通过横断面调查探索青少年经济虐待的层面和相关因素。

IF 5.5 2区 医学 Q1 PEDIATRICS Journal of Adolescent Health Pub Date : 2024-11-07 DOI:10.1016/j.jadohealth.2024.09.018
Sarah E Scott, Danielle R Lavage, Sarah Gonzalez Bochinski, Lauren Risser, Maya I Ragavan, Olivia Storz, Elizabeth Miller, Meredith L Wallace
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引用次数: 0

摘要

目的:青少年经济虐待(TEA)是一种未得到充分研究的青少年关系虐待形式,可用于评估其发生率的措施非常有限。本文旨在评估调查项目的基本维度(与青少年共同开发),以完善对 TEA 结构的测量和验证,并根据人口统计学特征研究 TEA 施行(Prp)和受害(Vct)流行率的差异:这项横断面在线调查于 2021 年 7 月至 9 月间进行。年龄在 13-19 岁、阅读英语并居住在美国的青少年有资格完成这项研究。调查通过全国暴力预防列表服务器进行,重点关注为无家可归、涉及少年司法和儿童福利系统、在性或性别上属于少数群体或来自有色人种社区的青少年提供服务的组织。在探索性和确认性因素分析的基础上,我们运行了负二项式回归模型,以评估人口统计学特征与 TEA Vct 和 Prp 水平之间的关联:白人青少年报告的 TEA 暴露类型明显多于美国印第安人或阿拉斯加原住民(调整后的事件发生率比 = 1.3;95% CI = [1.1,1.4])、西班牙裔拉丁人(1.2 [1.1,1.4])和多种族同龄人(2.4 [1.8,3.1])。性别不同的青少年(1.14 [1, 1.3])和顺性别女性(1.08 [1, 1.2])所接触的 TEA 种类明显多于顺性别男性。那些在过去一年中在约会关系中遭受过身体暴力或性暴力的青少年所报告的 TEA 暴露类型(4.1 [3.8, 4.4])多于那些没有遭受过此类暴力的青少年。有过寄养或无家可归经历的青少年比没有这些经历的青少年有更多类型的TEA(1.3 [1.2, 1.4]):讨论:为青少年提供服务的医疗服务提供者在为青少年提供支持和资源时,应意识到经济虐待在青少年关系中的表现形式,尤其是那些受到系统干预或住房不稳定的青少年。研究结果还凸显了在暴力预防计划中开展有关 TEA 和经济正义教育的必要性。
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Exploring the Dimensions and Correlates of Teen Economic Abuse Through a Cross-Sectional Survey.

Purpose: Teen economic abuse (TEA) is an understudied form of adolescent relationship abuse with limited measures available to assess prevalence. The purpose of this article is to assess the underlying dimensions of survey items (developed with youth) to refine measurement of and validate the structures comprising TEA and examine differences in prevalence of TEA perpetration (Prp) and victimization (Vct) by demographic characteristics.

Methods: This cross-sectional, online survey was conducted between July and September 2021. Youth ages 13-19 who read English and reside in the United States were eligible to complete this study. Recruitment occurred through a national violence prevention listserv with an emphasis on reaching organizations serving youth who are unhoused, juvenile justice and child welfare-system involved, identifying as sexual or gender minorities, or from communities of color. Based on exploratory and confirmatory factor analysis, negative binomial regression models were run to assess associations of demographic characteristics, with levels of TEA Vct and Prp.

Results: Adolescents who identify as White reported significantly more types of TEA exposures than their American Indian or Alaskan Native (adjusted incident rate ratios = 1.3; 95% CI = [1.1, 1.4]), Hispanic Latino (1.2 [1.1, 1.4]), and Multiracial peers (2.4 [1.8, 3.1]). Gender diverse adolescents (1.14 [1, 1.3]) and cisgender females (1.08 [1, 1.2]) had significantly more types of TEA exposures than cisgender males. Those with past-year physical or sexual violence in dating relationships reported more types of TEA exposures (4.1 [3.8, 4.4]) than those who had not experienced such violence. Adolescents with exposure to foster care or homelessness had more types of TEA (1.3 [1.2, 1.4]) than those without such experiences.

Discussion: Healthcare providers serving youth should be aware of how economic abuse manifests in adolescent relationships when providing support and resources for youth, especially those who are system-involved or experiencing housing instability. Findings also highlight the need for education about TEA and economic justice in violence prevention programs.

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来源期刊
Journal of Adolescent Health
Journal of Adolescent Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
10.40
自引率
3.90%
发文量
526
审稿时长
46 days
期刊介绍: The Journal of Adolescent Health is a scientific publication dedicated to enhancing the health and well-being of adolescents and young adults. Our Journal covers a broad range of research topics, spanning from the basic biological and behavioral sciences to public health and policy. We welcome a variety of contributions, including original research papers, concise reports, literature reviews, clinical case reports, opinion pieces, and letters to the editor. We encourage professionals from diverse disciplines such as Anthropology, Education, Ethics, Global Health, Health Services Research, Law, Medicine, Mental and Behavioral Health, Nursing, Nutrition, Psychology, Public Health and Policy, Social Work, Sociology, and Youth Development to share their expertise and contribute to our mission of promoting adolescent health. Moreover, we value the voices of young individuals, family and community members, and healthcare professionals, and encourage them to submit poetry, personal narratives, images, and other creative works that provide unique insights into the experiences of adolescents and young adults. By combining scientific peer-reviewed research with creative expressions, our Journal aims to create a comprehensive understanding of the challenges and opportunities in adolescent and young adult health.
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