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Trends and socioeconomic correlates of adolescent physical fighting in 30 countries

Pickett, W.
; 
Molcho, M.
; 
Elgar, F. J.
; 
Brooks, F.
; 
de Looze, M.
; 
Rathmann, K.
; 
ter Bogt, T. F. M.
; 
Nic Gabhainn, Saoirse
; 
Sigmundova, D.
; 
Gaspar de Matos, M.
... show 4 more
Identifiers
http://hdl.handle.net/10379/13470
 https://doi.org/10.13025/28962
Publication Date
2012-12-03
Keywords
adolescent, epidemiology, inequality, fighting, socioeconomic, trends, violence, high-school-students, violence-related behaviors, income inequality, young-people, health inequalities, risk behavior, united-states, children, injury, youth
Type
Article
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Citation
Pickett, W. Molcho, M.; Elgar, F. J.; Brooks, F.; de Looze, M.; Rathmann, K.; ter Bogt, T. F. M.; Nic Gabhainn, S.; Sigmundova, D.; Gaspar de Matos, M.; Craig, W.; Walsh, S. D.; Harel-Fisch, Y.; Currie, C. (2012). Trends and socioeconomic correlates of adolescent physical fighting in 30 countries. PEDIATRICS 131 (1), E18-E26
Abstract
BACKGROUND AND OBJECTIVES: No recent international studies provide evidence about its prevalence, trends, or social determinants of physical fighting in adolescents. We studied cross-national epidemiologic trends over time in the occurrence of frequent physical fighting, demographic variations in reported trends, and national wealth and income inequality as correlates. METHODS: Cross-sectional surveys were administered in school settings in 2002, 2006, and 2010. Participants (N = 493 874) included eligible and consenting students aged 11, 13, and 15 years in sampled schools from 30 mainly European and North American countries. Individual measures included engagement in frequent physical fighting, age, gender, participation in multiple risk behaviors, victimization by bullying, and family affluence. Contextual measures included national income inequality, absolute wealth and homicide rates. Temporal measure was survey cycle (year). RESULTS: Frequent physical fighting declined over time in 19 (63%) of 30 countries (from descriptive then multiple Poisson regression analyses). Contextual measures of absolute wealth (relative risk 0.96, 95% confidence interval 0.93-0.99 per 1 SD increase in gross domestic product per capita) but not income inequality (relative risk 1.01, 95% confidence interval 0.98-1.05 per 1 SD increase) related to lower levels of engagement in fighting. Other risk factors identified were male gender, younger age (11 years), multiple risk behaviors, victimization by bullying, and national homicide rates. CONCLUSIONS: Between 2002 and 2010, adolescent physical fighting declined in most countries. Specific groups of adolescents require targeted violence reduction programs. Possible determinants responsible for the observed declines are discussed. Pediatrics 2013;131:e18-e26
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Publisher
American Academy of Pediatrics (AAP)
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Rights
Attribution-NonCommercial-NoDerivs 3.0 Ireland
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Externally hosted open access publications with University of Galway authors (2)