Violence, a risk factor for poor mental health in adolescence: A Danish nationally representative youth survey

TY - JOUR

T1 - Violence, a risk factor for poor mental health in adolescence

T2 - A Danish nationally representative youth survey

AU - Helweg-Larsen, Karin

AU - Frederiksen, Marie Louise

AU - Larsen, Helmer Bøving

PY - 2011/12

Y1 - 2011/12

N2 - Aims: To analyze mental health associations between youth's exposure to physical violence outside the home and at home, including witnessing domestic violence, and to describe gender differences in the associations. Methods: A multimedia computer-based survey among a nationally representative sample of 6,200 9th grade pupils included data on violence victimization, symptoms of anxiety and depression, psychosocial and health behaviour factors. Analyses included gender stratified cross-tabulations and logistic regressions. Results: Direct associations were found for both sexes between anxiety and depression and exposure to mild and severe physical violence both outside the home and at home. Adjusted for possible confounding factors, associations for severe violence exposure both at home and outside the home were found only among girls; odds ratio (OR): 2.4 [1.3–4.7]) and OR: 3.0 [1.1–8.6], respectively. Exposure to severe violence at home remained a strong risk factor for internalizing symptoms for boys, OR: 3.6 [1.4–9.2]. In the adjusted model, a stronger association was found between bad relationships with peers and poor mental health for boys than for girls; OR: 2.0 [1.6–2.3] and OR: 1.4 [1.3–1.6], respectively. For both sexes, witnessing physical violence against mother at home was associated with mental health problems, but did not remain a risk factor when adjusted for confounders. Conclusions: Gender differences exist in harmful mental health associations with regard to exposure to violence. For girls, violence outside the home is a stronger risk factor than violence at home, compared with boys.

AB - Aims: To analyze mental health associations between youth's exposure to physical violence outside the home and at home, including witnessing domestic violence, and to describe gender differences in the associations. Methods: A multimedia computer-based survey among a nationally representative sample of 6,200 9th grade pupils included data on violence victimization, symptoms of anxiety and depression, psychosocial and health behaviour factors. Analyses included gender stratified cross-tabulations and logistic regressions. Results: Direct associations were found for both sexes between anxiety and depression and exposure to mild and severe physical violence both outside the home and at home. Adjusted for possible confounding factors, associations for severe violence exposure both at home and outside the home were found only among girls; odds ratio (OR): 2.4 [1.3–4.7]) and OR: 3.0 [1.1–8.6], respectively. Exposure to severe violence at home remained a strong risk factor for internalizing symptoms for boys, OR: 3.6 [1.4–9.2]. In the adjusted model, a stronger association was found between bad relationships with peers and poor mental health for boys than for girls; OR: 2.0 [1.6–2.3] and OR: 1.4 [1.3–1.6], respectively. For both sexes, witnessing physical violence against mother at home was associated with mental health problems, but did not remain a risk factor when adjusted for confounders. Conclusions: Gender differences exist in harmful mental health associations with regard to exposure to violence. For girls, violence outside the home is a stronger risk factor than violence at home, compared with boys.

U2 - 10.1177/1403494811421638

DO - 10.1177/1403494811421638

M3 - Journal article

C2 - 22031482

SN - 1403-4948

VL - 39

SP - 849

EP - 856

JO - Acta socio-medica Scandinavica

JF - Acta socio-medica Scandinavica

IS - 8

ER -