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在库拉索岛一个具有全国代表性的在校青少年样本中,受害次数与心理健康指标和健康风险行为之间的关联。

Associations of number of victimizations with mental health indicators and health-risk behaviours among a nationally representative sample of in-school adolescents in Curaçao.

机构信息

ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom, Thailand; Department of Research Administration and Development, University of Limpopo, Turfloop, South Africa.

Department for Management of Science and Technology Development, Ton Duc Thang University, Ho Chi Minh City, Viet Nam; Faculty of Pharmacy, Ton Duc Thang University, Ho Chi Minh City, Viet Nam.

出版信息

Child Abuse Negl. 2021 Jan;111:104831. doi: 10.1016/j.chiabu.2020.104831. Epub 2020 Dec 2.

Abstract

PURPOSE

The study aimed to estimate the association of experiencing a higher number of victimizations with mental health and health-risk behaviours among adolescents in the 2015 Curaçao Global School-Based Student Health Survey (GSHS).

METHODS

In all, 2,765 in-school adolescents with a median age of 15 years from Curaçao responded to the cross-sectional GSHS.

RESULTS

Results indicate that from six forms of victimization (bullied, parental physical victimization, physically attacked, physical intimate partner violence victimization, forced sex and violent injury) assessed, 29.6 % reported one type of victimization, 11.3 % two types and 4.9 % three or more types of victimization. In adjusted logistic regression analyses, PV was associated with four poor mental health indicators (worry-induced sleep disturbance, suicidal ideation, loneliness, and suicide attempt) and eleven health-risk behaviours (current tobacco use, current alcohol use, current cannabis use, early sexual debut, sex among students who were drunk, multiple sexual partners, non-condom use at last sex, school truancy, carrying a weapon, short sleep and skipping breakfast).

CONCLUSION

Almost one in six students reported poly-victimization (≥2 types). Higher frequency of victimization was positively associated with four poor mental health indicators and eleven health-risk behaviours.

摘要

目的

本研究旨在估计在 2015 年库拉索全球基于学校的学生健康调查(GSHS)中,经历更多受害事件与青少年心理健康和健康风险行为之间的关联。

方法

共有 2765 名在校青少年参加了横断面 GSHS,中位数年龄为 15 岁。

结果

结果表明,在所评估的六种受害形式(被欺凌、父母身体受害、身体攻击、身体亲密伴侣暴力受害、被迫性行为和暴力伤害)中,有 29.6%的人报告了一种受害类型,11.3%的人报告了两种受害类型,4.9%的人报告了三种或更多种受害类型。在调整后的逻辑回归分析中,PV 与四个心理健康不良指标(因担忧导致的睡眠障碍、自杀意念、孤独和自杀未遂)和 11 种健康风险行为(当前吸烟、当前饮酒、当前大麻使用、性早期开始、醉酒学生发生性行为、多个性伴侣、最近一次性行为时不使用安全套、逃学、携带武器、睡眠不足和不吃早餐)相关。

结论

近六分之一的学生报告了多类型受害(≥2 种)。受害频率越高,与四个心理健康不良指标和 11 种健康风险行为呈正相关。

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