Singh Vijay, Walton Maureen A, Whiteside Lauren K, Stoddard Sarah, Epstein-Ngo Quyen, Chermack Stephen T, Cunningham Rebecca M
Injury Center and Department of Emergency Medicine, University of Michigan, Ann Arbor, MI.
Addiction Research Center and Department of Psychiatry, University of Michigan, Ann Arbor, MI.
Ann Emerg Med. 2014 Oct;64(4):405-412.e1. doi: 10.1016/j.annemergmed.2014.05.027. Epub 2014 Jun 30.
We determine prevalence and correlates of dating violence, dating victimization, and dating aggression among male and female patients aged 14 to 20 years seeking emergency department (ED) care.
This was a systematic sampling of subjects aged 14 to 20 years seeking care at a single large academic ED between September 2010 and March 2013. Participants completed a computerized, self-administered, cross-sectional survey of demographics, dating violence from physical abuse measures of the Conflict in Adolescent Dating Relationships Inventory, associated behaviors, and ED health service use. Separate analyses were conducted for male and female patients.
Four thousand three hundred eighty-nine youths (86.1% participation rate) were screened, and 4,089 (mean age 17.5 years; 58% female patients) were eligible for analysis. Almost 1 in 5 female patients (n=215; 18.4%) and 1 in 8 male patients (n=212; 12.5%) reported past-year dating violence. Of female patients, 10.6% reported dating victimization and 14.6% dating aggression, whereas of male patients, 11.7% reported dating victimization and 4.9% reported dating aggression. Multivariate analyses showed that variables associated with any male dating violence were black race (adjusted odds ratio [AOR] 2.26; 95% CI 1.54 to 3.32), alcohol misuse (AOR 1.03; 95% CI 1.00 to 1.06), illicit drug use (AOR 2.38; 95% CI 1.68 to 3.38), and depression (AOR 2.13; 95% CI 1.46 to 3.10); any female dating violence was associated with black race (AOR 1.68; 95% CI 1.25 to 2.25), public assistance (AOR 1.64; 95% CI 1.28 to 2.09), grades D and below (AOR 1.62; 95% CI 1.07 to 2.43), alcohol misuse (AOR 1.04; 95% CI 1.02 to 1.07), illicit drug use (AOR 2.85; 95% CI 2.22 to 3.66), depression (AOR 1.86; 95% CI 1.42 to 2.44), and any past year ED visit for intentional injury (AOR 2.64; 95% CI 1.30 to 5.40).
Nearly 1 of 6 male and female patients aged 14 to 20 years and seeking ED care report recent dating violence, and health disparities remain among this population. Dating violence was strongly associated with alcohol, illicit drug use, and depression and correlated with previous ED service use among female youths. ED interventions should consider addressing these associated health conditions, as well as improving screening protocols to address dating violence among male and female youths.
我们确定了在寻求急诊科（ED）护理的14至20岁男女患者中约会暴力、约会受害和约会攻击行为的患病率及其相关因素。
这是一项对2010年9月至2013年3月期间在一家大型学术急诊科寻求护理的14至20岁受试者进行的系统抽样研究。参与者完成了一项计算机化的、自我管理的横断面调查，内容包括人口统计学、青少年约会关系冲突量表中身体虐待方面的约会暴力、相关行为以及急诊科医疗服务使用情况。对男性和女性患者分别进行了分析。
共筛查了4389名青少年（参与率86.1%），其中4089名（平均年龄17.5岁；58%为女性患者）符合分析条件。近五分之一的女性患者（n = 215；18.4%）和八分之一的男性患者（n = 212；12.5%）报告过去一年遭受过约会暴力。在女性患者中，10.6%报告遭受约会受害，14.6%报告实施约会攻击；而在男性患者中，11.7%报告遭受约会受害，4.9%报告实施约会攻击。多变量分析显示，与男性约会暴力相关的变量包括黑人种族（调整后优势比[AOR] 2.26；95%置信区间[CI] 1.54至3.32）、酒精滥用（AOR 1.03；95% CI 1.00至1.06）、非法药物使用（AOR 2.38；95% CI 1.68至3.38）以及抑郁（AOR 2.13；95% CI 1.46至3.10）；与女性约会暴力相关的变量包括黑人种族（AOR 1.68；95% CI 1.25至2.25）、公共援助（AOR 1.64；95% CI 1.28至2.09）、成绩为D及以下（AOR 1.62；95% CI 1.07至2.43）、酒精滥用（AOR 1.04；95% CI 1.02至1.07）、非法药物使用（AOR 2.85；95% CI 2.22至3.66）、抑郁（AOR 1.86；95% CI 1.42至2.44）以及过去一年因故意伤害而到急诊科就诊（AOR 2.64；95% CI 1.30至5.40）。
在寻求急诊科护理的14至20岁男女患者中，近六分之一报告近期遭受过约会暴力，且该人群中仍存在健康差异。约会暴力与酒精、非法药物使用和抑郁密切相关，并与女性青少年之前的急诊科服务使用情况相关。急诊科干预措施应考虑解决这些相关的健康问题，以及改进筛查方案以应对男女青少年中的约会暴力问题。
