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Int. J. Environ. Res. Public Health 2017, 14(10), 1124; https://doi.org/10.3390/ijerph14101124

Alcohol-Related Physical Abuse of Children in the Slums of Kampala, Uganda

1
School of Public Health, Georgia State University, P.O. Box 3984, Atlanta, GA 30302, USA
2
Duke University Medical Center, Duke Global Health Institute and Department of Emergency Medicine, Duke University, Durham, NC 27703, USA
3
Uganda Youth Development Link, Sir Appollo Kaggwa Rd, Box 12659, Kampala, Uganda
*
Author to whom correspondence should be addressed.
Academic Editor: David A. Sleet
Received: 3 August 2017 / Revised: 13 September 2017 / Accepted: 21 September 2017 / Published: 26 September 2017
(This article belongs to the Special Issue Child Injury Prevention 2017)
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Abstract

This study examines the patterns of alcohol-related physical abuse and alcohol use and related behaviors among children living in the slums of Kampala, Uganda. The study is based on a cross-sectional survey, conducted in spring 2014, of service-seeking children ages 12 to 18 years (n = 1134) attending Uganda Youth Development Link drop-in centers for vulnerable children in the slums. Descriptive statistics, chi-squares, and bivariate and multivariable logistic regression analyses were conducted to determine patterns of children’s alcohol-related behaviors, based on alcohol-related physical abuse and neglect. Nearly 34% of children (n = 380) reported experiencing physical abuse, and 12.4% (n = 140) reported experiencing alcohol-related physical abuse. Alcohol-related neglect was reported among 19.6% (n = 212) of the children. Past year alcohol use was significantly more prevalent among children who reported experiencing alcohol-related neglect ( χ 2 = 79.18, df = 1, p < 0.0001) and alcohol-related physical abuse ( χ 2 = 62.02, df = 1, p < 0.0001). Reporting physical abuse was also associated with parental alcohol use (OR: 1.85; 95% CI: 1.38, 2.48) and parental partner violence (OR: 5.51; 95% CI: 4.09, 7.43), after adjusting for other variables in the model. Given the high levels of alcohol-related abuse and neglect reported in this population, both primary and secondary prevention initiatives are needed to improve parenting strategies and to reduce alcohol-related harm. Similarly, strategies to reduce and delay alcohol use among these vulnerable children are also needed. View Full-Text
Keywords: international health; child physical abuse and neglect; alcohol use; alcohol use initiation; urban; slums international health; child physical abuse and neglect; alcohol use; alcohol use initiation; urban; slums
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).
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Swahn, M.H.; Culbreth, R.E.; Staton, C.A.; Self-Brown, S.R.; Kasirye, R. Alcohol-Related Physical Abuse of Children in the Slums of Kampala, Uganda. Int. J. Environ. Res. Public Health 2017, 14, 1124.

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