Depressive and Anxiety Symptoms in Relation to Socio Demographic Characteristics among Adolescent Mothers in Kajiado County, Kenya

Background: Adolescent mothers are at increased risk of depression and anxiety, yet the factors associated with these conditions remain poorly understood in low-resource settings. This study examined the sociodemographic, socioeconomic, and caregiving factors associated with depressive and anxiety symptoms among adolescent mothers in Kajiado County, Kenya.
Methods: A cross-sectional study was conducted among 163 adolescent mothers aged 12-21 years. Depressive and anxiety symptoms were assessed using Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7). Associations between mental health outcomes and sociodemographic, socioeconomic, and caregiving characteristics were examined using chi-square tests and binary logistic regression analyses.
Results: Adolescent mothers aged 19-21 years were significantly less likely to report depressive symptoms than those in the reference age category (OR = 0.167, 95% CI: 0.035-0.791, p = .024). For anxiety, respondents from the Kikuyu (OR = 0.051, p = .023) and Meru (OR = 0.052, p = .003) ethnic groups had significantly lower odds of symptoms, whereas those whose primary source of income was employment (OR = 37.17, p = .019) or government assistance (OR = 5.84, p = .022), and those with access to healthcare services (OR = 3.72, p = .002), had higher odds of anxiety. Additionally, mothers of children aged 1-2 years and ≥6 years were more likely to experience clinical anxiety.
Conclusions: Depression and anxiety among adolescent mothers were associated with distinct sociodemographic, socioeconomic, and caregiving characteristics. These findings indicate that the determinants of depression and anxiety differ within this population, highlighting the multifaceted nature of mental health among adolescent mothers in Kajiado County, Kenya.

Depressive, Anxiety symptoms, relationship, association, sociodemographic characteristics, adolescent mothers, Kajiado County, Kenya, Africa.

1. Abdul Rahim, K., Egglestone, N., Tsagareli, I., Usmani, W., Meherali, S., & Lassi, Z. (2024). Mental health outcomes beyond the post-partum period among adolescent mothers: A systematic review and meta-analysis. Health Psychology and Behavioral Medicine, 12(1), e2305741. doi:https://doi.org/10.1080/21642850.2024.2305741 [Google Scholar] [Crossref]

2. Afolabi, D. (2024). Risk factors associated with postpartum depression among adolescent mothers: A systematic review of observational studies. Public Health Institute Journal, 2024(6), 1-13. [Google Scholar] [Crossref]

3. Ahadi-Yulghunlu, F., Rezaei, M., Gavgani, L., Asgharian, H., Mirghafourvand, M., Ghanbari-Homaie, S., & Nakhlband, A. (2026). The prevalence and pricdictors of postpartum psychological outcomes among adolescent mothers: A systematic review and meta-analysis. A Cell Press Journal: Open Access, 12(10), e44990. [Google Scholar] [Crossref]

4. Allemand, M., Fend, H. A., & Hill, P. (2022). Perceptions of the future in adolescence predict depressive symptoms in adolescence and early and middle adulthood. Developmental PSychology, 58(11), 2197-2209. doi:https://doi.org/10.1037/dev0001424 [Google Scholar] [Crossref]

5. Badr, H., Federman, A., Wolf, M., Revenson, T., & Wisnivesky, J. (2016). Depression in individuals with chronic obstructive pulmonary disease and their informal caregivers. Aging and Mental Health, 21(9), 975-982. [Google Scholar] [Crossref]

6. Budak, M. S., & Akgol, S. (2020). Investigation of adolescent pregnancy outcomes and postpartum depression frequency and risk factors: Prospective case control study. Gynecology Obstetrics and Reproductive Medicine, 20(6), 94-100. [Google Scholar] [Crossref]

7. Bulduk, M., Kurt Can, E., Can, V., & Ayşin, S. (2025). The relationship between social support and maternal attachment of adolescent mothers and postpartum depression in Turkey. BMC Pregnancy Childbirth, 25(603), 1-8. doi:https://doi.org/10.1186/s12884-025-07703-z [Google Scholar] [Crossref]

8. Ceballos, M., Wallace, G., & Goodwin, G. (2024). Postpartum depression among African-American and Latina mothers living in small cities, towns and rural communities. Journal of Racial and Ethnic Health Disparities(4), 916-927. doi:https://doi.org/10.1007/s40615-016-0295-z [Google Scholar] [Crossref]

9. de Castro, F., Cappa, C., & Madans, J. (2023). Anxiety and depression signs among adolescents in 26 low-and middle-income countries: Prevalence and association with functional difficulties. Journal of Adolescent Health, 72(1), 79-87. [Google Scholar] [Crossref]

10. De la Calle, M., Bartha, J., Lopez, C., Turiel, M., Martinez, N., Arribas, S. M., & Ramiro-Cortijo, D. (2021). Younger age in adolescent pregnancies is associated with higher risk of adverse outcomes. International Journal of Environmental Research and Public Health, 18(16), 8514-8523. [Google Scholar] [Crossref]

11. Djatche-Miafo, J., Nzebou, D., Stoll, B., Ngambia, J., Ekedy, M., Ottino, S., & Moayedoddin, A. (2024). Validation of the Edinburgh postnatal depression scale and prevalence of depression among adolescent mothers in a Cameroonian context. Scientific Report, 14(30670), 1-7. doi:https://doi.org/10.1038/s41598-024-79370-7 [Google Scholar] [Crossref]

12. Famutimi, E., Okafor, U., & Chukwuere, P. (2026). Mental health interventions for adolescent mothers: A systematic review of effectiveness and accessibility. Health Sciences Review, 13(54), e100273. doi:https://doi.org/10.1016/j.hsr.2026.100273. [Google Scholar] [Crossref]

13. Ferrara, R., Lovino, L., Latina, R., Avallone, A., Montanari, V., & Ricci, P. (2024). Adolescent mothers and postpartum depression: A possible connection? A scoping review. Annals of Depression and Anxiety, 11(1), 1122-1131. [Google Scholar] [Crossref]

14. Govender, D., Naidoo, S., & Taylor, M. (2020). “I have to provide for another life emotionally, physically and financially”: Understanding pregnancy, motherhood and the future aspirations of adolescent mothers in KwaZulu-Natal South, Africa. BMC Pregnancy and Childbirth, 20(1), 620-228. [Google Scholar] [Crossref]

15. Hinz, A., Klein, A., Brahler, E., Glaesmer, H., Luck, T., Riedel-Heller, S., . . . Hilbert, A. (2017). Hinz, A., Klein, A.M., Brähler, E., Glaesmer, HPsychometric evaluation of the generalized anxiety disorder screener GAD-7, based on a large German general population sample. Journal of Affective Disorders, 210(1), 338-344. doi:https://doi.org/10.1016/j.jad.2016.12.012 [Google Scholar] [Crossref]

16. Hsu, T., Li, J., Tsai, S., Bai, Y., Su, T., Chen, T., . . . Liang, C. (2025). Risk of major psychiatric disorder after adolescent pregnancy: A nationwide cohort study of 149,870 girls. Psychiatry and Clinical Neurosciences, 80(6), 519-526. [Google Scholar] [Crossref]

17. Hussain, A., Aynalem, Y., Park, T., & Meherali, S. (2025). Motherhood and mental health of adolescent girls in low-and middle-income countries: A scoping review. PLOS Global Public Health, 5(9), e0005134. [Google Scholar] [Crossref]

18. Ibworo, A., Omondi, E., Aduda, D., & Owenga, J. (2024). Prevalence of depression and anxiety among adolescent mothers and access to counselling in western Kenya. International Journal of Health Sciences, 7(6), 1-20. [Google Scholar] [Crossref]

19. Khatun, R., Urme, S., & Islam, M. (2025). Prevalence and socio-demographic correlates of depression and anxiety among late adolescents (15 to 21 years) in Mymensingh division, Bangladesh: A cross-sectional study. PLoS One, 20(4), e0320505. doi:https://doi.org/10.1371/journal.pone.0320505 [Google Scholar] [Crossref]

20. Kuringe, E., Materu, J., Nyato, D., Majani, E., Ngeni, F., Shao, A., . . . Wambura, M. (2019). Prevalence and correlates of depression and anxiety symptoms among out-of-school adolescent girls and young women in Tanzania: A cross-sectional study. PLOS ONE, 14(8), e0221053. doi:https://doi.org/10.1371/journal.pone.0221053 [Google Scholar] [Crossref]

21. Lesinskiene, S., Andruskevic, J., & Butvilaite, A. (2025). Adolescent pregnancies and perinatal mental health - needs and complex support options: A literature review. Journal of Clinical Medicine, 14(2334), 1-18. doi:https://doi.org/10.3390/jcm14072334 [Google Scholar] [Crossref]

22. Liu, Y., Song, Y., Wu, Y., Lu, H., Gao, Y., Tang, J., & Zheng, X. (2024). Association between parental educational involvement and adolescent depressive symptoms: A systematic review and meta-analysis. BMC Psychology, 12(538), 1-15. doi:https://doi.org/10.1186/s40359-024-02039-3 [Google Scholar] [Crossref]

23. Martinez, P., & Choudhury, S. (2026). Ethnic differences in anxiety trajectories among teenage mothers: A UK population-based study. European Child and Adolescent Psychiatry, 35(1), 45-56. [Google Scholar] [Crossref]

24. Mehta, V., Rajendra, K., Mehta, K., Wang, V., Ddennis, C., Djukic, D., . . . Banker, L. (2026). Factors associated with perinatal anxiety in adolescents: A scoping review. Journal of Psychiatric Research, 201, 563-574. [Google Scholar] [Crossref]

25. Miafo, J., Nzebou, D., Stoll, B., Yinga-Ngambia, J., Ottino, S., & Moayedoddin, A. (2024). Perinata mental disorders and suicidal risk among adolescent mothers living in urban areas of Cameroon. Frontirs Psychiatry, 15(24), e1306440. doi: https://doi.org/10.3389/fpsyt.2024.1306440 [Google Scholar] [Crossref]

26. Munene, E. (2020, May 27). 2019 Kenya Population and Housing Census Results. Retrieved from Kenya National Bureau of Statistics: https://www.knbs.or.ke/2019-kenya-population-and-housing-census-results/ [Google Scholar] [Crossref]

27. Mwita, M., Konje, E., Patten, S., & Dewey , D. (2025). Depressive and generalized anxiety symptoms among adolescent pregnant women attending antenatal clinics in Mwanza Tanzania. Discover Mental Health, 5(153), 1-17. doi:https://doi.org/10.1007/s44192-025-00291-6 [Google Scholar] [Crossref]

28. Nguyen, A., Smith, T., & Jones, R. (2023). Ethnic disparities in postpartum depression among adolescent mothers: A multistate U.S. cohort study. Journal of Adolescent Health, 72(2), 210-218. [Google Scholar] [Crossref]

29. Ojeleye, O., Beckie, T., & Oruche, U. (2024). Psychosocial factors associated with perinatal anxiety and perinatal depression among adolescents: A rapid review. Journal of psychosocial Nursing and Mental Health Services, 62(2), 13-22. [Google Scholar] [Crossref]

30. Okafor, K., & Mensah, J. (2022). Cultural identity and mental health outcomes in young African immigrant mothers: A longitudinal approach. Journal of Child Psychology and Psychiatry, 63(8), 895-903. [Google Scholar] [Crossref]

31. Östberg, V., Ahlen, J., & Laftman, S. (2023). Educational attainment and symptoms of anxiety and depression in young adulthood. European Journal of Public Health, 33(2), e160.1578. doi:https://doi.org/10.1093/eurpub/ckad160.1578 [Google Scholar] [Crossref]

32. Pan, B., Gong, Y., Wang, Y., Miao, J., Zhao, C., & Li, Y. (2025). The impact of maternal parenting stress on early childhood development: The mediating role of maternal depression and the moderating effect of family resilience. BMC Psychology, 13(277), 1-12. doi:https://doi.org/10.1186/s40359-025-02575-6 [Google Scholar] [Crossref]

33. Perquier, F., Campisi, S., Zasowski, C., Tombeau-Cost, K., Wasan, Y., Soofi, S., . . . Bhutta, Z. (2026). Depression, anxiety symptoms, and association with household characteristics in adolescent boys and girls from Matiari District, Pakistan: A community-based cross-sectional study. PLoS One, 21(6), e0350609. doi:. https://doi.org/10.1371/journal.pone.0350609 [Google Scholar] [Crossref]

34. Poulin, D., Ouraou, R., & Hudon, C. (2026). Medical complications and psychosocial outcomes of adolescent pregnancy in high-income countries: A scoping review. BMC Public Health, 26(1), 586-591. doi:https://doi.org/10.1186/s12889-026-26269-9 [Google Scholar] [Crossref]

35. Rahman, F., & Williams, S. (2025). Ethnicity and the risk of major depressive disorder among adolescent mothers in the UK: A population-based study. The Lancet Child and Adolescent Health, 9(1), 33-42. [Google Scholar] [Crossref]

36. Rutter, L., & Brown, T. (2017). Psychometric properties of the generalized anxiety disorder scale-7 (GAD-7) in outpatients with anxiety and mood disorders. Journal of Psychopathology and Behavioural Assessment, 39(1), 140-146. [Google Scholar] [Crossref]

37. Steventon-Roberts, k., Smith, C., Toska, E., Cluver, L., Haag, K., Wittesaele, C., . . . Sherr, L. (2022). Risk factors for poor mental health among adolescent mothers in South Africa. Psychology, Health and Medicine, 27(1), 67-84. doi:https://doi.org/10.1080/13548506.2022.2124295 [Google Scholar] [Crossref]

38. Tedla, A., Aytenew, T., Asnakew, S., Legas, G., Beyene, G., Shiferaw, K., . . . Munie, B. (2026). Early motherhood, early burden: depression among teenage pregnancy and early motherhood in Africa: A systematic review and meta-analysis. BMC Pregnancy Childbirth, 26(637), 1-14. doi:https://doi.org/10.1186/s12884-026-09171-5 [Google Scholar] [Crossref]

39. Tembo, C., Portsmouth, L., & Burns, S. (2023). Postnatal depression and its social-cultural influences among adolescent mothers: A cross-sectional study. PLOS Global Public Health, 3(6), e0002025. doi:https://doi.org/10.1371/journal.pgph.0002025 [Google Scholar] [Crossref]

40. Tembo, C., Portsmouth, L., & Burns, S. (2023). Postnatal depression and its social-cultural influences among adolescent mothers: A cross-sectional study. PLOS Global Public Health, 3(6), e0002025. doi:https://doi.org/10.1371/journal.pgph.0002025 [Google Scholar] [Crossref]

41. Tembo, C., Portsmouth, L., & Burns, S. (2024). Cultural and social factors associated with generalized anxiety disorder among adolescent mothers during the partpartum period in Malawi: A cross-sectional survey. BMC Global Public Health, 2(50), 1-11. doi:https://doi.org/10.1186/s44263-024-00080-3 [Google Scholar] [Crossref]

42. Tsabedze, B. (2020). Financial dependence in early motherhood: Experiences of young mothers in Lomahasha, Eswantini. Master's thesis. Johannesburg, South Africa: University of the Witwatersrand. [Google Scholar] [Crossref]

43. Williams, R., & Simons, J. (2022). "Is mid-adolescence a buffer against postpartum depression in teenage mothers?". Journal of Osychiatric Research, 154(17), 120-127. [Google Scholar] [Crossref]

44. Yang, X., Miao, J., Bai, Y., Li, L., & Zhuang, G. (2024). An analysis of risk factors and current status of depressive mood in mid-to-late adolescence and early adulthood in Northern China. Frontiers in Psychiatry: Adolescent and Young Adult Psychiatry, 15(1370601), 1-12. doi: https://doi.org/10.3389/fpsyt.2024.1370601 [Google Scholar] [Crossref]

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