Prevalence of Exposure to Risk Factors for Violence among Young Adults Seen in an Inner-City Emergency Department.
Prevalence of Exposure to Risk Factors for Violence among Young Adults Seen in an Inner-City Emergency Department.
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DOI：
10.5811/westjem.2013.2.14810
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发表时间：
2013-08
期刊：
影响因子：
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通讯作者：
Houry D
中科院分区：
文献类型：
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作者：
Hankin A;Meagley B;Wei SC;Houry D
前言：评估在城市急诊科（ED）接受治疗的年轻人中暴力伤害危险因素的流行程度。方法：本研究是对作为纵向研究的一部分收集的数据进行横断面分析。登记于2010年6月至12月在城市一级创伤中心的急诊科进行。所有18-24岁的患者均符合条件。被监禁、病危或不能阅读英语的患者被排除在外。研究参与者使用先前验证过的量表完成了一份10分钟的多项选择问卷：a)攻击性，b)感知到的暴力可能性，c)最近的暴力行为，d)同伴行为，e)社区暴力暴露。结果：403名符合条件的患者被接触，其中365名（90.1%）同意参与。平均年龄为21.1岁（95%可信区间：20.9,21.3）岁，参与者中57.2%为女性，85.7%为非洲裔美国人，82.2%为高中及以上学历。在研究参与者中，个体危险因素的高风险暴露率从7.4%（最近的暴力行为）到24.5%（社区暴力暴露）不等，32.3%的患者表现出至少一种危险因素的高度暴露。当按种族对参与者进行比较时，在白人、非裔美国人和西班牙裔参与者之间没有发现显著差异。男性和女性仅在社区暴力（20.4%的男性对30.3%的女性，p= 0.03）这一尺度上存在显著差异。在控制了年龄、性别和种族后，自我报告的敌对/攻击感觉与伤害相关投诉的初始表现独立相关（优势比3.48(1.49-8.13)）。结论：在城市急诊科就诊的年轻人中，超过30%的人报告了暴力伤害的高危因素。这些风险因素在ED患者中的高流行率突出了调查工具的潜在益处，以确定可能从有针对性的ED暴力预防计划中受益的青少年。
Introduction: To assess the prevalence of risk factors for violent injury among young adults treated at an urban emergency department (ED). Methods: This study is a cross-sectional analysis of data collected as part of a longitudinal study. Enrollment took place in an urban ED in a Level 1 trauma center, June through December 2010. All patients aged 18–24 years were eligible. Patients were excluded if they were incarcerated, critically ill, or unable to read English. Study participants completed a 10-minute multiple-choice questionnaire using previously validated scales: a) aggression, b) perceived likelihood of violence, c) recent violent behavior, d) peer behavior, and e) community exposure to violence. Results: 403 eligible patients were approached, of whom 365 (90.1%) consented to participate. Average age was 21.1 (95% confidence interval: 20.9, 21.3) years, and participants were 57.2% female, 85.7% African American, and 82.2% were educated at the high school level or beyond. Among study participants, rates of high-risk exposure to individual risk factors ranged from 7.4% (recent violent behavior) to 24.5% (exposure to community violence), with 32.3% of patients showing high exposure to at least one risk factor. When comparing participants by ethnicity, no significant differences were found between White, African-American, and Hispanic participants. Males and females differed significantly only on 1 of the scales – community violence, (20.4% of males vs. 30.3% of females, p= 0.03). Self-reported hostile/aggressive feelings were independently associated with initial presentation for injury-associated complaint after controlling for age, sex, and race (odds ratio 3.48 (1.49–8.13). Conclusion: Over 30% of young adults presenting to an urban ED reported high exposure to risk factors for violent injury. The high prevalence of these risk factors among ED patients highlights the potential benefit of a survey instrument to identify youth who might benefit from a targeted, ED-based violence prevention program.