Association between Physical Abuse, Physical Neglect and Health Risk Behaviours among Young Adolescents: Results from the National Study

Dimitrinka Jordanova Peshevska; Marija Raleva; Izabela Filov; Dinesh Sethi; Tamara Jordanova; Kadri HazdiHamza; Fimka Tozija; Vesna Damchevska Ilievska

doi:10.3889/oamjms.2014.066

Authors

Dimitrinka Jordanova Peshevska World Health Organization, Country Office Skopje, Skopje
Marija Raleva University Clinic of Psychiatry, Medical Faculty at Ss. Cyril and Methodius University of Skopje, Skopje
Izabela Filov Higher Medical School, Bitola
Dinesh Sethi World Health Organization, Regional Office for Europe, Copenhagen
Tamara Jordanova National Association for Improvement of the Health and Rights of Persons with Mental Illnesses and Other Vulnerable Groups, Skopje
Kadri HazdiHamza University Clinic of Psychiatry, Medical Faculty at Ss. Cyril and Methodius University of Skopje, Skopje
Fimka Tozija Institute of Public Health, Medical Faculty, Ss Cyril and Methodius University of Skopje, Skopje
Vesna Damchevska Ilievska Primary School "Zivko Brajkovski", Skopje

DOI:

https://doi.org/10.3889/oamjms.2014.066

Keywords:

Physical abuse, physical neglect, corporal punishment, health risk behaviours, Republic of Macedonia.

Abstract

OBJECTIVES: One of the main objectives of this paper is to analyze the associations between physical abuse and neglect and health risk behaviours among young adolescents in the country.

METHOD: A representative sample consisted of total 1277 students (58.6% female and 41.6%), aged 18 and above. About 664 of them are in last (fourth) year of secondary school and 613 respondents are first- and second-year university students. The data were obtained using Adverse Childhood Experiences Study Questionnaires (Family Health History Questionnaire) for collecting information on child maltreatment, household dysfunction and other socio-behavioural factors, applying WHO/CDC-recommended methodology. Statistical significance was set up at p<0.05.

RESULTS: Physical abuse (21.1%) and physical neglect (20%) were reported with similar prevalence rates. Disciplining children by spanking or corporal punishment was presented with very high rate of 72.4%.

CONCLUSION: The results demonstrated a relationship between physical abuse and later manifestation of health risk behaviours such as: smoking and early pregnancy. Physical neglect increased the chances for drug abuse, drink-driving, having early sex, having more sexual partners.

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