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一项关于 COVID-19 封锁对与家庭暴力相关的口腔颌面部损伤影响的横断面研究。

A cross-sectional study of the impact of the COVID-19 lockdown on domestic violence-related oral and maxillofacial injuries.

机构信息

Department of Oral and Maxillofacial Surgery, School of Dentistry, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.

Department of Oral and Maxillofacial Surgery, Central Military Hospital, Ulaanbaatar, Mongolia.

出版信息

Dent Traumatol. 2024 Mar;40 Suppl 2:74-81. doi: 10.1111/edt.12944. Epub 2024 Mar 8.

DOI:10.1111/edt.12944
PMID:38459665
Abstract

BACKGROUND

During the COVID-19 lockdown, more domestic violence-related traumas were reported. In this study, we investigated and compared the incidence of domestic violence-related injuries-in particular oral and maxillofacial injuries-in Ulaanbaatar, Mongolia, before and during the COVID-19 lockdown.

MATERIALS AND METHODS

We conducted a cross-sectional study based on 3974 domestic violence cases registered at the Public Health Department, National Traumatology and Orthopedics Research Center of Mongolia between 2018 and 2022. Descriptive and binary logistic regression analyses were conducted. The victims were categorized according to their age (child, adult, and elderly).

RESULTS

The mean age of the victims was children 9.7 ± 5.4 years, adults 34.8 ± 8.3 years, and elderly 64.3 ± 8.7 years. Binary logistic regression analysis (no/yes) showed that oral and maxillofacial injuries during the lockdown increased 1.3 times (OR = 1.3; CI 95% = 1.0-1.6; p = .003) in adults and 2.5 times in children (OR = 2.5; CI 95% = 1.7-3.9; p = .001). Additionally, injuries to upper limbs increased 4.6 times (OR = 4.6; CI 95% = 3.5-6.1; p = .001) in adults and 5.2 times in elderly patients (OR = 5.2; CI 95% = 1.8-16.2; p = .01). Additionally, thorax injury in children increased 3.1 times (OR = 3.1; CI 95% = 1.7-5.7; p = .001).

CONCLUSIONS

During the lockdown, injury to oral and maxillofacial regions increased in adult and child victims of domestic violence.

摘要

背景

在 COVID-19 封锁期间,报告了更多与家庭暴力相关的创伤。在这项研究中,我们调查并比较了蒙古乌兰巴托在 COVID-19 封锁前后与家庭暴力相关的伤害发生率 - 特别是口腔和颌面损伤。

材料和方法

我们基于 2018 年至 2022 年期间在蒙古公共卫生部门和国家创伤学和矫形研究中心登记的 3974 例家庭暴力案件进行了横断面研究。进行了描述性和二元逻辑回归分析。根据年龄(儿童、成人和老年人)对受害者进行分类。

结果

受害者的平均年龄为儿童 9.7 ± 5.4 岁,成人 34.8 ± 8.3 岁,老年人 64.3 ± 8.7 岁。二元逻辑回归分析(否/是)显示,成年人在封锁期间口腔和颌面损伤增加了 1.3 倍(OR=1.3;95%CI=1.0-1.6;p=0.003),儿童增加了 2.5 倍(OR=2.5;95%CI=1.7-3.9;p=0.001)。此外,上肢损伤在成年人中增加了 4.6 倍(OR=4.6;95%CI=3.5-6.1;p=0.001),老年人增加了 5.2 倍(OR=5.2;95%CI=1.8-16.2;p=0.01)。此外,儿童的胸部损伤增加了 3.1 倍(OR=3.1;95%CI=1.7-5.7;p=0.001)。

结论

在封锁期间,口腔和颌面区域的损伤在家庭暴力的成年和儿童受害者中增加。

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