Institute of Psychiatry, King's College, London, UK.
Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.
Int J Epidemiol. 2017 Jun 1;46(3):1018-1028. doi: 10.1093/ije/dyw301.
Violence has important health effects. The results of exposure to physical violence include, but may not be limited to, death from suicide and homicide. The connection between the experience of assault and risk of death from causes other than homicide and suicide has rarely been examined.
We analysed data from the first Izhevsk Family Study (IFS-1), a population-based case-control study of premature mortality in Russian men. Structural equation models were used to obtain odds ratios (ORs) for the association between the proxy report of physical attack in the previous year and mortality.
The estimate of the all-cause mortality OR for assault, after adjusting for alcohol use and socio-demographic confounders, was 1.96 (95% confidence interval: 1.71, 3.31). Strong cause-specific associations were found for external causes, but associations were also found for deaths from cardiovascular and alcohol-related deaths.
We found that, in our population of working-aged Russian men, there was a strong association between physical assault and mortality from a wide range of causes. Other than direct effects of physical assault on mortality, residual confounding is an important possibility. The association between assault and mortality, particularly from cardiovascular and alcohol-related causes requires replication and further investigation.
暴力对健康有重要影响。遭受身体暴力的后果包括但不限于自杀和他杀导致的死亡。人们很少研究身体攻击经历与非他杀和自杀原因导致的死亡风险之间的联系。
我们分析了俄罗斯男性过早死亡的基于人群的病例对照研究——伊热夫斯克家庭研究（IFS-1）的第一份数据。结构方程模型用于获得前一年代理报告的身体攻击与死亡率之间的关联的优势比（OR）。
调整了酒精使用和社会人口混杂因素后，攻击导致的全因死亡率的估计值为 1.96（95%置信区间：1.71，3.31）。对于外部原因，我们发现了强烈的特定原因的关联，但也发现了与心血管疾病和与酒精相关的死亡相关的关联。
我们发现，在我们的研究人群中，工作年龄的俄罗斯男性中，身体攻击与多种原因导致的死亡率之间存在很强的关联。除了身体攻击对死亡率的直接影响外，残余混杂是一个重要的可能性。攻击与死亡率之间的关联，特别是与心血管疾病和与酒精相关的原因有关，需要进一步复制和研究。
