Vital Signs: Prevalence of Multiple Forms of Violence and Increased Health Risk Behaviors and Conditions Among Youths - United States, 2019.
Vital Signs: Prevalence of Multiple Forms of Violence and Increased Health Risk Behaviors and Conditions Among Youths - United States, 2019.
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生命体征：多种形式的暴力行为的患病率以及年轻人的健康风险行为和状况增加 - 美国，2019年。
DOI：
10.15585/mmwr.mm7005a4
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发表时间：
2021-02-05
期刊：
影响因子：
--
通讯作者：
Gervin D
中科院分区：
文献类型：
--
作者：
David-Ferdon C;Clayton HB;Dahlberg LL;Simon TR;Holland KM;Brener N;Matjasko JL;D'Inverno AS;Robin L;Gervin D
遭受暴力，特别是多种类型的暴力，会对青年的发展产生负面影响。这些经历增加了今后发生暴力和其他健康问题的风险，这些问题是青少年和成年人发病和死亡的主要原因。来自2019年全国青年风险行为调查的数据被用来确定高中生自我报告的身体战斗经历，被武器威胁，身体约会暴力，性暴力和欺凌的患病率。使用调整性别，年级和种族/民族的逻辑回归模型来测试经历多种形式的暴力与16种自我报告的健康风险行为和状况之间的关联强度。大约一半的学生（44.3%）经历过至少一种类型的暴力;七分之一以上的学生（15.6%）在过去12个月内经历过两种或两种以上类型的暴力。经历多种类型的暴力行为在女性中比在男性中更普遍，在确定为男同性恋、女同性恋、双性恋或不确定自己的性身份的学生中比在异性恋学生中更普遍。经历暴力与所有检查的健康风险和状况的患病率较高显著相关。与没有暴力经历的青年相比，经历两种暴力的青年经调整的健康风险和患病率估计数高出7倍，经历三种或三种以上暴力的青年高出21倍。许多年轻人遭受多种类型的暴力，可能对健康造成终身影响。暴力是可以预防的，使用行之有效的方法，解决个人，家庭和环境风险。将预防暴力列为优先事项，对促进青少年和成人健康具有战略意义。
Experiencing violence, especially multiple types of violence, can have a negative impact on youths’ development. These experiences increase the risk for future violence and other health problems associated with the leading causes of morbidity and mortality among adolescents and adults. Data from the 2019 national Youth Risk Behavior Survey were used to determine the prevalence of high school students’ self-reported experiences with physical fighting, being threatened with a weapon, physical dating violence, sexual violence, and bullying. Logistic regression models adjusting for sex, grade, and race/ethnicity were used to test the strength of associations between experiencing multiple forms of violence and 16 self-reported health risk behaviors and conditions. Approximately one half of students (44.3%) experienced at least one type of violence; more than one in seven (15.6%) experienced two or more types during the preceding 12 months. Experiencing multiple types of violence was significantly more prevalent among females than among males and among students identifying as gay, lesbian, or bisexual or not sure of their sexual identity than among heterosexual students. Experiencing violence was significantly associated with higher prevalence of all examined health risks and conditions. Relative to youths with no violence experiences, adjusted health risk and condition prevalence estimates were up to seven times higher among those experiencing two types of violence and up to 21 times higher among those experiencing three or more types of violence. Many youths experience multiple types of violence, with potentially lifelong health impacts. Violence is preventable using proven approaches that address individual, family, and environmental risks. Prioritizing violence prevention is strategic to promoting adolescent and adult health.
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