PAST-YEAR INTENTIONAL AND UNINTENTIONAL INJURY AMONG TEENS TREATED IN AN INNER-CITY EMERGENCY DEPARTMENT
PAST-YEAR INTENTIONAL AND UNINTENTIONAL INJURY AMONG TEENS TREATED IN AN INNER-CITY EMERGENCY DEPARTMENT
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DOI：
10.1016/j.jemermed.2009.11.024
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发表时间：
2011-10-01
影响因子：
1.5
通讯作者：
Shope, Jean T.
中科院分区：
文献类型：
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作者：
Cunningham, Rebecca M.;Walton, Maureen A.;Shope, Jean T.
市内急诊科（ED）访问提供了与高危青少年接触的机会，以促进伤害预防。目的：确定在过去一年中，在市中心ED就诊的青少年持续受伤的发生率，并确定与近期受伤相关的因素，为未来基于ED的伤害预防举措提供信息。方法：在1年多的时间里，每周7天，从下午1点到11点，14-18岁的患者到急诊科参加了一项关于过去一年危险行为和伤害的调查。结果：在完成调查的全部青少年（n = 1128）中（83.8%的回复率），46%为男性，58%为非裔美国人。过去一年有768名（68.1%）青少年受伤；其中475人（61.8%）报告了非故意伤害，293人（38.1%）报告了故意伤害。在所有寻求护理的青少年中，有三分之一报告了过去一年与运动有关的伤害（34.5%）或与驾驶或乘车有关的伤害（12.3%），8.2%报告了与枪支有关的伤害。Logistic回归发现，酗酒（调整优势比[AOR] 1.95）和非法携带武器（AOR 2.31）预示着过去一年的故意伤害。非裔美国青年（AOR 0.56）和接受公共援助的人（AOR 0.73）报告过去一年意外伤害的可能性较小。结论：在市中心急诊科寻求治疗的青少年，无论寻求治疗的原因是什么，都报告了近期伤害（包括暴力）的患病率升高。未来的伤害筛查和预防工作应考虑对所有寻求急诊科治疗的青少年进行普遍筛查。(C) 2011爱思唯尔公司
An inner-city emergency department (ED) visit provides an opportunity for contact with high-risk adolescents to promote injury prevention. Objectives: To identify the prevalence of injuries sustained over the past year by teens presenting to an inner-city ED, and to identify factors associated with recent injury to inform future ED-based injury prevention initiatives. Methods: Over 1 year, 7 days a week, from 1:00-11:00 p.m., patients aged 14-18 years presenting to the ED participated in a survey regarding past-year risk behaviors and injuries. Results: Of the entire group of teens presenting to the ED (n = 1128) who completed the survey (83.8% response rate), 46% were male, and 58% were African-American. Past-year injuries were reported by 768 (68.1%) of the teens; 475 (61.8%) of those reported an unintentional injury and 293 (38.1%) reported an intentional injury. One-third of all youth seeking care reported a past-year sports-related injury (34.5%) or an injury related to driving or riding in a car (12.3%), and 8.2% reported a gun-related injury. Logistic regression found that binge drinking (adjusted odds ratio [AOR] 1.95) and illicit weapon carrying (AOR 2.31) predicted a past-year intentional injury. African-American youth (AOR 0.56) and those receiving public assistance (AOR 0.73) were less likely to report past-year unintentional injuries. Conclusions: Adolescents seeking care in an inner-city ED, regardless of the reason for seeking care, report an elevated prevalence of recent injury, including violence. Future injury screening and prevention efforts should consider universal screening of all youth seeking ED care. (C) 2011 Elsevier Inc.