TABLE 3 Annual Trauma Incidence Among Orphaned and Separated Children (OSC) Over the Course of the Study,a by Care Setting, 6 Sites in 5 Low- and Middle-Income Countriesb
Institution-Based OSCFamily-Based OSCRisk Differencec
%95% CI%95% CI%95% CI
Any trauma23.6(19.4, 28.7)30.0(28.1, 32.2)6.4(−0.2, 13.0)
Witnessing a family death3.6(2.5, 5.2)6.0(5.1, 7.0)2.3(0.5, 4.2)
Physical or sexual abuse12.9(9.6, 17.3)19.4(17.7, 21.3)6.5(1.4, 11.7)
Violence in family or care setting6.6(4.9, 9.0)9.1(7.7, 10.6)2.4(−0.5, 5.4)
Forced to leave home or care setting3.4(1.9, 6.1)1.0(0.7, 1.6)−2.4(−4.6, −0.1)
War, riots, killings5.1(3.4, 7.5)5.8(4.9, 7.0)0.8(−2.4, 3.9)
Disaster or accidents0.7(0.3, 1.5)0.9(0.6, 1.4)0.2(−0.5, 0.9)
  • a Data collection began between May 2006 and February 2008, depending on the site, and continued for 36 months of follow-up.

  • b Battambang District, Cambodia; Addis Ababa, Ethiopia; Hyderabad, India; Nagaland, India; Bungoma District, Kenya; and Kilimanjaro Region, Tanzania.

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