The interrelationships of child maltreatment, alcohol use, and suicidal ideation among youth living in the slums of Kampala, Uganda.
The interrelationships of child maltreatment, alcohol use, and suicidal ideation among youth living in the slums of Kampala, Uganda.
复制标题
生活在乌干达坎帕拉贫民窟的青少年中虐待儿童、酗酒和自杀意念之间的相互关系。
DOI：
10.1016/j.chiabu.2020.104904
复制
发表时间：
2021-03
影响因子：
4.8
通讯作者：
Kasirye R
中科院分区：
文献类型：
--
作者：
Culbreth R;Masyn KE;Swahn MH;Self-Brown S;Kasirye R
生活在坎帕拉贫民窟的年轻人面临着许多逆境，例如恶劣的环境条件、贫困和缺乏政府基础设施。本研究的目的是调查生活在乌干达坎帕拉贫民窟的青少年中饮酒和虐待儿童对自杀意念的相互作用。研究样本包括 2014 年春季参加乌干达青年发展链接 (UYDEL) 临时服务中心的寻求服务的青年 (n=1,134)。虐待儿童的指标包括父母身体虐待、父母忽视和性虐待。使用混合结构方程混合模型来指定有问题的饮酒情况，该模型区分当前饮酒者的饮酒频率和强度。这种新颖的方法比将我们的分析仅限于饮酒者或仅分析当前的饮酒状况更加灵活。感兴趣的主要结果是自杀意念。所有关联都控制了性别和年龄，并且所有关联都是同时估计的。所有分析均在 SAS 9.4 和 Mplus 7.4 中进行。自杀意念的总体患病率为 23.5% (n=266)。总体而言，当前饮酒状况（OR：1.80；95% CI：1.31，2.46）、儿童虐待总分（OR：1.88；95% CI：1.48，2.39）和性虐待（OR：2.88；95% CI：1.52，5.47）与报告的自杀意念在统计学上显着相关。这项研究强调了一些人群可能会从预防工作中受益，这些预防工作不仅旨在预防自杀，而且还可以减少饮酒和虐待儿童经历方面的伤害。
Youth living in the slums of Kampala face many adversities, such as dire environmental conditions, poverty, and lack of government infrastructure. The purpose of this study is to examine the interplay of alcohol use and child maltreatment on suicidal ideation among youth living in the slums of Kampala, Uganda. The study sample includes service-seeking youth who were attending Uganda Youth Development Link (UYDEL) drop-in centers in spring 2014 (n=1,134). Indicators of child maltreatment included parental physical abuse, parental neglect, and sexual abuse. Problematic alcohol use was specified using a hybrid structural equation mixture model that distinguished current drinking status with the frequency and intensity of use among current drinkers. This novel approach is more flexible than restricting our analysis to only drinkers or analyzing only current drinking status. The primary outcome of interest was suicidal ideation. All associations controlled for gender and age, and all associations were estimated simultaneously. All analyses were conducted in SAS 9.4 and Mplus 7.4. The overall prevalence of suicidal ideation was 23.5% (n=266). Overall, current drinking status (OR: 1.80; 95% CI: 1.31, 2.46), the child maltreatment sum score (OR: 1.88; 95% CI: 1.48, 2.39), and sexual abuse (OR: 2.88; 95% CI: 1.52, 5.47) were statistically significantly associated with reporting suicidal ideation. This study highlights a population that would potentially benefit from prevention efforts not only aimed at suicide prevention but also harm reduction in terms of alcohol use and experiences of child maltreatment.
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DOI：
10.3390/ijerph7041392
发表时间：
2010-04
影响因子：
--
作者：
Pompili M;Serafini G;Innamorati M;Dominici G;Ferracuti S;Kotzalidis GD;Serra G;Girardi P;Janiri L;Tatarelli R;Sher L;Lester D
通讯作者：
Lester D
DOI：
10.1097/00004583-199912000-00009
发表时间：
1999-12-01
影响因子：
13.3
作者：
Brown, J;Cohen, P;Smailes, EM
通讯作者：
Smailes, EM
影响因子：
7.6
作者：
Jamieson, Patrick E.;Romer, Dan
通讯作者：
Romer, Dan
影响因子：
6.9
作者：
Hegerl, Ulrich;Althaus, David;Niklewski, Guenter
通讯作者：
Niklewski, Guenter
影响因子：
4.5
作者：
Harris, Fiona M.;Maxwell, Margaret;Hegerl, Ulrich
通讯作者：
Hegerl, Ulrich