Multilevel correlates of childhood violence in refugee settings: findings from the Ethiopia humanitarian violence against children and youth survey

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BACKGROUND: Despite their right to protection, children in refugee settings face various forms of violence, including physical, sexual, and emotional violence. OBJECTIVE: This study examined the factors associated with childhood violence (before turning 18) in refugee settings of Ethiopia, guided by the socioecological framework. METHODS: The study used data from the 2024 Ethiopia Humanitarian Violence Against Children and Youth Survey (HVACS). This cross-sectional survey included females and males aged 13-24 years. We estimated a mixed-effects regression model to examine the correlates associated with experiencing violence in childhood in the refugee camps by taking into account camp-level clustering. RESULTS: The study involved a total of 3473 respondents (1937 females and 1536 males) and revealed that about one in three (33.3%; 95% CI: 27.5, 39.6) had experienced childhood violence; the highest proportion 29.1% [23.1,35.9] reported experiencing physical violence, followed by emotional violence (12.4% [8.5,17.8]) and sexual violence (6.6% [5.3,8.1]). Correlates of experiencing childhood violence included being an orphan, having any form of disability, witnessing intimate partner violence against women, and having family members who were killed or died unnaturally. In contrast, households headed by women and children living in families with two or more rooms, had a lower likelihood of experiencing childhood violence. At the community level, witnessing violent attacks in the village was associated with a higher likelihood of experiencing childhood violence. CONCLUSIONS: Childhood violence is prevalent in refugee settings in Ethiopia and is associated with factors occurring at multiple levels, suggesting for individual-, household-, and community - level prevention and response strategies.