Abstract:
OBJECTIVES:To describe prevalence of childhood experiences of adversity in rural South African youth and their associations with health outcomes. METHODS:We analyzed questionnaires and blood specimens collected during a baseline survey for a cluster randomized controlled trial of a behavioral intervention, and also tested blood HIV and herpes simplex type 2 virus at 12- and 24-month follow up; 1,367 male and 1,415 female volunteers were recruited from 70 rural villages. RESULTS:Both women and men before 18 had experienced physical punishment (89.3% and 94.4%), physical hardship (65.8% and 46.8%), emotional abuse (54.7% and 56.4%), emotional neglect (41.6% and 39.6%), and sexual abuse (39.1% and 16.7%). Incident HIV infections were more common in women who experienced emotional abuse (IRR 1.96, 95% CI 1.25, 3.06, p=.003), sexual abuse (IRR 1.66 95% CI 1.04, 2.63, p=.03), and physical punishment (IRR 2.13 95% CI 1.04, 4.37, p=.04). Emotional neglect in women was associated with depression (aOR 1.82, 95% CI 1.15, 2.88, p=.01), suicidality (aOR 5.07, 95% CI 2.07, 12.45, p<.0001), alcohol abuse (aOR 2.17, 95% CI .99, 4.72, p=.05), and incident HSV2 infections (IRR 1.62, 95% CI 1.01, 2.59, p=.04). In men emotional neglect was associated with depression (aOR 3.41, 95% CI 1.87, 6.20, p<.0001) and drug use (aOR 1.98, 95% CI 1.37, 2.88, p<.0001). Sexual abuse was associated with alcohol abuse in men (aOR 3.68, 95% CI 2.00, 6.77, p<.0001) and depression (aOR 2.16, 95% CI 1.34, 3.48, p=.002) and alcohol abuse in women (aOR 3.94, 95% CI 1.90, 8.17, p<.0001). PRACTICE IMPLICATIONS:Childhood exposure to adversity is very common and influences the health of women and men. All forms of adversity, emotional, physical and sexual, enhance the risk of adverse health outcomes in men and women. Prevention of child abuse need to be included as part of the HIV prevention agenda in sub-Saharan Africa. Interventions are needed to prevent emotional, sexual, and physical abuse and responses from health and social systems in Africa to psychologically support exposed children must be strengthened.
journal_name
Child Abuse Negljournal_title
Child abuse & neglectauthors
Jewkes RK,Dunkle K,Nduna M,Jama PN,Puren Adoi
10.1016/j.chiabu.2010.05.002subject
Has Abstractpub_date
2010-11-01 00:00:00pages
833-41issue
11eissn
0145-2134issn
1873-7757pii
S0145-2134(10)00225-5journal_volume
34pub_type
杂志文章,随机对照试验abstract:OBJECTIVE:Adaptation of the Multidimensional Trauma Recovery and Resilience (MTRR) in a Chilean sample. METHOD:Participants were 80 mothers drawn from two large metropolitan areas (Santiago and Temuco). Sample participants (in a case control design) were redivided in two groups: 40 mothers identified as physical abuse...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/s0145-2134(03)00118-2
更新日期:2003-07-01 00:00:00
abstract:BACKGROUND:It is important for those called upon to discuss major social determinants of health such as adverse childhood experiences (ACEs) to have accurate knowledge about generational trends in their prevalence. OBJECTIVE:To review available trend data on major forms of ACEs. METHODS:A search of academic data base...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2020.104641
更新日期:2020-10-01 00:00:00
abstract:OBJECTIVE:The number of youth in residential care programs who have been abused is high. The relationship between childhood abuse victimization and adult intimate partner violence (IPV) is well documented. This study compared the rates of IPV 16 years after individuals had participated in a long-term residential care p...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2006.09.003
更新日期:2007-02-01 00:00:00
abstract::Relying on data from a nationally representative sample of youth involved in the child welfare system (CWS) in 1999-2000 (the National Survey of Child and Adolescent Well-Being, Cohort 1) and 2008-2009 (Cohort 2), this study implemented a diverse set of disparity indicators to estimate area-socioeconomic disparities i...
journal_title:Child abuse & neglect
pub_type: 杂志文章,多中心研究
doi:10.1016/j.chiabu.2018.05.018
更新日期:2018-08-01 00:00:00
abstract::The study examined the progress through the child protective system of a sample of 206 severely abused and/or neglected children brought before the Boston Juvenile Court (BJC) on Care and Protection (C & P) petitions. Overall, children were in the system an average of 5 years from the filing of the first official repo...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(92)90063-w
更新日期:1992-07-01 00:00:00
abstract::Latent class (LCA) and latent profile (LPA) analysis represent methodological approaches to identify subgroups of maltreated individuals. Although research examining child abuse and neglect (CAN) profiles is still rare, the application of person-centered techniques to clarify CAN types co-occurrence has substantially ...
journal_title:Child abuse & neglect
pub_type: 杂志文章,评审
doi:10.1016/j.chiabu.2017.06.014
更新日期:2017-08-01 00:00:00
abstract:OBJECTIVES:Current research suggests that effective psychotherapies for Self Injurious Behavior (SIB) in the context of Borderline Personality Disorder (BPD) contain generic common elements which are responsible for their success. Because of the links between BPD, SIB, and child abuse, it is likely that these common el...
journal_title:Child abuse & neglect
pub_type: 杂志文章,评审
doi:10.1016/j.chiabu.2012.09.012
更新日期:2013-02-01 00:00:00
abstract::Munchausen by proxy has been reported involving children who have been given various drugs or toxins. In addition, there is a body of adult literature regarding covert anticoagulant ingestion. This is a case of an 11-month-old female who appears to combine features of both of these syndromes. This child presented with...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(85)90031-6
更新日期:1985-01-01 00:00:00
abstract::Computed tomography (CT) scans obtained at the time of clinical presentation have occasionally been reported to be normal in children with history and findings of significant abusive head injury. We have retrospectively observed abnormalities in "normal" scans of some similar children. We have also seen abnormalities ...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/s0145-2134(94)00130-8
更新日期:1995-03-01 00:00:00
abstract::This study examines how changes in the social and economic structure of neighborhoods relate to changes in child maltreatment report rates over an extended period. The panel study design allows us to partition the changes in child maltreatment report rates into a portion associated with how the levels of socio-economi...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2018.07.025
更新日期:2018-10-01 00:00:00
abstract:OBJECTIVE:To determine if meaningful groups of at-risk pre-adolescent youth could be identified based on their self-report of physical and sexual abuse histories. METHODS:Youth participating in a consortium of ongoing longitudinal studies were interviewed using an audio-computer assisted self-interview (A-CASI) when t...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2008.10.007
更新日期:2010-03-01 00:00:00
abstract::Official reports of maltreatment involving adolescent victims were compared to those involving younger children in a representative sample of protective services' reports drawn from New York State in 1985. Specific case characteristics, including age, gender, ethnicity of the victim, and source of report, are describe...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(88)90027-0
更新日期:1988-01-01 00:00:00
abstract:BACKGROUND:Childhood maltreatment is associated with early childhood developmental vulnerabilities. However, the extent to which higher levels of child protection responses confer benefit to developmental competencies, and the impact of earlier timing of first reports in relation to early childhood vulnerability remain...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2019.04.007
更新日期:2019-07-01 00:00:00
abstract:OBJECTIVE:This exploratory study examined the discriminant validity of 10 human-figure features commonly used by many proponents of the draw-a-person (DAP) projective technique as evidence of childhood sexual abuse. Two exploratory features were also examined. METHOD:Rather than drawing human figures, 64 children (M =...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2004.10.013
更新日期:2005-06-01 00:00:00
abstract::Trauma, especially early life trauma, is a risk factor for the development of both posttraumatic stress disorder and psychosis. The goal of the present study was to determine specific associations between exposure to childhood abuse, PTSD symptoms, and current psychotic disorder. Subjects were recruited from a public,...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2016.06.015
更新日期:2016-08-01 00:00:00
abstract:OBJECTIVE:The goal of the present study was to examine the effects of children's age, cognitive abilities and the characteristics of their sexual abuse experience on the quantity of details revealed about the sexual abuse in an investigative interview as a function of the type of questions asked. METHOD VERSION: Transc...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2006.01.005
更新日期:2006-08-01 00:00:00
abstract::This study examined the effect of efforts made by child welfare case managers to involve parents in case processes on two divergent case outcomes: reunification and the termination of parental rights (TPR). The sample was comprised of a cohort of children who received child protection services while in out-of-home car...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2016.12.007
更新日期:2017-02-01 00:00:00
abstract:OBJECTIVE:This study examines staffing, funding sources, reimbursement, and financing of medically-oriented child protection teams. METHOD:A 16-item questionnaire on the composition, size, and services of the team, program costs, revenue sources, reimbursement rates, and perceptions of funding stability was mailed to ...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/s0145-2134(99)00034-4
更新日期:1999-06-01 00:00:00
abstract::This study evaluated a positive parenting program to Brazilian mothers who used corporal punishment with their children. The intervention was conducted in four agencies serving vulnerable children, and at a home replica laboratory at the University. Mothers who admitted using corporal punishment were randomly assigned...
journal_title:Child abuse & neglect
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.chiabu.2017.04.019
更新日期:2017-09-01 00:00:00
abstract::This study ascertained the efficacy of hospitalization of children with nonorganic failure to thrive (NOFTT). A meta-analysis was performed on previously published research findings which met certain criteria for inclusion in the analysis. Two categories of outcome measures, physical growth pattern and psychosocial de...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(88)90050-6
更新日期:1988-01-01 00:00:00
abstract:OBJECTIVE:Active involvement by parents may contribute substantially to the success of school-based programs to prevent child sexual abuse (CSA). In China, little is known about parental understanding of CSA. This study investigated Chinese parents' knowledge, attitudes, and communication practices with their children ...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2006.12.013
更新日期:2007-07-01 00:00:00
abstract::This paper describes child protection teams in rural Newfoundland and Labrador, Canada. The teams have developed an innovative model that encourages a community-based response to child abuse. Child protection teams usually follow the case consultation model, which is a group of professionals dealing with specific case...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/s0145-2134(95)00142-5
更新日期:1996-03-01 00:00:00
abstract:OBJECTIVE:This study examined the prevalence and psychological sequelae of childhood sexual and physical abuse in adults from the general population. METHOD:A national sampling service generated a geographically stratified, random sample of 1,442 subjects from the United States. Subjects were mailed a questionnaire th...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2003.09.008
更新日期:2003-10-01 00:00:00
abstract::Retrospective studies suggest 1 in 4 girls and 1 in 6 boys will experience sexual abuse before 18 years of age, resulting in future morbidity. Successful interventions exist, however, victims are reluctant to disclose. Screening for childhood sexual abuse (CSA) may provide an opportunity to overcome this barrier, yet ...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2017.07.019
更新日期:2018-11-01 00:00:00
abstract::The present study extends prior research examining the association between borderline personality disorder (BPD) features and child physical abuse (CPA) risk. We hypothesized that: (1) high CPA risk parents (compared to low CPA risk parents) would more often report clinically elevated levels of BPD features; (2) high ...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2015.10.023
更新日期:2016-02-01 00:00:00
abstract:OBJECTIVE:The goal was to develop an empirically derived typology for sexually abused children exhibiting sexual behavior problems to assist practitioners in differential assessment, treatment, and case planning. METHOD:Data were systematically gathered from the clinical records of 100 sexually abused children, aged 3...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/s0145-2134(01)00326-x
更新日期:2002-03-01 00:00:00
abstract::The issue of sexual abuse in the family backgrounds of offenders and mothers of victims is explored in a clinical sample of 154 cases of intrafamilial sexual abuse. More than a third of the offenders and about half of the mothers had experienced or been exposed to sexual abuse as children. Cases were divided into thos...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(89)90058-6
更新日期:1989-01-01 00:00:00
abstract:OBJECTIVE:Children who are physically maltreated are at risk of a range of adverse outcomes in childhood and adulthood, but some children who are maltreated manage to function well despite their history of adversity. Which individual, family, and neighborhood characteristics distinguish resilient from non-resilient mal...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2006.03.011
更新日期:2007-03-01 00:00:00
abstract:OBJECTIVE:The aims of this study were to identify the factors which discriminated young people exposed to childhood sexual abuse (CSA) who developed psychiatric disorder or adjustment difficulties in young adulthood from those young people exposed to CSA who did not develop psychiatric disorder or adjustment difficulti...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/s0145-2134(97)00093-8
更新日期:1997-12-01 00:00:00
abstract::Over the last decade, Comprehensive Family Assessment (CFA) has become a best practice in child welfare. Comprehensive Family Assessments go beyond risk assessment to develop a full picture of the child's and family's situation. When appropriately synthesized, assessment information can lead to a clear articulation of...
journal_title:Child abuse & neglect
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.chiabu.2014.12.001
更新日期:2015-06-01 00:00:00