Department of Global Health, Milken Institute School of Public Health, The George Washington University, Washington, DC 20052, USA.
The Biostatistics Center, Department of Biostatistics and Bioinformatics, Milken Institute School of Public Health, The George Washington University, Washington, DC 20052, USA.
Int J Environ Res Public Health. 2023 Sep 13;20(18):6755. doi: 10.3390/ijerph20186755.
Interpersonal violence is a pervasive experience affecting one billion children and adolescents annually, resulting in adverse health and well-being outcomes. Evidence suggests that polyvictimization, the experience of multiple forms of violence, is associated with more harmful consequences for adolescents than experiencing individual types of violence, although data from low-and middle-income countries are limited. This study analyzed data on over 4100 adolescents from the Gender and Adolescence, Global Evidence Study in Ethiopia to examine the association between polyvictimization and adolescent mental and physical health and the mediating role of resilience using linear regression and path analysis. We hypothesized that adolescents experiencing polyvictimization would experience worse mental and physical health than those experiencing no types or individual types of victimization, and that resilience would mediate these relationships. Half of sampled girls and over half of boys experienced polyvictimization. Among both sexes, polyvictimization was associated with worse mental but not worse physical health. Resilience mediated the association between polyvictimization and mental health among girls only. Strengthening resilience among girls may be an effective avenue for mitigating polyvictimization's negative mental health effects, but additional research and programming for preventing and identifying polyvictimized adolescents and linking them to care is needed.
人际暴力是一种普遍存在的经历，每年影响着 10 亿儿童和青少年，导致他们的健康和福祉受到不良影响。有证据表明，与经历单一类型的暴力相比，遭受多种形式暴力的多重受害经历与青少年更严重的后果相关，尽管来自中低收入国家的数据有限。本研究分析了来自埃塞俄比亚性别与青少年全球证据研究的 4100 多名青少年的数据，使用线性回归和路径分析检验了多重受害与青少年心理健康和身体健康之间的关系，以及韧性的中介作用。我们假设，经历多重受害的青少年的心理健康和身体健康状况比没有遭受任何类型或单一类型受害的青少年更差，而韧性会调节这些关系。一半的女孩和超过一半的男孩经历了多重受害。在两性中，多重受害与心理健康状况较差有关，但与身体健康状况较差无关。韧性仅在女孩中调节了多重受害与心理健康之间的关系。增强女孩的韧性可能是减轻多重受害对心理健康负面影响的有效途径，但需要进一步的研究和方案制定，以预防和识别多重受害的青少年，并将他们与护理联系起来。
Zotero 插件
