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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

Author

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  • Bronwyn Myers

    (Curtin enAble Institute, Faculty of Health Sciences, Curtin University, Perth, WA 6102, Australia
    Alcohol, Tobacco and Other Drug Abuse Research Unit, South African Medical Research Council, P.O. Box 19070, Tygerberg 7505, South Africa
    Division of Addiction Psychiatry, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town 7701, South Africa)

  • Felicia A. Browne

    (RTI International, 3040 Cornwallis Road, Research Triangle Park, NC 27709, USA)

  • Tara Carney

    (Alcohol, Tobacco and Other Drug Abuse Research Unit, South African Medical Research Council, P.O. Box 19070, Tygerberg 7505, South Africa
    Division of Addiction Psychiatry, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town 7701, South Africa)

  • Tracy Kline

    (RTI International, 3040 Cornwallis Road, Research Triangle Park, NC 27709, USA)

  • Courtney Peasant Bonner

    (RTI International, 3040 Cornwallis Road, Research Triangle Park, NC 27709, USA)

  • Wendee M. Wechsberg

    (RTI International, 3040 Cornwallis Road, Research Triangle Park, NC 27709, USA
    Maternal and Child Health Department, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC 27514, USA
    Department of Psychology, North Carolina State University, Raleigh, NC 27529, USA
    Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC 27703, USA)

Abstract

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.

Suggested Citation

  • Bronwyn Myers & Felicia A. Browne & Tara Carney & Tracy Kline & Courtney Peasant Bonner & Wendee M. Wechsberg, 2021. "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 ," IJERPH, MDPI, vol. 18(21), pages 1-13, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11403-:d:668267
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    References listed on IDEAS

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    1. Jutta Lindert & Ondine Ehrenstein & Rachel Grashow & Gilad Gal & Elmar Braehler & Marc Weisskopf, 2014. "Sexual and physical abuse in childhood is associated with depression and anxiety over the life course: systematic review and meta-analysis," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 59(2), pages 359-372, April.
    2. Jayati Das-Munshi & Crick Lund & Catherine Mathews & Charlotte Clark & Catherine Rothon & Stephen Stansfeld, 2016. "Mental Health Inequalities in Adolescents Growing Up in Post-Apartheid South Africa: Cross-Sectional Survey, SHaW Study," PLOS ONE, Public Library of Science, vol. 11(5), pages 1-16, May.
    3. Petal Petersen Williams & Carrie Brooke-Sumner & John Joska & James Kruger & Lieve Vanleeuw & Siphokazi Dada & Katherine Sorsdahl & Bronwyn Myers, 2020. "Young South African Women on Antiretroviral Therapy Perceptions of a Psychological Counselling Program to Reduce Heavy Drinking and Depression," IJERPH, MDPI, vol. 17(7), pages 1-16, March.
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    Cited by:

    1. Kim Anh Nguyen & Naeemah Abrahams & Rachel Jewkes & Shibe Mhlongo & Soraya Seedat & Bronwyn Myers & Carl Lombard & Claudia Garcia-Moreno & Esnat Chirwa & Andre Pascal Kengne & Nasheeta Peer, 2022. "The Associations of Intimate Partner Violence and Non-Partner Sexual Violence with Hypertension in South African Women," IJERPH, MDPI, vol. 19(7), pages 1-15, March.

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