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Multiple types of child maltreatment and adolescent mental health in Viet Nam

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dc.contributor.author Nguyen, H. T., Dunne, M. P., & Le, A. V.
dc.date.accessioned 2014-06-24T15:26:01Z
dc.date.available 2014-06-24T15:26:01Z
dc.date.issued 2010
dc.identifier.citation Nguyen, H. T., Dunne, M. P., & Le, A. V. (2010). Multiple types of child maltreatment and adolescent mental health in Viet Nam. Bulletin of the World Health Organization, 88(1), 22-30. en_US
dc.identifier.uri http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2802435/pdf/08-060061.pdf
dc.identifier.uri http://hdl.handle.net/11212/1508
dc.description.abstract Objective: To examine the prevalence of multiple types of maltreatment (MTM), potentially confounding factors and associations with depression, anxiety and self-esteem among adolescents in Viet Nam. Methods: In 2006 we conducted a cross-sectional survey of 2591 students (aged 12–18 years; 52.1% female) from randomly-selected classes in eight secondary schools in urban (Hanoi) and rural (Hai Duong) areas of northern Viet Nam (response rate, 94.7%). Sequential multiple regression analyses were performed to estimate the relative influence of individual, family and social characteristics and of eight types of maltreatment, including physical, emotional and sexual abuse and physical or emotional neglect, on adolescent mental health. Findings: Females reported more neglect and emotional abuse, whereas males reported more physical abuse, but no statistically significant difference was found between genders in the prevalence of sexual abuse. Adolescents were classified as having nil (32.6%), one (25.9%), two (20.7%), three (14.5%) or all four (6.3%) maltreatment types. Linear bivariate associations between MTM and depression, anxiety and low self-esteem were observed. After controlling for demographic and family factors, MTM showed significant independent effects. The proportions of the variance explained by the models ranged from 21% to 28%. Conclusion: The combined influence of adverse individual and family background factors and of child maltreatment upon mental health in adolescents in Viet Nam is consistent with research in non-Asian countries. Emotional abuse was strongly associated with each health indicator. In Asian communities where child abuse is often construed as severe physical violence, it is important to emphasize the equally pernicious effects of emotional maltreatment. (Author Abstract) en_US
dc.publisher Bulletin of the World Health Organization en_US
dc.subject multi-type abuse en_US
dc.subject poly-victimization en_US
dc.subject co-occurrence en_US
dc.subject child abuse en_US
dc.subject International Resources en_US
dc.subject Viet Nam en_US
dc.subject adolescence en_US
dc.subject mental health en_US
dc.title Multiple types of child maltreatment and adolescent mental health in Viet Nam en_US
dc.type Article en_US


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