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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP-
dc.contributor.authorQUINLAN-DAVIDSON, Meaghen-
dc.contributor.authorKISS, Ligia-
dc.contributor.authorDEVAKUMAR, Delan-
dc.contributor.authorCORTINA-BORJA, Mario-
dc.contributor.authorEISNER, Manuel-
dc.contributor.authorPERES, Maria Fernanda Tourinho-
dc.identifier.citationPLOS ONE, v.16, n.10, article ID e0258036, 20p, 2021-
dc.description.abstractObjectives We investigated whether perceived social support among adolescent students moderated the association between violence exposure and internalising symptoms in Sao Paulo city, Brazil. Methods We tested the stress-buffering model using data from the cross-sectional school-based, survey Sao Paulo Project on the Social Development of Children and Adolescents. Internalising symptoms were measured using an adapted version of the Social Behaviour Questionnaire; serious victimisation, being bullied once/week, school violence and community violence, friend and teacher support were scales adapted by the research team; the Alabama Parenting Questionnaire measured parenting style. Linear mixed-effects models were used to quantify moderation effects of (i) social support between violence exposure and internalising symptoms and (ii) gender between violence exposure and internalising symptoms across schools. Results Across schools, being bullied once/week, school violence, and community violence were associated with a significant (p<0.001) increase in internalising symptoms (e.g., bullied b = 5.76, 95% CI 2.26, 9.26; school violence b = 0.48, 95% CI 0.30, 0.67; community violence b = 0.36; 95% CI 0.22, 0.50). Males exposed to all types of violence had significantly lower (p<0.01) internalising symptoms compared to females (e.g., serious victimisation: b = -1.45; 95% CI -2.60, -0.29; school violence b = -0.27; 95% CI -0.30, -0.24; community violence b = -0.23; 95% CI -0.25, -0.20). As a main effect, social support was associated with a significant (p<0.01) decrease in internalising symptoms across schools (e.g., positive parenting b = -2.42; 95% CI -3.12, -1.72; parent involvement b = -2.75; 95% CI -3.32, -2.17; friend support b = -1.05; 95% CI -1.74, -0.34; teacher support b = -0.90; 95% CI -1.58, -0.22). Social support did not moderate the association between violence exposure and internalising symptoms. Conclusions Adolescent students in Sao Paulo exposed to violence have a higher likelihood of internalising symptoms, compared to those who are not. Support from parents, friends, and teachers, independent of violence, appear to be protective against internalising symptoms, pointing to potential programmes that could improve adolescent mental health.eng
dc.description.sponsorshipBritish Academy/Newton Foundation-Newton Advanced Fellowship [AF160099]-
dc.description.sponsorshipFundacao de Amparo a Pesquisa do Estado de Sao PauloFundacao de Amparo a Pesquisa do Estado de Sao Paulo (FAPESP) [2016/222594]-
dc.relation.ispartofPlos One-
dc.subject.othercommunity violenceeng
dc.subject.otherfriendship qualityeng
dc.subject.otherurban adolescentseng
dc.titleThe role of social support in reducing the impact of violence on adolescents' mental health in Sao Paulo, Brazileng
dc.rights.holderCopyright PUBLIC LIBRARY SCIENCEeng
dc.subject.wosMultidisciplinary Scienceseng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng, Meaghen:UCL, Inst Global Hlth, London, England-, Ligia:UCL, Inst Global Hlth, London, England-, Delan:UCL, Inst Global Hlth, London, England-, Mario:UCL, Populat Policy & Practice Res & Teaching Dept, Great Ormond St Inst Child Hlth, London, England-, Manuel:Univ Cambridge, Inst Criminol, Cambridge, England-
hcfmusp.publisher.citySAN FRANCISCOeng
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Artigos e Materiais de Revistas Científicas - FM/MPR
Departamento de Medicina Preventiva - FM/MPR

Artigos e Materiais de Revistas Científicas - LIM/39
LIM/39 - Laboratório de Processamento de Dados Biomédicos

Artigos e Materiais de Revistas Científicas - ODS/05
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Artigos e Materiais de Revistas Científicas - ODS/16
ODS/16 - Paz, justiça e instituições eficazes

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