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Published in: BMC Public Health 3/2017

Open Access 01-07-2017 | Research

From fear to resilience: adolescents’ experiences of violence in inner-city Johannesburg, South Africa

Authors: Fiona Scorgie, Deborah Baron, Jonathan Stadler, Emilie Venables, Heena Brahmbhatt, Kristin Mmari, Sinead Delany-Moretlwe

Published in: BMC Public Health | Special Issue 3/2017

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Abstract

Background

For adolescents growing up in poor urban South African settings, violence is often a part of daily life and has lasting effects on physical and mental health outcomes in adulthood. We conducted a qualitative study to document and understand the forms of interpersonal violence experienced by adolescents living in Hillbrow, Johannesburg. In this article, we explore how violence is experienced differently by adolescent boys and girls, how they conceptualise ‘dangerous’ and ‘safe’ spaces in their neighbourhood and what gaps exist in available services for youth in Hillbrow.

Methods

The article draws on data collected in the formative phase of the ‘Wellbeing of Adolescents in Vulnerable Environments’ (WAVE) Study of challenges faced by adolescents (15–19 years) growing up in impoverished parts of five cities. This article reports on analysis using only data from the Johannesburg site. Using both purposive and snowball sampling to select participants, we conducted in-depth interviews (n = 20) and community mapping exercises with female (n = 19) and male (n = 20) adolescents living in Hillbrow, as well as key informant interviews with representatives of residential shelters, CBOs, and NGOs working with youth (n = 17). Transcripts were coded manually and analysed using an inductive thematic analysis approach.

Results

Both girls and boys reported high exposure to witnessing violence and crime. For girls, the threat of sexual harassment and violence was pervasive, while boys feared local gangs, the threat of physical violence, and being drawn into substance-abuse. Home was largely a safe haven for boys, whereas for girls it was often a space of sexual violence, abuse and neglect. Some adolescents developed coping mechanisms, such as actively seeking out community theatres, churches and other places of sanctuary from violence. Community-based services and shelters that support adolescents reported a lack of resources, overall instability and difficulties networking effectively.

Conclusions

Adolescents in Hillbrow commonly witnessed and had direct experience of many forms of violence in their environment, and these experiences differed markedly by gender. Interventions that build young peoples’ social capital and resilience are essential for reducing violence-related trauma and long-term health and social consequences for adolescents in this community.
Footnotes
1
In this article, we use the WHO definition of interpersonal violence: “the intentional use of physical force or power, threatened or actual, against another person or against a group or community that results in or has a high likelihood of resulting in injury, death, psychological harm, maldevelopment, or deprivation” (Dahlberg LL, Krug EG. Violence: a global public health problem. In: Krug EG, Dahlberg LL, Mercy JA, Zwi AB, Lozano R, editors. World report on violence and health. Geneva (Switzerland): World Health Organization; 2002. p. 1–21).
 
2
A Photovoice exercise with 10 adolescents was also carried out as part of this phase of the study. We do not present any results from this exercise here.
 
3
All participant names in this article are pseudonyms. “Boys CM” and “Girls CM” refers to Boys’ and Girls’ Community Mapping groups respectively. “KI” refers to Key Informant.
 
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Metadata
Title
From fear to resilience: adolescents’ experiences of violence in inner-city Johannesburg, South Africa
Authors
Fiona Scorgie
Deborah Baron
Jonathan Stadler
Emilie Venables
Heena Brahmbhatt
Kristin Mmari
Sinead Delany-Moretlwe
Publication date
01-07-2017
Publisher
BioMed Central
Published in
BMC Public Health / Issue Special Issue 3/2017
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-017-4349-x

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