Adverse childhood experiences and health-harming behaviours among students in Ukraine: report on survey results

Overview

The survey of adverse childhood experiences in Ukraine was conducted among a representative sample of the student population (‎N=1517)‎ selected from colleges and universities at all levels of accreditation (‎I–IV)‎. It aimed to determine the prevalence and risk factors of adverse childhood experiences (‎child abuse, neglect, household dysfunctions, peer and community violence)‎ and investigate the interrelations between adverse childhood experiences and health-harming behaviours. Results showed high prevalence of child maltreatment (‎emotional neglect was experienced by 28%, physical neglect by 25%, physical abuse by 12%, emotional abuse by 10% and sexual abuse by 5%)‎, household dysfunctions, and peer and community violence. Adverse childhood experiences were associated with increased odds of health-risk behaviours, especially suicide attempt, early smoking initiation, alcohol abuse, drug use and risky sexual behaviour. Stakeholders should take stock of the current situation, strengthen national policy and implement a coordinated intersectoral preventive and care response.