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美国急诊部男性就诊者中亲密伴侣暴力的损伤模式和相关人口统计学特征。

Injury patterns and associated demographics of intimate partner violence in men presenting to U.S. emergency departments.

机构信息

Department of Radiology and Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.

Department of Social Work, George Mason University, Fairfax, Virginia, USA.

出版信息

Aggress Behav. 2022 May;48(3):298-308. doi: 10.1002/ab.22007. Epub 2021 Dec 16.

Abstract

Research suggests that there are differences between sexes in physical intimate partner violence (IPV) victimization that could lead to different injury patterns. In addition, research shows that men under-report their injuries yet may suffer grave consequences. It is, thus, vital to establish physical injury patterns in male IPV victims. A retrospective review of prospectively collected data was performed using the National Electronic Injury Surveillance System-All Injury Program data from 2005 to 2015 for all IPV-related injuries in both male and female patients. Sex differences by demographics, mechanism, anatomic location, and diagnoses of IPV injuries were analyzed using statistical methods accounting for the weighted stratified nature of the data. IPV accounted for 0.61% of all emergency department visits; 17.2% were in males and 82.8% in females. Male patients were older (36.1% vs. 16.8% over 60 years), more likely to be Black (40.5% vs. 28.8%), sustained more injuries due to cutting (28.1% vs. 3.5%), more lacerations (46.9% vs. 13.0%), more injuries to the upper extremity (25.8% vs. 14.1%), and fewer contusions/abrasions (30.1% vs. 49.0%), compared to female IPV patients (p < .0001). There were also more hospitalizations in men (7.9% vs. 3.7% p = .0002). Knowledge of specific IPV-related injury characteristics in men will enable healthcare providers to counteract underreporting of IPV.

摘要

研究表明,在身体亲密伴侣暴力(IPV)受害方面,男女之间存在差异,这可能导致不同的伤害模式。此外,研究表明,男性对自己的伤害报告不足,但可能会遭受严重后果。因此,确定男性 IPV 受害者的身体伤害模式至关重要。使用 2005 年至 2015 年国家电子伤害监测系统-所有伤害计划数据,对前瞻性收集的数据进行了回顾性分析,该数据涵盖了男女患者的所有与 IPV 相关的伤害。使用统计学方法分析了按人口统计学、机制、解剖部位和 IPV 伤害诊断的性别差异,这些方法考虑了数据的加权分层性质。IPV 占所有急诊就诊的 0.61%;17.2%为男性,82.8%为女性。男性患者年龄较大(36.1%比 60 岁以上的 16.8%),更有可能是黑人(40.5%比 28.8%),因切割导致的伤害更多(28.1%比 3.5%),更多的裂伤(46.9%比 13.0%),上肢受伤更多(25.8%比 14.1%),挫伤/擦伤更少(30.1%比 49.0%),与女性 IPV 患者相比(p < .0001)。男性住院治疗的比例也更高(7.9%比 3.7%,p = .0002)。了解男性特定的 IPV 相关伤害特征将使医疗保健提供者能够对抗 IPV 报告不足的问题。

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