Evidence map›Paper›PMID 37482505›Full record

ArticleChild abuse & neglect2024

Prevalence of Adverse Childhood Experiences in sub-Saharan Africa: A multicountry analysis of the Violence Against Children and Youth Surveys (VACS).

Ermias W Amene, Francis B Annor, Leah K Gilbert, Jordan McOwen, Angelo Augusto, Pedro Manuel, Marie Therese Virginie N'gouanma Nobah, Greta M Massetti

Abstract read
In one paragraph

Article in Child abuse & neglect, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
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23citing papers in PubMed, 3 pooled it
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Ermias W AmeneDivision of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, United States. Electronic address: nll3@cdc.gov.
Francis B AnnorDivision of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, United States; United States Public Health Service Commissioned Corps, United States.
Leah K GilbertUnited States Public Health Service Commissioned Corps, United States; Office of the Chief Operating Officer, Office of Safety, Security and Asset Management, Occupational Health Clinic, Centers for Disease Control and Prevention, Atlanta, GA, United States.
Jordan McOwenEpidemiology/Surveillance Branch, Centers for Disease Control and Prevention, Mozambique.
Angelo AugustoInstituto Nacional de Saúde, Mozambique.
Pedro ManuelEpidemiology/Surveillance Branch, Centers for Disease Control and Prevention, Mozambique.
Marie Therese Virginie N'gouanma NobahDivision of Global Health HIV and TB, Centers for Disease Control and Prevention, Cote d'Ivoire.
Greta M MassettiDivision of Violence Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA, United States.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundAdverse Childhood Experiences are traumatic events early in life and have been associated with significant negative health outcomes.

objectiveTo estimate the prevalence of ACEs in five low- and middle-income sub-Saharan African countries. PARTICIPANTS AND

settingNationally representative data from the Cote d'Ivoire (2018), Kenya (2019), Lesotho (2018), Mozambique (2019), and Namibia (2019) Violence Against Children and Youth Surveys (VACS) were used. Analyses were restricted to youth ages 18-24 years (n = 8766 females and 2732 males).

methodsVACS data were analyzed to generate sex-stratified weighted prevalence of individual ACEs (including sexual, physical, and emotional violence; witnessing interparental violence and violence in the community; and orphanhood) and aggregate ACEs (total ACEs; 0, 1-2, and 3 or more), for each country and combined.

resultsThe most common type of ACEs among both females and males was witnessing physical violence (males: 55.0 % [95 % CI: 51.1-58.8] and females: 37.2 % [95 % CI = 34.3-40.1]) followed by experiencing physical violence (males: 49.7 % [95 % CI = 45.5-53.9] and in females: 36.5 % [95 % CI = 33.8-39.2]). Prevalence of sexual violence was significantly higher in females than in males (16.0 % [95 % CI = 13.9-18.2] vs 8.3 % [95 % CI = 7.0-9.8]; p < 0.001). About 72 % of females and 82 % of males have experienced at least one form of ACE with 20 % of females and 24.2 % of males experiencing 3 or more ACEs.

conclusionThis study demonstrated that majority of the children in countries in sub-Saharan Africa have experienced multiple ACEs in their lifetime. Understanding the extent of the problem will help design early interventions to reduce childhood exposure to ACEs or mitigate against the harmful impact of ACEs.

Indexed as

Adverse Childhood ExperiencesSex OffensesAdolescentChildFemaleHumansKenyaMalePrevalenceViolenceAdverse Childhood ExperiencesSub-Saharan AfricaVACS

Identifiers

PMID37482505
PMCPMC11330677

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.