Can family structure and social support reduce the impact of child victimization on health-related quality of life? |
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| Institution: | 1. Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong;2. Department of Paediatrics & Adolescent Medicine, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong;1. Department of Psychology & Social Behavior, University of California Irvine, Irvine, CA, USA;2. Cousins Center for Psychoneuroimmunology, Semel Institute for Neuroscience and Human Behavior, University of California Los Angeles, Los Angeles, CA, USA;3. Department of Psychology, University of California Los Angeles, Los Angeles, CA, USA;4. Jonsson Comprehensive Cancer Center, University of California Los Angeles, Los Angeles, CA, USA;5. Department of Biostatistics, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA, USA;6. David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA;7. Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, CA, USA;1. University of Southern California, Los Angeles CA, United States;2. Huron University College at Western University, London ON, Canada;3. University of Florida, Gainesville FL, United States;4. University of Victoria, Victoria BC, Canada;5. University of Illinois at Urbana-Champaign, Champaign IL, United States;1. Kent State University, USA;2. Akron Children''s Hospital, USA;1. Department of Social Work and Social Administration, The University of Hong Kong, Pokfulam, Hong Kong;2. School of Social Development and Public Policy, Beijing Normal University, Beijing, PR China;3. Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong;4. School of Social Welfare, Yonsei University, Seoul, Republic of Korea;1. Grup de Recerca en Victimització Infantil i Adolescent (GReVIA), Universitat de Barcelona, Spain;2. Departament de Personalitat, Avaluació i Tractament Psicològics, Facultat de Psicologia, Universitat de Barcelona, Spain;3. Departament de Metodologia de les Ciències del Comportament, Facultat de Psicologia, Universitat de Barcelona, Spain;4. Institut de Recerca en Cervell Cognició i Conducta, Universitat de Barcelona, Spain |
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| Abstract: | This study aims at providing a profile of the association between different types of child victimization and polyvictimization and health-related quality of life (HRQoL) among school-aged children, and examining the impact of family structure and social support on the negative health consequences associated with violent victimization. We conducted a cross-sectional school survey in Hong Kong using a two-stage stratified sampling procedure. The final sample comprised 4139 children’s self-reports and proxy-reports (boys = 51.5%; mean age = 6.3). The main outcome was HRQoL measured with the Pediatric Quality of Life Inventory (PedsQL). Family structure was represented by parents’ marital status, major caregivers, number of siblings and the living arrangement of children. Child victimization, social support, and demographic characteristics were also measured. All types of child victimization were associated with compromised HRQoL, and the strength of association varied across different types of child victimization. Family structure (in particular the number of siblings and whether additional childcare was received from grandparents) and social support were associated with better HRQoL. The negative associations between child victimization and polyvictimization and HRQoL were reduced when there was an adjustment made for family structure and social support. Findings show that family structure and social support are related to a reduction in negative health consequences for child victimization. The varying strengths of negative associations between victimization and HRQoL highlight the possibility that the effects of child victimization on health might not be homogeneous. |
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| Keywords: | Health Family violence Child abuse Children Chinese |
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