在低收入和中等收入国家,针对儿童的暴力和后来的物质使用
Abigail Puno1, Joshua Jeong2, Amiya Bhatia3
1Interdisciplinary Program in Precision Public Health, Department of Public Health Sciences, Graduate School of Korea University, Seoul, Republic of Korea; Division of Biological Sciences, University of the Philippines Visayas, Miagao, Iloilo, Philippines.
Child abuse & neglect
|August 14, 2024
概括
儿童暴力在低收入和中等收入国家 (LMICs) 显著增加了物质使用风险. 预防计划应该考虑幸存者的性别和年龄,因为同行支持可以减轻这些有害行为.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 青少年健康 青少年健康
背景情况:
- 儿童暴力是一个全球性问题,影响着每两名儿童中就有一人.
- 儿童时期的暴力经历与以后的危险行为有关,包括吸毒.
- 在低收入和中等收入国家 (LMICs) 中,童年暴力和吸毒之间的关联研究不足.
研究的目的:
- 评估LMIC中儿童暴力和青少年中药物使用之间的联系.
- 探索不同类型的暴力和多重受害者如何影响物质使用.
- 检查性别,年龄和同行支持对这些协会的改变作用.
主要方法:
- 分析了8个LMIC (2017-2019) 儿童和青少年暴力调查 (VACS) 的数据.
- 包括33408名年龄在13-24岁的参与者,评估身体,性和情感暴力,以及多重受害者.
- 使用多变量后勤回归,根据性别,年龄和同行支持进行分层和效果修改分析.
主要成果:
- 儿童时期的身体暴力影响了40.7%的参与者,10%的参与者经历了多重受害.
- 所有形式的童年暴力都与吸烟,狂饮和吸毒的可能性增加有关.
- 对于年轻女性和青少年来说,这种关联更为强烈,特别是在性暴力方面;缺乏同行支持增加了吸毒风险.
结论:
- 在LMICs的儿童暴力预防计划可以减少物质使用.
- 预防和干预策略应根据幸存者的性别和年龄量身定制.
- 同龄人支持显示出一种保护作用,减轻了童年暴力幸存者的物质使用.
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