Exposure to violence and associated health-risk behaviors among adolescent girls

Abbey Berenson, Constance M. Wiemann, Sharon McCombs

Research output: Contribution to journalArticle

110 Citations (Scopus)

Abstract

Objective: To examine the relationship between exposure to violence and health-risk behaviors. Design: Cross-sectional survey. Setting: University-based outpatient family planning clinic. Patients: Sexually active adolescent girls younger than 18 years (N = 517) who presented for contraceptive care. Main Outcome Measures: Prevalence of witnessing or experiencing violence and the associations with health-risk behaviors, including high-risk sexual behaviors, substance use, and self-injury. Results: Compared with adolescents who had not been exposed to violence, those who had only witnessed violence were 2 to 3 times more likely to report using tobacco and marijuana, drinking alcohol or using drugs before sex, and having intercourse with a partner who had multiple partners. Those who had experienced, but not witnessed violence were at increased risk of these same behaviors and were 2 to 4 times more likely than those who had neither witnessed nor experienced violence to report early initiation of intercourse, intercourse with strangers, multiple partners, or partners with multiple partners, tobacco, alcohol and drug use, or to have positive test results for a sexually transmitted disease. Individuals who had both witnessed and experienced violence demonstrated the greatest risk of adverse health behaviors. These adolescents demonstrated 3 to 6 times greater risk of suicidal ideation (odds ratio [OR], 3.1; 95% confidence interval [CI], 2.2-4.0) or suicide attempts (OR, 4.5; 95% CI, 2.2-9.4), self-injury (OR, 5.8; 95% CI, 2.6-12.9), and use of drugs before intercourse (OR, 6.2; 95% CI, 3.0-12.9) than those who had neither witnessed nor experienced violence. Conclusions: Adolescents exposed to violence are at increased risk of multiple adverse health behaviors. Programs designed to improve health outcomes should target this high-risk group.

Original languageEnglish (US)
Pages (from-to)1238-1242
Number of pages5
JournalArchives of Pediatrics and Adolescent Medicine
Volume155
Issue number11
StatePublished - 2001

Fingerprint

Risk-Taking
Violence
Health
Sexual Partners
Odds Ratio
Confidence Intervals
Health Behavior
Tobacco
Pharmaceutical Preparations
Suicidal Ideation
Exposure to Violence
Wounds and Injuries
Family Planning Services
Cannabis
Sexually Transmitted Diseases
Contraceptive Agents
Sexual Behavior
Alcohol Drinking
Suicide
Outpatients

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Exposure to violence and associated health-risk behaviors among adolescent girls. / Berenson, Abbey; Wiemann, Constance M.; McCombs, Sharon.

In: Archives of Pediatrics and Adolescent Medicine, Vol. 155, No. 11, 2001, p. 1238-1242.

Research output: Contribution to journalArticle

@article{55fbbcadce27423ba0e6df3bfc5d62cc,
title = "Exposure to violence and associated health-risk behaviors among adolescent girls",
abstract = "Objective: To examine the relationship between exposure to violence and health-risk behaviors. Design: Cross-sectional survey. Setting: University-based outpatient family planning clinic. Patients: Sexually active adolescent girls younger than 18 years (N = 517) who presented for contraceptive care. Main Outcome Measures: Prevalence of witnessing or experiencing violence and the associations with health-risk behaviors, including high-risk sexual behaviors, substance use, and self-injury. Results: Compared with adolescents who had not been exposed to violence, those who had only witnessed violence were 2 to 3 times more likely to report using tobacco and marijuana, drinking alcohol or using drugs before sex, and having intercourse with a partner who had multiple partners. Those who had experienced, but not witnessed violence were at increased risk of these same behaviors and were 2 to 4 times more likely than those who had neither witnessed nor experienced violence to report early initiation of intercourse, intercourse with strangers, multiple partners, or partners with multiple partners, tobacco, alcohol and drug use, or to have positive test results for a sexually transmitted disease. Individuals who had both witnessed and experienced violence demonstrated the greatest risk of adverse health behaviors. These adolescents demonstrated 3 to 6 times greater risk of suicidal ideation (odds ratio [OR], 3.1; 95{\%} confidence interval [CI], 2.2-4.0) or suicide attempts (OR, 4.5; 95{\%} CI, 2.2-9.4), self-injury (OR, 5.8; 95{\%} CI, 2.6-12.9), and use of drugs before intercourse (OR, 6.2; 95{\%} CI, 3.0-12.9) than those who had neither witnessed nor experienced violence. Conclusions: Adolescents exposed to violence are at increased risk of multiple adverse health behaviors. Programs designed to improve health outcomes should target this high-risk group.",
author = "Abbey Berenson and Wiemann, {Constance M.} and Sharon McCombs",
year = "2001",
language = "English (US)",
volume = "155",
pages = "1238--1242",
journal = "JAMA Pediatrics",
issn = "2168-6203",
publisher = "American Medical Association",
number = "11",

}

TY - JOUR

T1 - Exposure to violence and associated health-risk behaviors among adolescent girls

AU - Berenson, Abbey

AU - Wiemann, Constance M.

AU - McCombs, Sharon

PY - 2001

Y1 - 2001

N2 - Objective: To examine the relationship between exposure to violence and health-risk behaviors. Design: Cross-sectional survey. Setting: University-based outpatient family planning clinic. Patients: Sexually active adolescent girls younger than 18 years (N = 517) who presented for contraceptive care. Main Outcome Measures: Prevalence of witnessing or experiencing violence and the associations with health-risk behaviors, including high-risk sexual behaviors, substance use, and self-injury. Results: Compared with adolescents who had not been exposed to violence, those who had only witnessed violence were 2 to 3 times more likely to report using tobacco and marijuana, drinking alcohol or using drugs before sex, and having intercourse with a partner who had multiple partners. Those who had experienced, but not witnessed violence were at increased risk of these same behaviors and were 2 to 4 times more likely than those who had neither witnessed nor experienced violence to report early initiation of intercourse, intercourse with strangers, multiple partners, or partners with multiple partners, tobacco, alcohol and drug use, or to have positive test results for a sexually transmitted disease. Individuals who had both witnessed and experienced violence demonstrated the greatest risk of adverse health behaviors. These adolescents demonstrated 3 to 6 times greater risk of suicidal ideation (odds ratio [OR], 3.1; 95% confidence interval [CI], 2.2-4.0) or suicide attempts (OR, 4.5; 95% CI, 2.2-9.4), self-injury (OR, 5.8; 95% CI, 2.6-12.9), and use of drugs before intercourse (OR, 6.2; 95% CI, 3.0-12.9) than those who had neither witnessed nor experienced violence. Conclusions: Adolescents exposed to violence are at increased risk of multiple adverse health behaviors. Programs designed to improve health outcomes should target this high-risk group.

AB - Objective: To examine the relationship between exposure to violence and health-risk behaviors. Design: Cross-sectional survey. Setting: University-based outpatient family planning clinic. Patients: Sexually active adolescent girls younger than 18 years (N = 517) who presented for contraceptive care. Main Outcome Measures: Prevalence of witnessing or experiencing violence and the associations with health-risk behaviors, including high-risk sexual behaviors, substance use, and self-injury. Results: Compared with adolescents who had not been exposed to violence, those who had only witnessed violence were 2 to 3 times more likely to report using tobacco and marijuana, drinking alcohol or using drugs before sex, and having intercourse with a partner who had multiple partners. Those who had experienced, but not witnessed violence were at increased risk of these same behaviors and were 2 to 4 times more likely than those who had neither witnessed nor experienced violence to report early initiation of intercourse, intercourse with strangers, multiple partners, or partners with multiple partners, tobacco, alcohol and drug use, or to have positive test results for a sexually transmitted disease. Individuals who had both witnessed and experienced violence demonstrated the greatest risk of adverse health behaviors. These adolescents demonstrated 3 to 6 times greater risk of suicidal ideation (odds ratio [OR], 3.1; 95% confidence interval [CI], 2.2-4.0) or suicide attempts (OR, 4.5; 95% CI, 2.2-9.4), self-injury (OR, 5.8; 95% CI, 2.6-12.9), and use of drugs before intercourse (OR, 6.2; 95% CI, 3.0-12.9) than those who had neither witnessed nor experienced violence. Conclusions: Adolescents exposed to violence are at increased risk of multiple adverse health behaviors. Programs designed to improve health outcomes should target this high-risk group.

UR - http://www.scopus.com/inward/record.url?scp=0034767181&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034767181&partnerID=8YFLogxK

M3 - Article

C2 - 11695933

AN - SCOPUS:0034767181

VL - 155

SP - 1238

EP - 1242

JO - JAMA Pediatrics

JF - JAMA Pediatrics

SN - 2168-6203

IS - 11

ER -