort study in Bihar, India



                                        Ravita Yadav , Preeti Dhillon , Archana Kujur , and Sangram Kishor Patel *
                                                   1
                                                                 2
                                                                               3
                                                                                                       4
                                        1 International Institute for Population Sciences, Mumbai, India
                                        2 Department of Survey Research and Data Analytics, International Institute for Population Sciences,
                                        Mumbai, Maharashtra, India
                                        3 Department of Geography, Central University of Karnataka, Aland Road, Kalaburagi, Karnataka,
                                        India
                                        4 Poverty, Gender and Youth Program, Population Council, New Delhi, India



                                        Abstract

                                        School dropouts, early marriages, and low age at childbearing are issues still prevalent
                                        in Indian states like Bihar, which may be responsible for poor mental health among
                                        young adults. The present study examined the effect of life-course events such as
                                        school dropouts, early marriages, and early childbearing on mental health status at
            *Corresponding author:      later ages (23–28 years). Using data from the Understanding the Lives of Adolescents
            Sangram Kishor Patel        and Young Adults consisting of a 2360 adolescent (ages 15 – 19) girl cohort interviewed
            (sangramkishor@gmail.com)   in 2007 and re-interviewed at ages 23 – 28 in 2016 from the state of Bihar, India, we
            Citation: Yadav R, Dhillon  P,   applied ordinal logistic regression models in analyzing factors associated with mental
            Kujur  A, Patel SK. (2022).   health status. Women who never attended school, or dropped out from school, and
            Association between school   who got married before age 19 showed a poorer mental health status in their young
            dropouts, early marriages,
            childbearing, and mental health   adulthood (22 – 28 years) compared to their respective counterparts who attended
            in early adulthood of women:   a school and who got married at age 19 or older. As compared to women who had
            Evidence from a cohort study in   a child before age 19, those who did not have any child, or who had children after
            Bihar, India. International Journal of
            Population Studies, 8(1):25-37.   20 years of age were more likely to have poor mental health. Working women, high
            https://doi.org/10.36922/ijps.v8i1.1280  self-efficacy of women, and women who have decision-making power showed better
            Received: January 17, 2022  mental health outcomes as compared to their respective counterparts. To enhance
                                        psychological well-being of young women, the study recommends continue education
            Accepted: June 14, 2022
                                        and delaying marriage as the programmatic keys with attention to improving young
            Published Online: June 27, 2022  women’s autonomy and gender role attitudes and reducing societal pressure for
            Copyright: © 2022 Author(s).   bearing first child soon after marriage.
            This is an Open-Access article
            distributed under the terms of the
            Creative Commons Attribution   Keywords: Mental health; Depression; School dropout; Early marriage; Early childbearing;
            License, permitting distribution,   Adolescents; Women empowerment; India
            and reproduction in any medium,
            provided the original work is
            properly cited.
            Publisher’s Note: AccScience
            Publishing remains neutral with   1. Introduction
            regard to jurisdictional claims in
            published maps and institutional   According to the World Health Organization, globally, 14% of adolescents (10 – 19)
            affiliations.               suffer from mental health conditions (WHO, 2021) and nearly 9.8 million young Indians


            Volume 8 Issue 1 (2022)                         25                    https://doi.org/10.36922/ijps.v8i1.1280
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