Tackling alcohol related violence in city centres: effect of emergency medicine and police intervention
Tackling alcohol related violence in city centres: effect of emergency medicine and police intervention
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DOI：
10.1136/emj.2004.023028
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发表时间：
2006-01-01
影响因子：
3.1
通讯作者：
Shepherd, JP
中科院分区：
文献类型：
--
作者：
Warburton, AL;Shepherd, JP
目的：确定欧洲某首都市中心与酒精相关的攻击伤害的相关因素，特别是急诊部门（ED）和警察的干预措施，以及持牌场所的数量和容量。方法：使用纵向控制干预研究导致ED治疗的攻击，在夜间经济快速扩张的三年期间进行三阶段设计，当ED发起有针对性的警察干预时。针对高危夜总会进行了控制ED干预。主要观察指标是在有执照的场所和街道受到攻击后的ED治疗。结果：有针对性的警察干预与持牌场所的袭击事件大幅减少有关，但也观察到街头袭击事件意外增加（总体34%：主要娱乐通道105%）。与单独的警察干预相比，警察/ED联合干预与显著更大的减少相关（OR = 0.61, 95% CI 0.40至0.91）。街头袭击与场所的数量和容量显著相关。与郊区相比，在市中心有执照的场所及其周围发生袭击的风险高出50%，尽管没有观察到暴力向更多有执照的场所扩散。结论：在ED和颌面顾问的干预下，有针对性的警务导致的持证场所袭击事件明显减少。持牌场所的容量是城市中心街道袭击事件的主要预测因素，这些场所聚集在那里。城市中心的攻击伤害预防可以通过针对高风险持牌场所的警察/ED干预来实现，这些干预也应该针对这些场所聚集的街道。
Objectives: To identify correlates of alcohol related assault injury in the city centre of a European capital city, with particular reference to emergency department (ED) and police interventions, and number and capacity of licensed premises.Methods: Assaults resulting in ED treatment were studied using a longitudinal controlled intervention, a three stage design during a three year period of rapid expansion in the night-time economy, when ED initiated targeted police interventions were delivered. A controlled ED intervention targeted at high risk night-clubs was carried out. Main outcome measure was ED treatment after assault in licensed premises and the street.Results: Targeted police intervention was associated with substantial reductions in assaults in licensed premises but unexpected increases in street assault were also observed (34% overall: 105% in the principal entertainment thoroughfare). Combined police/ED intervention was associated with a significantly greater reduction compared with police intervention alone (OR = 0.61, 95% CI 0.40 to 0.91). Street assault correlated significantly with numbers and capacity of premises. Risk of assault was 50% greater in and around licensed premises in the city centre compared with those in the suburbs, although dispersion of violence to more licensed premises was not observed.Conclusions: Marked decreases in licensed premises assaults resulting from targeted policing were enhanced by the intervention of ED and maxillofacial consultants. Capacity of licensed premises was a major predictor of assaults in the city centre street in which they are clustered. City centre assault injury prevention can be achieved through police/ED interventions targeted at high risk licensed premises, which should also target the streets around which these premises are clustered.