Department of Otolaryngology, Queen's University School of Medicine, Kingston, ON.
J Otolaryngol Head Neck Surg. 2010 Dec;39(6):737-43.
to quantify head and neck injuries in known adult victims of intimate-partner violence (IPV).
retrospective chart review.
sexual assault and domestic violence program in a southeastern Ontario hospital.
all subjects over the age of 16 years consenting for evaluation by a domestic violence nurse from August 2004 until February 2009 were eligible for inclusion. Subjects for which no physical injury was documented were excluded. Data were extracted from body maps and surveys completed by a specially trained domestic violence nurse. Demographic data, mechanisms of injury, relationship to the assailant, and a history of IPV from the same assailant were collected from the survey. The type and anatomic location of the injury were collected from body maps. Injuries were categorized into six larger categories for analysis according to general anatomic area and multiplicity of areas involved.
anatomic location of the injury.
one hundred eight visits were eligible for inclusion in the study. Data on 657 injuries were recorded. The frequency of any head and neck injury was significantly greater than no head and neck injury (p < .001). In subjects experiencing multiple areas of injury, head and neck injuries were significantly more common than not (p < .001). In subjects experiencing only one area of injury, head and neck injuries were more common than lower extremity injuries alone (p = .003) and trunk injuries alone (p = .033) but not significantly more common than upper extremity injuries (p = .102).
head and neck injuries are more common than not in known adult victims of IPV.
定量研究亲密伴侣暴力(IPV)已知成年受害者的头颈部损伤。
回顾性病历审查。
安大略省东南部一家医院的性侵犯和家庭暴力项目。
2004 年 8 月至 2009 年 2 月期间,所有同意由家庭暴力护士进行评估且年龄在 16 岁以上的受试者均符合纳入标准。未记录身体损伤的受试者被排除在外。数据从身体图谱和由专门培训的家庭暴力护士完成的调查中提取。从调查中收集了人口统计学数据、损伤机制、与攻击者的关系以及来自同一攻击者的 IPV 史。从身体图谱中收集了损伤的类型和解剖位置。根据一般解剖区域和受累区域的数量,将损伤分为六个较大类别进行分析。
损伤的解剖位置。
108 次就诊符合纳入研究标准。共记录了 657 处损伤的数据。有头颈部损伤的频率显著高于无头颈部损伤(p <.001)。在经历多个损伤部位的受试者中,头颈部损伤明显比没有头颈部损伤更常见(p <.001)。在仅经历一个损伤部位的受试者中,头颈部损伤比单独下肢损伤更常见(p =.003)和单独躯干损伤更常见(p =.033),但与单独上肢损伤相比并不显著更常见(p =.102)。
在已知的 IPV 成年受害者中,头颈部损伤比没有头颈部损伤更常见。