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不同的连续统点?尼日利亚机构照料的不同类别青少年在当前和接触前心理社会问题方面的横断面比较。

Different points of a continuum? Cross sectional comparison of the current and pre-contact psychosocial problems among the different categories of adolescents in institutional care in Nigeria.

机构信息

Dept of Psychiatry, University College Hospital Ibadan, Ibadan, Nigeria.

出版信息

BMC Public Health. 2012 Jul 26;12:554. doi: 10.1186/1471-2458-12-554.

Abstract

BACKGROUND

The combination of adverse social indicators and a predominantly youthful population puts Nigeria, and indeed many countries of sub-Sahara Africa, at the risk of explosion in the number of youth coming in contact with the juvenile justice system. Despite this risk, custodial childcare systems in the region are still poorly developed with both juvenile offenders and neglected adolescents coming in contact with the systems being kept in the same incarcerating facility. The needs of these different groups of adolescents may be different. Knowing their common and unique needs can inform common prevention strategies and ensure that specific service-needs of different categories of adolescents in institutional custody are met.

METHODS

Data on the family background, pre-contact social circumstance, neurological and anthropometric profiles, and certain aspects of mental health of adolescents drawn from two juvenile justice institutions in Nigeria were obtained. The results for the adolescents on 'criminal code' and those admitted as a case of child neglect were compared using chi-square and odd ratios.

RESULTS

Participants were 211 adolescents comprising of 158 on 'criminal code' and 53 declared as 'neglected'. A lot of similarities were found. For instance, the prevalence of parental separation, family transition, experience of street-life and lifetime exposure to traumatic events and posttraumatic stress was equally high among the two groups of adolescents. The adolescents on 'criminal code' however had significantly higher prevalence of conduct and alcohol/substance use disorders while the child neglect group had poorer anthropometric profiles and higher prevalence of neurological disorders.

CONCLUSIONS

Child neglect and juvenile delinquency in Nigeria may truly be different points of a continuum. There are however fundamental differences that can warrant specific prevention strategies and tailor-made service provision while in custodial care.

摘要

背景

不利的社会指标和以年轻人为主的人口结构使尼日利亚,乃至撒哈拉以南非洲的许多国家,面临着接触少年司法系统的青少年人数暴增的风险。尽管存在这种风险,但该地区的羁押式儿童保育系统仍未得到充分发展,少年犯和被忽视的青少年都被关在同一个监禁设施中。这些不同群体的青少年的需求可能不同。了解他们的共同和独特需求可以为共同的预防策略提供信息,并确保满足不同类别在机构中被监管的青少年的特定服务需求。

方法

从尼日利亚的两个少年司法机构中获取了有关青少年家庭背景、接触前社会环境、神经和人体测量特征以及某些心理健康方面的数据。使用卡方检验和优势比比较了在“刑法典”上的青少年和因疏忽而被送进来的青少年的结果。

结果

参与者为 211 名青少年,其中 158 名因“刑法典”而被送进来,53 名因被忽视而被送进来。发现了很多相似之处。例如,父母离异、家庭变迁、街头生活经历以及一生中经历创伤事件和创伤后应激障碍的比例在这两组青少年中都很高。然而,在“刑法典”上的青少年中,品行和酒精/物质使用障碍的患病率明显更高,而被忽视的青少年群体的人体测量特征较差,神经障碍的患病率更高。

结论

在尼日利亚,儿童忽视和少年犯罪可能真的是一个连续体的不同点。然而,存在一些根本性的差异,这可能需要特定的预防策略和定制的服务提供,而在监管护理中。

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