Cavalcante Gigliana Maria Sobral, Bernardino Ítalo de Macedo, Nóbrega Lorena Marques da, Ferreira Raquel Conceição, Ferreira E Ferreira Efigênia, d'Avila Sérgio
Department of Preventive Dentistry and Public Health, UFMG - Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Department of Dentistry, UEPB - Universidade Estadual da Paraíba, Campina Grande, PB, Brazil.
Braz Dent J. 2020 Sep-Oct;31(5):548-556. doi: 10.1590/0103-6440202003005.
The aims of this investigation were to describe the profile of men and women victims of violence and identify factors associated with the severity of facial trauma. A retrospective study was carried out from 762 records of victims attended at the Institute of Legal Medicine and Dentistry located in a metropolitan region of Northeastern Brazil. The dependent variable was type of facial trauma suffered by victims. Independent variables were the sociodemographic characteristics of victims, characteristics of aggressors and circumstances of violence. Descriptive, bivariate (c2 test) and multivariate statistics were made through logistic regression. Level of significance was set at p < 0.05. The mean age of victims was 29.78 years (SD=13.33). Based on the final regression model, male subjects [odds ratio (OR)=2.22, 95% CI=1.08-4.57, p=0.030], assaulted by other male subjects (OR=4.88; 95% CI=1.12-21.26; p=0.035) through instrument (OR=6.67; 95% CI=2.85-15.60; p<0,001) or mixed aggressions (OR=4.34; 95% CI=1.44-13.02; p=0.009) were more likely to exhibit facial bone fractures or dentoalveolar fractures. The findings highlight that men and women present important victimization differentials in relation to interpersonal violence and facial trauma. Victim's gender, aggressor's gender and mechanism of aggression may exert influence on facial trauma patterns.
本调查的目的是描述暴力行为男女受害者的概况，并确定与面部创伤严重程度相关的因素。我们对位于巴西东北部一个大都市地区的法律医学与牙科学研究所收治的762名受害者记录进行了回顾性研究。因变量是受害者所遭受的面部创伤类型。自变量是受害者的社会人口学特征、攻击者的特征以及暴力发生的情况。通过逻辑回归进行描述性、双变量（卡方检验）和多变量统计分析。显著性水平设定为p < 0.05。受害者的平均年龄为29.78岁（标准差 = 13.33）。基于最终回归模型，男性受害者 [优势比（OR）= 2.22，95%置信区间 = 1.08 - 4.57，p = 0.030]，若遭到其他男性攻击者（OR = 4.88；95%置信区间 = 1.12 - 21.26；p = 0.035）通过器械攻击（OR = 6.67；95%置信区间 = 2.85 - 15.60；p < 0.001）或混合攻击方式（OR = 4.34；95%置信区间 = 1.44 - 13.02；p = 0.009），则更有可能出现面部骨折或牙槽骨折。研究结果突出表明，在人际暴力和面部创伤方面，男性和女性存在重要的受害差异。受害者的性别、攻击者的性别以及攻击方式可能对面部创伤模式产生影响。
