Does disability modify the association between poor mental health and violence victimisation over adolescence? Evidence from the CoVAC cohort study in Uganda.

We aimed to estimate the impact of poor mental health in early adolescence on subsequent poor mental health, depression, and violence victimisation in late adolescence and to determine whether young people living with disabilities experienced a stronger relationship between mental health and these o...

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Main Authors: Daniel J Carter, Charlie F M Pitcairn, Emily Eldred, Louise Knight, Janet Nakuti, Angel Mirembe, Lydia Atuhaire, Elizabeth Allen, Amiya Bhatia, Dipak Naker, Jenny Parkes, Karen Devries
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLOS Global Public Health
Online Access:https://doi.org/10.1371/journal.pgph.0003827
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author Daniel J Carter
Charlie F M Pitcairn
Emily Eldred
Louise Knight
Janet Nakuti
Angel Mirembe
Lydia Atuhaire
Elizabeth Allen
Amiya Bhatia
Dipak Naker
Jenny Parkes
Karen Devries
author_facet Daniel J Carter
Charlie F M Pitcairn
Emily Eldred
Louise Knight
Janet Nakuti
Angel Mirembe
Lydia Atuhaire
Elizabeth Allen
Amiya Bhatia
Dipak Naker
Jenny Parkes
Karen Devries
author_sort Daniel J Carter
collection DOAJ
description We aimed to estimate the impact of poor mental health in early adolescence on subsequent poor mental health, depression, and violence victimisation in late adolescence and to determine whether young people living with disabilities experienced a stronger relationship between mental health and these outcomes. Data from two waves of a longitudinal cohort study of 2773 Ugandan adolescents were used to assess the impact of mental health difficulties in early adolescence (aged 11-14) on presence of subsequent mental health difficulties, depression and past year violence victimisation in later adolescence (aged 15-18). We used g-computation to examine how these outcomes changed dependent on levels of poor mental health in early adolescence and explored functional difficulties as an effect modifier. This study demonstrates high prevalence of mental health difficulties in adolescence. There is a positive association between mental health difficulties in early adolescence and experience of mental health difficulties, depression, and past year violence in later adolescence. The risk of poor outcomes is greater for individuals experiencing poorer mental health in early adolescence. The relationships between early mental health difficulties and both mental health difficulties in later adolescence and past year violence are stronger in young people with functional difficulties. Poor mental health in early adolescence is associated with depression and violence victimisation in later adolescence, and the association is stronger among adolescents living with disabilities. School-aged adolescents would benefit from violence prevention and mental health promotion interventions which are inclusive and engage and respond to the needs and rights of adolescents with disabilities.
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institution Kabale University
issn 2767-3375
language English
publishDate 2024-01-01
publisher Public Library of Science (PLoS)
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series PLOS Global Public Health
spelling doaj-art-69a9611f1f6d4a58b8bf49b1a171adae2025-01-07T05:50:43ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752024-01-01412e000382710.1371/journal.pgph.0003827Does disability modify the association between poor mental health and violence victimisation over adolescence? Evidence from the CoVAC cohort study in Uganda.Daniel J CarterCharlie F M PitcairnEmily EldredLouise KnightJanet NakutiAngel MirembeLydia AtuhaireElizabeth AllenAmiya BhatiaDipak NakerJenny ParkesKaren DevriesWe aimed to estimate the impact of poor mental health in early adolescence on subsequent poor mental health, depression, and violence victimisation in late adolescence and to determine whether young people living with disabilities experienced a stronger relationship between mental health and these outcomes. Data from two waves of a longitudinal cohort study of 2773 Ugandan adolescents were used to assess the impact of mental health difficulties in early adolescence (aged 11-14) on presence of subsequent mental health difficulties, depression and past year violence victimisation in later adolescence (aged 15-18). We used g-computation to examine how these outcomes changed dependent on levels of poor mental health in early adolescence and explored functional difficulties as an effect modifier. This study demonstrates high prevalence of mental health difficulties in adolescence. There is a positive association between mental health difficulties in early adolescence and experience of mental health difficulties, depression, and past year violence in later adolescence. The risk of poor outcomes is greater for individuals experiencing poorer mental health in early adolescence. The relationships between early mental health difficulties and both mental health difficulties in later adolescence and past year violence are stronger in young people with functional difficulties. Poor mental health in early adolescence is associated with depression and violence victimisation in later adolescence, and the association is stronger among adolescents living with disabilities. School-aged adolescents would benefit from violence prevention and mental health promotion interventions which are inclusive and engage and respond to the needs and rights of adolescents with disabilities.https://doi.org/10.1371/journal.pgph.0003827
spellingShingle Daniel J Carter
Charlie F M Pitcairn
Emily Eldred
Louise Knight
Janet Nakuti
Angel Mirembe
Lydia Atuhaire
Elizabeth Allen
Amiya Bhatia
Dipak Naker
Jenny Parkes
Karen Devries
Does disability modify the association between poor mental health and violence victimisation over adolescence? Evidence from the CoVAC cohort study in Uganda.
PLOS Global Public Health
title Does disability modify the association between poor mental health and violence victimisation over adolescence? Evidence from the CoVAC cohort study in Uganda.
title_full Does disability modify the association between poor mental health and violence victimisation over adolescence? Evidence from the CoVAC cohort study in Uganda.
title_fullStr Does disability modify the association between poor mental health and violence victimisation over adolescence? Evidence from the CoVAC cohort study in Uganda.
title_full_unstemmed Does disability modify the association between poor mental health and violence victimisation over adolescence? Evidence from the CoVAC cohort study in Uganda.
title_short Does disability modify the association between poor mental health and violence victimisation over adolescence? Evidence from the CoVAC cohort study in Uganda.
title_sort does disability modify the association between poor mental health and violence victimisation over adolescence evidence from the covac cohort study in uganda
url https://doi.org/10.1371/journal.pgph.0003827
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