Lancashire Care NHS Foundation Trust, Preston, UK.
Save the Children UK, London, UK.
Int J Public Health. 2020 Apr;65(3):357-366. doi: 10.1007/s00038-020-01340-3. Epub 2020 Feb 18.
To analyse the impact of being affected by domestic and/or relationship violence in early adolescence on indicators of health and well-being.
Secondary data analysis of a cross-sectional survey of 13-14 year-old pupils attending schools in north-west England, with variables relating to vulnerability, violence and mental and physical health, was performed. The sample of 9626 represented 71% of the eligible population. Chi-squared tests and logistic regression were used to analyse demographic exposure to violence and outcomes.
Pupils affected by domestic and/or relationship violence had significantly worse outcomes and experiences than non-affected peers. Odds ratios demonstrated higher risks of being lonely, being bullied or having deliberately self-harmed. They were also more likely to report an enduring health condition, poorer health practices and worse access to and experiences of health services.
Exposure to violence in domestic and/or relationships is detrimental to children and young people's mental and physical health and vulnerability. Health risks and inequalities reported by CYP in this study provide compelling intelligence for renewed strategic policy-level consideration in the design and delivery of young peoples' health services.
分析青少年早期受家庭和/或伴侣暴力影响对健康和幸福指标的影响。
对英格兰西北部学校 13-14 岁学生进行的横断面调查的二次数据分析，其中包括与脆弱性、暴力以及心理健康和身体健康相关的变量。样本为 9626 人，占合格人口的 71%。采用卡方检验和逻辑回归分析人口统计学上的暴力暴露和结果。
受家庭和/或伴侣暴力影响的学生比未受影响的同龄人在结果和经历方面明显更差。优势比表明，他们更有可能感到孤独、被欺负或故意自残。他们也更有可能报告持续存在的健康状况、更差的健康行为以及更难获得和体验卫生服务。
家庭和/或伴侣暴力的暴露对儿童和青少年的身心健康和脆弱性有害。本研究中青少年报告的健康风险和不平等现象为重新考虑在年轻人健康服务的设计和提供中加强战略政策层面的考虑提供了有力的依据。
