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尼日利亚一个次国家级地区青少年同伴身体暴力的患病率及预测因素

Prevalence and Predictors of Peer Physical Violence Among Adolescents in a Sub-National Region of Nigeria.

作者信息

Nwankwo Grace I, Nwankwo Ogonna N O, Anyanwu Onyinye U, Ezeonu Chinonyelum T, Uzomba Chigozie I, Akpoke Michael A, Ikefuna Anthony N

机构信息

Department of Paediatrics, University of Calabar Teaching Hospital, Calabar, Nigeria.

Swiss Centre for International Health, Swiss Tropical and Public Health Institute (Swiss TPH), Basel, Switzerland.

出版信息

Int J Public Health. 2025 Jul 17;70:1608128. doi: 10.3389/ijph.2025.1608128. eCollection 2025.

Abstract

OBJECTIVE

Peer physical violence (PPV) has been shown to be an early marker for development of other health-risk behaviours. This study assessed the prevalence and risk factors of PPV among in-school adolescents in a state in South-east, Nigeria.

METHODS

This was a cross sectional study conducted among 1,296 in-school adolescents using the Global School-based students Health Survey questionnaire. Data on socio-demographic characteristics and factors associated with PPV were obtained and p-value <0.05 was considered significant.

RESULT

The overall mean age (S.D) of participants was 15.0 ± 2.0 years and the prevalence of PPV was 43.1%. In multivariate logistic regression, predictors of PPV were gambling (AOR: 1.56; 95%CI:1.13-2.16; p = 0.007), cigarette smoking (AOR: 1.85; 95%CI:1.01-3.40; p = 0.047), serious injury in the past 1 year (AOR: 2.29; 95%CI:1.78-2.95; p < 0.001) and bully victims (AOR: 1.70; 95% CI:1.28-2.25; p < 0.001). Older adolescent age (AOR:0.37; 95%CI:0.25-0.53; p < 0.001] and being religious (AOR: 0.70; 95%CI: 0.53-0.92; p = 0.011) were protective.

CONCLUSION

There is high prevalence of PPV in the study population. The risk factors were young adolescence age, bullying, gambling, cigarette smoking, having had a serious injury and not being religious. Stricter regulations on gambling through legislation, especially as it concerns age, and adoption of school policies against bullying and cigarette smoking are recommended.

摘要

目的

同伴身体暴力(PPV)已被证明是其他健康风险行为发展的早期标志。本研究评估了尼日利亚东南部一个州在校青少年中PPV的患病率及风险因素。

方法

这是一项横断面研究,使用全球学校学生健康调查问卷对1296名在校青少年进行调查。获取了社会人口学特征及与PPV相关因素的数据,p值<0.05被认为具有统计学意义。

结果

参与者的总体平均年龄(标准差)为15.0±2.0岁,PPV的患病率为43.1%。在多因素逻辑回归分析中,PPV的预测因素包括赌博(比值比[AOR]:1.56;95%置信区间[CI]:1.13 - 2.16;p = 0.007)、吸烟(AOR:1.85;95%CI:1.01 - 3.40;p = 0.047)、过去1年曾受重伤(AOR:2.29;95%CI:1.78 - 2.95;p < 0.001)以及曾是欺凌受害者(AOR:1.70;95%CI:1.28 - 2.25;p < 0.001)。年龄较大的青少年(AOR:0.37;95%CI:0.25 - 0.53;p < 0.001)和有宗教信仰(AOR:0.70;95%CI:0.53 - 0.92;p = 0.011)具有保护作用。

结论

研究人群中PPV的患病率较高。风险因素包括青少年年龄小、欺凌行为、赌博、吸烟、曾受重伤以及无宗教信仰。建议通过立法对赌博实施更严格的监管,特别是涉及年龄方面,并采用学校反欺凌和反吸烟政策。

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