Self-harm among in-school and street-connected adolescents in Ghana: a cross-sectional survey in the Greater Accra region.
Self-harm among in-school and street-connected adolescents in Ghana: a cross-sectional survey in the Greater Accra region.
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DOI：
10.1136/bmjopen-2020-041609
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发表时间：
2021-01-26
期刊：
影响因子：
2.9
通讯作者：
House A
中科院分区：
文献类型：
--
作者：
Quarshie EN;Shuweihdi F;Waterman M;House A
确定加纳在校和街头青少年自残的流行程度、方法、关联和报告的原因。横断面调查。我们对数据进行了多级回归模型和基于模型的聚类分析。研究使用了大阿克拉地区的三种情况：第二周期学校、慈善组织的设施和街道人口普查区域（与街道相连的青少年睡觉的地方、街角、餐馆、市场、火车站和汽车站、卡车和停车场等安静的地方）。本研究选取了2107名13-21岁的青少年（1723名在校青少年和384名与街道相连的青少年）作为区域代表性样本。参与者回答了一份结构化的自我报告匿名问卷，描述了他们的自残经历，并引出了人口统计信息以及社会和个人逆境。终生自残患病率为20.2% (95% CI 19.0% ~ 22.0%)， 12个月患病率为16.6% (95% CI 15.0% ~ 18.0%)， 1个月患病率为3.1% （95% CI 2.0% ~ 4.0%）。单独自残占54.5%，单独自毒占16.2%，使用一种以上方法的占26%。自我割伤（38.7%）是最常见的自我伤害形式，而酒精（39.2%）和药物（27.7%）是最常见的自我中毒方式。与自我伤害相关的因素是人际关系：与父母的冲突（调整后的比值比(aOR)=1.87, 95% CI 1.24至2.81），身体虐待受害者（aOR=1.69, 95% CI 1.16至2.47），难以结交和保持朋友（aOR=1.24, 95% CI 0.85至1.80），性虐待受害者（aOR=1.21, 95% CI 0.78至1.87）和父母之间的冲突（aOR=1.07, 95% CI 0.73至1.56）。在加纳大阿克拉地区，自残是在校和流落街头的青少年中的一个重大公共卫生问题。其根源很大程度上是社会和家庭的逆境，因此预防和治疗措施需要集中在这些领域。
To identify the prevalence, methods, associations and reported reasons for self-harm among in-school and street-connected adolescents in Ghana. A cross-sectional survey. We applied multi-level regression models and model-based cluster analysis to the data. Three contexts in the Greater Accra region were used: second cycle schools, facilities of charity organisations and street census enumeration areas (sleeping places of street-connected adolescents, street corners, quiet spots of restaurants, markets, train and bus stations, and lorry and car parks). A regionally representative sample of 2107 (1723 in-school and 384 street-connected) adolescents aged 13–21 years. Participants responded to a structured self-report anonymous questionnaire describing their experience of self-harm and eliciting demographic information and social and personal adversities. The lifetime prevalence of self-harm was 20.2% (95% CI 19.0% to 22.0%), 12-month prevalence was 16.6% (95% CI 15.0% to 18.0%) and 1-month prevalence was 3.1% (95% CI 2.0% to 4.0%). Self-injury alone accounted for 54.5% episodes and self-poisoning alone for 16.2% episodes, with more than one method used in 26% of episodes. Self-cutting (38.7%) was the most common form of self-injury, whereas alcohol (39.2%) and medications (27.7%) were the most commonly reported means of self-poisoning. The factors associated with self-harm were interpersonal: conflict with parents (adjusted OR (aOR)=1.87, 95% CI 1.24 to 2.81), physical abuse victimisation (aOR=1.69, 95% CI 1.16 to 2.47), difficulty in making and keeping friends (aOR=1.24, 95% CI 0.85 to 1.80), sexual abuse victimisation (aOR=1.21, 95% CI 0.78 to 1.87) and conflict between parents (aOR=1.07, 95% CI 0.73 to 1.56). Self-harm is a significant public health problem among in-school and street-connected adolescents in the Greater Accra region of Ghana. Its origins are very largely in social and familial adversity, and therefore prevention and treatment measures need to be focused in these areas.
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影响因子：
2.6
作者：
Kelley, K;Clark, B;Sitzia, J
通讯作者：
Sitzia, J
DOI：
10.1016/j.ssmph.2017.05.005
发表时间：
2017-12
期刊：
SSM - population health
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影响因子：
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作者：
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通讯作者：
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168.9
作者：
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通讯作者：
O'Connor, Rory C.