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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Impact of domestic care environment on trauma and posttraumatic stress disorder among orphans in Western Kenya
PLoS ONE, Volume 9, No. 3, Article e89937, Year 2014
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Description
Objective: The aim of this study was to determine the impact of the domestic care environment on the prevalence of potentially traumatic events (PTEs) and posttraumatic stress disorder (PTSD) among orphaned and separated children in Uasin Gishu County, western Kenya. Methods: A total of 1565 (55.5% male) orphaned and separated adolescents aged 10-18 years (mean 13.8 years, sd 2.2), were assessed for PTSD and PTEs including bullying, physical abuse and sexual abuse. In this sample, 746 lived in extended family households, 746 in Charitable Children's Institutions (CCIs), and 73 on the street. Posttraumatic stress symptom (PTSS) scores and PTSD were assessed using the Child PTSD Checklist. Results: Bullying was the commonest PTE in all domestic care environments, followed by physical and sexual abuse. All PTEs were commonest among the street youth followed by CCIs. However, sexual abuse was more prevalent in households than in CCIs. Prevalence of PTSD was highest among street youth (28.8%), then households (15.0%) and CCIs (11.5%). PTSS scores were also highest among street youth, followed by CCIs and households. Bullying was associated with higher PTSS scores and PTSD odds than either sexual or physical abuse. Conclusion: This study demonstrated differences in distribution of trauma and PTSD among orphaned and separated children in different domestic care environments, with street youth suffering more than those in CCIs or households. Interventions are needed to address bullying and sexual abuse, especially in extended family households. Street youth, a heretofore neglected population, are urgently in need of dedicated mental health services and support. © 2014 Atwoli et al.
Authors & Co-Authors
Atwoli, Lukoye
Kenya, Eldoret
Moi University
Ayuku, David O.
Kenya, Eldoret
Moi University
Hogan, Joseph W.
United States, Providence
Brown University
Kenya, Eldoret
Academic Model Providing Access to Healthcare
Koech, Julius K.
Kenya, Eldoret
Academic Model Providing Access to Healthcare
Vreeman, Rachel Christine
Kenya, Eldoret
Academic Model Providing Access to Healthcare
United States, Indianapolis
Indiana University School of Medicine
Ayaya, Samuel Omulando
Kenya, Eldoret
Moi University
Braitstein, Paula K.A.
Kenya, Eldoret
Academic Model Providing Access to Healthcare
United States, Indianapolis
Indiana University School of Medicine
Kenya, Eldoret
Moi University
Canada, Toronto
University of Toronto
United States, Indianapolis
Regenstrief Institute Inc
Statistics
Citations: 53
Authors: 7
Affiliations: 6
Identifiers
Doi:
10.1371/journal.pone.0089937
e-ISSN:
19326203
Research Areas
Maternal And Child Health
Mental Health
Sexual And Reproductive Health
Violence And Injury
Study Design
Cross Sectional Study
Study Locations
Kenya
Participants Gender
Male