Hospitalisation for head injury due to assault among Indigenous and non-Indigenous Australians, July 1999 to June 2005
Hospitalisation for head injury due to assault among Indigenous and non-Indigenous Australians, July 1999 to June 2005
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DOI：
10.5694/j.1326-5377.2008.tb01793.x
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发表时间：
2008-05-19
影响因子：
11.4
通讯作者：
Berry, Jesia G.
中科院分区：
文献类型：
--
作者：
Jamieson, Lisa M.;Harrison, James E.;Berry, Jesia G.
目的：描述住院率的头部受伤，由于攻击土著和非土著Australians.Design，设置和参与者：二次分析常规收集的医院发病率。收集了1999年7月1日至2005年6月30日6年期间在昆士兰州、西澳大利亚州、南澳和北领地的公立和私立医院的42874名住院患者的数据。主要结果指标：按土著身份、年龄、性别和居住地划分的每100000人中因袭击造成头部受伤的比率。因袭击导致的头部损伤的总体发生率为60.4/100000（95%CI，59.8 - 60.9）。原住民的患病率为854.8/10万（95%CI，841.0 - 868.9），是非原住民的21倍（40.7/10万; 95%CI，40.2 - 41.2）。大多数土著人（88%）和非土著人（83%）因袭击而头部受伤的受害者年龄在15至44岁之间。土著人口中发病率最高的是30 - 34岁年龄组，而非土著人口中发病率最高的是20 - 24岁年龄组。土著女性经历了69倍的受伤率经历了non-Indigenous females. Conclusions：土著人民，特别是妇女，不成比例的代表在那些住院头部受伤，由于攻击。头部损伤给个人和社区带来了巨大的护理负担。沿着治疗头部损伤的费用，这些都是加强努力预防头部损伤的充分理由，特别是对高危人群的关注。
Objective: To describe rates of hospitalisation for head injury due to assault among Indigenous and non-Indigenous Australians.Design, setting and participants: Secondary analysis of routinely collected hospital morbidity. data for 42 874 inpatients at public and private hospitals in Queensland, Western Australia, South Australia and the Northern Territory for the 6-year period 1 July 1999 - 30 June 2005.Main outcome measures: Rates per 100000 population of head injury due to assault by Indigenous status, age, sex and location of residence.Results: The overall rate of head injury due to assault was 60.4 per 100000 population (95% CI, 59.8-60.9). The rate among the Indigenous population was 854.8 per 100000 (95% CI, 841.0-868.9), 21 times that among the non-Indigenous population (40.7 per 100000; 95% CI, 40.2-41.2). Most Indigenous (88%) and non-Indigenous (83%) victims of head injury due to assault were aged between 15 and 44 years. The peak incidence among the Indigenous population was in the 30-34-year age group, whereas that among the non-Indigenous population was in the 20-24-year age group. Indigenous females experienced 69 times the injury rate experienced by non-Indigenous females.Conclusions: Indigenous people, particularly women, were disproportionately represented among those hospitalised for head injury due to assault. Head injury imposes a substantial burden of care on individuals and communities. Along with the costs of treating head injury, these are good reasons to strengthen efforts to prevent head injury generally, with special attention to high-risk population segments.