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Adli Mercilerce Evlilik İzni için Yönlendirilen 18 Yaş Altı Ergenlerin Sosyodemografik ve Klinik Profillerinin Değerlendirilmesi

Year 2019, Volume: 11 Issue: 3, 397 - 403, 23.10.2019
https://doi.org/10.18521/ktd.605784

Abstract

Amaç: Bu çalışmanın amacı, bir üniversite hastanesine adli mercilerce ruhsal ve

bedensel olarak evlenmeye engel bir durumu olup olmadığının tespiti için yönlendirilen

ergenlerin sosyodemografik ve klinik özelliklerini incelemektir.

Gereç ve Yöntem: Çalışmaya çocuk ergen ruh sağlığı birimimize konsülte edilen ve

adli mercilerce evlenmeye engel teşkil eden bir durum olup olmadığı sorulan toplam 70

ergen dahil edilmiştir. Ergenlerin DSM 5 tanı sınıflandırmasına göre psikiyatrik

muayeneleri yapılmıştır. Çalışmadan elde edilen veriler dosya tarama sistemi

yöntemiyle geriye dönük olarak incelenmiştir.

Bulgular: Çalışmaya dahil edilen 70 çocuğun %94.3’ü (n=66) kız olup, çocukların yaş

ortalaması 16.05±0.2 olarak saptanmıştır. Çocukların hiçbirinin örgün eğitime devam

etmediği belirlenmiştir Çocukların %89.5’i, çekirdek aile yapısı ve düşük

sosyoekonomik düzeye sahip aile ortamında yaşamaktadır. En sık konulan psikiyatrik

tanılar sırasıyla; dikkat eksikliği hiperaktivite bozukluğu (%4.3, n=3), depresif

bozukluk (%4.3, n=3), zeka geriliği (%2.8, n=2) ve travma sonrası stres bozukluğu

(%1.4, n=1) tanıları olmuştur. Çocukların %85.7’si (n=60) evlenmek istedikleri

kişilerle yakın çevrelerinden ya da sosyal medya üzerinden kendi tanıştıkları kişiler

olduklarını sadece %14.3’ünün (n=10) görücü usülü tanışıp evlenmeye karar verdikleri

belirlenmiştir.

Sonuç: Sonuçlarımız sosyoekonomik düzey, aile yapısı ve örgün eğitime devamlılığın

erken yaştan evliliklere ilişkin önemli zemin hazırlayıcı etkenler olduğunu

göstermektedir. Erken yaşta yapılan evliliklerin aynı zamanda erken bir özerklik

kazanım çabası olduğu düşünülebilir. Sağlıklı özerklik gelişimi için örgün eğitimin

desteklenmesinin erken evlilikleri engelleme yönünde önemli bir müdahale olacağı

düşünülmektedir.

References

  • 1. UNICEF. Early Marriage: A Harmful Traditional Practice: A Statistical Exploration.https://www.unicef.org/publications/files/Early_Marriage12.lo.pdf2. UNICEF. Progress for Every Child in the SDG Area.https://data.unicef.org/wp content/uploads/2018/03/Progress_for_Every_Child_in_the_SDG_Era.pdf3. Arthur M, Earle A, Raub A, et al. Child marriage laws around the world: Minimum marriage age, legal exceptions, and gender disparities. J Women Polit Policy 2018;39(1):51-74.4. Çocuk haklarına dair sözleşme. UNICEF Türkiye, 2004. https://www.unicef.org/turkey/pdf/_cr23.pdf. (18.05.2019).5. 5395 sayılı Türk Çocuk Koruma Kanunu.6. 4721 sayılı Türk Medeni Kanunu.7. Raj A, McDougal L. Changes in Prevalence of Girl Child Marriage in South Asia. JAMA 2012; 307(19): 2027–2029.8. Committee on the Elimination of Discrimination against Women and Committee on the Rights of the Child. 2014. “Joint General Recommendation/General Comment No. 31 of the Committee on the Elimination of Discrimination against Women and No. 18 of the Committee on the Rights of the Child on Harmful Practices.” http://tbinternet.ohchr.org/layouts/treatybodyexternal/TBSearch.aspx?Lang=en&SymbolNo=CEDAW/C/GC/31/CRC/C/GC/18 (December 19, 2014).9. Türkiye İstatistik Kurumu https://biruni.tuik.gov.tr/medas/?kn=112&locale (18.05.2019).10. Workineh S, Kibretb GD, Degu G. Determinants of early marriage among female children in Sinan District, Northwest Ethiopia. Health Science Journal 2015; 9(6): 1–7.11. Montazeri S, Gharacheh M, Mohammadi N, Alaghband Rad J, Ardabili EH. Determinants of early marriage from married girls’ perspectives in Iranian setting: a qualitative study. Journal of Environmental and Public Health 2016; Article ID 8615929, http://dx.doi.org/10.1155/2016/8615929.12. Gök M. Child marriages in Turkey with different aspects. International Journal of Human Sciences 2016; 13: 2222-31.13. Godha D, Hotchkiss DR, Gage AJ. Association between child marriage and reproductive health outcomes and service utilization: a multi-country study from South Asia. J Adolesc Heal 2013;52(5):552–8.14. Delprato M, Akyeampong K, Sabates R,Hernandez-Fernandez J. On the impact of early marriage on schooling outcomes in Sub-Saharan Africa and South West Asia. International Journal of Educational Development 2015;44: 42–55. https://doi.org10.1016/j.ijedudev.2015.06.001.15. Aktepe Atay. Çocuk Evlilikleri ve Psikososyal Sonuçları. Psikiyatride Güncel Yaklaşımlar 2017;9(4):410-420.16. UNICEF. Ending Child Marriage: Progress and Prospects. New York: UNICEF Division of Policy and Research, 2014 https://www.unicef.org/media/files/Child_Marriage_Report_7_17_LR.pdf17. Schaffnit SB, Urassa M, Lawson DB. “Child marriage” in context: exploring local attitudes towards early marriage in rural Tanzania. Sexual and Reproductive Health Matters 2019;27(1):1–13.18. Saadati M, Bagheri A. Determinants of Iranian youths’ marriage age: A parametric survival analysis approach. Social Determinants of Health 2017; 3(4):177-185.19. Bilginer Ç, Kütük MÖ. Çocuk Evlilikleri. Türkiye Klinikleri 2017;3(3):188-194.20. Wijayati NA, Soemanto RB, Pamungkasar EP. Socioeconomic and cultural determinants of early marriage in Ngawi, East Java: Application of PRECEDE-PROCEED Model. Journal of Health Promotion and Behaviour 2017;2(4), 302–312.21. Kaptanoğlu İY, Ergöçmen B. Çocuk gelin olmaya giden yol. Sosyoloji Araştırmaları Dergisi 2012;15:130-161.22. Boran P, Gülçay G, Devecioğlu E, Eren T. Çocuk gelinler. Marmara Üniversitesi Tıp Fakültesi Dergisi 2013;26:58-62.23. T.C Başbakanlık Aile ve Sosyal Araştırmalar Genel Müdürlüğü, Aile yapısı araştırması: Tespitler, Öneriler. İstanbul, 2014.24. Soylu N, Ayaz M. Adli değerlendirme için yönlendirilen küçük yaşta evlendirilmiş kız çocuklarının sosyodemografik özellikleri ve ruhsal değerlendirmesi. Anadolu Psikiyatri Derg 2013;14:136-144.25. Eyüpoğlu D, Eyüpoğlu M. Küçük Yaşta Evlendirilmek İstenen Çocuklarda Psikiyatrik Bozukluklar ve Sosyodemografik Özellikler. Klinik Psikiyatri 2018;21:122-129.26. Glynn JR, Sunny BS, DeStavola B, Dube A, Chihana M, Price AJ, Crampin AC. Early school failure predicts teenage pregnancy and marriage: A large populationbased cohort study in northern Malawi. PLoS ONE 2018;13(5): e0196041. 27. Erentaitė R, Vosylis R, Gabrialavičiūtė I, Raižien S. How does School Experience Relate to Adolescent Identity Formation Over Time? Cross-Lagged Associations between School Engagement, School Burnout and Identity Processing Styles. Journal of Youth and Adolescence 2018; 47:760–774.
  • 28. Jones GW. Changing Marriage Patterns in Asia. ARI Working Paper Series No.131. Asia Research Institute, Singapore, 2010.
  • 29. Agtiskari N, Soemanto RB, Murti B. The Contextual Effect of Social Norm on Early Marriage Among Young Women in Lampung: A Multilevel Analysis Evidence. Journal of Maternal and Child Health 2019; 4(1): 1-8.
  • 30. Montazeri S, Gharacheh M, Mohammadi N, Rad IA, Ardabili HE. Determinants of early marriage from married girls’ perspective in Iranian setting: a qualitative study. J Environ Public Health 2016:8615929.

Evaluation of Sociodemographic and Clinical Profiles of Adolescents Under-18 Years of Age Referred by the Judicial Authorities for Marriage License

Year 2019, Volume: 11 Issue: 3, 397 - 403, 23.10.2019
https://doi.org/10.18521/ktd.605784

Abstract

Objective: The aim of this study was to investigate the
sociodemographic and clinical characteristics of adolescents referred to a
university hospital by the judicial authority for determining whether any
mental and physical impediments to marriage exist.



Materials and Methods: 70 adolescents who were consulted to child and adolescent psychiatry
inquired by the judicial authorities if there was any impediment to marriage
were included to study. Psychiatric examination of the adolescents was
performed according to DSM 5. Data obtained from the study were examined retrospectively
with the method of file scanning system



Results: Mostly (94.3%) female children with a mean age of
16.05 ± 0.2 years were included in the study. None of the children attended to
school during the assessment. Most (89.5%) of the children were living in a
family environment with a low socioeconomic level. The most frequently psychiatric
diagnoses were; attention-deficit hyperactivity disorder
(%4.3, n=3), depressive disorder (%4.3, n=3), mental retardation (%2.8, n=2) and post-traumatic stress disorder (%1.4, n=1). 85.7% of the children decided to marry individuals
they got acquainted from their immediate circle or from social media, while marriage
of only 14.3% (n=10) of them were previously arranged by their families.



Conclusions: Socio-economic
level, family characteristics and attending to school are important
predisposing factors for early marriages. It was also considered that marriage
at this age means an attempt for gaining an early autonomy. Encouraging to continue
their formal education for the development of healthy autonomy will be an
important factor to prevent early marriages.

References

  • 1. UNICEF. Early Marriage: A Harmful Traditional Practice: A Statistical Exploration.https://www.unicef.org/publications/files/Early_Marriage12.lo.pdf2. UNICEF. Progress for Every Child in the SDG Area.https://data.unicef.org/wp content/uploads/2018/03/Progress_for_Every_Child_in_the_SDG_Era.pdf3. Arthur M, Earle A, Raub A, et al. Child marriage laws around the world: Minimum marriage age, legal exceptions, and gender disparities. J Women Polit Policy 2018;39(1):51-74.4. Çocuk haklarına dair sözleşme. UNICEF Türkiye, 2004. https://www.unicef.org/turkey/pdf/_cr23.pdf. (18.05.2019).5. 5395 sayılı Türk Çocuk Koruma Kanunu.6. 4721 sayılı Türk Medeni Kanunu.7. Raj A, McDougal L. Changes in Prevalence of Girl Child Marriage in South Asia. JAMA 2012; 307(19): 2027–2029.8. Committee on the Elimination of Discrimination against Women and Committee on the Rights of the Child. 2014. “Joint General Recommendation/General Comment No. 31 of the Committee on the Elimination of Discrimination against Women and No. 18 of the Committee on the Rights of the Child on Harmful Practices.” http://tbinternet.ohchr.org/layouts/treatybodyexternal/TBSearch.aspx?Lang=en&SymbolNo=CEDAW/C/GC/31/CRC/C/GC/18 (December 19, 2014).9. Türkiye İstatistik Kurumu https://biruni.tuik.gov.tr/medas/?kn=112&locale (18.05.2019).10. Workineh S, Kibretb GD, Degu G. Determinants of early marriage among female children in Sinan District, Northwest Ethiopia. Health Science Journal 2015; 9(6): 1–7.11. Montazeri S, Gharacheh M, Mohammadi N, Alaghband Rad J, Ardabili EH. Determinants of early marriage from married girls’ perspectives in Iranian setting: a qualitative study. Journal of Environmental and Public Health 2016; Article ID 8615929, http://dx.doi.org/10.1155/2016/8615929.12. Gök M. Child marriages in Turkey with different aspects. International Journal of Human Sciences 2016; 13: 2222-31.13. Godha D, Hotchkiss DR, Gage AJ. Association between child marriage and reproductive health outcomes and service utilization: a multi-country study from South Asia. J Adolesc Heal 2013;52(5):552–8.14. Delprato M, Akyeampong K, Sabates R,Hernandez-Fernandez J. On the impact of early marriage on schooling outcomes in Sub-Saharan Africa and South West Asia. International Journal of Educational Development 2015;44: 42–55. https://doi.org10.1016/j.ijedudev.2015.06.001.15. Aktepe Atay. Çocuk Evlilikleri ve Psikososyal Sonuçları. Psikiyatride Güncel Yaklaşımlar 2017;9(4):410-420.16. UNICEF. Ending Child Marriage: Progress and Prospects. New York: UNICEF Division of Policy and Research, 2014 https://www.unicef.org/media/files/Child_Marriage_Report_7_17_LR.pdf17. Schaffnit SB, Urassa M, Lawson DB. “Child marriage” in context: exploring local attitudes towards early marriage in rural Tanzania. Sexual and Reproductive Health Matters 2019;27(1):1–13.18. Saadati M, Bagheri A. Determinants of Iranian youths’ marriage age: A parametric survival analysis approach. Social Determinants of Health 2017; 3(4):177-185.19. Bilginer Ç, Kütük MÖ. Çocuk Evlilikleri. Türkiye Klinikleri 2017;3(3):188-194.20. Wijayati NA, Soemanto RB, Pamungkasar EP. Socioeconomic and cultural determinants of early marriage in Ngawi, East Java: Application of PRECEDE-PROCEED Model. Journal of Health Promotion and Behaviour 2017;2(4), 302–312.21. Kaptanoğlu İY, Ergöçmen B. Çocuk gelin olmaya giden yol. Sosyoloji Araştırmaları Dergisi 2012;15:130-161.22. Boran P, Gülçay G, Devecioğlu E, Eren T. Çocuk gelinler. Marmara Üniversitesi Tıp Fakültesi Dergisi 2013;26:58-62.23. T.C Başbakanlık Aile ve Sosyal Araştırmalar Genel Müdürlüğü, Aile yapısı araştırması: Tespitler, Öneriler. İstanbul, 2014.24. Soylu N, Ayaz M. Adli değerlendirme için yönlendirilen küçük yaşta evlendirilmiş kız çocuklarının sosyodemografik özellikleri ve ruhsal değerlendirmesi. Anadolu Psikiyatri Derg 2013;14:136-144.25. Eyüpoğlu D, Eyüpoğlu M. Küçük Yaşta Evlendirilmek İstenen Çocuklarda Psikiyatrik Bozukluklar ve Sosyodemografik Özellikler. Klinik Psikiyatri 2018;21:122-129.26. Glynn JR, Sunny BS, DeStavola B, Dube A, Chihana M, Price AJ, Crampin AC. Early school failure predicts teenage pregnancy and marriage: A large populationbased cohort study in northern Malawi. PLoS ONE 2018;13(5): e0196041. 27. Erentaitė R, Vosylis R, Gabrialavičiūtė I, Raižien S. How does School Experience Relate to Adolescent Identity Formation Over Time? Cross-Lagged Associations between School Engagement, School Burnout and Identity Processing Styles. Journal of Youth and Adolescence 2018; 47:760–774.
  • 28. Jones GW. Changing Marriage Patterns in Asia. ARI Working Paper Series No.131. Asia Research Institute, Singapore, 2010.
  • 29. Agtiskari N, Soemanto RB, Murti B. The Contextual Effect of Social Norm on Early Marriage Among Young Women in Lampung: A Multilevel Analysis Evidence. Journal of Maternal and Child Health 2019; 4(1): 1-8.
  • 30. Montazeri S, Gharacheh M, Mohammadi N, Rad IA, Ardabili HE. Determinants of early marriage from married girls’ perspective in Iranian setting: a qualitative study. J Environ Public Health 2016:8615929.
There are 4 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Articles
Authors

Cigdem Yektas 0000-0002-5951-7253

Bora Buken

Publication Date October 23, 2019
Acceptance Date September 10, 2019
Published in Issue Year 2019 Volume: 11 Issue: 3

Cite

APA Yektas, C., & Buken, B. (2019). Evaluation of Sociodemographic and Clinical Profiles of Adolescents Under-18 Years of Age Referred by the Judicial Authorities for Marriage License. Konuralp Medical Journal, 11(3), 397-403. https://doi.org/10.18521/ktd.605784
AMA Yektas C, Buken B. Evaluation of Sociodemographic and Clinical Profiles of Adolescents Under-18 Years of Age Referred by the Judicial Authorities for Marriage License. Konuralp Medical Journal. October 2019;11(3):397-403. doi:10.18521/ktd.605784
Chicago Yektas, Cigdem, and Bora Buken. “Evaluation of Sociodemographic and Clinical Profiles of Adolescents Under-18 Years of Age Referred by the Judicial Authorities for Marriage License”. Konuralp Medical Journal 11, no. 3 (October 2019): 397-403. https://doi.org/10.18521/ktd.605784.
EndNote Yektas C, Buken B (October 1, 2019) Evaluation of Sociodemographic and Clinical Profiles of Adolescents Under-18 Years of Age Referred by the Judicial Authorities for Marriage License. Konuralp Medical Journal 11 3 397–403.
IEEE C. Yektas and B. Buken, “Evaluation of Sociodemographic and Clinical Profiles of Adolescents Under-18 Years of Age Referred by the Judicial Authorities for Marriage License”, Konuralp Medical Journal, vol. 11, no. 3, pp. 397–403, 2019, doi: 10.18521/ktd.605784.
ISNAD Yektas, Cigdem - Buken, Bora. “Evaluation of Sociodemographic and Clinical Profiles of Adolescents Under-18 Years of Age Referred by the Judicial Authorities for Marriage License”. Konuralp Medical Journal 11/3 (October 2019), 397-403. https://doi.org/10.18521/ktd.605784.
JAMA Yektas C, Buken B. Evaluation of Sociodemographic and Clinical Profiles of Adolescents Under-18 Years of Age Referred by the Judicial Authorities for Marriage License. Konuralp Medical Journal. 2019;11:397–403.
MLA Yektas, Cigdem and Bora Buken. “Evaluation of Sociodemographic and Clinical Profiles of Adolescents Under-18 Years of Age Referred by the Judicial Authorities for Marriage License”. Konuralp Medical Journal, vol. 11, no. 3, 2019, pp. 397-03, doi:10.18521/ktd.605784.
Vancouver Yektas C, Buken B. Evaluation of Sociodemographic and Clinical Profiles of Adolescents Under-18 Years of Age Referred by the Judicial Authorities for Marriage License. Konuralp Medical Journal. 2019;11(3):397-403.