Department of Clinical Psychology, Faculty of Psychology, Universitas Indonesia, Indonesia; Institute of Clinical Medicine, Faculty of Medicine, University of Oslo, Norway.
Department of Clinical Psychology, Faculty of Psychology, Universitas Indonesia, Indonesia.
Asian J Psychiatr. 2019 Feb;40:49-54. doi: 10.1016/j.ajp.2019.01.020. Epub 2019 Feb 1.
Studies have shown the adverse impact of exposure to community violence on adolescent health. However, most of the studies were conducted in high-income countries. This study aimed at assessing the community violence exposure and the determinants of mental health problems among adolescents in Ambon, a post-conflict area in Indonesia.
We conducted a cross-sectional, school-based study involving 511 of 10th-graders from six randomly selected high schools in Kotamadya Ambon. Our participants were assessed using a set of questionnaires including the Strength Difficulties Questionnaire (SDQ) to measure mental health problems, and the child version of the Screen for Adolescent Violence Exposure (KID-SAVE) to measure community violence exposure. The hierarchical regression analyses were used to explore the determinants of mental health problems.
In this study, boys reported more exposure to community violence (both in frequency and severity) than girls. Meanwhile, the girls reported higher emotional problems than boys. The hierarchical regression analyses revealed that in the total sample and among boys, the community violence exposure was associated with mental health problems. However, it was the perceived impact of community violence exposure which showed an association with mental health problems among girls.
This study revealed the high community violence exposure among adolescents living in a post-conflict setting in Indonesia. The study also found gender differences in the determinants of mental health problems among adolescents who were exposed to CVE.
研究表明，暴露于社区暴力对青少年健康有不良影响。然而，大多数研究都是在高收入国家进行的。本研究旨在评估印度尼西亚安汶市（一个冲突后地区）青少年遭受社区暴力的情况及其心理健康问题的决定因素。
我们进行了一项横断面、基于学校的研究，涉及来自安博市六所随机选择的高中的 511 名十年级学生。我们使用了一套问卷对参与者进行评估，包括用于测量心理健康问题的《长处与困难问卷》（SDQ），以及用于测量社区暴力暴露情况的《青少年暴力暴露筛选工具（儿童版）》（KID-SAVE）。我们采用分层回归分析来探讨心理健康问题的决定因素。
在本研究中，男孩比女孩报告了更多的社区暴力暴露（无论是在频率还是严重程度上）。与此同时，女孩报告的情绪问题比男孩多。分层回归分析显示，在总样本和男孩中，社区暴力暴露与心理健康问题有关。然而，只有女孩感受到的社区暴力暴露的影响与心理健康问题有关。
本研究揭示了生活在印度尼西亚冲突后环境中的青少年遭受高度的社区暴力暴露的情况。研究还发现，在经历社区暴力暴露的青少年中，心理健康问题的决定因素存在性别差异。
