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DC Field | Value | Language |
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dc.contributor.author | Ayaya, Samuel | - |
dc.contributor.author | DeLong, Allison | - |
dc.contributor.author | Embleton, Lonnie | - |
dc.contributor.author | Ayuku, David | - |
dc.contributor.author | Sang, Edwin | - |
dc.contributor.author | Hogan, Joseph | - |
dc.contributor.author | Kamanda, Allan | - |
dc.contributor.author | Atwoli, Lukoye | - |
dc.contributor.author | Ott, Mary A. | - |
dc.contributor.author | Ombok, Caroline | - |
dc.contributor.author | Braitstein, Paula | - |
dc.date.accessioned | 2022-02-21T12:42:56Z | - |
dc.date.available | 2022-02-21T12:42:56Z | - |
dc.date.issued | 2020-12-23 | - |
dc.identifier.uri | https://doi.org/10.1016/j.chiabu.2020.104920 | - |
dc.identifier.uri | http://ir.mu.ac.ke:8080/jspui/handle/123456789/5998 | - |
dc.description.abstract | Background: The effect of different types of care environment on orphaned and separated children and adolescents’ (OSCA) experiences of abuse in sub-Saharan Africa is uncertain. Objective: Our two primary objectives were 1) to compare recent child abuse (physical, emotional, and sexual) between OSCA living in institutional environments and those in family-based care; and 2) to understand how recent child abuse among street-connected children and youth compared to these other vulnerable youth populations. Participants and setting: This project followed a cohort of OSCA in Uasin Gishu County, Kenya (2009–2019). This analysis includes 2393 participants aged 18 years and below, 1017 from institutional environments, 1227 from family-based care, and 95 street-connected participants. Methods: The primary outcome of interest was recent abuse. Multiple logistic regression was used to estimate the odds of recent abuse at baseline, follow-up, and chronically for each abuse domain and adjusted odds ratios (AOR) between care environments, controlling for multiple factors. Results: In total, 47 % of OSCA reported ever experiencing any kind of recent abuse at baseline and 54 % in follow-up. Compared to those in family-based care, street-connected participants had a much higher reported prevalence of all types of recent abuse at baseline (AOR: 5.01, 95 % CI: 2.89, 9.35), in follow-up (AOR: 5.22, 95 % CI: 2.41, 13.98), and over time (AOR: 3.44, 95 % CI: 1.93, 6.45). OSCA in institutional care were no more likely than those in family-based care of reporting any recent abuse at baseline (AOR: 0.85 95 % CI: 0.59–1.17) or incident abuse at follow-up (AOR: 0.91, 95 % CI: 0.61–1.47). Conclusion: OSCA, irrespective of care environment, reported high levels of recent physical, emotional, and sexual abuse. Street-connected participants had the highest prevalence of all kinds of abuse. OSCA living in institutional care did not experience more child abuse than those living in family-based care. | en_US |
dc.description.sponsorship | United States National Institute of Health’s Eunice Kennedy Shriver National Institute of Child Health & Human Development [R01HD060478]. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Elsevier | en_US |
dc.title | Prevalence, incidence and chronicity of child abuse among orphaned, separated, and street-connected children and adolescents in western Kenya: What is the impact of care environment? | en_US |
dc.type | Article | en_US |
Appears in Collections: | School of Medicine |
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