INTRODUCTION We explored the association between pregnancy-related stigma and intimate partner violence (IPV) with depression and anxiety among adolescents in Uganda. METHODS We interviewed a convenience sample of 100 adolescents (>18 years) who were pregnant (>3 months) or recently gave birth (<3 months) at Tororo District Hospital, Uganda. Symptoms of depression and anxiety were evaluated using the Hopkins Symptom Checklist (HSCL-25), physical and sexual IPV were assessed using the WHO violence against women instrument, and pregnancy-related stigma was captured with a questionnaire. Regression models were used to evaluate associations of pregnancy stigma and IPV with depression and anxiety. RESULTS Mean age was 18 years, 84% were primiparous, 66% were married and 57% had only primary school-level education. About 48% women had clinically meaningful distress levels; 45% reported sexual IPV, 32% physical IPV, and 86% reported experiencing pregnancy-related stigma. Adjusted models showed that higher levels of depression and anxiety were associated with higher report of pregnancy-related stigma (β = .27, p = .03), physical IPV, (β = -.24, p < .01), or sexual IPV (β = -.19, p = .05), compared to those who did not. Unemployment (β = -.24, p = .01) and lower educational level (β = -.21, p = .05) were also independent predictors of depression and anxiety. CONCLUSION Findings suggest that IPV is common among adolescents in Uganda, as is pregnancy-related stigma, and both are independent predictors of depression and anxiety. The implications of these findings and the need for clinical interventions for IPV among adolescents are discussed.

中文翻译：

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与怀孕相关的污名和亲密伴侣暴力与青少年焦虑和抑郁的关系。

引言 我们探讨了乌干达青少年中与怀孕相关的污名和亲密伴侣暴力 (IPV) 与抑郁和焦虑之间的关系。方法 我们在乌干达托罗罗区医院采访了 100 名怀孕（>3 个月）或最近分娩（<3 个月）的青少年（>18 岁）的便利样本。抑郁和焦虑症状使用霍普金斯症状检查表 (HSCL-25) 进行评估，身体和性 IPV 使用世卫组织针对女性的暴力工具进行评估，并通过问卷调查获得与怀孕相关的污名。回归模型用于评估妊娠耻辱感和 IPV 与抑郁和焦虑的关联。结果平均年龄为 18 岁，84% 为初产，66% 已婚，57% 仅受过小学教育。约 48% 的女性有临床意义的痛苦水平；45% 的人报告了性 IPV，32% 的身体 IPV 和 86% 的人报告了与怀孕相关的污名。调整后的模型显示，较高水平的抑郁和焦虑与较高的妊娠相关耻辱报告（β = .27，p = .03）、物理 IPV（β = -.24，p < .01）或性IPV (β = -.19, p = .05)，与那些没有的人相比。失业 (β = -.24, p = .01) 和较低的教育水平 (β = -.21, p = .05) 也是抑郁和焦虑的独立预测因素。结论 研究结果表明，IPV 在乌干达的青少年中很常见，与怀孕相关的污名也是如此，两者都是抑郁和焦虑的独立预测因素。讨论了这些发现的影响以及青少年 IPV 临床干预的必要性。