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Community violence and mental health symptoms among adolescents in South Africa: a systematic review and meta-analysis

- Jameson, Stacey

Authors: Jameson, Stacey
Date: 2024-04
Subjects: Violence -- Psychological aspects , Adolescent psychology , Community psychology , Mental health services
Language: English
Type: Master's theses , text
Identifier: http://hdl.handle.net/10948/63868 , vital:73621
Description: There is a global prevalence of youth exposure to community violence. This is notably pronounced in South Africa, where children and adolescents face elevated levels of violence. Existing systematic reviews have predominately focused on international contexts, leaving a gap that requires comprehensive analysis within the South African context to understand the situation in comparison to global trends. The objective of this study was to synthesise the available literature on adolescent exposure to community violence and its impact on mental health outcomes in South Africa. The study aimed to determine the prevalence of such exposure among South African adolescents, explore associated internalising and externalising mental health symptoms, and assess the extent of this relationship. A systematic search of electronic databases was conducted, encompassing studies published between 2010 and 2022. Eighteen studies focusing on adolescents aged 10 to 19 years, investigating exposure to community violence and mental health outcomes were included. Meta-analytical procedures revealed that South African adolescents face elevated levels of both witnessing and direct victimisation of community violence, accompanied by heightened mental health symptoms, particularly in depression and posttraumatic stress disorder. Although a moderate positive correlation between community violence exposure and depression was identified, statistical significance was not achieved. Subgroup analyses, to explore gender as a potential moderating factor was conducted. This study underscores the urgent need for targeted interventions and policy measures to address the impact of community violence on adolescent mental wellbeing in South Africa. These findings contribute to the existing literature by providing an understanding of the situation in the South African context compared to global estimates, offering recommendations for future research to inform more effective public health strategies. , Thesis (MA) -- Faculty of Health Science, School of Behavioural & Lifestyle Sciences, 2024
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Date Issued: 2024-04

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