Adverse Mental Health Outcomes Associated with Emotional Abuse in Young Rural South African Women: A Cross-Sectional Study

Autor/inn/en	Jina, Ruxana; Jewkes, Rachel; Hoffman, Susie; Dunkle, Kristen L.; Nduna, Mzikazi; Shai, Nwabisa J.
Titel	Adverse Mental Health Outcomes Associated with Emotional Abuse in Young Rural South African Women: A Cross-Sectional Study
Quelle	In: Journal of Interpersonal Violence, 27 (2012) 5, S.862-880 (19 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0886-2605
DOI	10.1177/0886260511423247
Schlagwörter	Females; Depression (Psychology); Foreign Countries; Sexual Abuse; Drug Abuse; Mental Health; Violence; Rural Areas; Intimacy; Interpersonal Relationship; Acquired Immunodeficiency Syndrome (AIDS); Incidence; Alcohol Abuse; Correlation; Suicide; Young Adults; Adolescents; Questionnaires; Socioeconomic Status; At Risk Persons; South Africa; Center for Epidemiologic Studies Depression Scale + Suchen Sie Ihr Suchwort? Weibliches Geschlecht; Ausland; Sexueller Missbrauch; Psychohygiene; Gewalt; Rural area; Ländlicher Raum; Intimität; Interpersonal relation; Interpersonal relations; Interpersonelle Beziehung; Zwischenmenschliche Beziehung; Vorkommen; Korrelation; Selbstmord; Young adult; Junger Erwachsener; Adolescent; Adolescence; Adoleszenz; Jugend; Jugendalter; Jugendlicher; Fragebogen; Socio-economic status; Sozioökonomischer Status; Risikogruppe; Südafrika; Süd-Afrika; Republik Südafrika; Südafrikanische Republik
Abstract	There is a lack of data on the prevalence of emotional abuse in youth. The aim of this study was thus to estimate the prevalence of emotional abuse in intimate partnerships among young women in rural South Africa and to measure the association between lifetime experience of emotional abuse (with and without the combined experience of physical and/or sexual abuse) and adverse health outcomes. Between 2002 and 2003, young women from 70 villages were recruited to participate in the cluster randomized controlled trial of an HIV behavioral intervention, Stepping Stones. Data was obtained through the administration of a questionnaire at baseline. Of the 1,293 women who had ever been partnered, 189 (14.6%) had experienced only emotional abuse in their lifetimes. Three hundred sixty-six women (28.3%) experienced emotional abuse with physical and/or sexual abuse in their lifetimes, and one hundred forty-four women (11.1%) experienced physical and/or sexual abuse without emotional abuse. Hazardous drinking was associated with the experience of physical and/or sexual abuse, with (OR 6.0, 95% CI [1.0, 36.6]) and without emotional abuse (OR 5.8, 95% CI [1.1, 29.4]). Illicit drug use (OR 5.6, 95% CI [2.4, 12.6]), having depressive symptoms (OR 2.9, 95% CI [1.2, 4.2]), having psychological distress (OR 1.9, 95% CI [1.4, 2.6]), and suicidality (OR 79.0, 95% CI [17.3, 359.6]) was associated with the experience of emotional abuse with physical and/or sexual abuse. Suicidality was also strongly associated with having experienced emotional abuse alone (OR 79.5, 95% CI [16.7, 377.4]). This study showed that emotionally abused young women had a greater risk of suicidality than those experiencing no abuse and that the combined experience of emotional with physical and/or sexual abuse was strongly associated with poor mental health outcomes. (Contains 2 tables and 1 figure.) (As Provided).
Anmerkungen	SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10