Nwankwo Grace I, Nwankwo Ogonna N O, Anyanwu Onyinye U, Ezeonu Chinonyelum T, Uzomba Chigozie I, Akpoke Michael A, Ikefuna Anthony N
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.
Int J Public Health. 2025 Jul 17;70:1608128. doi: 10.3389/ijph.2025.1608128. eCollection 2025.
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.
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.
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.
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.
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。
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。
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。
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。