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International Journal of Mental Health Systems
Published in: International Journal of Mental Health Systems 1/2016

Open Access 01-12-2016 | Research

Poly-victimisation and health risk behaviours, symptoms of mental health problems and suicidal thoughts and plans among adolescents in Vietnam

Authors: Minh T. H. Le, Sara Holton, Huong T. Nguyen, Rory Wolfe, Jane Fisher

Published in: International Journal of Mental Health Systems | Issue 1/2016

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Abstract

Background

Limited evidence is available about poly-victimisation (exposure to multiple forms of victimisation) and mental health among adolescents in low and lower-middle-income countries. The aim of this study was to examine the associations between lifetime exposure to poly-victimisation, health risk behaviours, symptoms of common mental health problems and suicidal ideas in the previous year among high school students in Vietnam.

Methods

Participants were high school students in rural and urban districts of Hanoi, Vietnam. The data source was an anonymously-completed structured self-report survey. Lifetime exposure to poly-victimisation was assessed using the juvenile victimisation questionnaire revised 2 (JVQ R-2); mental health symptoms by the depression, anxiety and stress scale-21 (DASS-21); involvement in health risk behaviours and previous year suicidal thoughts and plans by questions adapted from the 2013 youth risk behaviour survey. Data were collected between October, 2013 and January, 2014 and were analysed using generalised structural equation modelling.

Results

In total 1616/1745 (92.6 %) eligible students provided complete data. Prior year suicidal thoughts were reported by 21.4 % (95 % CI 18.5–24.5 %) of the female respondents and 7.9 % (95 % CI 6.2–9.8 %) of the male respondents. Prior year suicidal plans were reported by 7.8 % (95 % CI 5.9–9.8 %) of the girls and 4.0 % (95 % CI 2.7–5.3 %) of the boys. Poly-victimisation was associated with increased likelihood of involvement in health risk behaviours and symptoms of common mental health problems among both sexes, which increased adolescents’ risk of having suicidal ideas in the previous year. Compared to non-victims or victims of fewer forms, poly-victims were also more likely to report suicidal thoughts and plans among both girls and boys (p < 0.05).

Conclusions

Overall, the results revealed that poly-victimisation was associated with increased involvement in health risk behaviours, poorer mental health and increased risks of suicidal ideas among Vietnamese adolescents. Suicidal ideas were prevalent among the students. Interventions to assist victims of violence and prevention of violence, especially poly-victimisation, among adolescents in Vietnam is therefore important.
Literature
1.
The World Health Organisation: health for the world’s adolescents: A second chance in the second decade. Mortality, morbidity and disability in adolescence; 2014.
2.
Kieling C, Baker-Henningham H, Belfer M, Conti G, Ertem I, Omigbodun O, Rohde LA, Srinath S, Ulkuer N, Rahman A. Child and adolescent mental health worldwide: evidence for action. Lancet. 2011;378(9801):1515–25.CrossRefPubMed
3.
Belfer ML. Child and adolescent mental disorders: the magnitude of the problem across the globe. J Child Psychol Psychiatry. 2008;49(3):226–36.CrossRefPubMed
4.
World Health Organisation. Global health estimates 2013 summary tables: DALYs, YLLs and YLDs by cause, age and sex by WHO regional group and World Bank income classification, 2012 (provisional estimates). Geneva: World Health Organisation; 2014.
5.
6.
Turner H, Butler M. Direct and indirect effects of childhood adversity on depressive symptoms in young adults. J Youth Adolesc. 2003;32(2):89–103.CrossRef
7.
Amato PR, Cheadle JE. Parental divorce, marital conflict and children’s behavior problems: a comparison of adopted and biological children. Soc Forces. 2008;86(3):1139–61.CrossRef
8.
Amato PR, Keith B. Parental divorce and the well-being of children—a meta analysis. Psychol Bull. 1991;110(1):26–46.CrossRefPubMed
9.
Nguyen HT, Dunne MP, Le AV. Multiple types of child maltreatment and adolescent mental health in Vietnam.[Erratum appears in Bull World Health Organ. 2010 Mar; 88(3):236]. Bull World Health Organ. 2010;88(1):22–30.CrossRefPubMed
10.
Fleming LC, Jacobsen KH. Bullying among middle-school students in low and middle income countries. Health Promot Int. 2010;25(1):73–84.CrossRefPubMed
11.
Turner H, Shattuck A, Hamby S, Finkelhor D. Community disorder, victimization exposure, and mental health in a national sample of youth. J Health Soc Behav. 2013;54(2):258–75.CrossRefPubMed
12.
Jia ZB, Shi LZ, Duan GF, Liu WZ, Pan X, Chen YY, Tian WH: Traumatic experiences and mental health consequences among child survivors of the. Sichuan earthquake: a community-based follow-up study. BMC Public Health. 2008;2013:13.
13.
Mels C, Derluyn I, Broekaert E, Rosseel Y. The psychological impact of forced displacement and related risk factors on Eastern Congolese adolescents affected by war. J Child Psychol Psychiatry. 2010;51(10):1096–104.CrossRefPubMed
14.
Betancourt TS. The impact of war on child development and mental health: a longitudinal study of risk and resilience among former child soldiers in Sierra Leone. In: Patel, Deepali M, editors. 2012. p. 88–97.
15.
Benjet C. Childhood adversities of populations living in low-income countries: prevalence, characteristics, and mental health consequences. Curr Opin Psychiatry. 2010;23(4):356–62.CrossRefPubMed
16.
Fisher J, de Cabral de Mello M, Izutsu T, Vijayakumar L, Belfer M, Omigbodun O. Adolescent mental health in resource-constrained settings: a review of the evidence of the nature, prevalence and determinants of common mental health problems and their management in primary health care. Int J Soc Psychiatry. 2011;57:9–116.CrossRef
17.
Le MT, Nguyen HT, Tran TD, Fisher JR. Experience of low mood and suicidal behaviors among adolescents in Vietnam: findings from two national population-based surveys. J Adolesc Health. 2012;51(4):339–48.CrossRefPubMed
18.
Walsh K, Latzman NE, Latzman RD. Pathway from child sexual and physical abuse to risky sex among emerging adults: the role of trauma-related intrusions and alcohol problems. J Adolesc Health. 2014;54(4):442–8.CrossRefPubMed
19.
Agardh A, Tumwine G, Asamoah BO, Cantor-Graae E. The invisible suffering: sexual coercion, interpersonal violence, and mental health—a cross-sectional study among university students in south-western Uganda. PLoS ONE. 2012;7(12):e51424.CrossRefPubMedPubMedCentral
20.
Brown DW, Riley L, Butchart A, Meddings DR, Kann L, Harvey AP. Exposure to physical and sexual violence and adverse health behaviours in African children: results from the Global School-based Student Health Survey. Bull World Health Organ. 2009;87(6):447–55.CrossRefPubMedPubMedCentral
21.
Finkelhor D, Ormrod R, Turner H. Poly-victimization: a neglected component in child victimization. Child Abuse Negl. 2007;31(1):7–26.CrossRefPubMed
22.
Turner H, Finkelhor D, Ormrod R. The effect of lifetime victimization on the mental health of children and adolescents. Soc Sci Med. 2006;62(1):13–27.CrossRefPubMed
23.
Finkelhor D, Hamby SL, Ormrod R, Turner H. The juvenile victimization questionnaire: reliability, validity, and national norms. Child Abuse Negl. 2005;29(4):383–412.CrossRefPubMed
24.
Finkelhor D, Ormrod R, Turner H, Hamby SL. The victimization of children and youth: a comprehensive, national survey. Child Maltreat. 2005;10(1):5–25.CrossRefPubMed
25.
Finkelhor D, Ormrod R, Turner H, Hamby S. Measuring poly-victimization using the juvenile victimization questionnaire. Child Abuse Negl. 2005;29(11):1297–312.CrossRefPubMed
26.
Ellonen N, Salmi V. Poly-victimization as a life condition: correlates of poly-victimization among Finnish children. J Scand Stud Criminol Crime Prev. 2011;12(1):20–44.CrossRef
27.
Soler L, Kirchner T, Paretilla C, Forns M. Impact of poly-victimization on mental health: the mediator and/or moderator role of self-esteem. J Interpers Violence. 2013;28(13):2695–712.CrossRefPubMed
28.
Chan KL. Victimization and poly-victimization among school-aged Chinese adolescents: prevalence and associations with health. Prev Med. 2013;56(3–4):207–10.CrossRefPubMed
29.
Dong F, Cao F, Cheng P, Cui N, Li Y. Prevalence and associated factors of poly-victimization in Chinese adolescents. Scand J Psychol. 2013;54(5):415–22.CrossRefPubMed
30.
Bashir Z, Dasti R. Poly-victimization and mental health of street children in Lahore city. J Ment Health. 2015;24(5):305–12.CrossRefPubMed
31.
Le MTH, Holton S, Nguyen HT, Wolfe R, Fisher J. Poly-victimisation among Vietnamese High School students: prevalence and demographic correlates. PLoS ONE. 2015;10(5):e0125189.CrossRefPubMedPubMedCentral
32.
Finkelhor D, Ormrod R, Turner H. Lifetime assessment of poly-victimization in a national sample of children and youth. Child Abuse Negl. 2009;33(7):403–11.CrossRefPubMed
33.
Turner H, Finkelhor D, Ormrod R. Poly-victimization in a national sample of children and youth. Am J Prev Med. 2010;38(3):323–30.CrossRefPubMed
34.
Soler L, Segura A, Kirchner T, Forns M. Polyvictimization and risk for suicidal phenomena in a community sample of Spanish adolescents. Violence Vict. 2013;28(5):899–912.CrossRefPubMed
35.
Finkelhor D, Ormrod R, Turner H. Poly victimization and trauma in a national longitudinal cohort. Dev Psychopathol. 2007;19(01):149–66.CrossRefPubMed
36.
Al-Fayez GA, Ohaeri JU, Gado OM. Prevalence of physical, psychological, and sexual abuse among a nationwide sample of Arab high school students: association with family characteristics, anxiety, depression, self-esteem, and quality of life. Soc Psychiatry Psychiatr Epidemiol. 2012;47(1):53–66.CrossRefPubMed
37.
Le MT, Holton S, Romero L, Fisher J. Poly-victimisation among children and adolescents in low and lower-middle income countries: a systematic review and meta-analysis. Trauma, violence and abuse. 2016.
38.
The General Statistics Office of Vietnam: The Vietnam population and housing census. Age-sex structure and marital status of the population in Vietnam. Hanoi. 2009;2011:168.
39.
The General Statistics Office of Vietnam: survey assessment of Vietnamese youth 2. Hanoi; 2011.
40.
Phuong TB, Huong NT, Tien TQ, Chi HK, Dunne MP. Factors associated with health risk behavior among school children in urban Vietnam. Global Health Action. 2013;6:1–9.CrossRefPubMed
41.
Le LC, Blum RW. Intentional injury in young people in Vietnam: prevalence and social correlates. MEDICC review. 2011;13(3):23–8.CrossRefPubMed
42.
Le MTH, Tran TD, Nguyen HT, Fisher J. Early marriage and intimate partner violence among adolescents and young adults in Vietnam. J Interpers Violence. 2014;29(5):889–910.CrossRef
43.
Le MTH, Holton S, Nguyen HT, Wolfe R, Fisher J: Poly-victimisation among Vietnamese high school students: prevalence and demographic correlates. Plos ONE. 2015.
44.
45.
Finkelhor D, Ormrod R, Turner H, Holt M. Pathways to poly-victimization. Child Maltreat. 2009;14(4):316–29.CrossRefPubMed
46.
Finkelhor D, Turner H, Ormrod R, Hamby S. Trends in childhood violence and abuse exposure: evidence from 2 national surveys. Arch Pediatr Adolesc Med. 2010;164(3):238–42.CrossRefPubMed
47.
48.
Nguyen HT. Child maltreatment in Vietnam: prevalence and associated mental and physical health problems. Thesis for the degree of doctor of philosophy. Queensland University of Technology, Faculty of Health; 2006.
49.
Lovibond SH, Lovibond PF. Manual for the Depression Anxiety Stress Scale. 2nd ed. Sydney: Psychology Foundation; 1995.
50.
Tran TD, Tran T, Fisher J. Validation of the depression anxiety stress scales (DASS) 21 as a screening instrument for depression and anxiety in a rural community-based cohort of northern Vietnamese women. Bmc Psychiatry. 2013;13:24.CrossRefPubMedPubMedCentral
51.
Lauritsen JM, Bruus M: Epidata 3.1. A comprehensive tool for validated entry and documentation of data. Odense, Denmark: The EpiData Association; 2003–05.
52.
Statacorp: Stata statistical software: Release 14. College Station: Statacorp LP; 2015.
53.
Price-Robertson R, Higgins DJ, Vassallo S. Multi-type maltreatment and polyvictimisation: a comparison of two research frameworks. Family Matters. 2013;93:84–98.
54.
Cluver L, Orkin M, Boyes ME, Sherr L. Child and adolescent suicide attempts, suicidal behavior, and adverse childhood experiences in South Africa: a prospective study. J Adolesc Health. 2015;57(1):52–9.CrossRefPubMed
55.
Fisher J. Perinatal psychiatric care needs of women who die by suicide. Lancet Psychiatry. 2016;3(3):191–2.CrossRefPubMed
56.
O’Connor R. Towards an integrated motivational-volitional model of suicidal behaviour. In: O’Connor RC, Platt S, Gordon J, editors. International handbook of suicide prevention: research, policy & practice. Chichester: Wiley; 2011.CrossRef
57.
Litwiller BJ, Brausch AM. Cyber bullying and physical bullying in adolescent suicide: the role of violent behavior and substance use. J Youth Adoles. 2013;42(5):675–84.CrossRef
58.
Spirito A, Esposito-Smythers C, Weismoore J, Miller A. Child and adolescent therapy: Cognitive-behavioral procedures. Adolescent suicidal behavior. 4th ed. New York: Guilford Press; 2012. p. 234–56.
59.
Miller AB, Esposito-Smythers C. How do cognitive distortions and substance related problems affect the relationship between child maltreatment and adolescent suicidal ideation? Psychol Violence. 2013;3(4):340–53.CrossRefPubMedPubMedCentral
60.
World Health Organisation: Global school-based student health survey: Indonesia 2007 fact sheet. 2007.
61.
World Health Organisation: Global school-based student health survey: Myanmar 2007 fact sheet. 2007.
62.
World Health Organisation: Global school-based student health survey: Cambodia 2013 fact sheet. 2013.
63.
World Health Organisation: Global school-based student health survey: Sri-Lanka 2008 fact sheet. 2008.
64.
Kaljee LM, Green M, Riel R, Lerdboon P, Tho LH, Thoa LTK, Minh TT. Sexual stigma, sexual behaviors, and abstinence among Vietnamese adolescents: implications for risk and protective behaviors for HIV, sexually transmitted infections, and unwanted pregnancy. J Assoc Nurse Aids C. 2007;18(2):48–59.CrossRef
65.
Kaljee LM, Green MS, Zhan M, Riel R, Lerdboon P, Lostutter TW, Van Luong V, Tho LH, Minh TT. Gender, alcohol consumption patterns, and engagement in sexually intimate behaviors among adolescents and young adults in Nha Trang, VietNam. Youth Soc. 2011;43(1):118–41.CrossRefPubMedPubMedCentral
66.
Kann L, McManus T, Harris WA, Shanklin SL, Flint KH, Hawkins J, Queen B, Lowry R, Olsen EOM, Chyen D, et al. Youth risk behavior surveillance–United States, 2015. MMWR Surveill Summ. 2016;65((SS-6)):1–174.
67.
Guilmoto CZ. Son preference, sex selection, and kinship in Vietnam. Popul Develop Rev. 2012;38(1):31–54.CrossRef
68.
Belanger D, Oanh KTH. Second-trimester abortions and sex-selection of children in Hanoi, Vietnam. Pop Stud J Demog. 2009;63(2):163–71.CrossRef
69.
70.
Belanger D. Son preference in a rural village in North Vietnam. Stud Fam Plann. 2002;33(4):321–34.CrossRefPubMed
71.
Nguyen T, Chang PPW, Loh JMI. The psychology of Vietnamese tiger mothers: qualitative insights into the parenting beliefs and practices of Vietnamese-Australian mothers. J Family Stud. 2014;20(1):48–65.CrossRef
72.
United Nations Development Programme: human development report 2015: Work for human development. The United States: United Nations Development Programme; 2015. p. 288.
Metadata
Title
Poly-victimisation and health risk behaviours, symptoms of mental health problems and suicidal thoughts and plans among adolescents in Vietnam
Authors
Minh T. H. Le
Sara Holton
Huong T. Nguyen
Rory Wolfe
Jane Fisher
Publication date
01-12-2016
Publisher
BioMed Central
Published in
International Journal of Mental Health Systems / Issue 1/2016
Electronic ISSN: 1752-4458
DOI
https://doi.org/10.1186/s13033-016-0099-x

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