Abstract
This is the first study in South Africa to investigate the association of violence against children with human capital development, including short- and long-term health and educational outcomes. Hypotheses were tested by applying logistic regressions, zero inflated poisson regressions, linear regressions and ordered logistic regressions with a large and representative sample of adolescents from the Cape Area Panel Study (CAPS). Household fixed effects model and treatment-effects model were performed to check the robustness of the results. Analyses indicate that 58% of adolescents in South Africa have experienced physical or emotional violence in childhood. All forms of violence, especially physical violence, are associated with adverse physical and mental health, poorer academic achievement and lower education level of the victims in both the short and long term. Adolescent males who have experienced violence in childhood are more likely to report poorer educational outcomes and long-term physical health, while female victims are at higher risk of mental illness. The findings provide support for the negative effects of violence against children on health and educational outcomes, which lead to increasing inequalities that impact on the future development of South Africa. Urgent violence against children prevention programming is needed alongside health and educational initiatives in the country.
Similar content being viewed by others
References
Basch, C. E. (2011). Aggression and violence and the achievement gap among urban minority youth. Journal of School Health, 81(10), 619–625. https://doi.org/10.1111/j.1746-1561.2011.00636.x.
Bask, M. (2015). Externalising and internalising problem behaviour among Swedish adolescent boys and girls. International Journal of Social Welfare, 24(2), 182–192. https://doi.org/10.1111/ijsw.12106.
Benjamini, Y., & Hochberg, Y. (1995). Controlling the false discovery rate: A practical and powerful approach to multiple testing. Journal of the Royal Statistical Society. Series B (Methodological), 289–300 Retrieved from https://www.jstor.org/stable/2346101.
Bicakci, M. Y., Er, S., & Aral, N. (2016). An overview of child neglect and abuse: Types, causes, impact and prevention. Studies on Ethno-medicine, 10(2), 221–228. https://doi.org/10.1080/09735070.2016.11905491.
Brensilver, M., Negriff, S., Mennen, F. E., & Trickett, P. K. (2011). Longitudinal relations between depressive symptoms and externalizing behavior in adolescence: Moderating effects of maltreatment experience and gender. Journal of Clinical Child & Adolescent Psychology, 40(4), 607–617. https://doi.org/10.1080/15374416.2011.581618.
Case, A., Lubotsky, D., & Paxson, C. (2002). Economic status and health in childhood: The origins of the gradient. American Economic Review, 92(5), 1308–1334. https://doi.org/10.1257/000282802762024520.
Chapman, D. P., Whitfield, C. L., Felitti, V. J., Dube, S. R., Edwards, V. J., & Anda, R. F. (2004). Adverse childhood experiences and the risk of depressive disorders in adulthood. Journal of Affective Disorders, 82(2), 217–225. https://doi.org/10.1016/j.jad.2003.12.013.
Cluver, L. D., Meinck, F., Steinert, J. I., Shenderovich, Y., Doubt, J., Romero, R. H., et al. (2018). Parenting for lifelong health: A pragmatic cluster randomised controlled trial of a non-commercialised parenting programme for adolescents and their families in South Africa. BMJ Global Health, 3(1), e000539. https://doi.org/10.1136/bmjgh-2017-000539.
Corso, P. S., Edwards, V. J., Fang, X., & Mercy, J. A. (2008). Health-related quality of life among adults who experienced maltreatment during childhood. American Journal of Public Health, 98(6), 1094–1100. https://doi.org/10.2105/ajph.2007.119826.
Crocker, R. (2006). Human capital development and education. In Canadian policy research networks Retrieved from http://citeseerx.ist.psu.edu/viewdoc/download;jsessionid=AFD9CC448E254BD2AA589B23753DBC9B?doi=10.1.1.501.1445&rep=rep1&type=pdf.
Currie, J. (2009). Healthy, wealthy, and wise: Socioeconomic status, poor health in childhood, and human capital development. Journal of Economic Literature, 47(1), 87–122. https://doi.org/10.1257/jel.47.1.87.
De Neve, J. E., & Oswald, A. J. (2012). Estimating the influence of life satisfaction and positive affect on later income using sibling fixed effects. Proceedings of the National Academy of Sciences, 109(49), 19953–19958. https://doi.org/10.1073/pnas.1211437109.
Dodge, K. A., Dishion, T. J., & Lansford, J. E. (2007). Deviant peer influences in programs for youth: Problems and solutions. Guilford Press.
Downey, J. C., Gudmunson, C. G., Pang, Y. C., & Lee, K. (2017). Adverse childhood experiences affect health risk behaviors and chronic health of Iowans. Journal of Family Violence, 32(6), 557–564. https://doi.org/10.1007/s10896-017-9909-4.
Dube, S. R., Felitti, V. J., Dong, M., Chapman, D. P., Giles, W. H., & Anda, R. F. (2003). Childhood abuse, neglect, and household dysfunction and the risk of illicit drug use: The adverse childhood experiences study. Pediatrics, 111(3), 564–572. https://doi.org/10.1542/peds.111.3.564.
Dunn, E. C., Gilman, S. E., Willett, J. B., Slopen, N. B., & Molnar, B. E. (2012). The impact of exposure to interpersonal violence on gender differences in adolescent-onset major depression: Results from the National Comorbidity survey replication (NCS-R). Depression and Anxiety, 29(5), 392–399. https://doi.org/10.1002/da.21916.
Fang, X., & Corso, P. S. (2008). Gender differences in the connections between violence experienced as a child and perpetration of intimate partner violence in young adulthood. Journal of Family Violence, 23(5), 303–313. https://doi.org/10.1007/s10896-008-9152-0.
Fang, X., Brown, D. S., Florence, C. S., & Mercy, J. A. (2012). The economic burden of child maltreatment in the United States and implications for prevention. Child Abuse & Neglect, 36(2), 156–165. https://doi.org/10.1016/j.chiabu.2011.10.006.
Fang, X., Fry, D. A., Ji, K., Finkelhor, D., Chen, J., Lannen, P., & Dunne, M. P. (2015a). The burden of child maltreatment in China: A systematic review. Bulletin of the World Health Organization, 93(3), 176–185C. https://doi.org/10.2471/BLT.14.140970.
Fang, X., Fry, D. A., Brown, D. S., Mercy, J. A., Dunne, M. P., Butchart, A. R., et al. (2015b). The burden of child maltreatment in the East Asia and Pacific region. Child Abuse & Neglect, 42, 146–162. https://doi.org/10.1016/j.chiabu.2015.02.012.
Fang, X., Fry, D. A., Ganz, G., Casey, T., & Ward, C. L. (2016). The economic burden of violence against children in South Africa. In Report to save the children South Africa Retrieved from https://www.savethechildren.org.za/sci-za/files/47/47ab7077-1d0d-4c37-8ae2-161b18ae427a.pdf.
Fang, X., Zheng, X., Fry, D. A., Ganz, G., Casey, T., Hsiao, C., & Ward, C. L. (2017). The economic burden of violence against children in South Africa. International Journal of Environmental Research and Public Health, 14(11), 1431. https://doi.org/10.3390/ijerph14111431.
Finkelhor, D. (2008). Childhood victimization: Violence, crime, and abuse in the lives of young people. Oxford University Press.
Fitzsimons, P. (2015). Human capital theory and education. In Encyclopedia of educational philosophy and theory (pp. 1–4). Springer Singapore. https://doi.org/10.1007/978-981-287-532-7_331-1.
Fry, D., Fang, X., Elliott, S., Casey, T., Zheng, X., Li, J., et al. (2018). The relationships between violence in childhood and educational outcomes: A global systematic review and meta-analysis. Child Abuse & Neglect, 75, 6–28. https://doi.org/10.1016/j.chiabu.2017.06.021.
Gallo, E. A. G., Munhoz, T. N., de Mola, C. L., & Murray, J. (2018). Gender differences in the effects of childhood maltreatment on adult depression and anxiety: A systematic review and meta-analysis. Child Abuse & Neglect, 79, 107–114. https://doi.org/10.1016/j.chiabu.2018.01.003.
Gilbert, R., Widom, C. S., Browne, K., Fergusson, D., Webb, E., & Janson, S. (2009). Burden and consequences of child maltreatment in high-income countries. The Lancet, 373(9657), 68–81. https://doi.org/10.1016/S0140-6736(08)61706-7.
Greene, W. H. (2008). Econometric analysis (6th ed.). Upper Saddle River, NJ: Prentice–Hall.
Greenfield, E. A. (2010). Child abuse as a life-course social determinant of adult health. Maturitas, 66(1), 51–55. https://doi.org/10.1016/j.maturitas.2010.02.002.
Hanson, R. F., Borntrager, C., Self-Brown, S., Kilpatrick, D. G., Saunders, B. E., Resnick, H. S., & Amstadter, A. (2008). Relations among gender, violence exposure, and mental health: The national survey of adolescents. American Journal of Orthopsychiatry, 78(3), 313–321. https://doi.org/10.1037/a0014056.
Herrenkohl, T. I., Hong, S., Klika, J. B., Herrenkohl, R. C., & Russo, M. J. (2013). Developmental impacts of child abuse and neglect related to adult mental health, substance use, and physical health. Journal of Family Violence, 28(2), 191–199. https://doi.org/10.1007/s10896-012-9474-9.
Holt, S., Buckley, H., & Whelan, S. (2008). The impact of exposure to domestic violence on children and young people: A review of the literature. Child Abuse & Neglect, 32(8), 797–810. https://doi.org/10.1016/j.chiabu.2008.02.004.
Hong, J. S., Davis, J. P., Sterzing, P. R., Yoon, J., Choi, S., & Smith, D. C. (2014). A conceptual framework for understanding the association between school bullying victimization and substance misuse. American Journal of Orthopsychiatry, 84(6), 696–710. https://doi.org/10.1037/ort0000036.
Hong, J. S., Kral, M. J., & Sterzing, P. R. (2015). Pathways from bullying perpetration, victimization, and bully victimization to suicidality among school-aged youth: A review of the potential mediators and a call for further investigation. Trauma, Violence, & Abuse, 16(4), 379–390. https://doi.org/10.1177/1524838014537904.
Hong, J. S., Voisin, D. R., Cho, S., Smith, D. C., & Resko, S. M. (2017). Peer victimization and substance use among African American adolescents and emerging adults on Chicago’s Southside. American Journal of Orthopsychiatry. Advance online publication. doi, 88, 431–440. https://doi.org/10.1037/ort0000247.
Hsiao, C., Fry, D., Ward, C. L., Ganz, G., Casey, T., Zheng, X., & Fang, X. (2018). Violence against children in South Africa: The cost of inaction to society and the economy. BMJ Global Health, 3(1), e000573. https://doi.org/10.1136/bmjgh-2017-000573.
Huang, L., & Mossige, S. (2012). Academic achievement in Norwegian secondary schools: The impact of violence during childhood. Social Psychology of Education, 15(2), 147–164. https://doi.org/10.1007/s11218-011-9174-y.
Iverson, K. M., Dick, A., McLaughlin, K. A., Smith, B. N., Bell, M. E., Gerber, M. R., et al. (2013). Exposure to interpersonal violence and its associations with psychiatric morbidity in a U.S. national sample: A gender comparison. Psychology of Violence, 3(3), 273–287. https://doi.org/10.1037/a0030956.
Kaminski, J. W., & Fang, X. (2009). Victimization by peers and adolescent suicide in three US samples. The Journal of Pediatrics, 155(5), 683–688. https://doi.org/10.1016/j.jpeds.2009.04.061.
Kessler, R. C., Barker, P. R., Colpe, L. J., Epstein, J. F., Gfroerer, J. C., Hiripi, E., et al. (2003). Screening for serious mental illness in the general population. Archives of General Psychiatry, 60(2), 184–189. https://doi.org/10.1001/archpsyc.60.2.184.
Lam, D., Ardington, C., Branson, N., Case, A., Leibbrandt, M., Maughan-Brown, B., et al. (2012). The cape area panel study: Overview and technical documentation for waves 1–2–3-4-5 (2002–2009). The University of Cape Town Retrieved from: http://microdata.worldbank.org/index.php/catalog/895.
Lauder, H. (2015). Human capital theory, the power of transnational companies and a political response in relation to education and economic development. Compare: A Journal of Comparative and International Education, 45(3), 490–493. https://doi.org/10.1080/03057925.2015.1027515.
Lee, A. H., Wang, K., Scott, J. A., Yau, K. K., & McLachlan, G. J. (2006). Multi-level zero-inflated Poisson regression modelling of correlated count data with excess zeros. Statistical Methods in Medical Research, 15(1), 47–61. https://doi.org/10.1191/0962280206sm429oa.
Lin, D., Li, X., Fan, X., & Fang, X. (2011). Child sexual abuse and its relationship with health risk behaviors among rural children and adolescents in Hunan, China. Child Abuse & Neglect, 35(9), 680–687. https://doi.org/10.1016/j.chiabu.2011.05.006.
Liu, G. G., Dow, W. H., Fu, A. Z., Akin, J., & Lance, P. (2008). Income productivity in China: On the role of health. Journal of Health Economics, 27(1), 27–44. https://doi.org/10.1016/j.jhealeco.2007.05.001.
Lutz, W., Butz, W. P., & Samir, K. E. (Eds.). (2017). World Population & Human Capital in the Twenty-First Century: An Overview. Oxford University press. https://doi.org/10.1093/acprof:oso/9780198703167.001.0001.
Maddala, G. S. (1983). Limited-dependent and qualitative variables in econometrics. Cambridge University Press. https://doi.org/10.1017/CBO9780511810176.
Maeda, K. (2008). Re-examining the contamination effect of Japan's mixed electoral system using the treatment-effects model. Electoral Studies, 27(4), 723–731. https://doi.org/10.1016/j.electstud.2008.06.003.
Maschi, T., Morgen, K., Bradley, C., & Hatcher, S. S. (2008). Exploring gender differences on internalizing and externalizing behavior among maltreated youth: Implications for social work action. Child and Adolescent Social Work Journal, 25(6), 531–547. https://doi.org/10.1007/s10560-008-0139-8.
Maternowska, M. C., Potts, A., & Fry, D. (2016). The multi-country study on the drivers of violence affecting children: a cross-country snapshot of findings. Office of Research-Innocenti. Retrieved from https://www.unicef-irc.org/publications/pdf/MCSDVAC_revised12072017.pdf. Accessed 21 April 2018.
Mills, R., Alati, R., O'Callaghan, M., Najman, J. M., Williams, G. M., Bor, W., & Strathearn, L. (2011). Child abuse and neglect and cognitive function at 14 years of age: Findings from a birth cohort. Pediatrics, 127(1), 4–10. https://doi.org/10.1542/peds.2009-3479.
Mills, R., Scott, J., Alati, R., O’Callaghan, M., Najman, J. M., & Strathearn, L. (2013). Child maltreatment and adolescent mental health problems in a large birth cohort. Child Abuse & Neglect, 37(5), 292–302. https://doi.org/10.1016/j.chiabu.2012.11.008.
Murphy, J. M., Jellinek, M., Quinn, D., Smith, G., Poitrast, F. G., & Goshko, M. (1991). Substance abuse and serious child mistreatment: Prevalence, risk, and outcome in a court sample. Child Abuse & Neglect, 15(3), 197–211. https://doi.org/10.1016/0145-2134(91)90065-L.
Nakamoto, J., & Schwartz, D. (2010). Is peer victimization associated with academic achievement? A meta-analytic review. Social Development, 19(2), 221–242. https://doi.org/10.1111/j.1467-9507.2009.00539.x.
Norman, R. E., Byambaa, M., De, R., Butchart, A., Scott, J., & Vos, T. (2012). The long-term health consequences of child physical abuse, emotional abuse, and neglect: A systematic review and meta-analysis. PLoS Medicine, 9(11), e1001349. https://doi.org/10.1371/journal.pmed.1001349.
OECD. (2007). Human Capital: How what you know shapes your life. OECD insights. Retrieved from http://www.oecd.org/insights/humancapitalhowwhatyouknowshapesyourlife.htm
Osborne, J. W. (2010). Data cleaning basics: Best practices in dealing with extreme scores. Newborn and Infant Nursing Reviews, 10(1), 37–43. https://doi.org/10.1053/j.nainr.2009.12.009.
Pettinger, T. (2017). Human Capital definition and importance. Retrieved from http://www.economicshelp.org/blog/26076/economics/human-capital-definition-and-importance/.
Putnam, F. W. (1997). Dissociation in children and adolescents: A developmental perspective. Guilford press. https://doi.org/10.1207/s15374424jccp2801_12.
Romano, E., Babchishin, L., Marquis, R., & Fréchette, S. (2015). Childhood maltreatment and educational outcomes. Trauma, Violence, & Abuse, 16(4), 418–437. https://doi.org/10.1177/1524838014537908.
Trout, A. L., Hagaman, J., Casey, K., Reid, R., & Epstein, M. H. (2008). The academic status of children and youth in out-of-home care: A review of the literature. Children and Youth Services Review, 30(9), 979–994. https://doi.org/10.1016/j.childyouth.2007.11.019.
UNESCO. (2017). School violence and bullying: Global status report. The United Nations Educational, Scientific and Cultural Organization. Retrieved from http://unesdoc.unesco.org/images/0024/002469/246970e.pdf.
UNICEF (2015). Estimating the Economic Burden of Violence against Children in East Asia and the Pacific. The United Nations Children's fund. Retrieved from http://srsg.violenceagainstchildren.org/sites/default/files/blocks/cost_of_violence/UNICEF%20Child%20Maltreatment%20Research%20Overview%20FINAL.pdf.
Ward, J. L., & Viner, R. M. (2016). Secondary education and health outcomes in young people from the cape area panel study (CAPS). PLoS One, 11(6), e0156883. https://doi.org/10.1371/journal.pone.0156883.
WHO. (2016). INSPIRE: Seven strategies for ending violence against children. World Health Organization. Retrieved from http://apps.who.int/iris/bitstream/handle/10665/207717/9789241565356-eng.pdf;jsessionid=131B2401EA7FE864D33DFEFC257EBA71?sequence=1
Yoon, J. Y., Brown, R. L., Bowers, B. J., Sharkey, S. S., & Horn, S. D. (2015). Longitudinal psychological outcomes of the small-scale nursing home model: A latent growth curve zero-inflated Poisson model. International Psychogeriatrics, 27(6), 1009–1016. https://doi.org/10.1017/S1041610214002865.
Acknowledgements
The Cape Area Panel Study Waves 1-2-3 were collected between 2002 and 2005 by the University of Cape Town and the University of Michigan, with funding provided by the US National Institute for Child Health and Human Development and the Andrew W. Mellon Foundation. Wave 4 was collected in 2006 by the University of Cape Town, University of Michigan and Princeton University. Major funding for Wave 4 was provided by the National Institute on Aging through a grant to Princeton University, in addition to funding provided by NICHD through the University of Michigan. Wave 5 was collected in 2009 by the Centre for Social Science Research (CSSR) at the University of Cape Town. Major funding for Wave 5 was provided by the Health Economics & HIV/AIDS Research Division (HEARD) at the University of KwaZuluNatal, with additional funding from the Andrew W. Mellon Foundation (through the CSSR at UCT), the European Union (through the Microcon research partnership on the microfoundations of violent conflict, via the CSSR) and the NICHD (through the University of Michigan).
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflicts of Interest
The authors report no conflicts of interest.
Rights and permissions
About this article
Cite this article
Zheng, X., Fang, X., Ugboke, H. et al. Violence against Children and Human Capital in South Africa. J Fam Viol 34, 139–151 (2019). https://doi.org/10.1007/s10896-018-0008-y
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10896-018-0008-y