AUTHOR=Nwankwo Grace I. , Nwankwo Ogonna N. O. , Anyanwu Onyinye U. , Ezeonu Chinonyelum T. , Uzomba Chigozie I. , Akpoke Michael A. , Ikefuna Anthony N. TITLE=Prevalence and Predictors of Peer Physical Violence Among Adolescents in a Sub-National Region of Nigeria JOURNAL=International Journal of Public Health VOLUME=Volume 70 - 2025 YEAR=2025 URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2025.1608128 DOI=10.3389/ijph.2025.1608128 ISSN=1661-8564 ABSTRACT=ObjectivePeer physical violence (PPV) has been shown to be an early marker for development of other health-risk behaviours. This study assessed the prevalence and risk factors of PPV among in-school adolescents in a state in South-east, Nigeria.MethodsThis was a cross sectional study conducted among 1,296 in-school adolescents using the Global School-based students Health Survey questionnaire. Data on socio-demographic characteristics and factors associated with PPV were obtained and p-value <0.05 was considered significant.ResultThe overall mean age (S.D) of participants was 15.0 ± 2.0 years and the prevalence of PPV was 43.1%. In multivariate logistic regression, predictors of PPV were gambling (AOR: 1.56; 95%CI:1.13–2.16; p = 0.007), cigarette smoking (AOR: 1.85; 95%CI:1.01–3.40; p = 0.047), serious injury in the past 1 year (AOR: 2.29; 95%CI:1.78–2.95; p < 0.001) and bully victims (AOR: 1.70; 95% CI:1.28–2.25; p < 0.001). Older adolescent age (AOR:0.37; 95%CI:0.25–0.53; p < 0.001] and being religious (AOR: 0.70; 95%CI: 0.53–0.92; p = 0.011) were protective.ConclusionThere is high prevalence of PPV in the study population. The risk factors were young adolescence age, bullying, gambling, cigarette smoking, having had a serious injury and not being religious. Stricter regulations on gambling through legislation, especially as it concerns age, and adoption of school policies against bullying and cigarette smoking are recommended.