Ease of marital communication and depressive symptom severity among men and women in rural Uganda: cross-sectional, whole-population study

Jurinsky, Jordan; Perkins, Jessica M.; Kakuhikire, Bernard; Nyakato, Viola N.; Baguma, Charles; Rasmussen, Justin D.; Satinsky, Emily N.; Ahereza, Phionah; Kananura, Justus; Audet, Carolyn M.; Bangsberg, David R.; Tsai, Alexander C.

doi:10.1007/s00127-021-02135-4

Cited by 3 publications

(3 citation statements)

References 82 publications

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“…Implications for SBC programming SBC interventions can positively change gender norms and household power dynamics to improve well-being across multiple areas, including family planning and reproductive health. Our study corroborates existing literature on the importance of partner support for contraceptive use (14)(15)(16)(17)(18)(19)(20)23). We show that while men and women mostly want their partners to support them in similar ways, they de ne this support differently.…”

Section: Summary Of Ndingssupporting

confidence: 88%

“…Improving partner responsibility and involvement in sexual and reproductive health care may positively impact mental health and well-being for individual women as well as couples (14). A study conducted in rural Uganda demonstrated that women who found it di cult to have conversations with their partner about reproductive health issues, including family planning, were signi cantly more likely to have symptoms of depression and anxiety compared to women who found these conversations easy (15). Other studies also conducted in Uganda found that the majority of women expressed a general discontent with partner involvement in reproductive health, with many women describing a lack of autonomy in decision-making about their health (16,17).…”

Section: Review Of Relevant Literaturementioning

confidence: 99%

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What does your partner want? Using a gender equality lens to assess partner support and involvement in Family Planning in Uganda

Olapeju

Passaniti²,

Odeke³

et al. 2022

Preprint

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Background: While partner involvement in health-related decision-making is linked with positive health behaviors, a key gap in the literature exists on how this construct should be measured and the specific ways men and women in Uganda perceive partner support in the context of family planning. The USAID-funded Social and Behavior Change Activity (SBCA) in Uganda explored the differences in male versus female priorities in the decision-making considerations and preferred measures of partner support related to family planning in order to design contextually relevant solutions. Methods: Cross -sectional study using a nationally representative telephone survey among 1177 men and women aged 18-49 years old in sexual partnerships. Key measures included current family planning use (Are you or your partner currently doing anything to prevent or delay becoming pregnant?); family planning decision-making considerations (In your experience, which of the following are the three most important considerations as you make family planning decisions?); and preferred partner support (What level of involvement would you like to see from your partner in your family planning decisions?). Multivariable logistic regressions explored factors associated with decision-making priorities and preferred partner support, adjusting for sociodemographic confounders. Results: Two-thirds (66%) of men and women wanted a high level of involvement from their partner, which was associated with higher odds of using family planning (aOR: 2.46, 95% CI: 1.87 - 3.24). Specific ways partners could be involved included accompanying them to health services (39%), permitting them to get family planning services (26%), and jointly discussing family planning options (23%). Of note, more women wanted their partner to accompany them (45%) than men (33%) while more men (29%) wanted to jointly discuss options than women (15%). Conclusions: Partner support needs to be operationalized differently for men and women; therefore, social and behavior change (SBC) interventions should employ a gender lens when implementing family planning programs. The project used these insights to implement a health campaign that leverages the views of key audiences; explicitly encourages partner dialogue across the various life stages; and empowers women with knowledge and skills to have honest conversations with their partners about when to have children and how many to have.

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Section: Summary Of Ndingssupporting

confidence: 88%

Section: Review Of Relevant Literaturementioning

confidence: 99%

What does your partner want? Using a gender equality lens to assess partner support and involvement in Family Planning in Uganda

Olapeju

Passaniti²,

Odeke³

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…Hence, we used the continuous measure of depressive symptom severity as the outcome in our multivariable regression models. Based on past studies from Nepal and other low‐resource settings (Jurinsky et al, 2022 ; Tsai et al, 2012 ), a binary variable with a mean cut‐off of greater than 1.75 was used to classify respondents with probable depression.…”

Section: Methodsmentioning

confidence: 99%

The relationship between the gendered norm of eating last and mental health of newly married women in Nepal: A longitudinal study

Gopalakrishnan

Diamond‐Smith

Acharya³

et al. 2023

Maternal & Child Nutrition

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Eating last is a gendered cultural norm in which the youngest daughters-in-law are expected to eat last after serving others in the household, including men and in-laws. Using women's eating last as an indicator of women's status, we studied the association between eating last and women's mental health. Using four rounds of prospective cohort data of 18-25-year-old newly married women (n = 200) cohabiting with mothers-in-law between 2018 and 2020 in the Nawalparasi district of Nepal, we examined the association between women eating last and depressive symptom severity (measured using 15-item Hopkins Symptom Checklist for Depression; HSCL-D). Twenty-five percent of women reported eating last always.The prevalence of probable depression using the established cutoff was 5.5%, consistent with the prevalence of depression in the general population. Using a hierarchical mixed-effects linear regression model, we found that women who always ate last had an expected depressive symptom severity (0-3 on HSCL-D) 0.24 points (95% confidence interval [CI]: 0.13-0.36) greater compared to women who did not eat last when adjusted for demographic variables, household food insecurity, and secular trends. Sensitivity analysis using logistic regression also suggested that women who eat last have greater odds of having probable depression (adjusted odds ratio [AOR] = 4.05; 95% CI: 1.32-12.44). We explored if the association between eating last and depressive symptom severity was moderated by household food insecurity and did not observe evidence of moderation, underscoring the significance of eating last as a woman's status indicator. Our study findings highlight that newly young married women in Nepal are a vulnerable group.

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A longitudinal study of the role of spousal relationship quality and mother-in-law relationship quality on women’s depression in rural Nepal

Gopalakrishnan

Acharya²,

Puri

et al. 2023

SSM - Mental Health

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Ease of marital communication and depressive symptom severity among men and women in rural Uganda: cross-sectional, whole-population study

Cited by 3 publications

References 82 publications

What does your partner want? Using a gender equality lens to assess partner support and involvement in Family Planning in Uganda

What does your partner want? Using a gender equality lens to assess partner support and involvement in Family Planning in Uganda

The relationship between the gendered norm of eating last and mental health of newly married women in Nepal: A longitudinal study

A longitudinal study of the role of spousal relationship quality and mother-in-law relationship quality on women’s depression in rural Nepal

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