Pathways from witnessing community violence to mental health problems among South African adolescents

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dc.description.abstract The intersection of violence exposure and mental health problems is a public health crisis for South African (SA) adolescents. Understanding the impact of community violence on adolescent mental health can inform future interventions. To assess pathways between community violence exposure and internalising and externalising problems in SA adolescents receiving mental healthcare, and the roles of parent and peer relationships in these associations. Participants (N=120 parent-adolescent pairs) were recruited from four mental health clinics in Western Cape Province to participate in a pilot test of a family-based HIV prevention study. Adolescents reported on their exposure to community violence, parental attachment, peer support of risk behaviour, and mental health. Parents reported on adolescents internalising and externalising mental health problems. Participants received transport money (ZAR30 = USD3) and a shopping voucher or cash (ZAR50 = USD5) for their time. Adolescents were 12 - 18 years old (mean (standard deviation) 14.39 (1.82) years), 53% were male, and 67% and 33% reported black African and mixed-race ethnicity, respectively. Parents were 94% female and reported an average monthly income of ZAR3 973 (USD397). Boys reported significantly higher rates of witnessing community violence than girls. Among boys, significant paths emerged from community violence and low parent attachment to externalising symptoms and from community violence to peer support of risky behaviour. For girls, the only significant path was from low parent attachment to peer support of risky behaviour. This cross-sectional study sheds new light on the possible pathways from witnessing community violence to mental health problems among SA adolescents. Identifying factors that drive and mitigate psychological distress in the context of persistent community violence is critical to SAs future and can inform the selection and delivery of appropriate and targeted evidence-based interventions. en
dc.format.medium Print en
dc.publisher Health and Medical Publishing Group (HMPG) en
dc.subject MENTAL HEALTH en
dc.subject ADOLESCENTS en
dc.subject COMMUNITIES en
dc.subject VIOLENCE en
dc.title Pathways from witnessing community violence to mental health problems among South African adolescents en
dc.type Journal Article en
dc.description.version Y en
dc.ProjectNumber N/A en
dc.Volume 110(2) en
dc.BudgetYear 2019/20 en
dc.ResearchGroup Social Aspects of Public Health en
dc.SourceTitle South African Medical Journal en
dc.PlaceOfPublication Pretoria en
dc.ArchiveNumber 11228 en
dc.PageNumber 145-153 en
dc.outputnumber 10349 en
dc.bibliographictitle Donenberg, G., Naidoo, P., Kendall, A., Emerson, E., Ward, C.L., Kagee, A., Simbayi, L., Vermaak, R., North, A., Mthembu, J. & Mackesy-Amiti, M.E. (2020) Pathways from witnessing community violence to mental health problems among South African adolescents. South African Medical Journal. 110(2):145-153. en
dc.publicationyear 2020 en
dc.contributor.author1 Donenberg, G. en
dc.contributor.author2 Naidoo, P. en
dc.contributor.author3 Kendall, A. en
dc.contributor.author4 Emerson, E. en
dc.contributor.author5 Ward, C.L. en
dc.contributor.author6 Kagee, A. en
dc.contributor.author7 Simbayi, L. en
dc.contributor.author8 Vermaak, R. en
dc.contributor.author9 North, A. en
dc.contributor.author10 Mthembu, J. en
dc.contributor.author11 Mackesy-Amiti, M.E. en

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