ABSTRACT
BACKGROUND AND OBJECTIVE: Child sexual abuse among adolescents is an often overlooked issue in pediatrics, yet it is a major cause of low self esteem and stigmatization in adolescents. The objective of this study was to determine the socioeconomic determinant and pattern of child sexual abuse among adolescent attending secondary schools in South East Nigeria. METHODS: This was a cross-sectional study that was carried out among children in three secondary schools in Enugu and Ebonyi states of Nigeria. Five hundred and six adolescents who met inclusion criteria were consecutively recruited into our prospective study between June and October, 2014. RESULTS: One hundred and ninety nine (40 %) of the respondents had been abused and the commonest form of abuse was to look at pornographic pictures, drawings, films, videotapes or magazine 93(18.4%). Fifty eight (11.5%) adolescents stated that they were abused once with age at first exposure being 7-12 years 57 (11.4%). When grouped together, family members and relatives are perpetrators of child sexual abuse. There was significant difference in sex abuse between males and females (p=0.014) while there were no significant difference for age (p=0.157) and social class (p=0.233). CONCLUSION: Overall prevalence and one time prevalence rates of sexual abuse among adolescents in south east Nigeria was 40% and 11.5% respectively with male perpetrators. There is no link between socioeconomic class, age and child sexual abuse among adolescents.
ABSTRACT
BACKGROUND: Depression among adolescents is an uncommon and frequently unrecognized issue in pediatrics. Children and adolescents however suffer from both depression and associated symptoms. METHODS: The study was carried out among adolescents in secondary schools from two states; Enugu and Ebonyi metropolises within the age range of 9-18 in Enugu metropolis. The instrument employed for data collection was a structured self-administered questionnaire developed from the Goldberg Depression Questionnaire, a Screening Test for Depression. It is particularly suited for students in this age group. The families were assigned socio-economic classes using the recommended method (modified) by Oyedeji. OBJECTIVES: The aims and objectives of this study were to determine the prevalence of several levels of depression among adolescents attending secondary schools in two states. RESULTS: A total of 453 adolescents who are attending secondary schools from two states were recruited in this study. Depression is non-existent before the age of 10 years according to this study. The prevalence of moderate depression was lowest (2.3%) at the age of 10 and highest at (6.2%) the age of 13. The prevalence of severe depression was lowest (1.9%) at the age of 11 and highest (7.4%) at the age of 12. Female gender is a risk factor for depression. Children whose parents are separated showed higher incidences of depression in all the spectra studied. CONCLUSION: Adolescents exhibit different levels of depression with a female preponderance.
