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青少年和青年人际暴力的负担。

Burdens of interpersonal violence in adolescents and young adults.

作者信息

Fu Leiwen, Liu Ke, Wang Bingyi, Tian Tian, Lu Zhen, Zhang Weijie, Bian Junye, Zou Huachun

机构信息

Beijing Chest Hospital, Capital Medical University, Beijing Tuberculosis and Thoracic Tumor Research Institute, Beijing, China.

Institute for HIV/AIDS Control and Prevention, Guangdong Provincial Centre for Disease Control and Prevention, Guangzhou, China.

出版信息

Pediatr Res. 2025 May 13. doi: 10.1038/s41390-025-04114-w.

DOI:10.1038/s41390-025-04114-w
PMID:40360771
Abstract

BACKGROUND

Interpersonal violence (IV) is a common problem among adolescents and young adults and has long-term consequences for the health and development of youth.

METHODS

Data on incidence and disability adjusted life years (DALYs) of IV (physical violence by firearm, by sharp object, sexual violence, and by other means) for adolescents and young adults aged 10-24 years in 204 countries and territories were retrieved from the GBD 2019. The age standardised rate (ASR) and estimated annual percentage change (EAPC) were used to analyze the global trends by sex, and SDI.

RESULTS

Globally, in 2019, the age-standardised incidence rate (ASIR) of IV among adolescents and young adults was 566.0 per 100,000 person years. From 1990 to 2019, the IV incidence and the age-standardised DALYs rate of IV among adolescents and young adults decreased globally. At the regional level, the largest increases in ASIR of IV from 1990 to 2019 were observed in Oceania (0.94%), Caribbean (0.81%), and Southern Latin America (0.63%). A reversed V-shaped association was found between the SDI and the burden of IV at the regional level.

CONCLUSIONS

Unwavering efforts must be made to prevent IV among adolescents and young adults and care for victims of IV.

IMPACT

Although the burden of IV is decreasing worldwide from 1990 to 2019, the most significant increase was found in Oceania, the Caribbean, and Latin America. High-income North America continues to be affected by physical violence by firearm, while East Asia continues to face issues with sexual violence. Unwavering efforts must be made to prevent IV among adolescents and young adults and care for victims of IV, including clinical and mental health.

摘要

背景

人际暴力是青少年和青年中的常见问题,对年轻人的健康和发展具有长期影响。

方法

从《2019年全球疾病负担研究》中检索了204个国家和地区10至24岁青少年和青年人际暴力(枪支暴力、锐器暴力、性暴力及其他形式的身体暴力)的发病率和伤残调整生命年(DALY)数据。采用年龄标准化率(ASR)和估计年度百分比变化(EAPC)按性别和社会人口指数(SDI)分析全球趋势。

结果

2019年全球范围内,青少年和青年人际暴力的年龄标准化发病率(ASIR)为每10万人年566.0例。1990年至2019年,全球青少年和青年人际暴力的发病率及年龄标准化DALY率有所下降。在区域层面,1990年至2019年人际暴力ASIR增幅最大的地区是大洋洲(0.94%)、加勒比地区(0.81%)和拉丁美洲南部(0.63%)。在区域层面发现SDI与人际暴力负担之间呈倒V形关联。

结论

必须坚定不移地努力预防青少年和青年中的人际暴力,并关爱人际暴力受害者。

影响

尽管1990年至2019年全球人际暴力负担在下降,但大洋洲、加勒比地区和拉丁美洲的增幅最为显著。高收入的北美地区继续受到枪支暴力的影响,而东亚地区仍面临性暴力问题。必须坚定不移地努力预防青少年和青年中的人际暴力,并关爱人际暴力受害者,包括提供临床和心理健康方面的帮助。

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