Does Marriage Benefit Maternal Mental Health? New Evidence from Nairobi, Kenya

IF 3.6 1区 医学 Q1 PSYCHOLOGY, SOCIAL Journal of Health and Social Behavior Pub Date : 2025-04-26 DOI:10.1177/00221465251330840
Sangeetha Madhavan, Estelle Monique Sidze, Kirsten Michelle Stoebenau, Michael A. Wagner, Carol Wangui Wainaina
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Abstract

It has long been known that marriage is a critical correlate of mental health, primarily through relationship quality and support from partner. However, in contexts where couples struggle to maintain a healthy relationship and marriage is an increasingly protracted process, the benefits of marriage for women’s mental health are far from assured. In this analysis, we draw on survey and qualitative data from a longitudinal study in two low-income communities in Nairobi, Kenya, to unpack the complex relationships among the conditions of marriage, kinship support, and the risk of depression among mothers with young children. Using cross-lagged, mediation, and growth models, we find some support for the benefits of union formalization for mothers’ mental health explained primarily through relationship satisfaction. Qualitative data help explain the pathways through which these benefits accrue but also highlight ways in which the process of formalizing a union can undermine mothers’ mental health.
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婚姻对产妇心理健康有益吗?肯尼亚内罗毕的新证据
人们早就知道,婚姻是心理健康的关键相关因素,主要通过关系质量和伴侣的支持来实现。然而,在夫妻努力维持健康关系和婚姻是一个日益漫长的过程的情况下,婚姻对妇女心理健康的好处远不能保证。在本分析中,我们利用来自肯尼亚内罗毕两个低收入社区的纵向研究的调查和定性数据,揭示了婚姻条件、亲属支持和幼儿母亲抑郁风险之间的复杂关系。使用交叉滞后、中介和增长模型,我们发现婚姻正规化对母亲心理健康的好处主要通过关系满意度来解释。定性数据有助于解释这些好处产生的途径,但也强调了婚姻正规化过程可能损害母亲心理健康的方式。
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来源期刊
CiteScore
6.50
自引率
4.00%
发文量
36
期刊介绍: Journal of Health and Social Behavior is a medical sociology journal that publishes empirical and theoretical articles that apply sociological concepts and methods to the understanding of health and illness and the organization of medicine and health care. Its editorial policy favors manuscripts that are grounded in important theoretical issues in medical sociology or the sociology of mental health and that advance theoretical understanding of the processes by which social factors and human health are inter-related.
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