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Physical Fighting among School-Attending Adolescents in Pakistan: Associated Factors and Contextual Influences.
Int J Environ Res Public Health. 2019 12 11; 16(24)IJ

Abstract

BACKGROUND

Adolescent physical fighting is a problem of public health importance, with varied consequences in the form of school absenteeism, injury, and, in some cases, death. Although research on risk and protective factors exists, most has been conducted in high-income countries.

METHODS

The 2009 Pakistan Global School-based Health Survey (GSHS) data were used. Logistic regression models were used to determine the associations. Five independent variables were investigated at the individual level (anxiety, suicide planning, truancy, physical activity, and bullying victimization) and four independent variables at the social level (presence of supportive parental figures, presence of helpful peers, extent of social network, and food insecurity).

RESULTS

Among adolescents in this study (N = 5177), 20% reported being involved in two or more physical fights, most of whom were males (79.9%). The factors associated with physical fighting were: being male (OR = 2.78); bullying victimization (OR = 3.14); truancy (OR = 1.63), loneliness (OR = 1.44); and suicidality, as evidenced by having a suicide plan (OR = 1.75). Having few close friends (0-2) as opposed to more (>3) was found to be protective against engaging in physical fighting.

CONCLUSION

Risk factors for physical fighting among adolescents in South Asia seem to corroborate with previously-identified risk factors using samples in high-income countries, while protective factors seemed to differ. More research needs to be conducted to understand why certain factors do not have the same protective effect among South Asian adolescents.

AIM

The aim of this study was to examine demographic and contextual factors associated with physical fighting among a nationally representative sample in a rapidly developing South Asian context.

Authors+Show Affiliations

Injury Epidemiology and Prevention Research Group, Turku Brain Injury Centre, Division of Clinical Neurosciences, Turku University Hospital and University of Turku, 20521 Turku, Finland.Injury Epidemiology and Prevention Research Group, Turku Brain Injury Centre, Division of Clinical Neurosciences, Turku University Hospital and University of Turku, 20521 Turku, Finland.Injury Epidemiology and Prevention Research Group, Turku Brain Injury Centre, Division of Clinical Neurosciences, Turku University Hospital and University of Turku, 20521 Turku, Finland.Injury Epidemiology and Prevention Research Unit, Heidelberg Institute of Global Health, University of Heidelberg, 69120 Heidelberg, Germany.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

31835671

Citation

Shaikh, Masood Ali, et al. "Physical Fighting Among School-Attending Adolescents in Pakistan: Associated Factors and Contextual Influences." International Journal of Environmental Research and Public Health, vol. 16, no. 24, 2019.
Shaikh MA, Abio A, Celedonia KL, et al. Physical Fighting among School-Attending Adolescents in Pakistan: Associated Factors and Contextual Influences. Int J Environ Res Public Health. 2019;16(24).
Shaikh, M. A., Abio, A., Celedonia, K. L., & Lowery Wilson, M. (2019). Physical Fighting among School-Attending Adolescents in Pakistan: Associated Factors and Contextual Influences. International Journal of Environmental Research and Public Health, 16(24). https://doi.org/10.3390/ijerph16245039
Shaikh MA, et al. Physical Fighting Among School-Attending Adolescents in Pakistan: Associated Factors and Contextual Influences. Int J Environ Res Public Health. 2019 12 11;16(24) PubMed PMID: 31835671.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Physical Fighting among School-Attending Adolescents in Pakistan: Associated Factors and Contextual Influences. AU - Shaikh,Masood Ali, AU - Abio,Anne, AU - Celedonia,Karen L, AU - Lowery Wilson,Michael, Y1 - 2019/12/11/ PY - 2019/10/18/received PY - 2019/12/05/revised PY - 2019/12/06/accepted PY - 2019/12/15/entrez PY - 2019/12/15/pubmed PY - 2020/4/3/medline KW - epidemiology KW - global health KW - interpersonal violence KW - mental health KW - school health JF - International journal of environmental research and public health JO - Int J Environ Res Public Health VL - 16 IS - 24 N2 - BACKGROUND: Adolescent physical fighting is a problem of public health importance, with varied consequences in the form of school absenteeism, injury, and, in some cases, death. Although research on risk and protective factors exists, most has been conducted in high-income countries. METHODS: The 2009 Pakistan Global School-based Health Survey (GSHS) data were used. Logistic regression models were used to determine the associations. Five independent variables were investigated at the individual level (anxiety, suicide planning, truancy, physical activity, and bullying victimization) and four independent variables at the social level (presence of supportive parental figures, presence of helpful peers, extent of social network, and food insecurity). RESULTS: Among adolescents in this study (N = 5177), 20% reported being involved in two or more physical fights, most of whom were males (79.9%). The factors associated with physical fighting were: being male (OR = 2.78); bullying victimization (OR = 3.14); truancy (OR = 1.63), loneliness (OR = 1.44); and suicidality, as evidenced by having a suicide plan (OR = 1.75). Having few close friends (0-2) as opposed to more (>3) was found to be protective against engaging in physical fighting. CONCLUSION: Risk factors for physical fighting among adolescents in South Asia seem to corroborate with previously-identified risk factors using samples in high-income countries, while protective factors seemed to differ. More research needs to be conducted to understand why certain factors do not have the same protective effect among South Asian adolescents. AIM: The aim of this study was to examine demographic and contextual factors associated with physical fighting among a nationally representative sample in a rapidly developing South Asian context. SN - 1660-4601 UR - https://www.unboundmedicine.com/medline/citation/31835671/Physical_Fighting_among_School_Attending_Adolescents_in_Pakistan:_Associated_Factors_and_Contextual_Influences_ L2 - https://www.mdpi.com/resolver?pii=ijerph16245039 DB - PRIME DP - Unbound Medicine ER -