Descriptive Epidemiology of Chronic Childhood Adversity in Mexican Adolescents
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Purpose: To estimate the prevalence of adversity (neglect and abuse, parental loss, parental psychopathology, economic adversity, and serious physical illness), the interrelatedness of adversities, and their socio-demographic correlates. Methods: This is a multistage probability survey of 3005 adolescents aged 12-17 years residing in Mexico City. Youth were administered the computer-assisted adolescent version of the World Mental Health Composite International Diagnostic Interview in their homes. The childhood and posttraumatic stress disorder sections provided information regarding adversity. Descriptive and logistic regression analyses were performed considering the multistage and weighted sample design. Results: A total of 68% of adolescents have experienced at least one type of chronic childhood adversity, whereas almost 7% have experienced four of more. The most frequent adversity is economic adversity followed by witnessing domestic violence. Boys experience more neglect than girls, and girls experience more sexual abuse than boys. Family dysfunction adversities tend to clump together such that youth exposed to abuse of any form also report witnessing domestic violence and parental mental pathology. Youth whose parents have divorced are likely to experience economic adversity. Parental death is independent of experiencing other childhood adversities. Older adolescents, school drop-outs, those with young mothers, those with more siblings, and those whose parents have less education are more likely to experience adversity. Conclusions: Although most adolescents have experienced some adversity, a small group is exposed to many adversities. Understanding the distribution of adversities may help us to identify at-risk youth and to better interpret the findings from studies on the role of adversity in diverse health outcomes. (C) 2009 Society for Adolescent Medicine. All rights reserved.
URI
http://repositorio.inprf.gob.mx/handle/123456789/5320https://doi.org/10.1016/j.jadohealth.2009.03.002
Colecciones
Fecha
2009Autor
Nivel de acceso
acceso cerrado
Nombre de la Rev. [SO]
The Journal of adolescent health
Publisher
Elsevier Science Inc, 360 Park Ave South, New York, NY 10010-1710 USA
Volumen [VL], Número [SU], Paginación [PG]
45 (5) 483-489 p. versión del editor
Idioma [LA]
eng
Palabras clave otro idioma [KO], Descriptores [Mesh], Descriptores [Meshm]
Tipo de documento [TP]
article
DOI [DO]
10.1016/j.jadohealth.2009.03.002