Victimisation, poly-victimisation and health-related quality of life among high school students in Vietnam: a cross-sectional survey

Abstract

BackgroundIn high and upper-middle income countries poly-victimisation (exposure to multiple forms of victimisation) is associated with worse health-related quality of life (HRQoL) among adolescents. There is a lack of empirical evidence about these associations from low- and lower-middle income countries. The aims of this study were to examine the associations between exposure to 1) individual forms of victimisation and 2) poly-victimisation and the HRQoL of adolescents in Vietnam.MethodA cross-sectional, anonymously-completed survey of high school students in Hanoi, Vietnam. Lifetime exposure to eight individual forms of victimisation and poly-victimisation were assessed using the Juvenile Victimisation Questionnaire Revised-2 (JVQ R2). Health-related quality of life was assessed using the Duke Health Profile Adolescent Version (DHP-A). Bi-variate analyses and multiple linear regressions were conducted to assess the associations between individual forms of victimisation, poly-victimisation and HRQoL among girls and boys.ResultsIn total 1616/1745 students (92.6 %) completed the questionnaire. Adolescent girls had significantly worse HRQoL than boys in all domains, except disability. Different forms of victimisation were associated with different HRQoL domains among girls and boys. Cyber victimisation was the most detrimental to girls’ HRQoL while for boys maltreatment was the most detrimental. Experiences of poly-victimisation were associated with worse HRQoL in physical, mental, social and general health, lower levels of self-esteem and increased levels of anxiety, depression and pain domains among both sexes.ConclusionsAmong Vietnamese adolescents, experiences of individual forms of victimisation were associated with poorer HRQoL in specific domains; the most detrimental forms of victimisation varied for girls and boys. However, it was experiences of poly-victimisation that had the most detrimental impacts on the HRQoL of both sexes. Recognition of violence, including poly-victimisation, is still low in Vietnam. These data indicate that community education, prevention and early intervention programs to reduce violent victimisation and assist adolescents who have experienced it, with attention to gender differences, are needed in Vietnam.Electronic supplementary materialThe online version of this article (doi:10.1186/s12955-016-0558-8) contains supplementary material, which is available to authorized users.

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“…It is difficult to connect these results with previous literature since little research has been conducted connecting violence exposure and subjective well-being scores in children and adolescents. These results are congruent with studies conducted in developing countries such as in China [ 50 ] and Vietnam [ 51 ]. In this last country, higher levels of victimization and violence exposure were related with decreased scores in HRQoL in a sample of high-school participants [ 51 ].…”

“…These results are congruent with studies conducted in developing countries such as in China [ 50 ] and Vietnam [ 51 ]. In this last country, higher levels of victimization and violence exposure were related with decreased scores in HRQoL in a sample of high-school participants [ 51 ]. The obtained results are also congruent with those found in developed nations such as Germany, where the exposition to multiple types of violence have shown a negative relation with HRQoL scores in adolescents [ 52 , 53 ].…”

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