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Which factors are associated with adolescent reports of experiencing various forms of abuse at the family level in post-conflict northern Uganda?

Abstract:
Research assessing familial violence against adolescents, using caregiver–adolescent dyads, is limited in post-conflict settings. This study aimed to determine the prevalence and factors associated with adolescent-reported familial abuse in post-conflict northern Uganda. It also assessed the relationship between abuse subtypes and (a) beliefs supporting aggression and (b) adolescent well-being and life satisfaction. A randomly selected community-based sample of 10- to 17-year-old adolescents (54% girls) and their caregivers (N = 427 dyads) in two northern Uganda districts was used. Abuse outcomes were adolescent reported. All measures used standardized tools that have been adapted for research in resource-limited settings. Analyses used multivariable linear regressions in Stata 14/IC. Overall, physical, emotional, and sexual abuse rates were 70% (confidence interval [CI] = [65.7, 74.4]), 72% (CI = [67.4, 76.0]), and 18.0% (CI = [14.0, 21.2]), respectively. Polyvictimization was 61% (CI = [55.4, 64.7]). There were no gender differences regarding adolescent reports of physical and emotional abuse, but adolescent girls were more likely to report sexual abuse and polyvictimization than adolescent boys. All forms of adolescent-reported abuse (except sexual abuse) were associated with caregiver reports of harsh disciplinary practices. In addition, emotional abuse was associated with physical and sexual abuse. Physical abuse was associated with being an orphan and emotional abuse. Sexual abuse was associated with being a girl, older adolescent age, living in a larger household, and emotional abuse. Polyvictimization was positively associated with being an orphan, younger caregiver age, caregiver-reported poor monitoring and supervision, and higher household socioeconomic status, but negatively associated with lower parental role satisfaction. Physical and emotional (but not sexual) abuse and polyvictimization were associated with beliefs supporting aggression among adolescents. All abuse subtypes were associated with lower levels of perceived well-being and life satisfaction among adolescents in this study. Child abuse prevention programs have the potential to improve adolescent–caregiver interaction and interrupt the violence transmission cycle in this setting.
Publication status:
Published
Peer review status:
Peer reviewed

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Publisher copy:
10.1177/0886260519888526

Authors


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Role:
Author
ORCID:
0000-0001-8958-9138
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Institution:
University of Oxford
Division:
SSD
Department:
Social Policy & Intervention
Role:
Author
ORCID:
0000-0002-0418-835X


Publisher:
SAGE Publications
Journal:
Journal of Interpersonal Violence More from this journal
Publication date:
2019-12-02
DOI:
EISSN:
1552-6518
ISSN:
0886-2605
Pmid:
31789094


Language:
English
Keywords:
Pubs id:
1077524
Local pid:
pubs:1077524
Deposit date:
2020-05-01

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