Andrade Evangelina Díaz, Bolaños Rosibel Rodríguez, Carmona Anabel Rojas, Palacios Paula Ramírez, Santillán Edna Arillo, Gutiérrez Inti Barrientos, Pérez Dèsirée Vidaña, Thrasher James F
Servicios de Salud. Región Sanitaria VI, Ciudad Guzmán, Jalisco, México.
Universidad de Guadalajara. CUSur. Ciudad Guzmán, Jalisco, México.
Salud Ment (Mex). 2024 Sep-Oct;47(5):249-257. doi: 10.17711/sm.0185-3325.2024.029.
INTRODUCTION: Violence is a major public health problem, which increased during the Covid-19 pandemic, affecting the physical and mental development of adolescents. OBJECTIVE: To analyze factors associated with interpersonal violence and depressive symptoms in adolescent students in the South of Jalisco. METHODS: Data were drawn from an online survey of 3,046 adolescents (12-19 years) conducted between September and December 2021. The Beck Depression Inventory was used to assess depressive symptoms. Self-report of neglect, physical, psychological, sexual, and digital violence in the previous 12 months were analyzed. Bivariate and multivariate logistic regression models explored factors associated with depression and violence. RESULTS: A total of 28.8% of the sample reported depressive symptoms, 46.9% physical violence, 42.7% psychological violence, 34.9% neglect, 12.3% digital violence, and 5.2% sexual violence. The odds of depression were higher for those who experienced physical violence (adjusted odds ratio [aOR]=1.3 CI95% [1.1-1.6]), psychological and (aOR=4.1 CI95% [3.4-5.1]), digital violence (aOR=2.0 CI95% [1.5-2.5]); and neglect (aOR=1.6 CI95% [1.3-1.9]). Grils and adolescents aged 15-19 years, had higher odds of experiencing sexual, digital, and psychological violence. Poor school performance was associated with lower odds of reporting neglect (aOR=0.6 CI95% [0.5-0.8]) and sexual violence (aOR=0.5 CI95% [0.3-0.8]), while being employed was associated with reporting higher odds of physical violence (aOR=1.5 CI95% [1.3-1.8]) and neglect (aOR=1.3 CI95% [1.1-1.5]). Greater use of social networks and videogames was associated with higher odds of physical, psychological, and digital violence. CONCLUSION: It is necessary to implement comprehensive public programs and policies to address violence and implement intersectoral social intervention strategies in mental health.
引言:暴力是一个重大的公共卫生问题,在新冠疫情期间有所增加,影响青少年的身心健康发展。 目的:分析哈利斯科州南部青少年学生人际暴力和抑郁症状的相关因素。 方法:数据来自2021年9月至12月对3046名青少年(12 - 19岁)进行的在线调查。使用贝克抑郁量表评估抑郁症状。分析过去12个月内忽视、身体暴力、心理暴力、性暴力和数字暴力的自我报告情况。二元和多元逻辑回归模型探讨与抑郁和暴力相关的因素。 结果:共有28.8%的样本报告有抑郁症状,46.9%报告有身体暴力,42.7%报告有心理暴力,34.9%报告有忽视,12.3%报告有数字暴力,5.2%报告有性暴力。经历身体暴力(调整后的优势比[aOR]=1.3,95%置信区间[CI95%][1.1 - 1.6])、心理暴力(aOR=4.1,CI95%[3.4 - 5.1])、数字暴力(aOR=2.0,CI95%[1.5 - 2.5])和忽视(aOR=1.6,CI95%[1.3 - 1.9])的人患抑郁症的几率更高。15 - 19岁的女孩和青少年遭受性暴力、数字暴力和心理暴力的几率更高。学业成绩差与报告忽视(aOR=0.6,CI95%[0.5 - 0.8])和性暴力(aOR=0.5,CI95%[0.3 - 0.8])的几率较低相关,而就业与报告身体暴力(aOR=1.5,CI95%[1.3 - 1.8])和忽视(aOR=1.3,CI95%[1.1 - 1.5])的几率较高相关。更多地使用社交网络和电子游戏与身体暴力、心理暴力和数字暴力的几率较高相关。 结论:有必要实施全面的公共项目和政策来解决暴力问题,并在心理健康方面实施跨部门的社会干预策略。
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