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Multi-type child maltreatment: prevalence and its relationship with self-esteem
among secondary school students in Tanzania
#MMPMID30041688
Mwakanyamale AA
; Wande DP
; Yizhen Y
BMC Psychol
2018[Jul]; 6
(1
): 35
PMID30041688
show ga
BACKGROUND: Child maltreatment is becoming predominantly multi-type in nature.
Studies report that multi-type child maltreatment is associated with low
self-esteem in adolescence and adulthood. There is a lack of published studies in
Tanzania regarding multi-type child maltreatment and its relationship with
self-esteem in adolescence. This study investigates the prevalence of multi-type
child maltreatment and its relationship with self-esteem among secondary school
students in Tanzania. METHODS: A cross-sectional, community-based study of
secondary school students was conducted in randomly selected secondary schools in
Tanzania. A multistage cluster sampling technique was employed to obtain the
required number of study participants. The Rosenberg Self-Esteem Scale and the
Adverse Childhood Experiences (ACE) questionnaire were used to measure the
variables under investigation in the study. A total of 1000 participants (M: F
ratio?=?1.2:1) were studied. The mean age at presentation was 16.24?±?7.36 years.
The modal age group was 16-18 years (54.2%). RESULTS: The prevalence of
multi-type child maltreatment was 97.6%. The prevalence of physical abuse,
physical neglect, emotional neglect emotional abuse and sexual abuse was 82.1,
26.2, 51.9, 21.8 and 24.7%, respectively. Females reported a higher prevalence of
physical abuse (84.3%), physical neglect (28.0%) and sexual abuse (26.2%) than
their male counterparts. Emotional abuse (53.3%) was reported more often by
males. In terms of ACE, participants were classified as having zero (2.4%), one
(22.4%), two (20.3%), three (18.2%), four (14.7%), five (12.8%) and over five
(9.2%) types of maltreatment. With regard to multi-type child maltreatment,
emotional abuse (X(2)?=?2.925, p?=?0.001), emotional neglect (X(2)?=?2.329,
p?=?0.032), physical neglect (X(2)?=?22.508, p?0.001) and physical abuse
(X(2)?=?6.722, p?=?0.036) were significantly associated with low self-esteem.
CONCLUSION: The current study demonstrates that multi-type child maltreatment
exists in Tanzania and has adversely affected self-esteem among secondary school
students. We believe that this study has significantly added to the body of
literature on child maltreatment by investigating exposure to 10 types of ACEs as
opposed to single types, as the majority of previous studies have investigated.
|*Emotions
[MESH]
|*Self Concept
[MESH]
|Adolescent
[MESH]
|Child
[MESH]
|Child Abuse/psychology/*statistics & numerical data
[MESH]