Trends and demographic differences in interpersonal violence against children in sub-Saharan Africa: findings from the 1990–2019 Global Burden of Disease Study

ObjectivesTo analyse the past 30-year trends in mortality and morbidity of interpersonal violence against children, its demographic distribution and correlation with specific risk factors.DesignEcological study at the country and regional level.Setting46 countries and 4 subregions of sub-Saharan Afr...

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Vydáno v:	BMJ open Ročník 15; číslo 4; s. e083070
Hlavní autoři:	Nhassengo, Sergio, Laflamme, Lucie, Sengoelge, Mathilde, Nhassengo, Sergio Keita, Abate, Yohannes Habtegiorgis, Abebe, Mesfin, Abegaz, Kedir Hussein, Abiodun, Olumide, Aboagye, Richard Gyan, Adde, Kenneth Setorwu, Adeagbo, Oluwafemi Atanda, Adepoju, Abiola Victor, Ahmed, Muktar Beshir, Aladelusi, Timothy Olukunle, Aluh, Deborah Oyine, Amu, Hubert, Aruleba, Idowu Thomas, Ayele, Getnet Melaku, Barrow, Amadou, Bashiru, Hameed Akande, Bolarinwa, Obasanjo Afolabi, Chavula, Malizgani Paul, Dachew, Berihun Assefa, Demessa, Berecha Hundessa, Dipeolu, Isaac Oluwafemi, Dowou, Robert Kokou, Ekholuenetale, Michael, Ekundayo, Temitope Cyrus, Fadaka, Adewale Oluwaseun, Fagbamigbe, Adeniyi Francis, Gebregergis, Miglas Welay, Gebrehiwot, Mesfin, Gebremeskel, Teferi Gebru, Gerema, Urge, Gindaba, Ebisa Zerihun, Haile, Teklehaimanot Gereziher, Heyi, Demisu Zenbaba, Ibitoye, Segun Emmanuel, Ilesanmi, Olayinka Stephen, Immurana, Mustapha, Iwu, Chidozie Declan, Iyasu, Assefa N, Jeben, Rebuma Sorsa, Jema, Alelign Tasew, Joshua, Charity Ehimwenma, Kabito, Gebisa Guyasa, Kanmodi, Kehinde Kazeem, Kebede, Molla Asnake, Kumar, Manasi, Manu, Emmanuel, Meto, Tesfahun Mekene, Mekonnen, Mathewos M, Meles, Hadush Negash, Misgana, Tadesse, Mohammed, Mustapha, Mohammed, Shafiu, Muhamed, Ahmed Nuru, Nzoputam, Ogochukwu Janet, Oghenetega, Onome Bright, Okonji, Osaretin Christabel, Olagunju, Andrew T, Olufadewa, Isaac Iyinoluwa, Oluwatunase, Gideon Olamilekan, Orish, Verner N, Rickard, Jennifer, Salami, Afeez Abolarinwa, Seedat, Soraya, Sendekie, Ashenafi Kibret, Sibhat, Migbar Mekonnen, Solomon, Yonatan, Stein, Dan J, Tamuzi, Jacques Lukenze, Tarkang, Elvis Enowbeyang, Geta Tesfaye Gta, Edosa, Toma, Temesgen Mohammed, Udoakang, Aniefiok John, Wubetu, Abate Dargie, Sengoelge, Mathilde J
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	England British Medical Journal Publishing Group 28.04.2025 BMJ Publishing Group LTD BMJ Publishing Group
Témata:	Adolescent Africa South of the Sahara - epidemiology Age Alcohol Child Child Abuse - mortality Child Abuse - statistics & numerical data Child Abuse - trends Child protection Child, Preschool Children & youth Disability-Adjusted Life Years Disease prevention Educational attainment Estimates Female Fertility Firearms Gender-Based Violence Girls Global Burden of Disease - trends Global Health Health Equity Humans Infant Infant, Newborn Low income groups Male Mortality Murders & murder attempts Original Research Per capita Public health Risk Factors Sociodemographics Trends Violence Violence - trends Wounds and Injuries - epidemiology Wounds and Injuries - mortality Young Adult Africa South of the Sahara Africa Child protection Health Equity Mortality Gender-Based Violence
ISSN:	2044-6055, 2044-6055
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Popis
Shrnutí:	ObjectivesTo analyse the past 30-year trends in mortality and morbidity of interpersonal violence against children, its demographic distribution and correlation with specific risk factors.DesignEcological study at the country and regional level.Setting46 countries and 4 subregions of sub-Saharan Africa (SSA): Central, Eastern, Southern and Western.ParticipantsChildren aged 0–19 years old.Primary and secondary outcome measuresTrends in mortality rates and disability-adjusted life-years (DALYs) attributed to interpersonal violence injuries in children; correlation between socio-demographic index (SDI)/alcohol consumption per capita and child interpersonal violence.ResultsDeaths and DALYs per 100 000 population from child violence-related injuries in SSA declined from 4.0 (95% uncertainty interval (UI): 3.3–4.9) to 3.1 (95% UI: 2.3 to 3.9) and 334.9 (95% UI: 276.4 to 407.7) to 260.3 (95% UI: 197.9 to 321.9) respectively from 1990 to 2019 (reductions of 22.5% and 22.3%). Southern SSA had the highest deaths/DALYs rates for each type of physical violence (sharp object/firearm/other) and Central SSA for sexual violence. Alcohol consumption correlated significantly with deaths and DALYs, but SDI showed a non-significant correlation.ConclusionsRates of child interpersonal violence deaths and DALYs decreased from 2009 to 2019 in SSA, driven by remarkable decreases in the Southern subregion. Understanding the determinants of these downward trends and implementation of policies targeting known risk factors like alcohol consumption may pave the way for enhanced child safety protection. Further curbing the disparities between countries and subregions necessitates long-term commitment to evidence-based action plans.
Bibliografie:	Original research ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 LL and MS are joint senior authors. SN reports support for the present manuscript from the Bill & Melinda Gates Foundation, Karolinska Institutet and the Eduardo Mondlane University, Faculty of Medicine and a Swedish International Development Cooperation Agency (SIDA) (grant number 51140073). The funders had no involvement in the study design, interpretation of data, writing of the report nor in the decision to submit the paper for publication. Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.
ISSN:	2044-6055 2044-6055
DOI:	10.1136/bmjopen-2023-083070