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Similarly, there was an increased likelihood of depression when the participant or spouse was unemployed. This study observed a higher prevalence of depression, which suggests paying attention to this cohort. Thus, there should be routine screening for depression among married women involved in MSG at lower-level health facilities in rural settings, especially those with spouses engaged in substance use, having an extramarital relationship, and being unemployed. This study observed a higher prevalence of depression, which suggests payin