Abuse among school going adolescents in three major cities of Pakistan: is it associated with school performances and mood disorders?

ABSTRACT

To assess the proportion of various types of abuses and their association with school performances and psychological stress among adolescents from three major cities of Pakistan. The cross-sectional school survey was conducted from March to September 2009, comprising adolescent students at six schools in Karachi, Lahore and Quetta. Data was collected using a self-administered and pre-tested questionnaire by trained medical students. SPSS 16 was used for statistical analysis. Of the 414 subjects in the study, there were 223[54%] boys and 191[46%] girls with an overall mean age of 14.36 +/- 1.08 years. In all, 140[33.7%] participants were physically abused and 236[57%] participants were verbally abused in the preceding 12 months. Besides, 245[59.2%] were involved in physical fight and 195[47.1%] had suffered injury during the preceding year. There were 171[41.4%] subjects having suffered bullying during the same period. Verbal abuse [p=0.05], physical fight [p=0.05] and bullying [p<0.001] were significantly associated with poor school performances among adolescents. Physical abuse [p=0.05], verbal abuse [p=0.003], injury [p=0.02] and bullying [p<0.001] were significantly associated with psychological stress. Various types of abuse were quite prevalent in adolescents that were significantly associated with poor school performance and poor mental health