@article{ref1,
title="The interrelationships of child maltreatment, alcohol use, and suicidal ideation among youth living in the slums of Kampala, Uganda",
journal="Child abuse and neglect",
year="2020",
author="Culbreth, Rachel and Masyn, Katherine E. and Swahn, Monica H. and Self-Brown, Shannon and Kasirye, Rogers",
volume="112",
number="",
pages="e104904-e104904",
abstract="BACKGROUND: Youth living in the slums of Kampala face many adversities, such as dire environmental conditions, poverty, and lack of government infrastructure. <br><br>OBJECTIVE:  The purpose of this study is to examine the interplay of alcohol use and child  maltreatment on suicidal ideation among youth living in the slums of Kampala,  Uganda. PARTICIPANTS AND SETTING: The study sample includes service-seeking youth  who were attending Uganda Youth Development Link (UYDEL) drop-in centers in spring  2014 (n = 1134). <br><br>METHODS: Indicators of child maltreatment included parental  physical abuse, parental neglect, and sexual abuse. Problematic alcohol use was  specified using a hybrid structural equation mixture model that distinguished  current drinking status with the frequency and intensity of use among current  drinkers. This novel approach is more flexible than restricting our analysis to only  drinkers or analyzing only current drinking status. The primary outcome of interest  was suicidal ideation. All associations controlled for gender and age, and all  associations were estimated simultaneously. All analyses were conducted in SAS 9.4  and Mplus 7.4. <br><br>RESULTS: The overall prevalence of suicidal ideation was 23.5 % (n =  266). Overall, current drinking status (OR: 1.80; 95 % CI: 1.31, 2.46), the child  maltreatment sum score (OR: 1.88; 95 % CI: 1.48, 2.39), and sexual abuse (OR: 2.88;  95 % CI: 1.52, 5.47) were statistically significantly associated with reporting  suicidal ideation. <br><br>CONCLUSIONS: This study highlights a population that would  potentially benefit from prevention efforts not only aimed at suicide prevention but  also harm reduction in terms of alcohol use and experiences of child maltreatment.<p /> <p>Language: en</p>",
language="en",
issn="0145-2134",
doi="10.1016/j.chiabu.2020.104904",
url="http://dx.doi.org/10.1016/j.chiabu.2020.104904"
}