Correlates of violent behavior among adolescents presenting to an urban emergency department
Correlates of violent behavior among adolescents presenting to an urban emergency department
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DOI：
10.1016/j.jpeds.2006.08.073
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发表时间：
2006-12-01
影响因子：
5.1
通讯作者：
Maio, Ronald
中科院分区：
文献类型：
--
作者：
Cunningham, Rebecca;Walton, Maureen;Maio, Ronald
目的：研究率和相关的自我报告的青少年之间的暴力行为提出了一个城市emergency.Study设计：横断面研究的连续样本的青年（12-17岁）提出了一个城市急诊科。对青年进行了人口统计学调查，社区暴力暴露，父母监控，药物使用，武器携带，群体战斗和侵略（过去12个月）。进行了双变量和多变量分析，以确定相关的暴力的严重程度（无，中度，或严重）在过去的year.Results：共115青年进行了调查（男性，47%;响应率，85%）。样本组为51%的非裔美国人。共有77%的青年报告说，他们在过去一年中犯下了暴力行为，37%的人报告说，他们犯下了严重的暴力行为（使用武器、群殴、造成需要医疗护理的伤害）。在过去一年中，所有自我报告犯下严重暴力行为的患者都从急诊科出院回家。急诊室的诊断（疾病与受伤）与过去一年的暴力行为无关。性是不是一个显着的预测严重犯下violence.Conclusions：青少年提出城市急诊部门报告的高利率犯下的暴力行为，在过去的一年中，其他研究的基础上，很可能会继续下去。这些结果表明，未来的紧急部门为基础的暴力预防工作应考虑普遍筛查青少年。
Objective: To examine rates and correlates of self-reported perpetrated violence among teens presenting to an urban emergency department.Study design: Cross-sectional study of a consecutive sample of youth (12-17 years) presenting to an urban emergency department. The youth were surveyed about demographics, community violence exposure, parental monitoring, substance use, weapon carriage, group fighting, and aggression (past 12 months). Bivariate and multivariate analyses were performed to identify correlates of the severity of the violence (none, moderate, or severe) perpetrated in the past year.Results: A total of 115 youth were surveyed (males, 47%; response rate, 85%). The sample group was 51% African American. A total of 77% of the youth reported that they perpetrated violence in the past year, with 37% reporting severe violence (use of a weapon, group fighting, causing an injury requiring medical care). All patients who self-reported perpetrating severe violence in the past year were discharged home from the emergency department. The diagnosis made in the emergency department (illness versus injury) was not associated with the violence perpetrated in the past year. Sex was not a significant predictor of severe perpetrated violence.Conclusions: Youth presenting to urban emergency departments report high rates of perpetrating violence in the past year that, on the basis of other studies, is likely to continue. These results suggest that future emergency department-based violence prevention efforts should consider universal screening of adolescents.