Care that people in countries take for granted, like hospitals, healthcare workers, immunizations, antibiotics and other medications, and even sanitary water for drinking and washing, are unavailable to much of the population in countries.

answer is b

  a   having low self-esteem

  b   having abusive family members

  c   having poor school attendance

  d   having friends who discuss gang life

living torture and being abused makes one not mind harming other people.

and also not being supported and abusing one turns one into this state.