RESUMEN
BACKGROUND: Domestic spousal violence against women has far-reaching mental health implications. AIMS: To determine the association of domestic spousal violence with poor mental health. METHOD: In a household survey of rural, urban non-slum and urban slum areas from seven sites in India, the population of women aged 15-49 years was sampled using probability proportionate to size. The Self Report Questionnaire was used to assess mental health status and a structured questionnaire elicited spousal experiences of violence. RESULTS: Of 9938 women surveyed, 40% reported poor mental health. Logistic regression showed that women reporting 'any violence' -- 'slap', 'hit', 'kick' or 'beat' (OR 2.2, 95% CI 2.0-2.5) -- or 'all violence' -- all of the four types of physically violent behaviour (OR 3.5, 95% CI 2.94-3.51) -- were at increased risk of poor mental health. CONCLUSIONS: Findings indicate a strong association between domestic spousal violence and poor mental health, and underscore the need for appropriate interventions.