A shared data approach more accurately represents the rates and patterns of violence with injury assaults
A shared data approach more accurately represents the rates and patterns of violence with injury assaults
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DOI：
10.1136/jech-2017-209872
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发表时间：
2017-12-01
影响因子：
6.3
通讯作者：
Bellis, Mark A.
中科院分区：
文献类型：
--
作者：
Gray, Benjamin J.;Barton, Emma R.;Bellis, Mark A.
调查在卫生和刑事司法系统之间共享和链接定期收集的暴力行为数据是否能够更全面地了解暴力行为，确定报告不足的模式，并更好地为发展提供信息，暴力预防措施的实施和评估。方法警察暴力与伤害（VWI）犯罪数据和急诊室（艾德）在2014年4月1日至2016年3月31日期间收集了南威尔士州的袭击参与者数据，以检查VWI的比率和模式。人的可识别数据（PID）进行交叉引用，以确定是否某些受害者或事件不太可能被报告给刑事司法services.Results共18 316警察犯罪VWI受害者和10 260个人艾德出勤与攻击相关的伤害被认为是。大部分的艾德殴打就诊者（59.0%）不为警方所知。被确定为向警方报案不足的主要人口是18至34岁的年轻男性，而大量未报案的袭击涉及陌生人。重新计算合并的每月年龄标准化发生率，男性和女性的平均值分别为74.7（95% CI 72.1至77.2）和66.1（95% CI 64.0至68.2）/100 000人群。考虑到额外的艾德案件导致了35.3%和18.1%的增长，原来的警察总数为男性和女性VWI victims.Conclusions本研究确定，暴力目前被低估，表现出继续分享定期收集的艾德数据的重要性，并强调了使用PID的好处，从一些服务的链接方式，以提供更全面的暴力图片。
Background To investigate whether sharing and linking routinely collected violence data across health and criminal justice systems can provide a more comprehensive understanding of violence, establish patterns of under-reporting and better inform the development, implementation and evaluation of violence prevention initiatives.Methods Police violence with injury (VWI) crimed data and emergency department (ED) assault attendee data for South Wales were collected between 1 April 2014 and 31 March 2016 to examine the rates and patterns of VWI. Person identifiable data (PID) were cross-referenced to establish if certain victims or events were less likely to be reported to criminal justice services.Results A total of 18 316 police crimed VWI victims and 10 260 individual ED attendances with an assault-related injury were considered. The majority of ED assault attendances (59.0%) were unknown to police. The key demographic identified as under-reporting to police were young males aged 18-34 years, while a significant amount of non-reported assaults involved a stranger. The combined monthly age-standardised rates were recalculated and on average were 74.7 (95% CI 72.1 to 77.2) and 66.1 (95% CI 64.0 to 68.2) per 100 000 population for males and females, respectively. Consideration of the additional ED cases resulted in a 35.3% and 18.1% increase on the original police totals for male and female VWI victims.Conclusions This study identified that violence is currently undermeasured, demonstrated the importance of continued sharing of routinely collected ED data and highlighted the benefits of using PID from a number of services in a linked way to provide a more comprehensive picture of violence.