Forensic Psychiatry Research Unit, William Harvey House, 61 Bartholomew's Close, London, EC1A 7BE, UK.
Soc Psychiatry Psychiatr Epidemiol. 2010 Mar;45(3):301-8. doi: 10.1007/s00127-009-0077-6. Epub 2009 Jun 6.
To explain why a subgroup of young men aged 20-24 years do not follow the general trend within the adult general population, of declining violence with age.
A cross-sectional survey of 8,397 adults in households in Great Britain in 2000. Computer-assisted interviews to measure self-reported violence and psychiatric morbidity.
Young men age 20-24 years had the same high prevalence of self-reported violence as those 16-19 years (52 vs 50%; P = 0.737), contrasting with women whose violence demonstrated a progressive decline (24.1 vs 14.5%; P = 0.002). This age-related gender difference was explained primarily by young men who continued to live at home with their parents (OR = 2.53; 95%CI 1.23-5.20), with smaller effects from childhood conduct disorder (OR = 1.56; 95%CI 0.75-3.21), and hazardous drinking (OR = 2.23; 95%CI 0.76-6.56). Young men living at home were only 4.3% of all male respondents but yielded an attributable risk fraction of 21.4% reporting victim injury.
The persisting high prevalence of violence among young adult men is explained by delay in moving to social independence. Public health interventions to reduce effects of known risk factors for violence must consider progressive economic and social changes in young men's lifestyles in westernised countries.
解释为什么 20-24 岁的年轻男性群体不符合成年人群体中随年龄增长暴力行为减少的总体趋势。
2000 年在英国家庭中对 8397 名成年人进行了横断面调查。采用计算机辅助访谈来测量自我报告的暴力行为和精神疾病发病率。
20-24 岁的年轻男性自我报告的暴力行为发生率与 16-19 岁的男性相同（52%比 50%；P=0.737），而女性的暴力行为则呈逐渐下降趋势（24.1%比 14.5%；P=0.002）。这种与年龄相关的性别差异主要归因于仍与父母同住的年轻男性（OR=2.53；95%CI 1.23-5.20），其次是儿童时期品行障碍（OR=1.56；95%CI 0.75-3.21）和危险饮酒（OR=2.23；95%CI 0.76-6.56）的较小影响。与父母同住的年轻男性仅占所有男性受访者的 4.3%，但导致报告有受害者受伤的可归因风险分数为 21.4%。
年轻成年男性中持续高发生率的暴力行为可归因于他们延迟进入社会独立生活的状态。公共卫生干预措施必须考虑到西方国家年轻男性生活方式中已知暴力风险因素的渐进性经济和社会变化，以减少其影响。
