TABLE 2 Prevalence of Lifetime Trauma by Age 13 Among Orphaned or Separated Children (OSC) by Care Setting, 6 Sites in 5 Low- and Middle-Income Countriesa
Institution-Based OSCFamily-Based OSCPrevalence Differenceb
%95% CI%95% CI%95% CI
Any trauma91.0(85.6, 94.5)92.4(90.3, 94.0)0.0(−4.4, 4.4)
Witnessing a family death72.5(67.6, 76.9)71.8(68.5, 74.9)−2.7(−9.0, 3.5)
Physical or sexual abuse50.3(42.5, 58.0)54.0(50.2, 57.7)3.5(−7.9, 15.0)
Violence in family or care setting30.9(25.1, 37.4)36.8(33.1, 40.7)6.6(−3.6, 16.8)
Forced to leave home or care setting27.6(21.2, 35.2)15.0(12.5, 17.9)−14.8(−24.8, −4.8)
War, riots, killings20.0(14.6, 26.8)22.0(19.2, 25.0)−1.6(−9.1, 5.9)
Disaster or accidents5.9(3.7, 9.5)9.5(7.5, 11.9)3.5(−1.7, 8.8)
  • a Battambang District, Cambodia; Addis Ababa, Ethiopia; Hyderabad, India; Nagaland, India; Bungoma District, Kenya; and Kilimanjaro Region, Tanzania.

  • b Differences were modeled separately from the prevalence estimates and may be slightly different than an exact subtraction of the institution-based and family-based prevalences. Institution-based OSC were the referent; positive differences indicate family-based OSC had higher prevalence while negative differences indicate institution-based OSC had higher prevalence.