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.
Violence is a major public health problem, which increased during the Covid-19 pandemic, affecting the physical and mental development of adolescents.
To analyze factors associated with interpersonal violence and depressive symptoms in adolescent students in the South of Jalisco.
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.
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.
It is necessary to implement comprehensive public programs and policies to address violence and implement intersectoral social intervention strategies in mental health.
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。
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。
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。
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。
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。