Exposure to physical and sexual violence and adverse health behaviours in African children: results from the Global School-based Student Health Survey.
Objective To examine associations between exposure to physical violence (PV) or sexual violence (SV) and adverse health behaviours among a sample of children in five African countries. Methods In a cross-sectional analysis of data from Namibia, Swaziland, Uganda, Zambia and Zimbabwe -- countries tha...
| Publicado en: | Bulletin of the World Health Organization Vol. 87; no. 6; pp. 447 - 456 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
World Health Organization
Jun2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105362468&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105362468 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00429686 BUW jtl: Bulletin of the World Health Organization issn: 00429686 maglogo: N pubinfo: dt: Jun2009 vid: 87 iid: 6 pid: 437 pub: World Health Organization artinfo: ui: 105362468 105362468 2010320675 10.2471/blt.07.047423 NLM19565123 105362468 ppf: 447 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Exposure to physical and sexual violence and adverse health behaviours in African children: results from the Global School-based Student Health Survey. aug: au: Brown DW Riley L Butchart A Meddings DR Kann L Harvey AP affil: World Health Organization, 20 avenue Appia, 1211 Geneva 27, Switzerland sug: subj: Child Abuse Complications Child Abuse Epidemiology Health Behavior Evaluation Adolescence Africa Chi Square Test Child Abuse, Sexual Epidemiology Confidence Intervals Cross Sectional Studies Data Analysis Software Data Analysis, Statistical Descriptive Statistics Female Logistic Regression Loneliness Epidemiology Male Odds Ratio P-Value Self Report Sleep Disorders Epidemiology Smoking Epidemiology Suicidal Ideation Epidemiology Surveys Human Adolescent: 13-18 years Female Male ab: Objective To examine associations between exposure to physical violence (PV) or sexual violence (SV) and adverse health behaviours among a sample of children in five African countries. Methods In a cross-sectional analysis of data from Namibia, Swaziland, Uganda, Zambia and Zimbabwe -- countries that participated in the Global School-based Student Health Survey in 2003 or 2004 -- we compared the relative frequency of several adverse health behaviours among children (primarily students 13--15 years of age) who did and who did not report exposure to PV or SV. We estimated odds ratios (ORs) for such behaviours and their 95% confidence intervals (CIs) after adjusting for age and sex. Findings Exposure to PV during the 12 months preceding the survey was reported by 27--50% (average: 42%) of the children studied in the five countries, and lifetime exposure to SV was reported by 9--33% (average: 23%). Moderate to strong associations were observed between exposure to PV or SV and measures of mental health, suicidal ideation, current cigarette use, current alcohol use, lifetime drug use, multiple sex partners and a history of sexually transmitted infection (P <= 0.05 for all associations). For example, the odds of being a current cigarette smoker were higher in children involved in one fight (OR: 2.20; 95% CI: 1.77--2.75), 2--5 fights (OR: 3.43; 95% CI: 2.54--4.63), or 6 fights or more (OR: 5.95; 95% CI: 4.37--8.11) (P for trend < 0.001) during the 12 months preceding the survey than in children unexposed to PV. Conclusion Childhood exposure to PV and SV is common among African children in some countries and is associated with multiple adverse health behaviours. In developing countries, increased awareness of the frequency of exposure to violence among children and its potential health consequences may lead to heightened attention to the need for health promotion and preventive programmes that address the problem. Copyright © 2009 World Health Organization pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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