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Intersections between polyvictimisation and mental health among adolescents in five urban disadvantaged settings: the role of gender

Overview of attention for article published in BMC Public Health, July 2017
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Title
Intersections between polyvictimisation and mental health among adolescents in five urban disadvantaged settings: the role of gender
Published in
BMC Public Health, July 2017
DOI 10.1186/s12889-017-4348-y
Pubmed ID
Authors

Mphatso Kamndaya, Pedro T. Pisa, Matthew F. Chersich, Michele R. Decker, Adesola Olumide, Rajib Acharya, Yan Cheng, Heena Brahmbhatt, Sinead Delany-Moretlwe

Abstract

Polyvictimisation (PV) - exposure to violence across multiple contexts - causes considerable morbidity and mortality among adolescents. Despite high levels of violence in urban disadvantaged settings, gender differences in associations between PV and mental health have not been well established. We analysed data from a survey with 2393 adolescents aged 15-19 years, recruited using respondent-driven sampling from urban disadvantaged settings in Baltimore (USA), Delhi (India), Ibadan (Nigeria), Johannesburg (South Africa) and Shanghai (China). PV was defined as exposure to two or more types of violence in the past 12 months with family, peers, in the community, or from intimate partners and non-partner sexual violence. Weighted logistic regression models are presented by gender to evaluate whether PV is associated with posttraumatic stress, depression, suicidal thoughts and perceived health status. PV was extremely common overall, but ranged widely, from 74.5% of boys and 82.0% of girls in Johannesburg, to 25.8 and 23.9% respectively in Shanghai. Community violence was the predominant violence type, affecting 72.8-93.7% across the sites. More than half of girls (53.7%) and 45.9% of boys had at least one adverse mental health outcome. Compared to those that did not report violence, boys exposed to PV had 11.4 higher odds of having a negative perception of health (95%CI adjusted OR = 2.45-53.2), whilst this figure was 2.58 times in girls (95%CI = 1.62-4.12). Among girls, PV was associated with suicidal thoughts (adjusted OR = 4.68; 95%CI = 2.29-9.54), posttraumatic stress (aOR = 4.53; 95%CI = 2.44-8.41) and depression (aOR = 2.65; 95%CI = 1.25-5.63). Among boys, an association was only detected between PV and depression (aOR = 1.82; 95%CI = 1.00-3.33). The findings demonstrate that PV is common among both sexes in urban disadvantaged settings across the world, and that it is associated with poor mental health outcomes in girls, and with poor health status in both girls and boys. Clearly, prevention interventions are failing to address violence exposure across multiple contexts, but especially within community settings and in Johannesburg. Interventions are needed to identify adolescents exposed to PV and link them to care, with services targeting a range of mental health conditions among girls and perhaps focusing on depression among boys.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 244 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 244 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 30 12%
Student > Bachelor 29 12%
Student > Ph. D. Student 25 10%
Researcher 22 9%
Student > Doctoral Student 20 8%
Other 36 15%
Unknown 82 34%
Readers by discipline Count As %
Psychology 38 16%
Medicine and Dentistry 34 14%
Nursing and Health Professions 31 13%
Social Sciences 25 10%
Agricultural and Biological Sciences 3 1%
Other 18 7%
Unknown 95 39%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 29 July 2022.
All research outputs
#14,355,066
of 22,986,950 outputs
Outputs from BMC Public Health
#10,415
of 14,973 outputs
Outputs of similar age
#175,131
of 313,617 outputs
Outputs of similar age from BMC Public Health
#175
of 233 outputs
Altmetric has tracked 22,986,950 research outputs across all sources so far. This one is in the 35th percentile – i.e., 35% of other outputs scored the same or lower than it.
So far Altmetric has tracked 14,973 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 13.9. This one is in the 27th percentile – i.e., 27% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 313,617 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 41st percentile – i.e., 41% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 233 others from the same source and published within six weeks on either side of this one. This one is in the 23rd percentile – i.e., 23% of its contemporaries scored the same or lower than it.