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Polyvictimization and Adolescent Health and Well-Being in Ethiopia: The Mediating Role of Resilience

Author

Listed:
  • Lior Miller

    (Department of Global Health, Milken Institute School of Public Health, The George Washington University, Washington, DC 20052, USA)

  • Nicole M. Butera

    (The Biostatistics Center, Department of Biostatistics and Bioinformatics, Milken Institute School of Public Health, The George Washington University, Washington, DC 20052, USA)

  • Mary Ellsberg

    (Department of Global Health, Milken Institute School of Public Health, The George Washington University, Washington, DC 20052, USA
    Global Women’s Institute, The George Washington University, Washington, DC 20052, USA)

  • Sarah Baird

    (Department of Global Health, Milken Institute School of Public Health, The George Washington University, Washington, DC 20052, USA)

Abstract

Interpersonal violence is a pervasive experience affecting one billion children and adolescents annually, resulting in adverse health and well-being outcomes. Evidence suggests that polyvictimization, the experience of multiple forms of violence, is associated with more harmful consequences for adolescents than experiencing individual types of violence, although data from low-and middle-income countries are limited. This study analyzed data on over 4100 adolescents from the Gender and Adolescence, Global Evidence Study in Ethiopia to examine the association between polyvictimization and adolescent mental and physical health and the mediating role of resilience using linear regression and path analysis. We hypothesized that adolescents experiencing polyvictimization would experience worse mental and physical health than those experiencing no types or individual types of victimization, and that resilience would mediate these relationships. Half of sampled girls and over half of boys experienced polyvictimization. Among both sexes, polyvictimization was associated with worse mental but not worse physical health. Resilience mediated the association between polyvictimization and mental health among girls only. Strengthening resilience among girls may be an effective avenue for mitigating polyvictimization’s negative mental health effects, but additional research and programming for preventing and identifying polyvictimized adolescents and linking them to care is needed.

Suggested Citation

  • Lior Miller & Nicole M. Butera & Mary Ellsberg & Sarah Baird, 2023. "Polyvictimization and Adolescent Health and Well-Being in Ethiopia: The Mediating Role of Resilience," IJERPH, MDPI, vol. 20(18), pages 1-28, September.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:18:p:6755-:d:1239223
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    References listed on IDEAS

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    4. Sintayehu Abebe & Muluken Dessalegn & Yeshitila Hailu & Misrak Makonnen, 2020. "Prevalence and Barriers to Ending Female Genital Cutting: The Case of Afar and Amhara Regions of Ethiopia," IJERPH, MDPI, vol. 17(21), pages 1-16, October.
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