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海地地震后青少年遭受暴力侵害与健康不良的关联:横断面儿童暴力侵害调查结果。

Violence victimization and negative health correlates of youth in post-earthquake Haiti: Findings from the cross-sectional violence against children survey.

机构信息

Lynch School of Education and Human Development, Boston College, 140 Commonwealth Ave, Chestnut Hill, MA, 02467, USA.

School of Public Health, Georgia State University, USA.

出版信息

J Affect Disord. 2020 Jun 1;270:59-64. doi: 10.1016/j.jad.2020.03.050. Epub 2020 Mar 23.

Abstract

BACKGROUND

We examined the prevalence of and relationships between violence victimization and negative health correlates of Haitian youth exposed to the 2010 earthquake.

METHODS

Participants were randomly selected 13-24 year-old youth (1457 females; 1459 males) living in Haiti following the 2010 earthquake. Data collected via Haiti's 2012 Violence against Children Survey (VACS) were analyzed.

RESULTS

Participants reported violence victimization in the past 12 months (females: 49.93%; males: 41.68%), moderate-to-severe mental distress (females: 76.56%; males: 66.41%), and suicidal ideation (females: 26.79%; males: 8.05%). Compared to participants without experiences of violence, victims of violence had significantly higher mean number of sexual partners (females: 1.99, 95% CI: 1.81-2.16, p = .02; males: 4.33, 95% CI: 3.50-5.16, p = .03), mental distress (females: 80.39%, p = .01; males: 72.95%, p = .002), and suicidal ideation (females: 36.09%, p < .0001; males: 12.02%, p < .0001). Male victims of violence were more likely to have sex without a condom (26.02%, p = .01) and female victims of violence were more likely to report histories of STIs (28.04%, p = .01), when compared to participants without history of violence.

LIMITATIONS

Data were collected via self-report. Disaster exposure experiences were not assessed. Analysis was correlational and did not control for potential confounding variables.

CONCLUSIONS

Disaster-exposed youth endorsed high levels of violence victimization and negative health correlates. Earthquake survivors who experienced violence were more likely to report negative health correlates. Greater attention to downstream sequelae of natural disasters is needed.

摘要

背景

我们调查了海地青少年在经历 2010 年地震后遭受暴力侵害的普遍性及其与负面健康结果的关系。

方法

参与者是在 2010 年地震后从海地随机挑选的 13-24 岁青年(女性 1457 人;男性 1459 人)。分析的数据来自海地 2012 年暴力侵害儿童调查(VACS)。

结果

参与者报告称在过去 12 个月内遭受过暴力侵害(女性:49.93%;男性:41.68%)、中度至重度精神困扰(女性:76.56%;男性:66.41%)和自杀意念(女性:26.79%;男性:8.05%)。与没有经历过暴力的参与者相比,暴力受害者的平均性伴侣人数明显更多(女性:1.99,95%置信区间:1.81-2.16,p=.02;男性:4.33,95%置信区间:3.50-5.16,p=.03),精神困扰(女性:80.39%,p=.01;男性:72.95%,p=.002)和自杀意念(女性:36.09%,p<.0001;男性:12.02%,p<.0001)也更严重。与没有暴力史的参与者相比,男性暴力受害者更有可能无保护措施发生性行为(26.02%,p=.01),而女性暴力受害者更有可能报告有性传播感染史(28.04%,p=.01)。

局限性

数据是通过自我报告收集的。没有评估灾害暴露经历。分析是相关的,没有控制潜在的混杂变量。

结论

经历过灾害的青少年报告的暴力侵害和负面健康结果发生率较高。经历过暴力的地震幸存者更有可能报告负面健康结果。需要更加关注自然灾害的下游后果。

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