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McGushin A, Gasparri G, Graef V, Ngendahayo C, Timilsina S, Bustreo F, Costello A. Adolescent wellbeing and climate crisis: adolescents are responding, what about health professionals? BMJ 2022; 379:e071690. [PMID: 36302556 PMCID: PMC9600164 DOI: 10.1136/bmj-2022-071690] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
Alice McGushin and colleagues argue for recognition of the diverse ways in which climate change affects adolescent wellbeing and call for health professionals to work with them to respond to the crisis
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Affiliation(s)
- Alice McGushin
- Institute for Global Health, University College London, United Kingdom
- MRC Epidemiology Unit, University of Cambridge School of Clinical Medicine, United Kingdom
| | - Giulia Gasparri
- Partnership for Maternal, Newborn and Child Health, Geneva, Switzerland
| | - Viola Graef
- The MHPSS Collaborative, Copenhagen, Denmark
| | | | | | | | - Anthony Costello
- Institute for Global Health, University College London, United Kingdom
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Sutherland SC, Shannon HS, Ayuku D, Streiner DL, Saarela O, Atwoli L, Braitstein P. The relationships between resilience, care environment, and social-psychological factors in orphaned and separated adolescents in western Kenya. VULNERABLE CHILDREN AND YOUTH STUDIES 2022; 17:165-179. [PMID: 35874427 PMCID: PMC9302592 DOI: 10.1080/17450128.2022.2067381] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Accepted: 04/13/2022] [Indexed: 06/15/2023]
Abstract
The relationships between care environment, resilience, and social factors in orphaned and separated adolescents and youths (OSAY) in western Kenya are complex and under-studied. This study examines these relationships through the analysis of survey responses from OSAY living in Charitable Children's Institutes (CCI) and family-based care settings (FBS) in Uasin Gishu County, Kenya. The associations between 1) care environment and resilience (measured using the 14-item Resilience Scale); 2) care environment and factors thought to promote resilience (e.g. social, family, and peer support); and 3) resilience and these same resilience-promoting factors, were examined using multivariable linear and logistic regressions. This cross-sectional study included 1202 OSAY (50.4% female) aged 10-26 (mean=16; SD=3.5). The mean resilience score in CCIs was 71 (95%CI=69-73) vs. 64 (95%CI=62-66) in FBS. OSAY in CCIs had higher resilience (β=7.67; 95%CI=5.26-10.09), social support (β=0.26; 95%CI=0.14-0.37), and peer support (β=0.90; 95%CI=0.64-1.17) than those in FBS. OSAY in CCIs were more likely to volunteer than those in FBS (OR=3.72; 95%CI=1.80-7.68), except in the male subgroup. Family (β=0.42; 95%CI=0.24-0.60), social (β=4.19; 95%CI=2.53-5.85), and peer (β=2.13; 95%CI=1.44-2.83) relationships were positively associated with resilience in all analyses. Volunteering was positively associated with resilience (β=5.85; 95%CI=1.51-10.19). The factor most strongly related to resilience in both fully adjusted models was peer support. This study found a strong relationship between care environment and resilience. Care environment and resilience each independently demonstrated strong relationships with peer support, social support, and participating in volunteer activities. Resilience also had a strong relationship with familial support. These data suggest that resilience can be developed through strategic supports to this vulnerable population.
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Affiliation(s)
- Sarah C. Sutherland
- Division of Epidemiology, Dalla Lana School of Public Health, University of Toronto, 155 College Street, M5T 3M7, Toronto, Canada
| | - Harry S. Shannon
- Division of Epidemiology, Dalla Lana School of Public Health, University of Toronto, 155 College Street, M5T 3M7, Toronto, Canada
- Department of Health Research Methods, Evidence, and Impact, Faculty of Health Science, McMaster University, 1280 Main Street West, L8S 4L8, Hamilton, Canada
| | - David Ayuku
- Department of Mental Health and Behavioral Sciences, School of Medicine, College of Health Sciences, Moi University, Nandi Road, Eldoret, Kenya
| | - David L. Streiner
- Department of Psychiatry and Behavioural Neurosciences, McMaster University, 100 West 5, L8N 3K7, Hamilton, Canada
- Department of Psychiatry, University of Toronto, 250 College Street, 8 floor, M5T 1R8, Toronto, Canada
| | - Olli Saarela
- Division of Biostatistics, Dalla Lana School of Public Health, University of Toronto, 155 College Street, M5T 3M7, Toronto, Canada
| | - Lukoye Atwoli
- Department of Mental Health and Behavioral Sciences, School of Medicine, College of Health Sciences, Moi University, Nandi Road, Eldoret, Kenya
- Brain and Mind Institute and the Department of Medicine, Aga Khan University Medical College, East Africa, Nairobi, Kenya
| | - Paula Braitstein
- Division of Epidemiology, Dalla Lana School of Public Health, University of Toronto, 155 College Street, M5T 3M7, Toronto, Canada
- Academic Model Providing Access to Healthcare (AMPATH), Nandi Road, Eldoret, Kenya
- Department of Epidemiology and Medical Statistics, School of Public Health, College of Health Sciences, Moi University, Nandi Road, Eldoret, Kenya
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Theron L, van Breda A. Multisystemic enablers of sub-Saharan child and youth resilience to maltreatment. CHILD ABUSE & NEGLECT 2021; 119:105083. [PMID: 33931239 DOI: 10.1016/j.chiabu.2021.105083] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/30/2020] [Revised: 03/04/2021] [Accepted: 04/21/2021] [Indexed: 06/12/2023]
Abstract
BACKGROUND The resilience of sub-Saharan children and youth to abuse and neglect is under-researched. In particular, the multisystemic and contextually sensitive nature of their resilience is under-appreciated. PURPOSE In response we conceptualized a discussion paper. Its intention is to make a case for a contextually relevant, multisystemic understanding of the resilience of sub-Saharan children and youth with exposure to maltreatment. METHOD This discussion paper draws on a critical analysis of pertinent peer-reviewed publications. It also draws on our lifelong residence in sub-Saharan Africa and related insight into this region's situational and cultural dynamics. RESULTS We advance three assertions regarding the multisystemic nature of sub-Saharan young people's resilience to abuse and neglect : (i) family↔communities are pivotal to sub-Saharan child and youth resilience to maltreatment; (ii) institutional supports matter too, particularly when multiple systems interact to provide networks of institutional support; and (iii) the resilience-enabling potential of built and natural environments is yet to be fully harnessed. CONCLUSION Interacting social and ecological system factors and processes matter for the resilience of sub-Saharan children and youth who experience abuse and neglect. Appreciation for their complexity and contextual fit are crucial to practice and policy efforts to advance the protection and wellbeing of sub-Saharan young people.
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Affiliation(s)
- Linda Theron
- Department of Educational Psychology, University of Pretoria, South Africa.
| | - Adrian van Breda
- University of Johannesburg, Department of Social Work, PO Box 524, Auckland Park, 2006, South Africa
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