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The problem
Intervention: National Violence Against Children Surveys measuring associations between child marriage, intimate partner violence, and mental distress using the Kessler Psychological Distress Scale-6
Who it was tested with: Adolescent girls and young women aged 13–24 years from nationally representative samples in Lesotho, Mozambique, Namibia, and Zimbabwe.
Experience from people who deliver programmes: stories, case studies and lessons learned. Valuable for understanding how and why, and for spotting what to test next, but not a measure of effect.
"Multivariable logistic regression models estimated the odds of mental distress associated with (i) having ever married among 13–17-year-old AGYW and (ii) marital timing among 18–24-year-old AGYW, accounting for covariates: school enrollment, household poverty, urban residence, age, and country. We investigated whether past-year IPV moderated the association between marriage/marital timing and mental distress." The study used a rigorous quantitative approach with large nationally representative samples to examine associations between exposures (marriage, child marriage, IPV) and mental distress outcomes, with statistical adjustment for confounders.
Cross-sectional design prevents causal inference. Data are self-reported and subject to recall bias. The moderation analysis was significant only for younger adolescents. Findings may not generalise beyond the four surveyed countries.
Across countries and designs
1 study · 4 countries
