Prevalence and associated factors of physical fighting among school-going adolescents in Namibia.
Prevalence and associated factors of physical fighting among school-going adolescents in Namibia.
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DOI：
10.1186/1744-859x-6-18
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发表时间：
2007-07-24
影响因子：
3.7
通讯作者：
Muula, Adamson S
中科院分区：
文献类型：
--
作者：
Rudatsikira, Emmanuel;Siziya, Seter;Muula, Adamson S
背景：人际间身体暴力是一个重要的全球公共卫生问题，在发展中国家受到的关注有限。特别是缺乏有关身体暴力及其社会人口学相关的在校青少年在nambia.METHODS的数据：我们分析了横截面数据，从纳米比亚全球学校为基础的健康调查（GSHS）在2004年进行。我们的目的是估计过去12个月内身体战斗的流行率和社会人口相关性。我们获得了社会人口统计属性的频率。我们还评估了自我报告的历史，从事身体的斗争和一个选定的独立变量列表使用Logistic回归analysis.RESULTS：6283受访者，50.6%（55.2%男性和46.2%女性）报告说，在过去的12个月里一直在身体的斗争之间的关联。男性比女性更有可能发生肢体冲突（OR = 1.71，95%CI（1.44，2.05））。吸烟、饮酒、吸毒和欺负受害与打架呈正相关（OR = 1.91，95%CI（1.49，2.45）; OR = 1.48，95%CI（1.21，1.81）; OR = 1.55，95%CI（1.22，1.81）; OR = 3.12，95%CI（2.62，3.72））。父母的监督与肢体冲突呈负相关（OR = 0.82，95%CI（0.69，0.98））。男性和女性物质使用者（吸烟、饮酒和吸毒）比非物质使用者更容易进行肢体打斗（男性OR = 3.53，95%CI（2.60，4.81），女性OR = 11.01，95%CI（7.25，16.73））。父母的监督与打架呈负相关（OR = 0.85，95%CI（0.72，0.99））。结论：过去12个月内打架的发生率与欧洲国家的估计相当。我们还发现，在过去12个月内报告有身体暴力行为的青少年中，有问题行为或经历。有必要将青少年暴力行为置于纳米比亚公共卫生议程的前列。
BACKGROUND: Interpersonal physical violence is an important global public health concern that has received limited attention in the developing world. There is in particular a paucity of data regarding physical violence and its socio-demographic correlates among in-school adolescents in Namibia.METHODS: We analysed cross-sectional data from the Namibia Global School-Based Health Survey (GSHS) conducted in 2004. We aimed to estimate the prevalence and socio-demographic correlates of physical fighting within the last 12 months. We obtained frequencies of socio-demographic attributes. We also assessed the association between self-reported history of having engaging in a physical fight and a selected list of independent variables using logistic regression analysis.RESULTS: Of the 6283 respondents, 50.6% (55.2% males and 46.2% females) reported having been in a physical fight in the past 12 months. Males were more likely to have been in a physical fight than females (OR = 1.71, 95% CI (1.44, 2.05)). Smoking, drinking alcohol, using drugs and bullying victimization were positively associated with fighting (OR = 1.91, 95% CI (1.49, 2.45); OR = 1.48, 95% CI (1.21, 1.81); OR = 1.55, 95% CI (1.22, 1.81); and OR = 3.12, 95% CI (2.62, 3.72), respectively). Parental supervision was negatively associated with physical fighting (OR = 0.82, 95% CI (0.69, 0.98)). Both male and female substance users (cigarette smoking, alcohol and drug use) were more likely to engage in physical fighting than non-substance users (OR = 3.53, 95% CI (2.60, 4.81) for males and OR = 11.01, 95% CI (7.25, 16.73) for females). Parental supervision was negatively associated with physical fighting (OR = 0.85, 95% CI (0.72, 0.99)).CONCLUSION: Prevalence of physical fighting within the last 12 months was comparable to estimates obtained in European countries. We also found clustering of problem behaviours or experiences among adolescents who reported having engaged in physical violence in the past 12 months. There is a need to bring adolescent violent behaviour to the fore of the public health agenda in Namibia.