The Association of Recurrent and Multiple Types of Abuse with Adverse Mental Health, Substance Use, and Sexual Health Outcomes among Out-of-School Adolescent Girls and Young Women in Cape Town, South Africa

Although physical and sexual abuse exposure is a well-established risk for poor health, the dimensions of abuse associated with health among socially vulnerable adolescent girls and young women (AGYW) remain underexamined. This article describes associations between combinations of abuse type and ti...

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Autores principales:	Bronwyn Myers, Felicia A. Browne, Tara Carney, Tracy Kline, Courtney Peasant Bonner, Wendee M. Wechsberg
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	young women mental health physical and sexual abuse gender-based violence substance use trauma-informed interventions Medicine R
Acceso en línea:	https://doaj.org/article/6fc4e427cc0143009d60fdd579eafee0
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spelling	oai:doaj.org-article:6fc4e427cc0143009d60fdd579eafee02021-11-11T16:31:04ZThe Association of Recurrent and Multiple Types of Abuse with Adverse Mental Health, Substance Use, and Sexual Health Outcomes among Out-of-School Adolescent Girls and Young Women in Cape Town, South Africa10.3390/ijerph1821114031660-46011661-7827https://doaj.org/article/6fc4e427cc0143009d60fdd579eafee02021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11403https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Although physical and sexual abuse exposure is a well-established risk for poor health, the dimensions of abuse associated with health among socially vulnerable adolescent girls and young women (AGYW) remain underexamined. This article describes associations between combinations of abuse type and timing with mental health, substance use, and sexual risk outcomes among a sample of 499 AGYW (aged 16 to 19) who had left school early and were recruited for a cluster randomized trial in Cape Town, South Africa. Approximately one-third (33.5%; 95% CI: 28.7, 38.6) of participants reported lifetime abuse. Exposure to more than one type of abuse was associated with increased risk of depression (β = 3.92; 95% CI: 2.25, 5.59) and anxiety (β = 3.70; 95% CI: 2.11, 5.28), and greater odds of polydrug use (OR = 2.10; 95% CI: 1.02, 4.34) and substance-impaired sex (OR = 2.17; 95% CI: 1.31, 3.86). Exposure to multiple types of abuse during childhood/early adolescence and again in late adolescence was associated with increased risk of depression (β = 4.65; 95% CI: 3.15, 6.14), anxiety (β = 4.35; 95% CI: 2.70, 6.02), and polydrug use (OR = 2.37; 95% CI: 1.03, 5.73). Findings underscore the need for trauma-informed interventions that reduce mental health, substance use, and sexual risks among AGYW who have experienced multiple forms of abuse and recurrent abuse.Bronwyn MyersFelicia A. BrowneTara CarneyTracy KlineCourtney Peasant BonnerWendee M. WechsbergMDPI AGarticleyoung womenmental healthphysical and sexual abusegender-based violencesubstance usetrauma-informed interventionsMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11403, p 11403 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	young women mental health physical and sexual abuse gender-based violence substance use trauma-informed interventions Medicine R
spellingShingle	young women mental health physical and sexual abuse gender-based violence substance use trauma-informed interventions Medicine R Bronwyn Myers Felicia A. Browne Tara Carney Tracy Kline Courtney Peasant Bonner Wendee M. Wechsberg The Association of Recurrent and Multiple Types of Abuse with Adverse Mental Health, Substance Use, and Sexual Health Outcomes among Out-of-School Adolescent Girls and Young Women in Cape Town, South Africa
description	Although physical and sexual abuse exposure is a well-established risk for poor health, the dimensions of abuse associated with health among socially vulnerable adolescent girls and young women (AGYW) remain underexamined. This article describes associations between combinations of abuse type and timing with mental health, substance use, and sexual risk outcomes among a sample of 499 AGYW (aged 16 to 19) who had left school early and were recruited for a cluster randomized trial in Cape Town, South Africa. Approximately one-third (33.5%; 95% CI: 28.7, 38.6) of participants reported lifetime abuse. Exposure to more than one type of abuse was associated with increased risk of depression (β = 3.92; 95% CI: 2.25, 5.59) and anxiety (β = 3.70; 95% CI: 2.11, 5.28), and greater odds of polydrug use (OR = 2.10; 95% CI: 1.02, 4.34) and substance-impaired sex (OR = 2.17; 95% CI: 1.31, 3.86). Exposure to multiple types of abuse during childhood/early adolescence and again in late adolescence was associated with increased risk of depression (β = 4.65; 95% CI: 3.15, 6.14), anxiety (β = 4.35; 95% CI: 2.70, 6.02), and polydrug use (OR = 2.37; 95% CI: 1.03, 5.73). Findings underscore the need for trauma-informed interventions that reduce mental health, substance use, and sexual risks among AGYW who have experienced multiple forms of abuse and recurrent abuse.
format	article
author	Bronwyn Myers Felicia A. Browne Tara Carney Tracy Kline Courtney Peasant Bonner Wendee M. Wechsberg
author_facet	Bronwyn Myers Felicia A. Browne Tara Carney Tracy Kline Courtney Peasant Bonner Wendee M. Wechsberg
author_sort	Bronwyn Myers
title	The Association of Recurrent and Multiple Types of Abuse with Adverse Mental Health, Substance Use, and Sexual Health Outcomes among Out-of-School Adolescent Girls and Young Women in Cape Town, South Africa
title_short	The Association of Recurrent and Multiple Types of Abuse with Adverse Mental Health, Substance Use, and Sexual Health Outcomes among Out-of-School Adolescent Girls and Young Women in Cape Town, South Africa
title_full	The Association of Recurrent and Multiple Types of Abuse with Adverse Mental Health, Substance Use, and Sexual Health Outcomes among Out-of-School Adolescent Girls and Young Women in Cape Town, South Africa
title_fullStr	The Association of Recurrent and Multiple Types of Abuse with Adverse Mental Health, Substance Use, and Sexual Health Outcomes among Out-of-School Adolescent Girls and Young Women in Cape Town, South Africa
title_full_unstemmed	The Association of Recurrent and Multiple Types of Abuse with Adverse Mental Health, Substance Use, and Sexual Health Outcomes among Out-of-School Adolescent Girls and Young Women in Cape Town, South Africa
title_sort	association of recurrent and multiple types of abuse with adverse mental health, substance use, and sexual health outcomes among out-of-school adolescent girls and young women in cape town, south africa
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/6fc4e427cc0143009d60fdd579eafee0
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The Association of Recurrent and Multiple Types of Abuse with Adverse Mental Health, Substance Use, and Sexual Health Outcomes among Out-of-School Adolescent Girls and Young Women in Cape Town, South Africa

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