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家庭暴力杀人率:澳大利亚维多利亚州三种数据源的全州比较。

Family violence homicide rates: a state-wide comparison of three data sources in Victoria, Australia.

机构信息

Victorian Institute of Forensic Medicine, Southbank, VIC, Australia.

Department of Forensic Medicine, Monash University, Southbank, VIC, Australia.

出版信息

Health Inf Manag. 2023 Sep;52(3):135-143. doi: 10.1177/18333583211060464. Epub 2021 Dec 7.

Abstract

BACKGROUND

Family violence homicide (FVH) is a major public health and social problem in Australia. FVH trend rates are key outcomes that determine the effectiveness of current management practices and policy directions. Data source-related methodological problems affect FVH research and policy and the reliable measurement of homicide trends.

OBJECTIVE

This study aimed to determine data reliability and temporal trends of Victorian FVH rates and sex and relationship patterns.

METHOD

FVH rates per 100,000 persons in Victoria were compared between the National Coronial Information System (NCIS), Coroners Court of Victoria (CCoV) Homicide Register, and the National Homicide Monitoring Program (NHMP). Trends for 2001-2017 were analysed using Joinpoint regression. Crude rates were determined by sex and relationship categories using annual frequencies and Australian Bureau of Statistics population estimates.

RESULTS

NCIS closed FVH cases totalled 360, and an apparent downward trend in the FVH rate was identified. However, CCoV and NHMP rates trended upwards. While NCIS and CCoV were case-based, NHMP was incident-based, contributing to rate variations. The NCIS-derived trend was particularly impacted by unavailable case data, potential coding errors and entry backlog. Neither CCoV nor NHMP provided victim-age in their public domain data to enable age-adjusted rate comparison.

CONCLUSION

Current datasets have limitations for FVH trend determination; most notably lag times for NCIS data.

IMPLICATIONS

This study identified an indicative upward trend in FVH rates in Victoria, suggesting insufficiency of current management and policy settings for its prevention and control.

摘要

背景

家庭暴力杀人(FVH)是澳大利亚一个主要的公共卫生和社会问题。FVH 趋势率是决定当前管理实践和政策方向有效性的关键结果。与数据源相关的方法学问题影响 FVH 研究和政策以及凶杀趋势的可靠衡量。

目的

本研究旨在确定维多利亚州 FVH 率的可靠性和时间趋势以及性别和关系模式。

方法

在国家验尸信息系统(NCIS)、维多利亚验尸官法庭(CCoV)凶杀登记处和国家凶杀监测计划(NHMP)之间比较了维多利亚州每 10 万人的 FVH 率。使用 Joinpoint 回归分析了 2001-2017 年的趋势。使用年度频率和澳大利亚统计局人口估计值,根据性别和关系类别确定了粗率。

结果

NCIS 共记录了 360 起 FVH 结案,发现 FVH 率呈明显下降趋势。然而,CCoV 和 NHMP 的趋势则呈上升趋势。虽然 NCIS 和 CCoV 是基于案例的,NHMP 是基于事件的,但这导致了费率的差异。NCIS 得出的趋势特别受到无法获得的案例数据、潜在的编码错误和输入积压的影响。NCIS 和 CCoV 都没有在其公共领域数据中提供受害者年龄,无法进行年龄调整后的率比较。

结论

当前的数据集在确定 FVH 趋势方面存在局限性;尤其是 NCIS 数据的滞后时间。

意义

本研究在维多利亚州发现了 FVH 率的指示性上升趋势,这表明目前的管理和政策措施不足以预防和控制 FVH。

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