University of Khartoum

Preva Lance Of Child Abuse And Associated Psychological And Pysical Health Problems : Omdurman Locality, Khartoum State, Sudan

Preva Lance Of Child Abuse And Associated Psychological And Pysical Health Problems : Omdurman Locality, Khartoum State, Sudan

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Title: Preva Lance Of Child Abuse And Associated Psychological And Pysical Health Problems : Omdurman Locality, Khartoum State, Sudan
Author: Manal Abdelrahim Mohammed Omer, Omer
Abstract: The primary objective of this research was to examine the nature and cooccurrence of four forms of child maltreatment including sexual, physical, emotional maltreatment and neglect among Sudanese basic and high school adolescents in both urban and rural settings, and determine the extent to which such adverse experiences impact on self-reported health risk behaviours and physical and mental health. The study participant are school-based population from Sudanese basic education schools, Khartoum state, Omdurman locality (grade 7 and 8) and secondary high schools (grade 1 to3). The student’s age generally ranges from12 to17. The study conducted between 2007 and 2009. A descriptive method including qualitative 16 in-depth interviews, 8 focused group discussions and across-sectional survey of 2,591 was employed in this study ,as well as a pilot study of 299 adolescents. A two-stage cluster sampling technique was employed. In which the areas were purposely selected, schools within sites were randomly selected, then classes within schools were randomly chosen. Data were collected by self-administered questionnaires in class rooms. Key information included demographics, family characteristics and environment, and four scales measuring sexual abuse, emotional and physical maltreatment and neglect as well as health risk behaviours scale and mental health scales which included anxiety, depression, and self-esteem and physical health problem scale . Appropriate statistical analysis was performed using Survey Data Analysis – SUDAAN 7.5.2a to estimate sample size for the major survey; Statistical Package for Social Sciences- SPSS (version 14).As well as AMOS 5.0 . VI The main findings of the study were : the experiences of different forms and co-occurrence of child maltreatment among school adolescents were prevalent in Sudan. The prevalence estimates of at least one type of physical and emotional maltreatment, neglect and sexual abuse were 47.5%, 39.5%, 29.3% and 19.7% respectively. A significant proportion of respondents (41.6%) were exposed to more than one form of child maltreatment. the prevalence of child physical and emotional maltreatment and neglect among adolescents was not statistically different between urban and rural areas. There was no significant gender difference in reports of adverse sexual experiences. In contrast, girls were more likely to report emotional maltreatment and neglect whereas boys were more likely to experience physical maltreatment. In general, the pattern of correlations between child maltreatment and health risk behaviours was similar for females and males. Emotional maltreatment significantly correlated with most behaviours examined. Clearly, co-occurrence of child maltreatment was significantly associated with almost all examined health risk behaviours and a dose-response relationship was observed in most of the dependent variables. multivariate regression analyses revealed that presence of four types of child maltreatment explained a small but significant proportion of variance (from 5% to 9%). Additionally, while each form of child maltreatment had independent effects on depression, anxiety problems, low self-esteem and poor physical health, emotional maltreatment appeared to be the strongest influence on mental and physical health of both female and male adolescents. Analysis of variance also clearly suggested that exposure to increasing numbers of maltreatment forms significantly increased the risk of mental and physical health problems in a dose-response fashion. There is a significant independent associations between various types of child maltreatment, as well as the cumulative effects of polyvictimization on a wide range of health risk behaviours, depression, anxiety, self-esteem, and general physical health. The study concluded with the recommendations
Description: 403page
URI: http://khartoumspace.uofk.edu/handle/123456789/11729
Date: 2015-06-13


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