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Article

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

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. https://doi.org/10.3390/ijerph14101124

AMA Style

Swahn MH, Culbreth RE, Staton CA, Self-Brown SR, Kasirye R. Alcohol-Related Physical Abuse of Children in the Slums of Kampala, Uganda. International Journal of Environmental Research and Public Health. 2017; 14(10):1124. https://doi.org/10.3390/ijerph14101124

Chicago/Turabian Style

Swahn, Monica H., Rachel E. Culbreth, Catherine A. Staton, Shannon R. Self-Brown, and Rogers Kasirye. 2017. "Alcohol-Related Physical Abuse of Children in the Slums of Kampala, Uganda" International Journal of Environmental Research and Public Health 14, no. 10: 1124. https://doi.org/10.3390/ijerph14101124

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