The Association of Recurrent and Multiple Types of Abuse with Adverse Mental Health, Substance Use, and Sexual Health Outcomes among Out-of-School Adolescent Girls and Young Women in Cape Town, South Africa.
The Association of Recurrent and Multiple Types of Abuse with Adverse Mental Health, Substance Use, and Sexual Health Outcomes among Out-of-School Adolescent Girls and Young Women in Cape Town, South Africa.
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DOI：
10.3390/ijerph182111403
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发表时间：
2021-10-29
影响因子：
--
通讯作者：
Wechsberg WM
中科院分区：
文献类型：
--
作者：
Myers B;Browne FA;Carney T;Kline T;Bonner CP;Wechsberg WM
尽管身体虐待和性虐待暴露是导致健康状况不佳的一个公认的风险，但与社会弱势少女和年轻女性 (AGYW) 健康相关的虐待维度仍未得到充分研究。本文描述了虐待类型和时间组合与心理健康、物质使用和性风险结果之间的关联，样本包括 499 名 AGYW（16 至 19 岁），这些人提前离开学校，并被招募参加南非开普敦的一项整群随机试验。大约三分之一（33.5%；95% CI：28.7，38.6）的参与者报告称终生受到虐待。遭受超过一种类型的虐待与抑郁（β = 3.92；95% CI：2.25，5.59）和焦虑（β = 3.70；95% CI：2.11，5.28）的风险增加以及使用多种药物（OR = 2.10；95% CI：1.02，4.34）和物质性行为受损的可能性增加相关（OR = 2.17；95% CI：1.31，3.86）。在儿童期/青春期早期以及青春期后期遭受多种类型的虐待与抑郁（β = 4.65；95% CI：3.15，6.14）、焦虑（β = 4.35；95% CI：2.70，6.02）和多种药物使用（OR = 2.37；95% CI：1.03）的风险增加相关。 5.73）。研究结果强调，需要采取基于创伤的干预措施，以减少经历过多种形式虐待和反复虐待的 AGYW 的心理健康、药物使用和性风险。
Although physical and sexual abuse exposure is a well-established risk for poor health, the dimensions of abuse associated with health among socially vulnerable adolescent girls and young women (AGYW) remain underexamined. This article describes associations between combinations of abuse type and timing with mental health, substance use, and sexual risk outcomes among a sample of 499 AGYW (aged 16 to 19) who had left school early and were recruited for a cluster randomized trial in Cape Town, South Africa. Approximately one-third (33.5%; 95% CI: 28.7, 38.6) of participants reported lifetime abuse. Exposure to more than one type of abuse was associated with increased risk of depression (β = 3.92; 95% CI: 2.25, 5.59) and anxiety (β = 3.70; 95% CI: 2.11, 5.28), and greater odds of polydrug use (OR = 2.10; 95% CI: 1.02, 4.34) and substance-impaired sex (OR = 2.17; 95% CI: 1.31, 3.86). Exposure to multiple types of abuse during childhood/early adolescence and again in late adolescence was associated with increased risk of depression (β = 4.65; 95% CI: 3.15, 6.14), anxiety (β = 4.35; 95% CI: 2.70, 6.02), and polydrug use (OR = 2.37; 95% CI: 1.03, 5.73). Findings underscore the need for trauma-informed interventions that reduce mental health, substance use, and sexual risks among AGYW who have experienced multiple forms of abuse and recurrent abuse.
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影响因子：
3.2
作者：
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通讯作者：
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DOI：
10.1080/09540121.2019.1595512
发表时间：
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影响因子：
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影响因子：
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