Exacerbation of Physical Intimate Partner Violence during COVID-19 Pandemic
Exacerbation of Physical Intimate Partner Violence during COVID-19 Pandemic
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DOI：
10.1148/radiol.2020202866
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发表时间：
2021-01-01
期刊：
影响因子：
19.7
通讯作者：
Khurana, Bharti
中科院分区：
文献类型：
--
作者：
Gosangi, Babina;Park, Hyesun;Khurana, Bharti
背景：亲密伴侣暴力（IPV）是一个全球性的社会和公共卫生问题，但缺乏关于 2019 年冠状病毒病（COVID-19）大流行期间身体 IPV 恶化的已发表文献。目的：与前 3 年相比，评估 2020 年 COVID-19 大流行期间 IPV 受害者受伤的发生率、模式和严重程度。材料和方法：报告身体状况的患者的人口统计、临床表现、伤害和放射学结果2020 年 3 月 11 日至 5 月 3 日全州范围内的 COVID-19 大流行期间 IPV 滥用情况与过去 3 年同期的数据进行了比较。采用 Pearson chi(2) 和 Fisher 精确检验进行分析。 结果：对 2020 年总共 26 名身体 IPV 受害者（平均年龄，37 岁 +/- 13 [标准差]；25 名女性）进行了评估，并与 2017 年至 2019 年 42 名身体 IPV 受害者（平均年龄，41 岁 +/- 15；40 名女性）进行了比较。大流行期间，物理 IPV 的发病率增加了 1.8 倍（95% CI：1.1, 3.0；P = .01）。 2020 年深度伤害总数为 28 起，而 2017 年至 2019 年为 16 起； 2020 年，每位受害者深度受伤的人数为 1.1 人，而 2017 年至 2019 年为 0.4 人（P < .001）。 2020 年，按机制定义的高风险滥用发生率是原来的两倍（95% CI：1.2，4.7；P = .01）。在 COVID-19 大流行期间经历过 IPV 的患者更有可能是白人； 2020 年，有 17 名受害者 (65%) 是白人，而前几年有 11 名受害者 (26%) (P = .007)。结论：与前 3 年相比，2019 年冠状病毒病 (COVID-19) 大流行期间，亲密伴侣身体暴力 (IPV) 的发生率和严重程度更高。这些结果表明，IPV 受害者直到 COVID-19 大流行期间的滥用周期后期才寻求医疗保健服务。 (C) 北美放射学会，2020
Background: Intimate partner violence (IPV) is a global social and public health problem, but published literature regarding the exacerbation of physical IPV during the coronavirus disease 2019 (COVID-19) pandemic is lacking.Purpose: To assess the incidence, patterns, and severity of injuries in IPV victims during the COVID-19 pandemic in 2020 compared with the prior 3 years.Materials and Methods: The demographics, clinical presentation, injuries, and radiologic findings of patients reporting physical abuse arising from IPV during the statewide COVID-19 pandemic between March 11 and May 3, 2020, were compared with data from the same period for the past 3 years. Pearson chi(2) and Fisher exact tests were used for analysis.Results: A total of 26 victims of physical IPV from 2020 (mean age, 37 years +/- 13 [standard deviation]; 25 women) were evaluated and compared with 42 victims of physical IPV (mean age, 41 years +/- 15; 40 women) from 2017 to 2019. Although the overall number of patients who reported IPV decreased during the pandemic, the incidence of physical IPV was 1.8 times greater (95% CI: 1.1, 3.0; P = .01). The total number of deep injuries was 28 during 2020 versus 16 from 2017 to 2019; the number of deep injuries per victim was 1.1 during 2020 compared with 0.4 from 2017 to 2019 (P < .001). The incidence of high-risk abuse defined by mechanism was two times greater in 2020 (95% CI: 1.2, 4.7; P = .01). Patients who experienced IPV during the COVID-19 pandemic were more likely to be White; 17 (65%) victims in 2020 were White compared with 11 (26%) in the prior years (P = .007).Conclusion: There was a higher incidence and severity of physical intimate partner violence (IPV) during the coronavirus disease 2019 (COVID-19) pandemic compared with the prior 3 years. These results suggest that victims of IPV delayed reaching out to health care services until the late stages of the abuse cycle during the COVID-19 pandemic. (C) RSNA, 2020