Monitoring Sexual Violence Trends in Emergency Department Visits Using Syndromic Data From the National Syndromic Surveillance Program-United States, January 2017-December 2019
Monitoring Sexual Violence Trends in Emergency Department Visits Using Syndromic Data From the National Syndromic Surveillance Program-United States, January 2017-December 2019
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DOI：
10.2105/ajph.2020.306034
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发表时间：
2021-03-01
影响因子：
12.7
通讯作者：
Houry, Debra
中科院分区：
文献类型：
--
作者：
D'Inverno, Ashley Schappell;Idaikkadar, Nimi;Houry, Debra
目的：报告美国性暴力（SV）急诊室（ED）就诊的趋势。
方法：我们使用美国疾病控制与预防中心的国家症状监测项目数据，分析了2017年1月至2019年12月性暴力发生率（每10万次急诊室就诊）的月度变化。我们按性别和年龄组对数据进行分层。
结果：2017年1月至2019年12月，共有196948次与性暴力相关的急诊室就诊。女性与性暴力相关的急诊室就诊率高于男性。在整个时间段内，按性别和年龄组分层时，50 - 59岁的女性与性暴力相关的急诊室就诊增加幅度最高（57.33%）。在所有所考察的分层中，2017年1月至2019年12月与性暴力相关的急诊室就诊呈现上升趋势；在观察到的24个上升趋势中，有10个具有统计学意义的显著增加。我们还观察到季节性趋势，在温暖月份与性暴力相关的急诊室就诊量激增，在寒冷月份则下降，特别是在0 - 9岁和10 - 19岁年龄组。
结论：我们确定了2017年1月至2019年12月与性暴力相关的急诊室就诊有若干显著增加。症状监测提供了对急诊室就诊的近实时监测，并有助于预防性暴力。
Objectives. To report trends in sexual violence (SV) emergency department (ED) visits in the United States.Methods. We analyzed monthly changes in SV rates (per 100 000 ED visits) from January 2017 to December 2019 using Centers for Disease Control and Prevention's National Syndromic Surveillance Program data. We stratified the data by sex and age groups.Results. There were 196 948 SV-related ED visits from January 2017 to December 2019. Females had higher rates of SV-related ED visits than males. Across the entire time period, females aged 50 to 59 years showed the highest increase (57.33%) in SV-related ED visits, when stratified by sex and age group. In all strata examined, SV-related ED visits displayed positive trends from January 2017 to December 2019; 10 out of the 24 observed positive trends were statistically significant increases. We also observed seasonal trends with spikes in SV-related ED visits during warmer months and declines during colder months, particularly in ages 0 to 9 years and 10 to 19 years.Conclusions. We identified several significant increases in SV-related ED visits from January 2017 to December 2019. Syndromic surveillance offers near-real-time surveillance of ED visits and can aid in the prevention of SV.