虐待和忽视是阿尔巴尼亚 15 岁学龄儿童不健康行为的指标

IF 3.9 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Public Health Pub Date : 2024-09-26 DOI:10.1016/j.puhe.2024.09.019

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Binary logistic regression was used to assess the independent associations of child abuse and neglect with behavioural factors of schoolchildren.</div></div><div><h3>Results</h3><div>Irrespective of sociodemographic characteristics, lifetime physical abuse was positively related to lifetime smoking (OR = 1.8, 95%CI = 1.4–2.3), lifetime alcohol consumption (OR = 2.4, 95%CI = 1.9–2.9), and breakfast skipping (OR = 1.3, 95%CI = 1.0–1.6). Furthermore, positive independent factors associated with emotional abuse included lifetime alcohol intake (OR = 1.7, 95%CI = 1.3–2.1) and breakfast skipping (OR = 1.4, 95%CI = 1.0–1.8). Additionally, positive factors associated with lifetime emotional neglect consisted of lifetime smoking (OR = 2.2, 95%CI = 1.6–3.0) and alcohol intake (OR = 2.0, 95%CI = 1.5–2.6), and a lower fruit consumption (OR = 1.7, 95%CI = 1.3–2.3). 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引用次数: 0

摘要

研究设计 2022 年在阿尔巴尼亚进行了一项横断面研究。方法参与者是全国范围内具有代表性的 1877 名 15 岁学龄儿童样本（55% 为女孩；回复率：96%）。研究人员收集了儿童一生中遭受虐待和忽视的数据以及行为因素和社会人口特征。结果无论社会人口特征如何，终生身体虐待与终生吸烟（OR = 1.8，95%CI = 1.4-2.3）、终生饮酒（OR = 2.4，95%CI = 1.9-2.9）和不吃早餐（OR = 1.3，95%CI = 1.0-1.6）呈正相关。此外，与情绪虐待相关的积极独立因素包括终生酒精摄入量（OR = 1.7，95%CI = 1.3-2.1）和不吃早餐（OR = 1.4，95%CI = 1.0-1.8）。此外，与终生情感忽视相关的积极因素还包括终生吸烟（OR = 2.2，95%CI = 1.6-3.0）和酒精摄入量（OR = 2.0，95%CI = 1.5-2.6），以及水果食用量较低（OR = 1.7，95%CI = 1.3-2.3）。与终生遭受性虐待相关的积极因素包括终生饮酒（OR = 2.4，95%CI = 1.4-4.1），尤其是吸烟（OR = 4.3，95%CI = 2.6-7.3）。此外，终生目睹家庭暴力与终生吸烟（OR = 2.7，95%CI = 1.8-4.1）和酒精摄入（OR = 1.7，95%CI = 1.2-2.6）呈正相关。这些发现强调了早期创伤对发育轨迹的潜在影响。虐待儿童与采取有害行为之间的联系突出表明，迫切需要全面的支持和干预策略来打破伤害循环。

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Abuse and neglect as indicators of unhealthy behaviours among 15-year-old schoolchildren in Albania

Objective

We assessed the independent associations of lifetime child abuse and neglect indices with behavioural characteristics of children.

Study design

A cross-sectional study was conducted in Albania in 2022.

Methods

Participants consisted of a nationwide representative sample of 1877 schoolchildren aged 15 years (55 % girls; response: 96 %). Data on lifetime child abuse and neglect were collected, along with behavioural factors and sociodemographic characteristics. Binary logistic regression was used to assess the independent associations of child abuse and neglect with behavioural factors of schoolchildren.

Results

Irrespective of sociodemographic characteristics, lifetime physical abuse was positively related to lifetime smoking (OR = 1.8, 95%CI = 1.4–2.3), lifetime alcohol consumption (OR = 2.4, 95%CI = 1.9–2.9), and breakfast skipping (OR = 1.3, 95%CI = 1.0–1.6). Furthermore, positive independent factors associated with emotional abuse included lifetime alcohol intake (OR = 1.7, 95%CI = 1.3–2.1) and breakfast skipping (OR = 1.4, 95%CI = 1.0–1.8). Additionally, positive factors associated with lifetime emotional neglect consisted of lifetime smoking (OR = 2.2, 95%CI = 1.6–3.0) and alcohol intake (OR = 2.0, 95%CI = 1.5–2.6), and a lower fruit consumption (OR = 1.7, 95%CI = 1.3–2.3). Positive factors associated with lifetime sexual abuse included lifetime alcohol consumption (OR = 2.4, 95%CI = 1.4–4.1) and especially smoking (OR = 4.3, 95%CI = 2.6–7.3). Also, lifetime witnessing of family violence was positively related to lifetime smoking (OR = 2.7, 95%CI = 1.8–4.1) and alcohol intake (OR = 1.7, 95%CI = 1.2–2.6).

Conclusions

We evidenced strong and consistent links between child maltreatment indices and unhealthy behavioural practices among 15-year-old children in Albania. These findings underscore the potential impact of early trauma on developmental trajectories. The association between child abuse and the adoption of detrimental behaviours highlights the urgent need for comprehensive support and intervention strategies to break the cycle of harm.

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来源期刊

Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

7.60

自引率

0.00%

发文量

280

审稿时长

37 days

期刊介绍： Public Health is an international, multidisciplinary peer-reviewed journal. It publishes original papers, reviews and short reports on all aspects of the science, philosophy, and practice of public health.