Antabe Roger, Sano Yujiro, Antabe Gregory, Saaka Sulemana Ansumah
Department of Health and Society, University of Toronto Scarborough, Toronto, ON, M1C 1A4, Canada.
Department of Sociology and Anthropology, Nipissing University, North Bay, ON, P1B 8L7, Canada.
Arch Womens Ment Health. 2025 Apr 8. doi: 10.1007/s00737-025-01578-x.
Women in Mozambique are noted to be at heightened risk of poor mental health. Yet, studies have not examined how their experiences of Intimate Partner Violence (IPV) may be associated with mental health outcomes. Our study, therefore, aimed to examine the association between probable depression and symptoms of anxiety with women's experiences of IPV in Mozambique.
We used nationally representative data from the 2022-23 Mozambique Demographic and Health Survey. Using STATA 17, we applied logistic regression analysis to our analytical sample of 4,454 ever-married women aged 15 to 49 who answered questions related to their experience of emotional, sexual, and physical IPV.
The prevalence of probable depression and symptoms of anxiety were 12% and 13%, respectively. Compared to women who have never experienced any form of IPV, those who had been victims of physical IPV (OR = 2.27, 95% CI = 1.59, 3.23; OR = 2.60, 95% CI = 1.88, 3.58), sexual IPV (OR = 2.38, 95% CI = 1.48, 3.80; OR = 2.16, 95% CI = 1.37, 3.43) and emotional IPV (OR = 3.27, 95% CI = 2.41, 4.44; OR = 3.90, 95% CI = 2.87, 5.29) were all more likely to report depression and symptoms of anxiety, respectively. In addition, we also found the protective effect of higher household wealth and employment against the risk of depression and anxiety among women. Finally, we observed that religious affiliation is associated with depression and anxiety.
We suggest the urgent need to strategize and design a holistic mental health policy in Mozambique which prioritizes eradicating IPV among women. Increasing public awareness about the devastating impact of IPV on women while strengthening the laws that criminalize it will be helpful in this regard.
据指出，莫桑比克女性心理健康状况不佳的风险较高。然而，此前的研究尚未探讨她们遭受亲密伴侣暴力（IPV）的经历与心理健康结果之间的关联。因此，我们的研究旨在考察莫桑比克女性可能患有的抑郁症及焦虑症状与她们遭受IPV的经历之间的关联。
我们使用了2022 - 2023年莫桑比克人口与健康调查的全国代表性数据。运用STATA 17软件，我们对4454名年龄在15至49岁之间、回答了与情感、性和身体方面IPV经历相关问题的已婚女性分析样本进行了逻辑回归分析。
可能患有抑郁症和焦虑症状的患病率分别为12%和13%。与从未经历过任何形式IPV的女性相比，那些遭受过身体IPV（比值比[OR] = 2.27，95%置信区间[CI] = 1.59, 3.23；OR = 2.60，95% CI = 1.88, 3.58）、性IPV（OR = 2.38，95% CI = 1.48, 3.80；OR = 2.16，95% CI = 1.37, 3.43）和情感IPV（OR = 3.27，95% CI = 2.41, 4.44；OR = 3.90，95% CI = 2.87, 5.29）的女性分别更有可能报告患有抑郁症和焦虑症状。此外，我们还发现家庭财富水平较高和就业对女性患抑郁症和焦虑症风险具有保护作用。最后，我们观察到宗教信仰与抑郁症和焦虑症有关。
我们建议莫桑比克迫切需要制定并设计一项全面的心理健康政策，将根除针对女性的IPV作为优先事项。在这方面，提高公众对IPV对女性造成的毁灭性影响的认识，同时加强将其定为犯罪行为的法律，将会有所帮助。
