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Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Research article

Exposure to and experiences of violence among adolescents in lower socio-economic groups in Johannesburg, South Africa

Authors: Kennedy N Otwombe, Janan Dietrich, Kathleen J Sikkema, Jenny Coetzee, Kathryn L Hopkins, Fatima Laher, Glenda E Gray

Published in: BMC Public Health | Issue 1/2015

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Abstract

Background

We explored exposure to and experiences of violence and their risk factors amongst ethnically diverse adolescents from lower socio economic groups in Johannesburg.

Methods

This cross-sectional study recruited a stratified sample of 16–18 year old adolescents from four low socio-economic suburbs in Johannesburg to reflect ethnic group clustering. We collected socio-demographic, sexual behaviour, alcohol and drug use and trauma events data. Proportions and risk factors were assessed by chi-square and logistic regression.

Results

Of 822 adolescents, 57% (n = 469) were female. Approximately 62% (n = 506) were Black, 13% (n = 107) Coloured, 13% (n = 106) Indian and 13% (n = 103) White. Approximately 67% (n = 552) witnessed violence to a non-family member, 28% (n = 228) experienced violence by a non-family member, and 10% (n = 83) reported sexual abuse. Multivariate analysis determined that witnessing violence in the community was associated with being Black (OR: 4.6, 95%CI: 2.7-7.9), Coloured (OR: 3.9, 95%CI: 2.0-7.4) or White (OR: 8.0, 95%CI:4.0-16.2), repeating a grade (OR: 1.5, 95%CI: 1.01-2.1), having more than one sexual partner (OR: 1.7, 95%CI: 1.1-2.5) and ever taking alcohol (OR: 2.1, 95%CI: 1.5-2.9). Witnessing violence in the family was associated with being female (OR: 1.8, 95%CI: 1.3-2.6), being Black (OR: 2.2, 95%CI: 1.1-4.1), or White (OR: 3.0, 95%CI: 1.4-6.4), repeating a grade (OR: 1.6, 95%CI: 1.1-2.2) and ever taking alcohol (OR: 2.9, 95%CI: 2.0-4.3).

Conclusions

In low socio-economic areas in Johannesburg, Black, White and Coloured adolescents experience a high burden of violence. Interventions to mitigate the effects of violence are urgently required.
Literature
1.
go back to reference Krug EG, Dahlberg LL, Mercy JA, Zwi AB, Lozano R. World Report on Violence and Health. Geneva: World Health Organisation; 2002. Accessed on 21 April 2014 at http://whqlibdoc.who.int/hq/2002/9241545615.pdf. Krug EG, Dahlberg LL, Mercy JA, Zwi AB, Lozano R. World Report on Violence and Health. Geneva: World Health Organisation; 2002. Accessed on 21 April 2014 at http://​whqlibdoc.​who.​int/​hq/​2002/​9241545615.​pdf.​
2.
4.
go back to reference Dunkle KL, Jewkes RK, Brown HC, Yoshihama M, Gray GE, McIntyre JA, et al. Prevalence and patterns of gender-based violence and revictimization among women attending antenatal clinics in Soweto, South Africa. American Journal of Epidemiology. 2004;160(3):230–9.CrossRefPubMed Dunkle KL, Jewkes RK, Brown HC, Yoshihama M, Gray GE, McIntyre JA, et al. Prevalence and patterns of gender-based violence and revictimization among women attending antenatal clinics in Soweto, South Africa. American Journal of Epidemiology. 2004;160(3):230–9.CrossRefPubMed
5.
6.
go back to reference Jewkes R, Abrahams N. The epidemiology of rape and sexual coercion in South Africa: an overview. Soc Sci Med. 2002;55(7):1231–44.CrossRefPubMed Jewkes R, Abrahams N. The epidemiology of rape and sexual coercion in South Africa: an overview. Soc Sci Med. 2002;55(7):1231–44.CrossRefPubMed
7.
go back to reference Jewkes R, Penn-Kekana L, Levin J, Ratsaka M, Schrieber M. Prevalence of emotional, physical and sexual abuse of women in three South African provinces. South African Medical Journal. 2001;91(5):421–8.PubMed Jewkes R, Penn-Kekana L, Levin J, Ratsaka M, Schrieber M. Prevalence of emotional, physical and sexual abuse of women in three South African provinces. South African Medical Journal. 2001;91(5):421–8.PubMed
8.
go back to reference Jewkes RK, Dunkle K, Nduna M, Shai N. Intimate partner violence, relationship power inequity, and incidence of HIV infection in young women in South Africa: a cohort study. Lancet. 2010;376(9734):41–8.CrossRefPubMed Jewkes RK, Dunkle K, Nduna M, Shai N. Intimate partner violence, relationship power inequity, and incidence of HIV infection in young women in South Africa: a cohort study. Lancet. 2010;376(9734):41–8.CrossRefPubMed
9.
go back to reference Norman R, Matzopoulos R, Groenewald P, Bradshaw D. The high burden of injuries in South Africa. Bulletin of the World Health Organization. 2007;85(9):695–702.CrossRefPubMedPubMedCentral Norman R, Matzopoulos R, Groenewald P, Bradshaw D. The high burden of injuries in South Africa. Bulletin of the World Health Organization. 2007;85(9):695–702.CrossRefPubMedPubMedCentral
10.
go back to reference Boafo IM, Dagbanu EA, Asante KO. Dating violence and self-efficacy for delayed sex among adolescents in Cape Town, South Africa. African Journal of Reproductive Health. 2014;18(2):46–57.PubMed Boafo IM, Dagbanu EA, Asante KO. Dating violence and self-efficacy for delayed sex among adolescents in Cape Town, South Africa. African Journal of Reproductive Health. 2014;18(2):46–57.PubMed
11.
go back to reference Kaminer D, Hardy A, Heath K, Mosdell J, Bawa U. Gender patterns in the contribution of different types of violence to posttraumatic stress symptoms among South African urban youth. Child Abuse & Neglect. 2013;37(5):320–30.CrossRef Kaminer D, Hardy A, Heath K, Mosdell J, Bawa U. Gender patterns in the contribution of different types of violence to posttraumatic stress symptoms among South African urban youth. Child Abuse & Neglect. 2013;37(5):320–30.CrossRef
12.
go back to reference Shields N, Nadasen K, Pierce L. The effects of community violence on children in Cape Town, South Africa. Child Abuse & Neglect. 2008;32(5):589–601.CrossRef Shields N, Nadasen K, Pierce L. The effects of community violence on children in Cape Town, South Africa. Child Abuse & Neglect. 2008;32(5):589–601.CrossRef
13.
go back to reference Jewkes R, Morrell R, Sikweyiya Y, Dunkle K, Penn-Kekana L. Men, prostitution and the provider role: understanding the intersections of economic exchange, sex, crime and violence in South Africa. PloS One. 2012;7(7), e40821.CrossRefPubMedPubMedCentral Jewkes R, Morrell R, Sikweyiya Y, Dunkle K, Penn-Kekana L. Men, prostitution and the provider role: understanding the intersections of economic exchange, sex, crime and violence in South Africa. PloS One. 2012;7(7), e40821.CrossRefPubMedPubMedCentral
14.
go back to reference Jewkes R, Nduna M, Jama Shai N, Dunkle K. Prospective study of rape perpetration by young South African men: incidence & risk factors. PloS One. 2012;7(5), e38210.CrossRefPubMedPubMedCentral Jewkes R, Nduna M, Jama Shai N, Dunkle K. Prospective study of rape perpetration by young South African men: incidence & risk factors. PloS One. 2012;7(5), e38210.CrossRefPubMedPubMedCentral
15.
go back to reference Wubs AG, Aaro LE, Flisher AJ, Bastien S, Onya HE, Kaaya S, et al. Dating violence among school students in Tanzania and South Africa: prevalence and socio-demographic variations. Scandinavian Journal of Public Health. 2009;37 Suppl 2:75–86.CrossRefPubMed Wubs AG, Aaro LE, Flisher AJ, Bastien S, Onya HE, Kaaya S, et al. Dating violence among school students in Tanzania and South Africa: prevalence and socio-demographic variations. Scandinavian Journal of Public Health. 2009;37 Suppl 2:75–86.CrossRefPubMed
16.
go back to reference Yahaya I, Soares J, De Leon AP, Macassa G. A comparative study of the socioeconomic factors associated with childhood sexual abuse in sub-Saharan Africa. Pan African Medical Journal. 2012;11:51.PubMedPubMedCentral Yahaya I, Soares J, De Leon AP, Macassa G. A comparative study of the socioeconomic factors associated with childhood sexual abuse in sub-Saharan Africa. Pan African Medical Journal. 2012;11:51.PubMedPubMedCentral
17.
go back to reference Choe DE, Zimmerman MA, Devnarain B. Youth violence in South Africa: exposure, attitudes, and resilience in Zulu adolescents. Violence and Victims. 2012;27(2):166–81.CrossRefPubMed Choe DE, Zimmerman MA, Devnarain B. Youth violence in South Africa: exposure, attitudes, and resilience in Zulu adolescents. Violence and Victims. 2012;27(2):166–81.CrossRefPubMed
18.
go back to reference Bach JM, Louw D. Depression and exposure to violence among Venda and Northern Sotho adolescents in South Africa. African Journal of Psychiatry. 2010;13(1):25–35.PubMed Bach JM, Louw D. Depression and exposure to violence among Venda and Northern Sotho adolescents in South Africa. African Journal of Psychiatry. 2010;13(1):25–35.PubMed
19.
go back to reference Peguero AA, Jiang X. Backlash for breaking racial and ethnic breaking stereotypes: adolescent school victimization across contexts. J Interpers Violence. 2014. (in press) Peguero AA, Jiang X. Backlash for breaking racial and ethnic breaking stereotypes: adolescent school victimization across contexts. J Interpers Violence. 2014. (in press)
20.
go back to reference Swart LA, Seedat M, Nel J. Alcohol consumption in adolescent homicide victims in the city of Johannesburg, South Africa. Addiction. 2015. (in press) Swart LA, Seedat M, Nel J. Alcohol consumption in adolescent homicide victims in the city of Johannesburg, South Africa. Addiction. 2015. (in press)
22.
go back to reference Jewkes R, Levin J, Penn-Kekana L. Risk factors for domestic violence: findings from a South African cross-sectional study. Soc Sci Med. 2002;55(9):1603–17.CrossRefPubMed Jewkes R, Levin J, Penn-Kekana L. Risk factors for domestic violence: findings from a South African cross-sectional study. Soc Sci Med. 2002;55(9):1603–17.CrossRefPubMed
23.
go back to reference Russell M, Cupp PK, Jewkes RK, Gevers A, Mathews C, LeFleur-Bellerose C, et al. Intimate partner violence among adolescents in Cape Town, South Africa. Prevention Science. 2014;15(3):283–95.CrossRefPubMedPubMedCentral Russell M, Cupp PK, Jewkes RK, Gevers A, Mathews C, LeFleur-Bellerose C, et al. Intimate partner violence among adolescents in Cape Town, South Africa. Prevention Science. 2014;15(3):283–95.CrossRefPubMedPubMedCentral
24.
go back to reference Wells S, Graham K, Speechley M, Koval JJ. Drinking patterns, drinking contexts and alcohol-related aggression among late adolescent and young adult drinkers. Addiction. 2005;100(7):933–44.CrossRefPubMed Wells S, Graham K, Speechley M, Koval JJ. Drinking patterns, drinking contexts and alcohol-related aggression among late adolescent and young adult drinkers. Addiction. 2005;100(7):933–44.CrossRefPubMed
25.
go back to reference Blitstein JL, Murray DM, Lytle LA, Birnbaum AS, Perry CL. Predictors of violent behavior in an early adolescent cohort: similarities and differences across genders. Health Education & Behavior. 2005;32(2):175–94.CrossRef Blitstein JL, Murray DM, Lytle LA, Birnbaum AS, Perry CL. Predictors of violent behavior in an early adolescent cohort: similarities and differences across genders. Health Education & Behavior. 2005;32(2):175–94.CrossRef
26.
go back to reference Decker MR, Peitzmeier S, Olumide A, Acharya R, Ojengbede O, Covarrubias L, et al. Prevalence and health impact of intimate partner violence and non-partner sexual violence among female adolescents aged 15–19 years in vulnerable urban environments: a multi-country study. The Journal of Adolescent Health. 2014;55(6 Suppl):S58–67.CrossRefPubMed Decker MR, Peitzmeier S, Olumide A, Acharya R, Ojengbede O, Covarrubias L, et al. Prevalence and health impact of intimate partner violence and non-partner sexual violence among female adolescents aged 15–19 years in vulnerable urban environments: a multi-country study. The Journal of Adolescent Health. 2014;55(6 Suppl):S58–67.CrossRefPubMed
27.
go back to reference Morojele NK, Brook JS. Substance use and multiple victimisation among adolescents in South Africa. Addictive Behaviors. 2006;31(7):1163–76.CrossRefPubMed Morojele NK, Brook JS. Substance use and multiple victimisation among adolescents in South Africa. Addictive Behaviors. 2006;31(7):1163–76.CrossRefPubMed
28.
go back to reference Sommarin C, Kilbane T, Mercy JA, Moloney-Kitts M, Ligiero DP. Preventing sexual violence and HIV in children. J Acquir Immune Defic Syndr. 2014;66 Suppl 2:S217–223.CrossRefPubMed Sommarin C, Kilbane T, Mercy JA, Moloney-Kitts M, Ligiero DP. Preventing sexual violence and HIV in children. J Acquir Immune Defic Syndr. 2014;66 Suppl 2:S217–223.CrossRefPubMed
29.
go back to reference Lary H, Maman S, Katebalila M, McCauley A, Mbwambo J. Exploring the association between HIV and violence: young people’s experiences with infidelity, violence and forced sex in Dar es Salaam, Tanzania. International Family Planning Perspectives. 2004;30(4):200–6.CrossRefPubMed Lary H, Maman S, Katebalila M, McCauley A, Mbwambo J. Exploring the association between HIV and violence: young people’s experiences with infidelity, violence and forced sex in Dar es Salaam, Tanzania. International Family Planning Perspectives. 2004;30(4):200–6.CrossRefPubMed
30.
go back to reference Silverman JG, McCauley HL, Decker MR, Miller E, Reed E, Raj A. Coercive forms of sexual risk and associated violence perpetrated by male partners of female adolescents. Perspectives on Sexual and Reproductive Health. 2011;43(1):60–5.CrossRefPubMed Silverman JG, McCauley HL, Decker MR, Miller E, Reed E, Raj A. Coercive forms of sexual risk and associated violence perpetrated by male partners of female adolescents. Perspectives on Sexual and Reproductive Health. 2011;43(1):60–5.CrossRefPubMed
31.
go back to reference Coovadia H, Jewkes R, Barron P, Sanders D, McIntyre D. The health and health system of South Africa: historical roots of current public health challenges. Lancet. 2009;374(9692):817–34.CrossRefPubMed Coovadia H, Jewkes R, Barron P, Sanders D, McIntyre D. The health and health system of South Africa: historical roots of current public health challenges. Lancet. 2009;374(9692):817–34.CrossRefPubMed
32.
go back to reference Mayosi BM, Lawn JE, van Niekerk A, Bradshaw D, Abdool Karim SS, Coovadia HM, et al. Health in South Africa: changes and challenges since 2009. Lancet. 2012;380(9858):2029–43.CrossRefPubMed Mayosi BM, Lawn JE, van Niekerk A, Bradshaw D, Abdool Karim SS, Coovadia HM, et al. Health in South Africa: changes and challenges since 2009. Lancet. 2012;380(9858):2029–43.CrossRefPubMed
33.
go back to reference Dietrich J, Sikkema K, Otwombe KN, Sanchez A, Nkala B, de Bruyn G, et al. Multiple levels of influence in predicting sexual activity and condom use among adolescents in Soweto, Johannesburg, South Africa. Journal of HIV/AIDS & Social Services. 2014;12:404–23.CrossRef Dietrich J, Sikkema K, Otwombe KN, Sanchez A, Nkala B, de Bruyn G, et al. Multiple levels of influence in predicting sexual activity and condom use among adolescents in Soweto, Johannesburg, South Africa. Journal of HIV/AIDS & Social Services. 2014;12:404–23.CrossRef
34.
go back to reference Otwombe KN, Sikkema KJ, Dietrich J, de Bruyn G, van der Watt M, Gray GE. Willingness to participate in biomedical HIV prevention studies after the HVTN 503/Phambili trial: a survey conducted among adolescents in Soweto, South Africa. J Acquir Immune Defic Syndr. 2011;58(2):211–8.CrossRefPubMedPubMedCentral Otwombe KN, Sikkema KJ, Dietrich J, de Bruyn G, van der Watt M, Gray GE. Willingness to participate in biomedical HIV prevention studies after the HVTN 503/Phambili trial: a survey conducted among adolescents in Soweto, South Africa. J Acquir Immune Defic Syndr. 2011;58(2):211–8.CrossRefPubMedPubMedCentral
35.
go back to reference Kaplan ML, Asnis GM, Lipschitz DS, Chorney P. Suicidal behavior and abuse in psychiatric outpatients. Comprehensive Psychiatry. 1995;36(3):229–35.CrossRefPubMed Kaplan ML, Asnis GM, Lipschitz DS, Chorney P. Suicidal behavior and abuse in psychiatric outpatients. Comprehensive Psychiatry. 1995;36(3):229–35.CrossRefPubMed
36.
go back to reference Shields N, Nadasen K, Pierce L. A comparison of the effects of witnessing community violence and direct victimization among children in Cape Town, South Africa. Journal of Interpersonal Violence. 2009;24(7):1192–208.CrossRefPubMed Shields N, Nadasen K, Pierce L. A comparison of the effects of witnessing community violence and direct victimization among children in Cape Town, South Africa. Journal of Interpersonal Violence. 2009;24(7):1192–208.CrossRefPubMed
37.
go back to reference Richter L, Komarek A, Desmond C, Celentano D, Morin S, Sweat M, et al. Reported Physical and Sexual Abuse in Childhood and Adult HIV Risk Behaviour in Three African Countries: Findings from Project Accept (HPTN-043). AIDS and Behavior. 2013;18(2):381–9.CrossRef Richter L, Komarek A, Desmond C, Celentano D, Morin S, Sweat M, et al. Reported Physical and Sexual Abuse in Childhood and Adult HIV Risk Behaviour in Three African Countries: Findings from Project Accept (HPTN-043). AIDS and Behavior. 2013;18(2):381–9.CrossRef
38.
go back to reference Seedat M, Van Niekerk A, Jewkes R, Suffla S, Ratele K. Violence and injuries in South Africa: prioritising an agenda for prevention. Lancet. 2009;374(9694):1011–22.CrossRefPubMed Seedat M, Van Niekerk A, Jewkes R, Suffla S, Ratele K. Violence and injuries in South Africa: prioritising an agenda for prevention. Lancet. 2009;374(9694):1011–22.CrossRefPubMed
39.
go back to reference Choi KW, Watt MH, Macfarlane JC, Sikkema KJ, Skinner D, Pieterse D, Kalichman SC. Drinking in the Context of Life Stressors: A Multidimensional Coping Strategy Among South African Women. Subst Use Misuse. 2013. (in press) Choi KW, Watt MH, Macfarlane JC, Sikkema KJ, Skinner D, Pieterse D, Kalichman SC. Drinking in the Context of Life Stressors: A Multidimensional Coping Strategy Among South African Women. Subst Use Misuse. 2013. (in press)
40.
go back to reference Malkovich-Fong A, Jaffee S. Sex differences in childhood sexual abuse characteristics and victims’ emotional and behavioural problems: findings from a national sample of youth. Child Abuse & Neglect. 2010;34(6):429–37.CrossRef Malkovich-Fong A, Jaffee S. Sex differences in childhood sexual abuse characteristics and victims’ emotional and behavioural problems: findings from a national sample of youth. Child Abuse & Neglect. 2010;34(6):429–37.CrossRef
41.
go back to reference Batson DC, Naifeh SJ, Pate S. Social desirability, religious orientation and racial prejudice. J Sci Stud Relig. 1978;17(1):31–41.CrossRef Batson DC, Naifeh SJ, Pate S. Social desirability, religious orientation and racial prejudice. J Sci Stud Relig. 1978;17(1):31–41.CrossRef
42.
go back to reference Muller RT, Goebel-Fabbri AE, Diamond T, Dinklage D. Social support and the relationship between family and community violence exposure and psychopathology among high risk adolescents. Child Abuse & Neglect. 2000;24(4):449–64.CrossRef Muller RT, Goebel-Fabbri AE, Diamond T, Dinklage D. Social support and the relationship between family and community violence exposure and psychopathology among high risk adolescents. Child Abuse & Neglect. 2000;24(4):449–64.CrossRef
Metadata
Title
Exposure to and experiences of violence among adolescents in lower socio-economic groups in Johannesburg, South Africa
Authors
Kennedy N Otwombe
Janan Dietrich
Kathleen J Sikkema
Jenny Coetzee
Kathryn L Hopkins
Fatima Laher
Glenda E Gray
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-1780-8

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