Brown K A, Brown J R, Kennedy F, Fleming A W
University of California, Los Angeles School of Public Policy and Social Research, Department of Social Welfare 90095-1656, USA.
Soc Work Health Care. 1998;27(2):69-86. doi: 10.1300/J010v27n02_04.
This article presents a prospective study of 285 adult trauma victims admitted to a Los Angeles inner-city level 1 trauma center, from November 1991 to February 1992. The purpose of this study was to determine the magnitude of intentional and unintentional trauma injuries in this adult patient population, and to identify sociodemographic, lifestyle and medical risk factors predisposing patients to intentional vs. unintentional trauma injury. Chi-square analysis revealed that intentional trauma victims and unintentional trauma victims significantly differ in 8 of 13 risk factors. The resulting risk profile indicated that intentional trauma victims were more likely to be between the ages of 16-29 years old; African American males and more likely to present to the emergency room with injury severity scores higher than 15 (indicating severe injuries) than unintentional trauma victims. Strategies for prevention and medical social work intervention are discussed.
本文介绍了一项对1991年11月至1992年2月期间入住洛杉矶市中心一级创伤中心的285名成年创伤受害者的前瞻性研究。本研究的目的是确定该成年患者群体中故意和非故意创伤损伤的程度，并确定使患者易患故意与非故意创伤损伤的社会人口统计学、生活方式和医疗风险因素。卡方分析显示，故意创伤受害者和非故意创伤受害者在13个风险因素中的8个方面存在显著差异。由此得出的风险概况表明，故意创伤受害者更有可能年龄在16至29岁之间；非裔美国男性，并且与非故意创伤受害者相比，更有可能以高于15的损伤严重程度评分（表明重伤）前往急诊室。文中还讨论了预防策略和医疗社会工作干预措施。
