Murphy Siobhan, Kruse Marie, Elklit Ask, Brink Ole
National Centre for Psychotraumatology, University of Southern Denmark, Odense, Denmark.
Danish Centre for Health Economics, University of Southern Denmark, Odense, Denmark.
Eur J Psychotraumatol. 2019 May 15;10(1):1606627. doi: 10.1080/20008198.2019.1606627. eCollection 2019.
: Interpersonal violence is a pervasive global public health problem associated with myriad health, social and economic consequences. In recent years the rates of interpersonal violence have decreased, however, high numbers of individuals continue to present to emergency departments for non-fatal violence-related injuries. : This study aimed to examine a range of risk factors associated with violence-related injuries in an emergency department in Denmark. : A case-control study was conducted on a sample of 3,940 victims of violence collected by the Accident Analysis Center for Aarhus County Municipality. Using the Danish Civil Registry System, controls were matched 10:1 on age, gender and municipality. Risk factors were rendered from Danish health and social registers five years prior to the violent assault. These included marital status, educational qualification, employment status, national origin, involvement with child protective services (CPS), prior convictions, and a diagnosis of adjustment disorder and alcohol and/or substance use disorders. : Multivariate logistic regression identified that being male, divorced, unmarried, non-Danish origin, attending compulsory education, being outside the labour force, students, involvement with CPS, prior criminal conviction and a diagnosis of alcohol and/or substance use disorders were associated with an increased likelihood of being exposed to violence. The dominant risk factors were alcohol and/or substance use disorders (OR = 3.62) and prior criminal conviction (OR = 3.54). Attainment of tertiary education was associated with a reduced likelihood of being a victim of violence. : These findings highlight that research into effective interventions offered in emergency departments may help the public health effort to reduce the health, social and economic burden of interpersonal violence.
人际暴力是一个普遍存在的全球性公共卫生问题,会带来无数健康、社会和经济后果。近年来,人际暴力发生率有所下降,然而,仍有大量人员因非致命暴力相关伤害前往急诊科就诊。本研究旨在调查丹麦一家急诊科中与暴力相关伤害有关的一系列风险因素。对奥胡斯郡事故分析中心收集的3940名暴力受害者样本进行了病例对照研究。利用丹麦民事登记系统,按照年龄、性别和市政当局以10:1的比例匹配对照。风险因素来自暴力袭击发生前五年的丹麦健康和社会登记册。这些因素包括婚姻状况、教育程度、就业状况、国籍、是否涉及儿童保护服务(CPS)、前科、以及适应障碍和酒精和/或物质使用障碍的诊断。多因素逻辑回归分析确定,男性、离婚、未婚、非丹麦裔、接受义务教育、不在劳动力队伍中、学生、涉及儿童保护服务、有前科以及被诊断为酒精和/或物质使用障碍与遭受暴力的可能性增加有关。主要风险因素是酒精和/或物质使用障碍(比值比=3.62)和前科(比值比=3.54)。接受高等教育与成为暴力受害者的可能性降低有关。这些发现突出表明,对急诊科提供的有效干预措施进行研究可能有助于公共卫生工作减轻人际暴力的健康、社会和经济负担。