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Physical Abuse Among High School Students: Prevalence and Correlation With Other Health Behaviors

Physical Abuse Among High School Students: Prevalence and Correlation With Other Health Behaviors Abstract Objective: To better understand the epidemiology of physical abuse among adolescents. Design: School-based survey of students in grades 9 through 12. Setting: Twenty-five schools throughout Oregon in 1993. Main Outcome Measures: Prevalence of ever being physically abused, prevalence of most recent occurrence of physical abuse, and correlation of physical abuse with high-risk health behaviors. Results: Of the 1957 respondents, 31.5% reported having ever been physically abused, with female subjects (34.6%) more likely than male subjects (28.0%) to have ever been abused. Overall, 3.7% of students had been physically abused in the past week, 7.8% in the past month, and 16.3% in the past year. Based on multivariate models, students physically abused in the past year were more likely than students who had never been physically abused to engage in a variety of high-risk behaviors; these included weapon carrying (odds ratio, 1.9), suicidal ideation (odds ratio, 2.1), cigarette smoking (odds ratio, 1.8), cocaine use (odds ratio, 3.2), or multiple sexual partners (odds ratio, 1.9). Conclusions: Physical abuse, an important problem among high school students, is correlated with many high-risk behaviors. Using consistent definitions, periodic surveys of children about physical abuse and other types of violent behavior are needed to provide better estimates of the extent of these problems.(Arch Pediatr Adolesc Med. 1995;149:1254-1258) References 1. Belsey MA. Child abuse: measuring a global problem . World Health Stat Q . 1993;46:69-77. 2. Creighton SJ. Child Abuse Trends in England and Wales 1988-1990: An Overview From 1973-1990 . London, England: National Society for the Prevention of Cruelty to Children; 1992. 3. Green AH. Child maltreatment and its victims: a comparison of physical and sexual abuse . Psychiatr Clin North Am . 1988;11:591-610. 4. Meadow R. ABC of child abuse: epidemiology . BMJ . 1989;298:727-730.Crossref 5. Kessler DB, Hyden P. Physical, sexual, and emotional abuse of children . Clin Symp . 1991;15:197-211. 6. Macmillan HL, MacMillan JH, Offord DR. Periodic health examination, 1993 update, I: primary prevention of child maltreatment . Can Med Assoc J . 1993; 148:151-163. 7. Moeller TP, Bachmann GA. The combined effects of physical, sexual, and emotional abuse during childhood: long-term health consequences for women . Child Abuse Neglect . 1993;17:623-640.Crossref 8. Cappelleri JC, Eckenrode J, Powers JL. The epidemiology of child abuse: findings from the second national incidence and prevalence study of child abuse and neglect . Am J Public Health . 1993;83:1622-1624.Crossref 9. Council on Scientific Affairs. AMA diagnostic and treatment guidelines concerning child abuse and neglect . JAMA . 1985;254:796-800.Crossref 10. Finkelhor D, Dziuba-Leatherman J. Children as victims of violence: a national survey . Pediatrics . 1994;94:413-420. 11. Jason J, Williams SL, Burton A, Rochat R. Epidemiologic differences between sexual and physical child abuse . JAMA . 1982;247:3344-3348.Crossref 12. Greenwood KL, Tangalos EG, Maruta T. Prevalence of sexual abuse, physical abuse, and concurrent traumatic life events in a general medical population . Mayo Clin Proc . 1990;65:1067-1071.Crossref 13. Brown GR, Anderson B. Psychiatric morbidity in adult inpatients with childhood histories of sexual and physical abuse . Am J Psychiatr . 1991;148:55-61. 14. Straus MA, Gelles RJ. Societal change and change in family violence from 1965 to 1985 as revealed by two national surveys . J Marriage Fam . 1986;48:465-479.Crossref 15. Wolfner GD, Gelles RJ. A profile of violence toward children: a national study . Child Abuse Neglect . 1993;17:197-212.Crossref 16. Finklehor D. A Sourcebook on Child Sexual Abuse . Beverly Hills, Calif: Sage Publications; 1986. 17. Hibbard R, Ingersoll G, Orr D. Emotions, acting out and abuse . Pediatr Res . 1989;25:6.Crossref 18. Hibbard R, Brack C, Racuh S, Orr D. Abuse, feelings, and health behaviors in a student population . AJDC . 1988;142:326-330. 19. Riggs S, Alario AJ, McHorney C. Health risk behaviors and attempted suicide in adolescents who report prior maltreatment . J Pediatr . 1990;116:815-821.Crossref 20. Blum RW, Harmon B, Harris L, Bergeisen L, Resnick MD. American Indian-Alaska Native youth health . JAMA . 1992;267:1637-1644.Crossref 21. Blum RW, Geer L, Hutton L, McKay C, Resnick MD. The Minnesota adolescent health survey: implications for physicians . Minn Med . 1988;71:143-145. 22. Kolbe LJ, Kann L, Collins JL. Overview of the youth risk behavior surveillance system . Public Health Rep . 1993;108( (suppl 1) ):2-10. 23. Centers for Disease Control and Prevention. Selected behaviors that increase risk for HIV infection, other sexually transmitted diseases, and unintended pregnancy among high school students—United States, 1991 . MMWR Morb Mortal Wkly Rep . 1992;41:945-950. 24. Centers for Disease Control and Prevention. Tobacco, alcohol, and other drug use among high school students—United States, 1991 . MMWR Morb Mortal Wkly Rep . 1992;41:698-703. 25. Behaviors related to unintentional and intentional injuries among high school students, United States, 1991 . MMWR Morb Mortal Wkly Rep . 1992;41:760-765,771-772. 26. Oregon Youth Risk Behavior Survey 1993 . Portland, Ore: Oregon Health Division; (December) 1993. 27. Freund JE, Simon GA. Statistics . 5th ed. Englewood Cliffs, NJ: Prentice-Hall International Inc; 1991. 28. 1993-94 Oregon Public Secondary Schools . Salem, Ore: Oregon Dept of Education; (December) 1993. 29. Newberger EH. Child physical abuse . Earn Viol Abusive Relationships . 1993; 20:317-327. 30. Krugman RD. Child abuse and neglect: critical first steps in response to a national emergency: the report of the US Advisory Board on Child Abuse and Neglect . AJDC . 1991;145:513-515. 31. Donnelly AHC. What we have learned about prevention: what we should do about it . Child Abuse Negl . 1991;15( (suppl) ):99-106.Crossref 32. Public Health Service. Healthy People 2000: National Health Promotion and Disease Prevention Objectives—Full Report, With Commentary . Washington, DC: US Dept of Health and Human Services; 1991. US Dept of Health and Human Services publication (PHS) 91-50212. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Pediatrics & Adolescent Medicine American Medical Association

Physical Abuse Among High School Students: Prevalence and Correlation With Other Health Behaviors

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Publisher
American Medical Association
Copyright
Copyright © 1995 American Medical Association. All Rights Reserved.
ISSN
1072-4710
eISSN
1538-3628
DOI
10.1001/archpedi.1995.02170240072011
Publisher site
See Article on Publisher Site

Abstract

Abstract Objective: To better understand the epidemiology of physical abuse among adolescents. Design: School-based survey of students in grades 9 through 12. Setting: Twenty-five schools throughout Oregon in 1993. Main Outcome Measures: Prevalence of ever being physically abused, prevalence of most recent occurrence of physical abuse, and correlation of physical abuse with high-risk health behaviors. Results: Of the 1957 respondents, 31.5% reported having ever been physically abused, with female subjects (34.6%) more likely than male subjects (28.0%) to have ever been abused. Overall, 3.7% of students had been physically abused in the past week, 7.8% in the past month, and 16.3% in the past year. Based on multivariate models, students physically abused in the past year were more likely than students who had never been physically abused to engage in a variety of high-risk behaviors; these included weapon carrying (odds ratio, 1.9), suicidal ideation (odds ratio, 2.1), cigarette smoking (odds ratio, 1.8), cocaine use (odds ratio, 3.2), or multiple sexual partners (odds ratio, 1.9). Conclusions: Physical abuse, an important problem among high school students, is correlated with many high-risk behaviors. Using consistent definitions, periodic surveys of children about physical abuse and other types of violent behavior are needed to provide better estimates of the extent of these problems.(Arch Pediatr Adolesc Med. 1995;149:1254-1258) References 1. Belsey MA. Child abuse: measuring a global problem . World Health Stat Q . 1993;46:69-77. 2. Creighton SJ. Child Abuse Trends in England and Wales 1988-1990: An Overview From 1973-1990 . London, England: National Society for the Prevention of Cruelty to Children; 1992. 3. Green AH. Child maltreatment and its victims: a comparison of physical and sexual abuse . Psychiatr Clin North Am . 1988;11:591-610. 4. Meadow R. ABC of child abuse: epidemiology . BMJ . 1989;298:727-730.Crossref 5. Kessler DB, Hyden P. Physical, sexual, and emotional abuse of children . Clin Symp . 1991;15:197-211. 6. Macmillan HL, MacMillan JH, Offord DR. Periodic health examination, 1993 update, I: primary prevention of child maltreatment . Can Med Assoc J . 1993; 148:151-163. 7. Moeller TP, Bachmann GA. The combined effects of physical, sexual, and emotional abuse during childhood: long-term health consequences for women . Child Abuse Neglect . 1993;17:623-640.Crossref 8. Cappelleri JC, Eckenrode J, Powers JL. The epidemiology of child abuse: findings from the second national incidence and prevalence study of child abuse and neglect . Am J Public Health . 1993;83:1622-1624.Crossref 9. Council on Scientific Affairs. AMA diagnostic and treatment guidelines concerning child abuse and neglect . JAMA . 1985;254:796-800.Crossref 10. Finkelhor D, Dziuba-Leatherman J. Children as victims of violence: a national survey . Pediatrics . 1994;94:413-420. 11. Jason J, Williams SL, Burton A, Rochat R. Epidemiologic differences between sexual and physical child abuse . JAMA . 1982;247:3344-3348.Crossref 12. Greenwood KL, Tangalos EG, Maruta T. Prevalence of sexual abuse, physical abuse, and concurrent traumatic life events in a general medical population . Mayo Clin Proc . 1990;65:1067-1071.Crossref 13. Brown GR, Anderson B. Psychiatric morbidity in adult inpatients with childhood histories of sexual and physical abuse . Am J Psychiatr . 1991;148:55-61. 14. Straus MA, Gelles RJ. Societal change and change in family violence from 1965 to 1985 as revealed by two national surveys . J Marriage Fam . 1986;48:465-479.Crossref 15. Wolfner GD, Gelles RJ. A profile of violence toward children: a national study . Child Abuse Neglect . 1993;17:197-212.Crossref 16. Finklehor D. A Sourcebook on Child Sexual Abuse . Beverly Hills, Calif: Sage Publications; 1986. 17. Hibbard R, Ingersoll G, Orr D. Emotions, acting out and abuse . Pediatr Res . 1989;25:6.Crossref 18. Hibbard R, Brack C, Racuh S, Orr D. Abuse, feelings, and health behaviors in a student population . AJDC . 1988;142:326-330. 19. Riggs S, Alario AJ, McHorney C. Health risk behaviors and attempted suicide in adolescents who report prior maltreatment . J Pediatr . 1990;116:815-821.Crossref 20. Blum RW, Harmon B, Harris L, Bergeisen L, Resnick MD. American Indian-Alaska Native youth health . JAMA . 1992;267:1637-1644.Crossref 21. Blum RW, Geer L, Hutton L, McKay C, Resnick MD. The Minnesota adolescent health survey: implications for physicians . Minn Med . 1988;71:143-145. 22. Kolbe LJ, Kann L, Collins JL. Overview of the youth risk behavior surveillance system . Public Health Rep . 1993;108( (suppl 1) ):2-10. 23. Centers for Disease Control and Prevention. Selected behaviors that increase risk for HIV infection, other sexually transmitted diseases, and unintended pregnancy among high school students—United States, 1991 . MMWR Morb Mortal Wkly Rep . 1992;41:945-950. 24. Centers for Disease Control and Prevention. Tobacco, alcohol, and other drug use among high school students—United States, 1991 . MMWR Morb Mortal Wkly Rep . 1992;41:698-703. 25. Behaviors related to unintentional and intentional injuries among high school students, United States, 1991 . MMWR Morb Mortal Wkly Rep . 1992;41:760-765,771-772. 26. Oregon Youth Risk Behavior Survey 1993 . Portland, Ore: Oregon Health Division; (December) 1993. 27. Freund JE, Simon GA. Statistics . 5th ed. Englewood Cliffs, NJ: Prentice-Hall International Inc; 1991. 28. 1993-94 Oregon Public Secondary Schools . Salem, Ore: Oregon Dept of Education; (December) 1993. 29. Newberger EH. Child physical abuse . Earn Viol Abusive Relationships . 1993; 20:317-327. 30. Krugman RD. Child abuse and neglect: critical first steps in response to a national emergency: the report of the US Advisory Board on Child Abuse and Neglect . AJDC . 1991;145:513-515. 31. Donnelly AHC. What we have learned about prevention: what we should do about it . Child Abuse Negl . 1991;15( (suppl) ):99-106.Crossref 32. Public Health Service. Healthy People 2000: National Health Promotion and Disease Prevention Objectives—Full Report, With Commentary . Washington, DC: US Dept of Health and Human Services; 1991. US Dept of Health and Human Services publication (PHS) 91-50212.

Journal

Archives of Pediatrics & Adolescent MedicineAmerican Medical Association

Published: Nov 1, 1995

References