الفهرس 
Definition of marriage and early marriage:
Descriptive cross-sectional study design was used in this study.Only 14 pages are availabe for public view
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Abstract
The problem of early marriages is quite common and pervasive practice and an instrument of high population growth rate in developing countries including Egypt. Marriage before the age of 18 years is a reality for many young women. In many parts of the world parents encourage the marriage of their daughters while they are still children in hopes that the marriage will benefit them both financially and socially, while also relieving financial burdens on the family. Early marriage forces girls to get into adulthood before they are emotionally and physically matured, and it has harmful effects on their health, educational, economic and social development. Family is one of the main pillars of society. So that, a healthy community depends on the healthy family and marriage, as the basis for the formation of the family is marital satisfaction and adjustment among couples. Today, with advances in science and technology, increase in mechanical life, economic, and social conditions, and employment status of women, the family has undergone unpleasant processes including anxiety, depression, marital dissatisfaction, and the emotional and psychological disorders. One of the most important factors and determinants of mental health, emotional stability of couples and successful marriage is marital satisfaction and adjustment. Aim of the study: The aim of this study was to assess marital satisfaction and adjustment among early married rural women. • Subjects and Method: Study design: Descriptive cross-sectional study design was used in this study. Study settings: This study was conducted at ten family medicine units in rural areas at Tanta City, Gharbya governorate affiliated to Directorate of Health Affairs, Ministry of Health: First Tanta health district (Shuni - Talbnt - Shakhraf - Sperbay - Khrasset - Kafr Issam – Seger) Second Tanta health district (Mahalat Rouh- Hast Shabshir- Shabshir El-Mehata). Study subjects: A convenient sample was utilized in the current study. All registered females in the previously mentioned settings who were married before the age of 18 years old and contact the family medicine unit for any service. The total study sample was 190 early married women. Tools of data collection: In order to collect the necessary data for this study, three tools were used. Tool I: A structured interview schedule: A structured interview schedule was developed by the researcher after reviewing the related literatures (17.26). It consisted of three parts as follows: Part 1: Socio - demographic characteristics of the rural women: It included data about women’s age, level of education and occupation, her husband’s age, level of education and occupation, women’s parent’s level of education and occupation, number of women‘s siblings, her birth order, type of family before marriage, family income and number of house rooms. Part 2: Present and past health history of rural women: It included the following subparts: A. Medical history: such as anemia, cardiovascular diseases, renal diseases, diabetes, hemorrhage, bronchial asthma, obesity, gland disorder, hypertension, any chronic diseases and complaints B. Menstrual history: such as age of menarche C. Obstetrical history: such as age of 1st pregnancy, number of pregnancies and deliveries, number of abortion, type of last delivery, problems during delivery, person who conduct delivery and place of delivery, number of still birth, number of living children and their age, type of feeding, method of family planning, duration and side effect of method. Part 3: Women’s history of early marriage: A. Age of marriage, duration of marriage, who took the decision of marriage, causes of early marriage, women’s awareness and conviction regarding early marriage. B. History of violence: such as abuser, type and frequency of violence, and its consequences. Tool II: ENRICH Marital Satisfaction Scale: ENRICH Marital Satisfaction Scale was developed by Fowers BJ and Olson DH (1983). It was adopted by the researcher and comprises of 15 statements convening the following items: 12-categories are idealistic distortion, marital satisfaction, personality issues, communication, conflict resolution, financial management, leisure activities, sexual relationship, children and parenting, family and friends, equalitarian roles, and religious orientation. Scoring system: Each statement was rated by the subject using a 5-point Likert scale with 1 = strongly disagree, 2 = disagree, 3 = neutral, 4 = agree, and 5 = strongly agree for positive statements. There are 5 items from the Idealistic Distortion scale constitute a marital conventionalization scale whose score in a negative direction will be reverse-scored. The total score will range from 15 to 75. The total score of marital satisfaction was summed up and divided into: • Satisfied ≥ 60% of the total score. • Neutral 50 - ˂ 60% of the total score. • Unsatisfied ˂ 50% of the total score.