Graham Laurie M, Kafka Julie M, AbiNader Millan A, Lawler Siobhan M, Gover-Chamlou Ametisse N, Messing Jill T, Moracco Kathryn E
School of Social Work, The University of Maryland, Baltimore, Baltimore, Maryland.
Department of Health Behavior, UNC Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina; UNC Injury Prevention Research Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Am J Prev Med. 2022 Apr;62(4):529-537. doi: 10.1016/j.amepre.2021.09.018. Epub 2021 Dec 5.
INTRODUCTION: Little is known about intimate partner violence-related fatalities among young people. This study comprehensively identifies and describes intimate partner violence-related homicides, homicide-suicides, legal intervention deaths, and suicides among young people. METHODS: Data from the 2014-2018 National Violent Death Reporting System were analyzed for all decedents aged 0-24 years in 38 states, the District of Columbia, and Puerto Rico with known circumstances of death (n=29,702). Intimate partner violence-related deaths were identified using National Violent Death Reporting System variables across all manners of death and supplementary narrative review for suicides. This article reports the proportion of intimate partner violence versus non-intimate partner violence-related deaths by manner of death, descriptive statistics, and rate of intimate partner violence-related death per 100,000 person years. To examine disparities in intimate partner violence-related deaths, generalized estimating equations were used with robust standard errors to account for clustering of deaths within states and fixed effects for years. Statistical analyses were conducted May and August 2021. RESULTS: A total of 1,927 intimate partner violence-related deaths were identified, which represents 6.5% of violent deaths with known circumstances, at a rate of 0.35 per 100,000 person years. Supplementary narrative review identified 44.7% of all intimate partner violence-related deaths. There were significant differences by race/ethnicity and whether a firearm inflicted the fatal injury for male and female decedents by manner of death. CONCLUSIONS: If the National Violent Death Reporting System does not assess whether intimate partner violence was a precipitating factor across all death manners, the true magnitude of intimate partner violence's contribution to violent death will be underestimated. Future research that identifies factors associated with all manners of intimate partner violence-related deaths among young people will help inform intervention and prevention strategies to save young lives.
引言:关于年轻人中亲密伴侣暴力相关死亡事件,人们了解甚少。本研究全面识别并描述了年轻人中与亲密伴侣暴力相关的杀人案、杀人和自杀案、法律干预导致的死亡以及自杀事件。 方法:对2014 - 2018年国家暴力死亡报告系统中38个州、哥伦比亚特区和波多黎各已知死亡情况的所有0 - 24岁死者的数据进行分析(n = 29,702)。通过国家暴力死亡报告系统的变量在所有死亡方式中识别与亲密伴侣暴力相关的死亡事件,并对自杀事件进行补充叙述性审查。本文报告了按死亡方式划分的与亲密伴侣暴力相关死亡与非亲密伴侣暴力相关死亡的比例、描述性统计数据以及每10万人年的亲密伴侣暴力相关死亡率。为了研究与亲密伴侣暴力相关死亡的差异,使用了广义估计方程,并采用稳健标准误差来考虑各州内死亡事件的聚集情况以及年份的固定效应。统计分析于2021年5月和8月进行。 结果:共识别出1927起与亲密伴侣暴力相关的死亡事件,占已知情况的暴力死亡事件的6.5%,每10万人年的发生率为0.35。补充叙述性审查识别出了所有与亲密伴侣暴力相关死亡事件的44.7%。按种族/族裔以及致命伤害是否由枪支造成,男性和女性死者的死亡方式存在显著差异。 结论:如果国家暴力死亡报告系统不评估亲密伴侣暴力是否是所有死亡方式的促发因素,亲密伴侣暴力对暴力死亡的实际影响程度将被低估。未来识别与年轻人中所有亲密伴侣暴力相关死亡方式的因素的研究,将有助于为挽救年轻人生命的干预和预防策略提供信息。
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