1.Socio-cultural perspectives of child discipline and child abuse in the Philippines
Laurie S. Ramiro ; Bernadette J. Madrid
Acta Medica Philippina 2022;56(15):99-108
Objectives:
This study used a descriptive, qualitative design to explore the local understanding of child discipline and analyze the important link between parental discipline and child abuse.
Methods:
Focus group discussions and key informant interviews were conducted with parents, children, local leaders, and professionals in 6 rural communities in the Philippines. The respondents were asked which corrective behaviors they would consider acceptable or abusive to children by showing them a list of disciplinary acts.
Results:
The results showed an adequate understanding of the purpose and intent of child discipline. Children are generally disciplined to teach them good values, mold and shape their characters and equip them with a moral sense of right and wrong. Child discipline is considered already harmful if: the child sustains physical injuries and psychological pain; the disciplinary action is not commensurate to the offense committed by the child and is used frequently and repetitively, without any valid reason; when sensitive body parts such as the head are involved, and when the disciplinary action is not appropriate to the age, gender, physical and mental status of the child. Among the various types of disciplinary acts, counseling, beating or spanking, and withdrawing or reducing school allowance were considered most acceptable. Hanging, burning, and scalding were the most unacceptable or abusive disciplinary behaviors. Compared to parents, professionals, and local leaders, children were more lenient as they regarded certain inappropriate behaviors by adults as somewhat tolerable.
Conclusion
Despite having an adequate understanding of the purpose and intent of child discipline, there is still a need to educate parents, children, and local leaders about when a disciplinary act becomes harmful to children. Community stakeholders should also be informed about how and where to report the abuse once it is identified.
Child Abuse
2.National Baseline Study on Violence against Children and Youth (NBS-VAC) in the Philippines
Laurie S. Ramiro ; Bernadette J. Madrid ; Patricia B. Luna
Acta Medica Philippina 2022;56(15):19-31
Objectives:
This study aimed to estimate the national prevalence of violence against Filipino children and youth as experienced in various forms and settings.
Methods:
About 3,866 young people aged 13-24 years from 172 randomly selected barangays (villages) nationwide participated in the survey. The questionnaire was self-administered, interviewer-administered, or interviewer-assisted, depending on the capability and preference of the respondent. Female respondents were interviewed or assisted by a female field assistant, while male field assistants guided the male respondents. The questionnaire was translated into seven local dialects and administered in the most comprehensible language to the respondent.
Results:
Overall, 80 percent of the 3,866 respondents experienced any one form of violence in the home, school, workplace, and community. More than 3 in five suffered from physical, psychological, and peer violence, while 22.4 percent were victims of sexual abuse. Ten percent were physically neglected, while a fourth felt psychologically neglected by their caregivers. More boys claimed to have been sexually abused and physically neglected, while more girls were bullied and witnessed psychological violence in the home. VAC prevalence was, however, found to be highest among LGBTQ+s compared to heterosexual males and females. Despite the high prevalence, less than 10 percent of respondents disclosed their experiences of abuse, primarily to friends and parents. About one in 10 ever sought help from a professional.
Conclusion
There is a need to improve the implementation of child protection programs at the local level, where violence issues of heterosexual boys and girls and LGBTs are addressed.
Violence
;
Child
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Adolescent
3.War on drugs in the Philippines: Evaluating fear appeals as antidote to continued drug use.
Marie Diane Y. MONSADA ; Laurie S. RAMIRO ; Andrea B. MARTINEZ ; Gaea Marelle J. MIRANDA ; Jan Zsanila D. ESTACIO ; Rowalt C. ALIBUDBUD ; Leonardo R. ESTACIO JR.
Acta Medica Philippina 2025;59(14):132-144
OBJECTIVES
This study aimed to assess the effectiveness of fear-based strategies on the decisions of Filipino drug users to surrender to authorities under the Philippine government's anti-drug policy. It also examined the influence of these scare tactics on the discontinuance of drug use among drug surrenderers. The fear appeals included community shaming and threats of imprisonment, torture or death under Oplan Tokhang launched by the Philippine government in 2016.
METHODSA combination of survey questionnaires and in-depth interviews was conducted with 56 surrenderers from selected communities in Marikina City, Metropolitan Manila. These individuals participated in a series of communitybased activities, including dance therapy (referred to as ‘Zumba’), Bible study and other religious activities, seminars on the dangers of drugs, and livelihood training programs. Readiness to change and levels of self-efficacy were measured after several months of participating. The effectiveness of fear appeals was further evaluated through actual drug testing.
RESULTSThe results indicated that 82.1% of the 56 drug users voluntarily surrendered to authorities while the rest claimed to have been pressured by family, friends, police, religious persons, or local officials. The primary motivations for surrender included fears of being killed or jailed, and a desire for rehabilitation. Readiness to change was generally high, but levels of self-efficacy were mixed. Out of the 56 drug surrenderers, only 37 underwent drug testing, where 40.5% tested positive even after months of participating in the community rehabilitation program.
CONCLUSION AND RECOMMENDATIONThe findings showed that scare tactics were effective in encouraging or forcing drug users to surrender to local authorities. However, their effectiveness in preventing continued drug use was inconclusive. Structural weaknesses in community rehabilitation policies and programs were identified. Over time, the initial fear-inducing impact of the scare tactics diminished as surrenderers became desensitized. Recommendations for enhancing the efficacy of the government’s anti-drug campaign were provided.
Human ; Philippines ; Drug Users
4.Risk factors and onset of illicit drug use among Filipino youth: A cross-sectional analysis of sociodemographic and environmental influences.
Enrico U. BAULA ; Kim Ronaline B. SALVADOR ; Laurie S. RAMIRO ; Andrea B. MARTINEZ ; Gaea Marelle J. MIRANDA ; Jan Zsanila D. ESTACIO ; Rowalt C. ALIBUDBUD ; Leonardo R. ESTACIO JR.
Acta Medica Philippina 2025;59(14):145-155
BACKGROUND AND OBJECTIVES
The drug problem in the Philippines is influenced by various factors, but research on the specific risk factors and onset of drug use—an early predictor of severe drug abuse—is limited. This crosssectional study aims to identify factors associated with the onset of illicit drug use, focusing on variables such as sex, perceived socioeconomic status, adverse life events (including physical, verbal, and sexual abuse, and bullying), adverse home environments (like family substance abuse and parental separation), and premorbidities (such as anxiety and depression). Understanding these factors is crucial since early drug use often predicts more severe abuse later.
METHODSThis cross-sectional study involved 354 participants aged 7 to 34 years, all undergoing rehabilitation for at least three months. Data were collected through self-administered questionnaires at their rehabilitation centers. Regression analysis was used to examine the relationship between the onset of drug use and the identified risk factors.
RESULTSRegression analysis revealed that, apart from premorbidities, all the examined factors were significantly correlated with the onset of drug use. Specifically, being male, having higher affluence, experiencing more adverse life events, and living in a more adverse home environment were associated with an earlier onset of drug use. Among these factors, adverse life events and home environment were the strongest predictors of the onset of illicit drug use, while premorbidities did not show a significant relationship with drug use onset.
CONCLUSIONThe study highlights that sex, socioeconomic status, adverse life events, and home environment are significant in the early onset of drug use, while premorbidities are not. Early intervention should focus on these key risk factors. A risk-focused approach, guided by biopsychosocial perspectives, is recommended. Targeted interventions should address adverse life events and home environments to prevent early drug use and subsequent abuse effectively.
Human ; Risk Factors ; Home Environment


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