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埃塞俄比亚南部六分之一的儿童和青少年有童年创伤经历。

One in six children and adolescents in south Ethiopia had childhood trauma.

作者信息

Berhanu Tamene, Tesfaye Yonas, Girma Shemelis, Abera Mubarek, Alaho Tamene Berhanu

机构信息

Wolaita Sodo University College of health science and medicine, Wolaita Sodo, Ethiopia.

Department of Psychiatry, Faculty of medical Science, Jimma University, Jimma, Ethiopia.

出版信息

BMC Psychiatry. 2025 Feb 19;25(1):158. doi: 10.1186/s12888-025-06604-x.

Abstract

BACKGROUND

Childhood trauma is a serious experience that can have a profound impact on the physical, psychological, and social development of children and adolescents, with long-term effects on both the individual and society. Unfortunately, this condition is often overlooked by parents, teachers, medical professionals, mental health practitioners, and researchers. Therefore, this study aimed at assessing childhood trauma and associated factors among children and adolescents aged 5-14 years old at Wolaita Sodo University Comprehensive Specialized Hospital in South Ethiopia in 2022.

METHOD

From 22 September to 22 November, 2022, a hospital-based cross-sectional study was conducted, at Wolaita Sodo University Comprehensive Specialized Hospital. A total of 423 hospital based samples were selected using a systematic random sampling technique. Data was collected using a structured interviewer administered questionnaire. Childhood trauma was screened using the internationally validated the child trauma screening questionnaire after determining for its reliability in the study area. The data was analysed using descriptive and logistic regression analysis methods. The strength as well as presence of association was presented using odds ratio and 95% CI with a corresponding p-value < 0.05.

RESULT

The magnitude of childhood trauma among children and adolescents aged 5-14 was 18%. Living in a family size of four and above (AOR = 1.8; 95% CI: 1.07, 3.13), lower level of parental education (AOR = 4.4; 95% CI: 2.18, 9.00) and children and adolescent with emotional problems (AOR = 1.9; 95% CI: 1.09, 3.20) were found to be independent predictors of childhood trauma.

CONCLUSION AND RECOMMENDATION

Approximately one in six children and adolescents have experienced childhood trauma. Factors such as living in a larger family, having parents with a low educational level, and experiencing emotional problems were found to be independently associated with childhood trauma. A holistic preventive approach, along with early detection and management of childhood trauma, is essential in order to prevent both the short-term and long-term impacts of such experiences.

摘要

背景

儿童期创伤是一种严重的经历,会对儿童和青少年的身体、心理及社会发展产生深远影响,对个人和社会都有长期影响。不幸的是,这种情况常常被家长、教师、医学专业人员、心理健康从业者及研究人员忽视。因此,本研究旨在评估2022年埃塞俄比亚南部沃莱塔索多大学综合专科医院5至14岁儿童和青少年中的儿童期创伤及相关因素。

方法

2022年9月22日至11月22日,在沃莱塔索多大学综合专科医院开展了一项基于医院的横断面研究。采用系统随机抽样技术选取了423个基于医院的样本。通过结构化访谈问卷收集数据。在确定儿童创伤筛查问卷在研究地区的可靠性后,使用经过国际验证的该问卷对儿童期创伤进行筛查。采用描述性和逻辑回归分析方法对数据进行分析。使用比值比和95%置信区间以及相应的p值<0.05来呈现关联的强度及存在情况。

结果

5至14岁儿童和青少年中儿童期创伤的发生率为18%。家庭人口数为四人及以上(比值比=1.8;95%置信区间:1.07,3.13)、父母教育水平较低(比值比=4.4;95%置信区间:2.18,9.00)以及有情绪问题的儿童和青少年(比值比=1.9;95%置信区间:1.09,3.20)被发现是儿童期创伤的独立预测因素。

结论与建议

约六分之一的儿童和青少年经历过儿童期创伤。诸如生活在大家庭、父母教育水平低以及经历情绪问题等因素被发现与儿童期创伤独立相关。为防止此类经历产生短期和长期影响,采取全面的预防方法以及对儿童期创伤进行早期检测和管理至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2075/11840980/4cee7a64c99c/12888_2025_6604_Fig1_HTML.jpg

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