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Intimate partner violence and the dual burden of anxiety and depression among women in Zambia: Spatial inequalities and implications for the sustainable development goals

Year: 2026

Type: article

Abstract: This study evaluated the association between Intimate Partner Violence (IPV) and mental health indicators, providing evidence to inform maternal health policy. This study used the first nationally representative cross-sectional data on mental health symptoms from the 2024 Zambia Demographic and Health Survey (ZDHS), including 13,951 women aged 15-49 years. Anxiety and depression were assessed using the GAD-7 and PHQ-9 scales, with a score of ≥10 indicating the presence of symptoms. Stepwise, survey-weighted multivariable logistic regression was employed to examine the associations of mental health indicators and various dimensions of IPV, reporting adjusted odds ratios (aORs) and 95% confidence intervals (CIs). Physical IPV was significantly associated with higher odds of Depression aOR= 3.89; 95% CI: 2.16-6.95; p < 0.001), while Emotional IPV was also associated with higher odds of Depression aOR = 3.50; 95% CI: 2.09-5.86; p < 0.001). Similarly, Any IPV was associated with substantial higher odds with Depression aOR = 2.90; 95% CI: 1.80-4.67, p < 0.001) and Anxiety aOR = 2.05; 95% CI: 1.20-3.50, p = 0.008). These findings provide evidence-based, actionable insights for policymakers to integrate mental health and IPV prevention in high-burden provinces to meet the targets of SDG 3 and SDG 5.

Source: Cambridge Prisms Global Mental Health

DOI: 10.1017/gmh.2026.10261

Authors: Md Salek Miah, Mohammad Shahab Uddin

Institutions: Shahjalal University of Science and Technology, University of Essex, University of Chittagong

Language: English

Topic: Intimate Partner and Family Violence

Subfield: Health

Field: Social Sciences

Domain: Social Sciences

SDGs: Good health and well-being, Gender equality, Peace, justice, and strong institutions

Open Access status: gold

Estimated APC paid: $3,893