PDF(Pubmed)
Abstract：
This study aimed to a) compute the prevalence of violence exposure types, polyvictimization, and self-reported depression, anxiety, and using substances to cope among youth ages 12 to 18 years living on the streets or in the slums of Kampala, Uganda, (b) examine the independent associations among orphan status, violence exposure types, and self-reported mental health concerns, and c) explore the association between polyvictimization and mental health concerns. Data are from a 2014 cross-sectional survey of service-seeking youth ages 12 to 18 years (N = 1134) in Kampala, Uganda. Violence exposure types explored in this study were: witnessing family physical violence, direct physical abuse by a parent, any rape history, and physical dating violence. We used descriptive statistics and multivariable logistic regression to test study objectives. Over half of the sample (60.5%) reported experiencing at least one type of violence exposure; many youth endorsed self-reported depression (57.8%), anxiety (76.8%), and substance use to cope (37.0%). Exposure to violence was associated with higher odds for self-reported depression, anxiety, and using substances to cope. These findings underscore the urgent need to implement evidence-based interventions among this young, underserved population and their families to prevent violence, improve mental health outcomes, and promote resilience.
摘要：
这项研究旨在a)计算暴力暴露类型的患病率，多受害者,和自我报告的抑郁症，焦虑,并使用物质来应对生活在街头或坎帕拉贫民窟的12至18岁青年，乌干达，(b)审查孤儿身份之间的独立联系，暴力暴露类型，和自我报告的心理健康问题，和c)探讨多重伤害和心理健康问题之间的关联。数据来自2014年对坎帕拉12至18岁（N=1134）的寻求服务青年的横断面调查，乌干达。本研究探索的暴力暴露类型是：目睹家庭身体暴力，父母的直接身体虐待，任何强奸史,和身体约会暴力。我们使用描述性统计和多变量逻辑回归来检验研究目标。超过一半的样本（60.5%）报告经历了至少一种类型的暴力暴露；许多年轻人认可自我报告的抑郁症（57.8%），焦虑（76.8%），和药物使用以应付(37.0%)。暴露于暴力与自我报告的抑郁症的几率更高相关，焦虑,并使用物质来应对。这些发现强调了迫切需要在这些年轻人中实施基于证据的干预措施。服务不足的人口和他们的家庭，以防止暴力，改善心理健康结果，促进韧性。
