Evidence map›Paper›PMID 42180156›Full record

ArticleDepression and anxiety2026

Depression and Anxiety Among Women in Lesotho: A Multilevel Analysis of the 2023-2024 LSDHS.

Helen Lamesgin Endalew, Astewil Moges Bazezew, Eniyew Assimie Alemu, Enyew Getaneh Mekonen, Berihun Agegn Mengistie, Gebreeyesus Abera Zeleke, Desalegn Getachew Ayele, Amlaku Nigusie Yirsaw, Getie Mihret Aragaw, Alemken Eyayu Abuhay and 2 more

Abstract read
In one paragraph

Article in Depression and anxiety, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Helen Lamesgin EndalewDepartment of Surgical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia, uog.edu.et.ORCID https://orcid.org/0009-0009-7592-4578
Astewil Moges BazezewDepartment of Surgical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia, uog.edu.et.ORCID https://orcid.org/0009-0000-6472-6378
Eniyew Assimie AlemuDepartment of Anesthesia, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia, uog.edu.et.ORCID https://orcid.org/0009-0007-3250-101X
Enyew Getaneh MekonenDepartment of Surgical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia, uog.edu.et.ORCID https://orcid.org/0000-0002-9316-245X
Berihun Agegn MengistieDepartment of General Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia, uog.edu.et.
Gebreeyesus Abera ZelekeDepartment of Surgical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia, uog.edu.et.
Desalegn Getachew AyeleDepartment of Surgical Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia, uog.edu.et.
Amlaku Nigusie YirsawDepartment of Health Promotion and Health Behavior, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia, uog.edu.et.ORCID https://orcid.org/0009-0009-7867-6565
Getie Mihret AragawDepartment of General Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia, uog.edu.et.
Alemken Eyayu AbuhayDepartment of Clinical Midwifery, College of Medicine and Health Sciences, University of Gondar Comprehensive Specialized Referral Hospital, Gondar, Ethiopia, uog.edu.et.
Degsew Ewunetie AntenehDepartment of Clinical Midwifery, College of Medicine and Health Sciences, University of Gondar Comprehensive Specialized Referral Hospital, Gondar, Ethiopia, uog.edu.et.
Gebeyehu LakewDepartment of Health Promotion and Health Behavior, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia, uog.edu.et.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Women's mental health significantly influences families, communities, and national development. In low-resource settings like Lesotho, factors such as chronic illness, financial barriers, and limited access to care contribute to the burden of mental health conditions. However, population-level evidence on depression and anxiety among reproductive age women remains limited. Methods: A cross-sectional multilevel analysis was conducted using data from the 2023-2024 Lesotho Demographic and Health Survey (LSDHS). A weighted sample of 3265 women aged 15-49 years was included. Outcomes were defined as physician-diagnosed depression, Patient Health Questionnaire (PHQ)-based depressive symptoms, and self-reported anxiety. Multilevel multivariable logistic regression models were fitted separately for each outcome to identify associated factors while accounting for the hierarchical structure of the data. Results: The prevalence of self-reported physician-diagnosed depression was 10.62%, PHQ-based depressive symptoms 5.37%, and self-reported physician-diagnosed anxiety was 9.07%. Chronic illness was significantly associated with all three outcomes. Financial barriers to healthcare were associated with self-reported physician-diagnosed depression and PHQ-based depressive symptoms, while higher parity and younger age were associated with PHQ-based depressive symptoms. Smoking and lack of media exposure were associated with higher odds of self-reported physician-diagnosed anxiety. Regional disparities were observed for self-reported physician-diagnosed depression and anxiety. Conclusions: Mental health problems remain a significant concern among women in Lesotho. Both shared and outcome-specific factors were identified, with chronic illness emerging as a consistent determinant. These findings highlight the need for integrated and targeted mental health interventions, particularly within primary healthcare and chronic disease management, alongside efforts to improve access to information and reduce regional inequalities.

Indexed as

AnxietyDepressionAdolescentAdultChronic DiseaseCross-Sectional StudiesFemaleHealth SurveysHumansLesothoMiddle AgedMultilevel AnalysisPrevalenceYoung AdultanxietydepressionLesothomultilevel analysisreproductive age

Identifiers

PMID42180156
PMCPMC13193768

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.