Davis Laura E, Abio Anne, Wilson Michael Lowery, Shaikh Masood Ali
Center for Injury Prevention and Community Safety, Peercorps Trust Fund, Dar es Salaam, Tanzania.
Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Quebec, Canada.
PeerJ. 2020 May 12;8:e9075. doi: 10.7717/peerj.9075. eCollection 2020.
Physical fighting is particularly detrimental for young people, often affecting other areas of their developing lives, such as relationships with friends and family and participating in risky behaviors. We aim to quantify the amount of problematic physical fighting in Namibian adolescents and identify modifiable risk factors for intervention.
We used the Namibia 2013 Global School-based Student Health Survey (GSHS). This survey collects health-related information on school-attending adolescents in grades 7 to 12. We defined physical fighting as having participated in at least two physical fights in the 12 months prior to responding to the survey. Factors that may be associated with physical fighting were identified a prior based on the literature and included age, sex, anxiety, suicide planning, truancy, physical activity, bullying victimization, presence of supportive parental figures, presence of helpful peers, extent of social network, and food insecurity. Multivariable logistic regression models were created to identify factors associated with physical fighting.
A total of 4,510 adolescents were included in the study. A total of 52.7% female. 16.9% of adolescents reported engaging in at least two physical fights in the previous year. Factors associated with an increased odds of physical fighting included having a suicide plan, anxiety, truancy, food deprivation and being bullied. Increased age and loneliness were associated with a decreased odds of physical fighting.
This study identifies problematic physical fighting among adolescents in Namibia. We recommend public health and school-based programming that simultaneously targets risk behaviours and conflict resolution to reduce rates of physical fighting.
肢体冲突对年轻人尤其有害，常常影响他们成长生活的其他方面，比如与朋友和家人的关系以及参与危险行为。我们旨在量化纳米比亚青少年中存在问题的肢体冲突数量，并确定可改变的干预风险因素。
我们使用了2013年纳米比亚全球学校学生健康调查（GSHS）。该调查收集了7至12年级在校青少年的健康相关信息。我们将肢体冲突定义为在回答调查前的12个月内至少参与过两次肢体冲突。根据文献预先确定了可能与肢体冲突相关的因素，包括年龄、性别、焦虑、自杀计划、逃学、体育活动、受欺凌、有支持性的家长、有乐于助人的同伴、社交网络范围以及粮食不安全。创建多变量逻辑回归模型以确定与肢体冲突相关的因素。
共有4510名青少年纳入研究。其中52.7%为女性。16.9%的青少年报告在前一年至少参与过两次肢体冲突。与肢体冲突几率增加相关的因素包括有自杀计划、焦虑、逃学、食物匮乏和受欺凌。年龄增长和孤独与肢体冲突几率降低相关。
本研究确定了纳米比亚青少年中存在问题的肢体冲突情况。我们建议开展公共卫生和基于学校的项目，同时针对风险行为和冲突解决，以降低肢体冲突发生率。
