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青少年早期多重受害模式:潜在类别与两波潜在转变分析

Patterns of Poly-Victimization Among Early Adolescents: A Latent Class and Two-Wave Latent Transition Analysis.

作者信息

Zhou Jiajun, Luo Yandong, Chang Ping, Li Liping

机构信息

School of Public Health, Shantou University, Shantou, People's Republic of China.

Injury Prevention Research Center, Shantou University Medical College, Shantou, People's Republic of China.

出版信息

Psychol Res Behav Manag. 2024 Sep 27;17:3341-3354. doi: 10.2147/PRBM.S477451. eCollection 2024.

Abstract

BACKGROUND

Poly-victimization involves more than just counting incidents; it varies in severity and type among adolescents and can change over time.

OBJECTIVE

The aim is to identify latent classes of poly-victimization among children in early adolescence, investigate transition probabilities between these latent categories, and examine the influencing factors.

METHODS

We used stratified cluster random sampling to select 2275 junior high students from five rural middle schools in Shantou and Jieyang, China, and surveyed them in two waves. Latent Class Analysis (LCA) and Latent Transition Analysis (LTA) identified latent classes of poly-victimization, and multi-factor logistic regression examined factors influencing the probability of students transitioning between these latent classes.

RESULTS

LCA identified three categories of poly-victimization: low poly-victimization, group, and high child maltreatment and peer and sibling victimization. The probabilities of remaining in the high child maltreatment and peer and sibling victimization group, transitioning to the transition group, or shifting to the low poly-victimization group were 37.00%, 29.20%, and 33.80%, respectively. Most transition group members remained in the same group, with a conversion probability of 77.10%, followed by transitioning to the low poly-victimization group with a probability of 15.80%. Physically healthy children, compared to those with disabilities or illnesses, were less likely to switch from the low poly-victimization group to the transition group (OR=0.034) or the high child maltreatment and peer and sibling victimization group (OR=0.14). Non-left-behind children, compared to left-behind children, have a higher probability of switching from the high child maltreatment and peer and sibling victimization group to the low poly-victimization group (OR=6.905).

CONCLUSION

The high child maltreatment and peer and sibling victimization group had similar probabilities of transitioning into other categories. Physical illness or disability, as well as being left behind, are significant risk factors for children transitioning from the low-harm group to the high-harm group.

摘要

背景

多重受害不仅仅是计算事件数量;其在青少年中严重程度和类型各异,且会随时间变化。

目的

旨在识别青春期早期儿童多重受害的潜在类别,调查这些潜在类别之间的转变概率,并检验影响因素。

方法

我们采用分层整群随机抽样方法,从中国汕头和揭阳的五所农村中学选取了2275名初中生,并对他们进行了两轮调查。潜在类别分析(LCA)和潜在转变分析(LTA)确定了多重受害的潜在类别,多因素逻辑回归分析检验了影响学生在这些潜在类别之间转变概率的因素。

结果

LCA确定了三类多重受害情况:低多重受害、转变组和高儿童虐待及同伴与手足受害。留在高儿童虐待及同伴与手足受害组、转变到转变组或转变为低多重受害组的概率分别为37.00%、29.20%和33.80%。大多数转变组成员仍留在同一组,转变概率为77.10%,其次是转变为低多重受害组,概率为15.80%。与残疾或患病儿童相比,身体健康的儿童从低多重受害组转变为转变组(OR = 0.034)或高儿童虐待及同伴与手足受害组(OR = 0.14)的可能性较小。与留守儿童相比,非留守儿童从高儿童虐待及同伴与手足受害组转变为低多重受害组的概率更高(OR = 6.905)。

结论

高儿童虐待及同伴与手足受害组转变为其他类别的概率相似。身体疾病或残疾以及留守儿童身份是儿童从低伤害组转变为高伤害组的重要危险因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7b32/11444219/482ee621dd85/PRBM-17-3341-g0001.jpg

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