Rape prevention through empowerment of adolescent girls.

Abstract:

BACKGROUND AND OBJECTIVE:Sexual assault is a major cause of injury, unplanned pregnancy, HIV infection, and mental health problems worldwide. In parts of sub-Saharan Africa, sexual assault has reached epidemic proportions. This study evaluated the efficacy of an empowerment and self-defense intervention for adolescent girls to decrease the incidence of sexual assault and harassment in Nairobi's large informal settlements. METHODS:A prospective cohort of 1978 adolescents from 4 neighborhoods near Nairobi were taught empowerment, deescalation, and self-defense skills in six 2-hour sessions. The standard-of-care (SOC) group (n = 428) received a life skills class. Self-reported, anonymous survey data were collected at baseline and 10.5 months after intervention. RESULTS:Annual sexual assault rates decreased from 17.9/100 person-years at baseline to 11.1 at follow-up (rate ratio = 1.61; 95% confidence interval [CI], 1.26-1.86; P < .001); there was no significant change in the SOC group (14.3 to 14.0, rate ratio = 1.02; 95% CI, 0.67-1.57, P = .92). Sexual assault disclosure in the intervention group increased from 56% to 75% (P = .006), compared with a constant incidence of disclosure (53%) in the SOC group. The majority (52.3%) of adolescents in the intervention group reported using skills learned to stop an assault. CONCLUSIONS:This intervention decreased sexual assault rates among adolescent girls in Kenya. The intervention was also associated with an increase in the disclosure of assaults, thereby enabling survivors to seek care and support and possibly leading to the identification and prosecution of perpetrators. This model should be adaptable to other settings both in Africa and globally.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Sarnquist C,Omondi B,Sinclair J,Gitau C,Paiva L,Mulinge M,Cornfield DN,Maldonado Y

doi

10.1542/peds.2013-3414

subject

Has Abstract

pub_date

2014-05-01 00:00:00

pages

e1226-32

issue

5

eissn

0031-4005

issn

1098-4275

pii

peds.2013-3414

journal_volume

133

pub_type

杂志文章,随机对照试验
  • Antibiotic Stewardship in Pediatrics.

    abstract::Antibiotic overuse contributes to antibiotic resistance, which is a threat to public health. Antibiotic stewardship is a practice dedicated to prescribing antibiotics only when necessary and, when antibiotics are considered necessary, promoting use of the appropriate agent(s), dose, duration, and route of therapy to o...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2020-040295

    authors: Gerber JS,Jackson MA,Tamma PD,Zaoutis TE,COMMITTEE ON INFECTIOUS DISEASES, PEDIATRIC INFECTIOUS DISEASES SOCIETY.

    更新日期:2021-01-01 00:00:00

  • Evaluation and Referral for Developmental Dysplasia of the Hip in Infants.

    abstract::Developmental dysplasia of the hip (DDH) encompasses a wide spectrum of clinical severity, from mild developmental abnormalities to frank dislocation. Clinical hip instability occurs in 1% to 2% of full-term infants, and up to 15% have hip instability or hip immaturity detectable by imaging studies. Hip dysplasia is t...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2016-3107

    authors: Shaw BA,Segal LS,SECTION ON ORTHOPAEDICS.

    更新日期:2016-12-01 00:00:00

  • Epidemiologic features of the presentation of critical congenital heart disease: implications for screening.

    abstract:OBJECTIVE:Critical congenital heart disease has been proposed as a target of newborn screening. This study aimed to define the incidence and timing of significant physiologic compromise attributable to critical congenital heart disease as well as the distribution of vulnerable lesions. These descriptive parameters must...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2007-0421

    authors: Schultz AH,Localio AR,Clark BJ,Ravishankar C,Videon N,Kimmel SE

    更新日期:2008-04-01 00:00:00

  • Diagnosis and treatment of acute otitis media: an assessment.

    abstract:OBJECTIVE:To assess compliance with the Centers for Disease Control and Prevention (CDC) evidence-based guidelines for the judicious use of antimicrobials in children with acute otitis media (AOM). METHODS:Compliance with CDC's recommended diagnostic criteria and antimicrobial treatments for management of AOM was asse...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.112.1.143

    authors: Garbutt J,Jeffe DB,Shackelford P

    更新日期:2003-07-01 00:00:00

  • Stunting of growth as a major feature of anorexia nervosa in male adolescents.

    abstract:OBJECTIVE:To assess growth retardation in male adolescent patients who have a diagnosis of anorexia nervosa (AN) and the effect of weight restoration on catch-up growth. METHODS:Medical charts of all male adolescent AN patients (n = 12) who were admitted to the Pediatric Psychosomatic Department at the Sheba Medical C...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.111.2.270

    authors: Modan-Moses D,Yaroslavsky A,Novikov I,Segev S,Toledano A,Miterany E,Stein D

    更新日期:2003-02-01 00:00:00

  • Clinical Management of Staphylococcus aureus Bacteremia in Neonates, Children, and Adolescents.

    abstract::Staphylococcus aureus is a common cause of community and health care-associated bacteremia, with authors of recent studies estimating the incidence of S aureus bacteremia (SAB) in high-income countries between 8 and 26 per 100 000 children per year. Despite this, <300 children worldwide have ever been randomly assigne...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2020-0134

    authors: McMullan BJ,Campbell AJ,Blyth CC,McNeil JC,Montgomery CP,Tong SYC,Bowen AC

    更新日期:2020-09-01 00:00:00

  • Prophylactic fluconazole is effective in preventing fungal colonization and fungal systemic infections in preterm neonates: a single-center, 6-year, retrospective cohort study.

    abstract:OBJECTIVE:Despite the promising preliminary results observed in extremely low birth weight (ELBW) populations, the use of fluconazole to prevent fungal colonization and infection in preterm neonates in the NICU is still an open question and not yet recommended as a standard of care. We have reviewed our 6-year series t...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2004-2227

    authors: Manzoni P,Arisio R,Mostert M,Leonessa M,Farina D,Latino MA,Gomirato G

    更新日期:2006-01-01 00:00:00

  • Thrombotic storm in a teenager with previously undiagnosed ulcerative colitis.

    abstract::Venous thrombosis can complicate inflammatory bowel diseases, both in adult and pediatric patients, and a few adult cases of thrombotic storm, ie, thrombosis at multiple sites occurring over a period of a few days to a few weeks, have been described. However, venous thrombosis as the first manifestation of an inflamma...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2012-2365

    authors: Maggi U,Rossi G,Avesani EC,Artoni A,Caprioli F,Napolitano L,Martinelli I

    更新日期:2013-04-01 00:00:00

  • Relationship between periventricular intraparenchymal echodensities and germinal matrix-intraventricular hemorrhage in the very low birth weight neonate.

    abstract::The pathogenesis of the periventricular intraparenchymal echodense lesion (IPE) observed in association with germinal matrix-intraventricular hemorrhage (GM-IVH) in premature neonates is unclear. The objectives of this study were to determine (1) the temporal characteristics of GM-IVH and IPE, (2) the basic characteri...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Perlman JM,Rollins N,Burns D,Risser R

    更新日期:1993-02-01 00:00:00

  • Urgent and emergent embolization of lesions of the head and neck in children: indications and results.

    abstract::Indications for and results and complications of embolization of lesions of the head and neck were analyzed retrospectively. The procedures were performed since 1980 on an emergent or urgent basis in 30 infants and children by an experienced interventional neuroradiologist in Bicetre, France. Indications for embolizat...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Burrows PE,Lasjaunias PL,Ter Brugge KG,Flodmark O

    更新日期:1987-09-01 00:00:00

  • Fruit juice intake predicts increased adiposity gain in children from low-income families: weight status-by-environment interaction.

    abstract:OBJECTIVE:Our goal was to test the hypothesis that increased fruit juice intake and parental restriction of children's eating are associated with increased adiposity gain and whether exposure to nutritional counseling predicted reduced adiposity gain among children. PATIENTS AND METHODS:A sample of parents or guardian...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2006-1117

    authors: Faith MS,Dennison BA,Edmunds LS,Stratton HH

    更新日期:2006-11-01 00:00:00

  • Service Use Classes Among School-aged Children From the Autism Treatment Network Registry.

    abstract:BACKGROUND AND OBJECTIVES:Use of specific services may help to optimize health for children with autism spectrum disorder (ASD); however, little is known about their service use patterns. We aimed to (1) define service use groups and (2) determine associations of sociodemographic, developmental, behavioral, and health ...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2019-1895Q

    authors: Lindly OJ,Chan J,Levy SE,Parker RA,Kuhlthau KA

    更新日期:2020-04-01 00:00:00

  • Risk factors for traumatic infant death in Oregon, 1973 to 1982.

    abstract::A retrospective study of risk factors for traumatic infant deaths in Oregon occurring from 1973 through 1982 was performed using vital records and medical examiner records. A total of 146 such deaths occurred during this period. Relative risks were calculated for various risk factors in the study group compared with a...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Emerick SJ,Foster LR,Campbell DT

    更新日期:1986-04-01 00:00:00

  • Using mass media to reduce adolescent involvement in drug trafficking.

    abstract:OBJECTIVE:Drug trafficking among adolescents is a newly recognized high-risk behavior that seems to be involving large numbers of youths. Strategies to prevent and/or alter this behavior must be developed and evaluated. In view of the high exposure of adolescents to the mass media, interventionists seeking to reduce ad...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:

    authors: Romer D

    更新日期:1994-06-01 00:00:00

  • Accuracy of infant admission lengths.

    abstract:OBJECTIVE:A variety of methods are used to assess the length of infants at hospital admission. A tape-measure technique is commonly used; however, this measure is potentially inaccurate. We aimed to assess accuracy of tape measurement of infant lengths by comparison with the more accurate length-board technique. METHO...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.109.6.1108

    authors: Corkins MR,Lewis P,Cruse W,Gupta S,Fitzgerald J

    更新日期:2002-06-01 00:00:00

  • Successful use of plasma exchange for profound hemolysis in a child with loxoscelism.

    abstract::We describe a 6-year-old boy who presented with massive hemolysis, shock, disseminated intravascular coagulopathy, and acute renal failure after loxosceles envenomation. In this patient, plasma exchange therapy (PEX) successfully cleared the plasma from an initial hemolytic index of 2000 (equivalent to 2 g/dL hemoglob...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2013-3338

    authors: Said A,Hmiel P,Goldsmith M,Dietzen D,Hartman ME

    更新日期:2014-11-01 00:00:00

  • A case of protein-losing enteropathy caused by intestinal lymphangiectasia in a preterm infant.

    abstract::Intestinal lymphangiectasia is characterized by obstruction of lymph drainage from the small intestine and lacteal dilation that distorts the villus architecture. Lymphatic vessel obstruction and elevated intestinal lymphatic pressure in turn cause lymphatic leakage into the intestinal lumen, thus resulting in malabso...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.107.2.416

    authors: Salvia G,Cascioli CF,Ciccimarra F,Terrin G,Cucchiara S

    更新日期:2001-02-01 00:00:00

  • Prolonged episodes of hypoxemia in preterm infants undetectable by cardiorespiratory monitors.

    abstract:OBJECTIVE:To determine whether episodes of prolonged hypoxemia occur without prolonged apneic pauses (> or = 20 seconds) and without bradycardia (pulse rate, < or = 100 beats per minute) in apparently well preterm infants. METHODS:Long-term recordings of arterial oxygen saturation as measured by pulse oximetry (SpO2),...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Poets CF,Stebbens VA,Richard D,Southall DP

    更新日期:1995-06-01 00:00:00

  • Diagnosing Infection in a Neonate Using Whole-Body Screening Magnetic Resonance Imaging.

    abstract::The location of invasive infections is difficult to detect in infants, in part due to their inability to localize signs and symptoms. However, identifying the location often significantly alters clinical management by extending the duration of antibiotic therapy or revealing a source requiring surgical intervention. C...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2016-0732

    authors: Fu TT,Kingma PS

    更新日期:2017-12-01 00:00:00

  • Verapamil: an effective calcium blocking agent for pediatric patients.

    abstract::Verapamil is a slow-channel calcium-blocking agent that has been released recently by the Food and Drug Administration for treatment of cardiac dysrhythmias in all age groups. Its primary action is to slow conduction in the atrioventricular node, thereby abolishing those types of supraventricular tachycardia using the...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:

    authors: Porter CJ,Garson A Jr,Gillette PC

    更新日期:1983-05-01 00:00:00

  • Age and height at diagnosis in Turner syndrome: influence of parental height.

    abstract::Age and height at diagnosis was studied in 100 patients with Turner syndrome: 41 with the 45,X karyotype and 59 with various other karyotypes. In 15 patients diagnosis was made at birth. In the remaining patients median age at diagnosis was 12.9 years in those with 45,X karyotype and 11.6 years in the others. Mean +/-...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Massa GG,Vanderschueren-Lodeweyckx M

    更新日期:1991-12-01 00:00:00

  • Bone scintigraphy in the evaluation of children with obscure skeletal pain.

    abstract::A retrospective analysis of bone scans of 381 children with unexplained skeletal pain was made. Of these, findings are reported on 358 for whom there were sufficient clinical data. The bone scan results suggested trauma as the cause of pain in 43 patients, inflammatory disease in 73 patients, and neoplasia in ten pati...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: ter Meulen DC,Majd M

    更新日期:1987-04-01 00:00:00

  • Neck/shoulder, low back, and arm pain in relation to computer use, physical activity, stress, and depression among Dutch adolescents.

    abstract:OBJECTIVE:To examine among adolescents (1) the prevalence of neck/shoulder, low back, and arm pain within different sociodemographic groups and (2) the association of neck/shoulder, low back, and arm pain with computer use, physical activity, depression, and stress. METHODS:A school-based questionnaire survey in 2002 ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2004-2766

    authors: Diepenmaat AC,van der Wal MF,de Vet HC,Hirasing RA

    更新日期:2006-02-01 00:00:00

  • Prevalence of retinal hemorrhages and child abuse in children who present with an apparent life-threatening event.

    abstract:OBJECTIVE:Child abuse (CA) can present with a spectrum of signs and symptoms. Apparent life-threatening events (ALTEs) may be a subtle presentation of CA. Retinal hemorrhages (RHs) are a well-described finding in some patients with CA. We hypothesized that screening children who present with a chief complaint of an ALT...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.110.3.557

    authors: Pitetti RD,Maffei F,Chang K,Hickey R,Berger R,Pierce MC

    更新日期:2002-09-01 00:00:00

  • Improving the quality of discharge communication with an educational intervention.

    abstract:BACKGROUND:Communication between hospital providers and primary care physicians at the time of hospital discharge is necessary for optimal patient care and safety. Content of the inpatient discharge summary (DS) is not uniformly addressed by residency programs. OBJECTIVE:To improve DSs quality through a brief educatio...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2010-0884

    authors: Key-Solle M,Paulk E,Bradford K,Skinner AC,Lewis MC,Shomaker K

    更新日期:2010-10-01 00:00:00

  • Growth of children with Down's syndrome: birth to age 3 years.

    abstract::A sample of 90 children with Down's syndrome were measured for recumbent length and weight from birth to age 36 months at the Children's Hospital Medical Center in Boston. At birth, means for both length and weight were reduced by about 0.5 SDs from the control group means. By 36 months, mean recumbent length was grea...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Cronk CE

    更新日期:1978-04-01 00:00:00

  • Fluoride supplement prescribing and dental referral patterns among academic pediatricians.

    abstract:OBJECTIVE:To determine how well the current fluoride supplementation schedule was known by academic pediatricians and to examine the fluoride supplement prescribing and dental referral practices among primary care faculty pediatricians at four medical centers. SETTING:Four university medical centers in North Carolina....

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.101.1.e6

    authors: Roberts MW,Keels MA,Sharp MC,Lewis JL Jr

    更新日期:1998-01-01 00:00:00

  • Prescribing assistive-technology systems: focus on children with impaired communication.

    abstract::This clinical report defines common terms of use and provides information on current practice, research, and limitations of assistive technology that can be used in systems for communication. The assessment process to determine the best devices for use with a particular child (ie, the best fit of a device) is also rev...

    journal_title:Pediatrics

    pub_type: 杂志文章,实务指引

    doi:10.1542/peds.2008-0695

    authors: Desch LW,Gaebler-Spira D,Council on Children With Disabilities.

    更新日期:2008-06-01 00:00:00

  • Sleep-wake cycling on amplitude-integrated electroencephalography in term newborns with hypoxic-ischemic encephalopathy.

    abstract:OBJECTIVE:The objective of this amplitude-integrated electroencephalography (aEEG) study was to evaluate the influence of perinatal hypoxia-ischemia on sleep-wake cycling (SWC) in term newborns and assess whether characteristics of SWC are of predictive value for neurodevelopmental outcome. METHODS:From a consecutive ...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章

    doi:10.1542/peds.2004-0863

    authors: Osredkar D,Toet MC,van Rooij LG,van Huffelen AC,Groenendaal F,de Vries LS

    更新日期:2005-02-01 00:00:00

  • Fat-soluble vitamin concentrations in hypercholesterolemic children treated with colestipol.

    abstract::In summary: (1) Colestipol therapy plus diet reduced total cholesterol 19 +/- 3% in 11 hypercholesterolemic children after two months and 13 +/- 5% after two years in five children. (2) Diet therapy did not significantly reduce serum concentration of any of the fat-soluble vitamins or folate. (3) During 24 months of c...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Schwarz KB,Goldstein PD,Witztum JL,Schonfeld G

    更新日期:1980-02-01 00:00:00