AccScience Publishing / IJPS / Volume 8 / Issue 1 / DOI: 10.18063/ijps.v8i1.1280

Association between school dropouts, early marriages, childbearing, and mental health in early adulthood of women: Evidence from a cohort study in Bihar, India

Ravita Yadav1 Preeti Dhillon2 Archana Kujur3 Sangram Kishor Patel4*
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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.
IJPS 2022, 8(1), 27–39;
© Invalid date by the Authors. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC BY-NC 4.0) ( )

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 later ages (23–28 years). Using data from the Understanding the Lives of Adolescents and Young Adults consisting of a 2360 adolescent (ages 15 – 19) girl cohort interviewed in 2007 and re-interviewed at ages 23 – 28 in 2016 from the state of Bihar, India, we applied ordinal logistic regression models in analyzing factors associated with mental health status. Women who never attended school, or dropped out from school, and who got married before age 19 showed a poorer mental health status in their young adulthood (22 – 28 years) compared to their respective counterparts who attended a school and who got married at age 19 or older. As compared to women who had a child before age 19, those who did not have any child, or who had children after 20 years of age were more likely to have poor mental health. Working women, high self-efficacy of women, and women who have decision-making power showed better mental health outcomes as compared to their respective counterparts. To enhance psychological well-being of young women, the study recommends continue education and delaying marriage as the programmatic keys with attention to improving young women’s autonomy and gender role attitudes and reducing societal pressure for bearing first child soon after marriage.

Mental health
School dropout
Early marriage
Early childbearing
Women empowerment

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International Journal of Population Studies, Electronic ISSN: 2424-8606 Print ISSN: 2424-8150, Published by AccScience Publishing