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International Journal of
            Population Studies                                   School dropouts and mental health among Indian adolescents



            (23–28), while worsening was more visible in unmarried   follow-up) after controlling for the effect of socioeconomic
            girls (Figure 1).                                  variables is shown in Table 3 which contains results from
              Findings of the frequency distributions and the   bivariate and multivariate OLR. Age at the first marriage
            associations  between  variables  measured  at  adolescence   equal to or greater than 19 was associated with 29% (AOR:
            and the mental health outcomes at young adulthood are   0.71, 95% CI: 0.56, 0.90) lower odds as compared to ages
            presented in  Table  2.  The results revealed  that school   at the first marriage younger than 19. In comparison with
            attendance at adolescence showed a positive association   girls who had the first childbirth before age 20 years, those
            with later mental health status, which was indicated by   who experienced childbearing after age 20 had nearly 24%
            the likelihood of poor mental health. As compared to   higher risk (AOR: 1.24, 95%CI 1.00, 1.54) and those who
            girls who never attended school, those who dropped out   did not have any child had 64% higher risk (AOR: 1.64,
            from school in adolescence had lower adjusted odds ratio   95%CI: 1.15, 2.35) of having poor mental health status at
            (AOR) (0.80, 95% CI: 0.64, 0.99) and those who continued   age 23–28 years. In addition, it reduced with the increase
            their schooling had lower AOR (0.73, 95%CI: 0.59, 0.91).  in number of children a women have.
              The effect of early marriage and childbearing on mental   Table 4 presents the results from the analysis to assess
            health status in early adulthood (at age 23–28  years in   the effect of current schooling status and other women

            Table 1. Response to statements of GHQ‑12 by adolescent girl’s cohort at baseline and follow‑up surveys in Bihar, India.
            GHQ‑12                                    Adolescence (Baseline)        Young adulthood (Follow‑up)
                                                           N=2360                          N=2360
            Not able to concentrate                          1.5                             8.3
            Lost sleep over worry                            4.2                            13.8
            Not felt playing a useful role                   4.1                             7.3
            Not felt capable of making decisions             21.1                           13.2
            Felt constantly under strain                     5.6                            18.8
            Felt cannot overcome difficulties                14.5                           11.5
            Not able to enjoy a normal day to day activities  1.9                           10.5
            Not able to face up problems                     10.4                            9.8
            Unhappy and depressed                            4.5                            17.6
            Losing self-confidence                           4.3                             9.1
            Thinking of self as worthless                    5.0                             9.1
            Reasonably not happy                             2.5                            13.7
            Cronbach alpha                                   0.64                           0.85
            Marital status was taken from the baseline survey.






















            Figure 1. Changes in the mental health status of unmarried and ever married girls from adolescence to early adulthood (from baseline to follow-up).


            Volume 8 Issue 1 (2022)                         29                    https://doi.org/10.36922/ijps.v8i1.1280
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