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美国原住民与女性中的人际暴力和创伤性脑损伤

Interpersonal violence and traumatic brain injuries among Native Americans and women.

作者信息

Linton Kristen Faye

机构信息

School of Social Work, University of Hawaii at Manoa , Honolulu, HI , USA.

出版信息

Brain Inj. 2015;29(5):639-43. doi: 10.3109/02699052.2014.989406. Epub 2014 Dec 17.

DOI:10.3109/02699052.2014.989406
PMID:25517042
Abstract

OBJECTIVES

This study aimed to assess the odds of experiencing a traumatic brain injury (TBI) as a result of interpersonal violence (IPV) among Native Americans compared to other races controlling for gender, age, socioeconomic status, rurality and intoxication at the time of the injury.

METHODS

A secondary data analysis of the Arizona Trauma Database consisting of 18 944 cases of TBI between 2008-2010 throughout the state of Arizona was conducted. There were 312 patients who experienced injuries caused by IPV in the sample. Descriptive statistics, cross-tabulations, bivariate analyses and a logistic regression model were used for analyses.

RESULTS

The logistic regression model found that Native Americans (OR = 1.15), patients from the other race category (OR = 1.18), females (OR = 1.35) and those who were insured (OR = 1.26) had higher odds of experiencing a TBI as a result of IPV. Rurality and intoxication were mediators of the correlation between Native American race and TBI as a result of IPV.

CONCLUSIONS

Native Americans are more likely than Whites and females are more likely than males to experience TBIs as a result of IPV.

摘要

目的

本研究旨在评估与其他种族相比,美国原住民因人际暴力(IPV)导致创伤性脑损伤(TBI)的几率,同时控制受伤时的性别、年龄、社会经济地位、农村地区居住情况和中毒情况。

方法

对亚利桑那州创伤数据库进行二次数据分析,该数据库包含2008年至2010年亚利桑那州全州18944例TBI病例。样本中有312名患者因IPV受伤。采用描述性统计、交叉表、双变量分析和逻辑回归模型进行分析。

结果

逻辑回归模型发现,美国原住民(OR = 1.15)、其他种族患者(OR = 1.18)、女性(OR = 1.35)和参保者(OR = 1.26)因IPV导致TBI的几率更高。农村地区居住情况和中毒是美国原住民种族与因IPV导致的TBI之间相关性的中介因素。

结论

美国原住民比白人更有可能因IPV导致TBI,女性比男性更有可能因IPV导致TBI。

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