Exploring adverse childhood experiences (ACEs) among Ugandan university students: its associations with academic performance, depression, and suicidal ideations.
Exploring adverse childhood experiences (ACEs) among Ugandan university students: its associations with academic performance, depression, and suicidal ideations.
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DOI：
10.1186/s40359-023-01044-2
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发表时间：
2023-01-13
期刊：
影响因子：
3.6
通讯作者：
Ashaba, Scholastic
中科院分区：
文献类型：
--
作者：
Muwanguzi, Moses;Kaggwa, Mark Mohan;Najjuka, Sarah Maria;Mamun, Mohammed A.;Arinaitwe, Innocent;Kajjimu, Jonathan;Nduhuura, Elicana;Ashaba, Scholastic
关键词：
大学生的不良童年经历（ACE）与多种因素有关，并且已被证明与成人健康和行为存在剂量反应关系。 调查接触 ACE 对大学生学业成绩、抑郁和自杀意念的影响。 2021 年，对乌干达西南部一所公立大学的大学生进行了一项横断面调查，整合了用于评估 ACE 的不良童年经历国际问卷、用于评估抑郁症状和自杀意念的患者健康问卷，以及评估类似研究中采用的家庭结构和学业成绩的问题。进行回归分析，并生成 3 个模型来回答研究假设。共招募本科大学生653名，平均年龄22.80（± 3.16）岁。几乎所有学生 (99.8%) 都经历过一项或多项 ACE，其中身体虐待是报告的常见 ACE。在经历过任何形式的 ACE 的个体中，平均抑郁症状严重程度在统计上更高。所经历的 ACE 与自评学业成绩之间没有观察到任何关系。同样，在回归分析中，ACE 的累积数量与自评学业成绩无关（β = − 0.007；95% CI − 0.031 至 0.016；p = 0.558）。然而，ACE的累积数量与抑郁症状严重程度呈正相关（β = 0.684；95% CI 0.531–0.837；p < 0.001），并增加自杀意念的可能性（aOR = 1.264；95% CI 01.090–1.465； p < 0.001)。乌干达大学生的 ACE 负担非常高，凸显了加强有效的儿童保护战略的紧迫性，以保护乌干达快速增长的人口免受精神疾病的影响，并避免未来的心理残疾，成为医疗保健系统的负担。该研究的结果对于致力于在全球范围内预防/限制儿童虐待的从业者/政策制定者也将很有用。
Adverse childhood experiences (ACEs) among university students have been linked to a variety of factors and have been shown to have a dose–response relationship with adult health and behavior. To investigate the effect of exposure to ACEs on academic performance, depression, and suicidal ideations among university students. A cross-sectional survey among university students at a public university in southwestern Uganda was conducted in 2021, integrating the Adverse Childhood Experiences International Questionnaire for assessing ACEs, the Patient Health Questionnaire for assessing depression symptoms and suicidal ideations, and questions assessing the family structure and academic performance as adopted from similar studies. Regression analysis was performed, and 3 models were generated to answer the study hypotheses. A total of 653 undergraduate university students with a mean age of 22.80 (± 3.16) years were recruited. Almost all students (99.8%) experienced one or more ACEs, with physical abuse being the common ACE reported. The average depression symptom severity was statistically higher among individuals who experienced any form of ACEs. No relationship was observed between the ACEs experienced and self-rated academic performance. Similarly, on regression analysis, the cumulative number of ACEs was not associated with self-rated academic performance (β = − 0.007; 95% CI − 0.031 to 0.016; p = 0.558). However, the cumulative number of ACEs was positively associated with depression symptom severity (β = 0.684; 95% CI 0.531–0.837; p < 0.001), as well as increased the likelihood of suicidal ideations (aOR = 1.264; 95% CI 01.090–1.465; p < 0.001). The burden of ACEs is exceedingly high among Ugandan university students, highlighting the urgency in strengthening effective child protection strategies to protect Uganda’s rapidly growing population from mental ill-health and avoid future psychological disability, a burden to the healthcare system. The study's findings will also be useful to practitioners/policymakers working to prevent/limit child maltreatment globally.
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DOI：
10.1057/s41287-017-0104-5
发表时间：
2017-11
期刊：
The European journal of development research
影响因子：
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作者：
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通讯作者：
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影响因子：
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作者：
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影响因子：
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影响因子：
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通讯作者：
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作者：
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通讯作者：
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