Trends and socioeconomic correlates of adolescent physical fighting in 30 countries

William Pickett, Michal Molcho, Frank J. Elgar, Fiona Brooks, Margaretha de Looze, Katharina Rathmann, Tom F. M. ter Bogt, Saoirse Nic Gabhainn, Dagmar Sigmundova, Margarida Gaspar de Matos, Wendy Craig, Sophie D. Walsh, Yossi Harel-Fisch, Candace Currie

Research output: Contribution to journalArticle

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
Original languageEnglish
Pages (from-to)E18-E26
JournalPediatrics
Volume131
Issue number1
DOIs
Publication statusPublished - Jan 2013

Keywords

  • INCOME INEQUALITY
  • CHILDREN
  • HEALTH INEQUALITIES
  • HIGH-SCHOOL STUDENTS
  • RISK BEHAVIOR
  • adolescents
  • VIOLENCE-RELATED BEHAVIORS
  • UNITED-STATES
  • fighting

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    Pickett, W., Molcho, M., Elgar, F. J., Brooks, F., de Looze, M., Rathmann, K., ter Bogt, T. F. M., Gabhainn, S. N., Sigmundova, D., de Matos, M. G., Craig, W., Walsh, S. D., Harel-Fisch, Y., & Currie, C. (2013). Trends and socioeconomic correlates of adolescent physical fighting in 30 countries. Pediatrics, 131(1), E18-E26. https://doi.org/10.1542/peds.2012-1614