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Family-level correlates of disruptive behavior challenges among children in Southwestern Uganda

William Byansi1,2, Phionah Namatovu3, Ozge Sensoy Bahar2,4

  • 1School of Social Work, Boston College, Chestnut Hill, MA, USA.

Children and Youth Services Review
|February 13, 2023
PubMed

Insights

Family factors like poor supervision and single-parent households are linked to disruptive behavioral disorder (DBD) symptoms in Ugandan children. Interventions should support at-risk families and promote positive parenting practices.

Area of Science:

  • Child Psychology
  • Global Mental Health
  • Behavioral Science

Background:

  • Disruptive Behavioral Disorder (DBD) symptoms, including oppositional defiant disorder (ODD) and conduct disorder (CD), pose challenges for school children.
  • Understanding family-level factors is crucial for developing effective interventions in low-resource settings like Sub-Saharan Africa (SSA).
  • Identifying at-risk families can inform targeted support and positive parenting programs.

Purpose of the Study:

  • To explore the association between family-level factors and DBD symptoms in school children in Uganda.
  • To inform the development of culturally relevant family interventions and mental health support in SSA.
  • To identify specific family characteristics that may increase a child's risk for DBD.

Main Methods:

  • Analysis of baseline data from the SMART Africa scale-up study (N=2110) in Southwestern Uganda.
  • Inclusion of children aged 8-13 and their caregivers from public primary schools.
  • Logistic regression analysis adjusted for within-school clustering to examine associations between DBD symptoms and family factors (parenting, marital status, family size).

Main Results:

  • Poor parental supervision, divorced, and widowed family structures were significantly associated with higher DBD symptoms.
  • Older caregiver age was associated with lower DBD symptoms.
  • Parental education and caregiver employment were not statistically significant predictors in this model.

Conclusions:

  • Family-level factors, particularly marital status and supervision, are linked to DBD symptoms in Ugandan children.
  • Divorced and widowed families may require additional support for child-rearing.
  • Programs enhancing parental supervision skills are recommended for caregivers.
Abstract

Keywords:
ChildrenConduct disorderDisruptive behavioral disordersOppositional defiant disorderSub-Saharan Africa

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