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Usually seen as a forerunner in the development of new trends in family-demographic behaviour, Sweden has recently experienced a reversal in marriage trends, from a steady decline in marriage rate between the 1960s and 1990s, to a steady increase beginning in 1998. An event-history analysis of women's first marriages in the period 1991-2007, using register data, shows that compositional changes in labour-market activity and childbearing can only partly explain the reversal, and that apparently no part of it is explained by compositional changes in age, country of birth, educational level, and type of settlement. The evidence suggests that the popularity of marriage in Sweden is increasing, in contrast to what might be expected from the way demographic trends in Sweden and other Western countries are often portrayed in the literature.

Better childhood health and nutrition, extensions to education, delays in family formation, and new technologies offer the possibility of this being the healthiest generation of adolescents ever. But these are also the ages when new and different health problems related to the onset of sexual activity, emotional control, and behaviour typically emerge. Global trends include those promoting unhealthy lifestyles and commodities, the crisis of youth unemployment, less family stability, environmental degradation, armed conflict, and mass migration, all of which pose major threats to adolescent health and wellbeing.

Using population intercensus and national survey data, we examine marriage timing in urban China spanning the past six decades. Descriptive analysis from the intercensus shows that marriage patterns have changed in China. Marriage age is delayed for both men and women, and prevalence of nonmarriage became as high as one-quarter for men in recent birth cohorts with very low levels of education. Capitalizing on individual-level survey data, we further explore the effects of demographic and socioeconomic determinants of entry into marriage in urban China over time. Our study yields three significant findings. First, the influence of economic prospects on marriage entry has significantly increased during the economic reform era for men. Second, the positive effect of working in the state-owned sector has substantially weakened. Third, educational attainment now has a negative effect on marriage timing for women. Taken together, these results suggest that the traditional hypergamy norm has persisted in China as an additional factor in the influences of economic resources on marriage formation.

The young adulthood years are demographically dense. Dr. Ronald Rindfuss made this claim when he was Population Association of America (PAA) president in 1991 (Rindfuss 1991), and this conclusion holds today. I offer both an update of his work by including Millennials and a new view on young adulthood by focusing on an increasingly common experience: cohabitation. I believe we need to move away from our marriage-centric lens of young adulthood and embrace the complexity that cohabitation offers. The cohabitation boom is continuing with no evidence of a slowdown. Young adults are experiencing complex relationship biographies, and social science research is struggling to keep pace. Increasingly, there is a decoupling of cohabitation and marriage, suggesting new ways of framing our understanding of relationships in young adulthood. As a field, we can do better to ensure that our theories, methods, and data collections better reflect the new relationship reality faced by young adults.

An estimated 650 million girls and women alive today married before their 18th birthday. Referred to as girl child marriage, the formal or informal union of the girl-child before age 18, the practice is increasingly recognized as a key roadblock to global health, development, and gender equality. Although more research than ever has focused on girl child marriage, an important gap remains in deconstructing the construct. Through an extensive review of primary and secondary sources, including legal documents, peer-reviewed articles, books, and grey literature across disciplines, we explore what the term “girl child marriage” means and why it more accurately captures current global efforts than other terms like early, teenage, or adolescent marriage. To do this, we dive into different framings on marriage, children, and gender. We find that there has been historical change in the understanding of girl child marriage in published literature since the late 1800s, and that it is a political, sociocultural, and value-laden term that serves a purpose in different contexts at different moments in time. The lack of harmonized terminology, particularly in the global public health, prevents alignment amongst different stakeholders in understanding what the problem is in order to determine how to measure it and create solutions on how to address it. Our intent is to encourage more intentional use of language in global public health research.

Effectively addressing issues related to adolescent children being out of school and vulnerable to harmful practices is essential for advancing SDG 3—5. This study aimed to assess the prevalence, trends, and future projections of adolescent child vulnerability. We analyzed data from 386 datasets spanning 106 countries, encompassing 1,292,258 adolescent girls year 1990— 2023. Bayesian methods were employed to estimate prevalence, trends, and future projections. Sub-Saharan Africa and Latin America & the Caribbean showed a high prevalence of child marriage and early childbirth. Overall, these indicators decreased from 1990 to 2023, but recent years have seen increases in some countries. Projections for 2025 to 2030 suggest that changes in rates will occur in some countries, while most are expected to remain stable. The disparities are in underscore ongoing public health challenges. These issues risk derailing progress towards SDG targets of eliminating harmful practices and ensuring universal access to quality education. Addressing these challenges demands coordinated efforts from countries and the global community to implement effective interventions and strategies.

Explanations for the substantial decline in rates of marriage in East Asian countries often emphasize the role of rapid educational expansion for women in reducing the desirability of marriages characterized by a strong gender-based division of labor. Focusing on South Korea, we consider a very different scenario in which changing educational composition of the marriage market reduces the demographic feasibility of such marriages. Analyses of 1% microsamples of the 1990 and 2010 Korean censuses show that changes in the availability of potential spouses accounted for part of the decline in marriage rates over a period of 20 years (1985–1989 to 2005–2009) for highly educated women and less-educated men. We also show that growth in international marriages played a role in preventing an even more dramatic decline in marriage among low-educated men. These findings support the general relevance of marriage market mismatches in gender-inegalitarian societies and highlight the declining feasibility of marriage for low-educated men in such contexts. Findings also hint at important implications for inequality in a society such as Korea, where marriage remains a symbol of social success and is closely related to women’s economic wellbeing and men’s health and subjective well-being.

The transition to small family size is at an advanced phase in India, with a national TFR of 2.2 in 2015-16. This paper examines the roles of four key determinants of fertility-marriage, contraception, abortion and postpartum infecundability-for India, all 29 states and population subgroups. Data from the most recent available national survey, the National Family Health Survey, conducted in 2015-16, were used. The Bongaarts proximate determinants model was used to quantify the roles of the four key factors that largely determine fertility. Methodological contributions of this analysis are: adaptations of the model to the Indian context; measurement of the role of abortion; and provision of estimates for sub-groups nationally and by state: age, education, residence, wealth status and caste. Nationally, marriage is the most important determinant of the reduction in fertility from the biological maximum, contributing 36%, followed by contraception and abortion, contributing 24% and 23% respectively, and post-partum infecundability contributed 16%. This national pattern of contributions characterizes most states and subgroups. Abortion makes a larger contribution than contraception among young women and better educated women. Findings suggest that sterility and infertility play a greater than average role in Southern states; marriage practices in some Northeastern states; and male migration for less-educated women. The absence of stronger relationships between the key proximate fertility determinants and geography or socio-economic status suggests that as family size declined, the role of these determinants is increasingly homogenous. Findings argue for improvements across all states and subgroups, in provision of contraceptive care and safe abortion services, given the importance of these mechanisms for implementing fertility preferences. In-depth studies are needed to identify policy and program needs that depend on the barriers and vulnerabilities that exist in specific areas and population groups.

Child marriage is a substantial barrier to social and economic development in India, and a primary concern for women's health. We assessed the prevalence of child marriage—ie, before 18 years of age—in young adult women in India, and the associations between child marriage and women's fertility and fertility-control outcomes. Data from the National Family Health Survey-3 (2005–06) were limited to a sample of Indian women aged 20–24 years (n=22 807), of whom 14 813 had been or were presently married (ever-married). Prevalence of child marriage was estimated for the whole sample. We used regression models adjusted for demographics, and models adjusted for demographics and duration of marriage to estimate odds ratios (ORs) for the associations between child marriage and both fertility and fertility-control outcomes, in the ever-married subsample. 44·5% of women aged 20–24 years were married before age 18 years, 22·6% were married before age 16 years, and 2·6% were married before age 13 years. Child marriage was significantly associated with no contraceptive use before first childbirth (adjusted OR 1·37 [95% CI 1·22–1·54]), high fertility (three or more births) (7·40 [6·45–8·50]), a repeat childbirth in less than 24 months (3·00 [2·74–3·29]), multiple unwanted pregnancies (2·36 [1·90–2·94]), pregnancy termination (1·48 [1·34–1·63]), and female sterilisation (6·68 [5·78–7·60]). The association between child marriage and high fertility, a repeat childbirth in less than 24 months, multiple unwanted pregnancies, pregnancy termination, and sterilisation all remained significant after controlling for duration of marriage. Increased enforcement of existing policies is crucial for prevention of child marriage. Improved family-planning education, access, and support are urgently needed for women married as children, their husbands, and their families to reduce the high fertility and poor fertility-control outcomes of this practice. US National Institutes of Health and Indian Council of Medical Research.

Background Adolescent sexual and reproductive health (ASRH) is a major public health concern in sub-Saharan Africa (SSA). However, inequalities in ASRH have received less attention than many other public health priority areas, in part due to limited data. In this study, we examine inequalities in key ASRH indicators. Methods We analyzed national household surveys from 37 countries in SSA, conducted during 1990–2018, to examine trends and inequalities in adolescent behaviors related to early marriage, childbearing and sexual debut among adolescents using data from respondents 15–24 years. Survival analyses were conducted on each survey to obtain estimates for the ASRH indicators. Multilevel linear regression modelling was used to obtain estimates for 2000 and 2015 in four subregions of SSA for all indicators, disaggregated by sex, age, household wealth, urban–rural residence and educational status (primary or less versus secondary or higher education). Results In 2015, 28% of adolescent girls in SSA were married before age 18, declined at an average annual rate of 1.5% during 2000–2015, while 47% of girls gave birth before age 20, declining at 0.6% per year. Child marriage was rare for boys (2.5%). About 54% and 43% of girls and boys, respectively, had their sexual debut before 18. The declines were greater for the indicators of early adolescence (10–14 years). Large differences in marriage and childbearing were observed between adolescent girls from rural versus urban areas and the poorest versus richest households, with much greater inequalities observed in West and Central Africa where the prevalence was highest. The urban–rural and wealth-related inequalities remained stagnant or widened during 2000–2015, as the decline was relatively slower among rural and the poorest compared to urban and the richest girls. The prevalence of the ASRH indicators did not decline or increase in either education categories. Conclusion Early marriage, childbearing and sexual debut declined in SSA but the 2015 levels were still high, especially in Central and West Africa, and inequalities persisted or became larger. In particular, rural, less educated and poorest adolescent girls continued to face higher ASRH risks and vulnerabilities. Greater attention to disparities in ASRH is needed for better targeting of interventions and monitoring of progress.