IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v18y2021i21p11403-d668267.html
   My bibliography  Save this article

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

Listed:
  • 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
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/18/21/11403/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/18/21/11403/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    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.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    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.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Karimli, Leyla & Ssewamala, Fred M. & Neilands, Torsten B. & Wells, Christine R. & Bermudez, Laura Gauer, 2019. "Poverty, economic strengthening, and mental health among AIDS orphaned children in Uganda: Mediation model in a randomized clinical trial," Social Science & Medicine, Elsevier, vol. 228(C), pages 17-24.
    2. Zhiya Hua & Dandan Ma, 2022. "Depression and Perceived Social Support among Unemployed Youths in China: Investigating the Roles of Emotion-Regulation Difficulties and Self-Efficacy," IJERPH, MDPI, vol. 19(8), pages 1-15, April.
    3. Lünnemann, M.K.M. & Luijk, M.P.C.M. & Van der Horst, F.C.P. & Jongerling, J. & Steketee, M., 2022. "The impact of cessation or continuation of family violence on children," Children and Youth Services Review, Elsevier, vol. 140(C).
    4. Bronwyn Myers & Charles D. H. Parry & Neo K. Morojele & Sebenzile Nkosi & Paul A. Shuper & Connie T. Kekwaletswe & Katherine R. Sorsdahl, 2020. "“Moving Forward with Life”: Acceptability of a Brief Alcohol Reduction Intervention for People Receiving Antiretroviral Therapy in South Africa," IJERPH, MDPI, vol. 17(16), pages 1-14, August.
    5. Bronwyn Myers & Tara Carney & Jennifer Rooney & Samantha Malatesta & Laura F. White & Charles D. H. Parry & Tara C. Bouton & Elizabeth J. Ragan & Charles Robert Horsburgh & Robin M. Warren & Karen R. , 2021. "Alcohol and Tobacco Use in a Tuberculosis Treatment Cohort during South Africa’s COVID-19 Sales Bans: A Case Series," IJERPH, MDPI, vol. 18(10), pages 1-9, May.
    6. Armeda Stevenson Wojciak & Brandon Butcher & Aislinn Conrad & Carol Coohey & Resmiye Oral & Corinne Peek-Asa, 2021. "Trends, Diagnoses, and Hospitalization Costs of Child Abuse and Neglect in the United States of America," IJERPH, MDPI, vol. 18(14), pages 1-12, July.
    7. Renata Aver Bretanha Ribeiro & Bárbara Borges Rubin & Rochele Dias Castelli & Mariana Bonati Matos & Fernanda Teixeira Coelho & Fábio Monteiro Cunha Coelho & Karen Amaral Tavares Pinheiro & Ricardo Az, 2020. "Childhood trauma and depressive symptoms in pregnant adolescents in Southern Brazil," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(2), pages 197-205, March.
    8. Margot Goblet & Fabienne Glowacz, 2021. "Slut Shaming in Adolescence: A Violence against Girls and Its Impact on Their Health," IJERPH, MDPI, vol. 18(12), pages 1-15, June.
    9. Fuller-Thomson, Esme & Ryckman, Kandace & MacNeil, Andie & Brennenstuhl, Sarah, 2023. "Pathways to recovery among survivors of childhood physical abuse: What is important to promote complete mental health," Children and Youth Services Review, Elsevier, vol. 150(C).
    10. Hannabeth Franchino-Olsen & Thees Spreckelsen & Mark Orkin & Franziska Meinck, 2024. "Contextually Sensitive Polyvictimization Profiles and Physical and Mental Health Outcomes among South African Adolescents from Low-Resource Communities: An Extended Latent Class Analysis," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 17(5), pages 2069-2097, October.
    11. Xianhua Dai & Nian Gu, 2021. "The Impact of Social Capital on Mental Health: Evidence from the China Family Panel Survey," IJERPH, MDPI, vol. 19(1), pages 1-19, December.
    12. Lai, Angel Hor Yan & Chui, Cheryl Hiu-kwan & Wong, Jade Kin Yu & Leung, Cynthia Tsz Ching & Chen, Zhijun, 2022. "Ethnic identity, perceived classmate support and general self-efficacy in ethnic minority adolescents in rural Chinese school settings," Children and Youth Services Review, Elsevier, vol. 137(C).
    13. Austin, Anna E. & Shanahan, Meghan E., 2018. "Association of childhood abuse and neglect with prescription opioid misuse: Examination of mediation by adolescent depressive symptoms and pain," Children and Youth Services Review, Elsevier, vol. 86(C), pages 84-93.
    14. Lee, Kerry A. & Priestley, Sharon Rose & Hylton, Kevin K., 2022. "Mental health and behavioral outcomes among Jamaican women: The role of childhood abuse & witnessing parental violence," Children and Youth Services Review, Elsevier, vol. 140(C).
    15. Xiaotong Wen & Yixiang Lin & Yuchen Liu & Katie Starcevich & Fang Yuan & Xiuzhu Wang & Xiaoxu Xie & Zhaokang Yuan, 2020. "A Latent Profile Analysis of Anxiety among Junior High School Students in Less Developed Rural Regions of China," IJERPH, MDPI, vol. 17(11), pages 1-14, June.
    16. Roche, Steven & Otarra, Carmela & Fell, Imogen & Belle Torres, Christine & Rees, Sydney, 2023. "Online sexual exploitation of children in the Philippines: A scoping review," Children and Youth Services Review, Elsevier, vol. 148(C).
    17. Ylva B. Almquist & Evelina Landstedt & Josephine Jackisch & Kristiina Rajaleid & Hugo Westerlund & Anne Hammarström, 2018. "Prevailing over Adversity: Factors Counteracting the Long-Term Negative Health Influences of Social and Material Disadvantages in Youth," IJERPH, MDPI, vol. 15(9), pages 1-14, August.
    18. Chee-Huay Chong & Kee-Jiar Yeo, 2018. "The Residue Effects of Parental Corporal Punishment on Young Adults’ Psychological Adjustment: Evidence From Malaysia," SAGE Open, , vol. 8(1), pages 21582440187, February.
    19. José Ignacio Nazif-Munoz & José Guillermo Cedeno Laurent & Matthew Browning & John Spengler & Héctor A. Olvera Álvarez, 2020. "Green, Brown, and Gray: Associations between Different Measurements of Land Patterns and Depression among Nursing Students in El Paso, Texas," IJERPH, MDPI, vol. 17(21), pages 1-17, November.
    20. Yufeng Zhao & Dianxi Wang & Feilun Du, 2022. "The Moderating Effect of Contact with Children on the Relationship between Adverse Childhood Experiences and Depression in Adulthood among a Chinese Adult Population," IJERPH, MDPI, vol. 19(15), pages 1-15, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11403-:d:668267. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.