COVID-19 pandemic and violence: rising risks and decreasing urgent care-seeking for sexual assault and domestic violence survivors.
COVID-19 pandemic and violence: rising risks and decreasing urgent care-seeking for sexual assault and domestic violence survivors.
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COVID-19-19大流行与暴力：风险上升，并减少对性侵犯和家庭暴力幸存者的紧急护理。
DOI：
10.1186/s12916-020-01897-z
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发表时间：
2021-02-05
期刊：
影响因子：
9.3
通讯作者：
Sampsel K
中科院分区：
文献类型：
--
作者：
Muldoon KA;Denize KM;Talarico R;Fell DB;Sobiesiak A;Heimerl M;Sampsel K
关于2019冠状病毒病大流行期间性侵犯和家庭暴力的求诊模式的信息很少。本研究的目的是研究自2019冠状病毒病（COVID-19）大流行宣布以来，急诊科（ED）因性侵犯和家庭暴力入院的变化。分析渥太华医院2020年3月4日至5月5日（62天）的观察性急诊科入院数据（COVID-19期间），并与2018年同期（COVID-19前）进行比较。计算全因急诊科入院人数以及性暴力和家庭暴力案件的总入院人数和平均每周入院人数。使用泊松回归（无偏移项）计算两个时间段之间的每周病例数比和95%置信区间（CI）。采用卡方检验比较病例特征，并计算差异百分比。与新冠肺炎前相比，急诊入院总人数每周下降1111.22例（减少32.9%），性侵犯和家庭暴力项目每周下降4.66例。性侵犯案件的每周案件数比为0.47 (95% CI 0.79-0.27)，相当于案件减少了53.49%,0.52 (95% CI 0.93-0.29)，相当于身体攻击案件减少了48.45%。在年龄（中位25岁）、性别（88.57%为女性）、攻击类型（57.14%为性侵犯，48.57%为肢体攻击）和地点（31.43%为患者家，40.00%为施暴者家）方面，各病例的特征相似。心理虐待（11.69%比28.57%）和户外袭击（5.19%比22.86%）显著增加。该研究发现，尽管社会条件增加了暴力风险，但在COVID-19期间，因性侵犯和家庭暴力而入院的急诊科人数有所下降。求医和攻击模式的趋势需要持续监测，以便为遭受暴力的个人提供最佳支持，特别是在各国开始重新开放或再次封锁的情况下。在线版本包含补充材料，可在10.1186/s12916-020-01897-z获得。
There is little information on care-seeking patterns for sexual assault and domestic violence during the COVID-19 pandemic. The objective of this study was to examine the changes in emergency department (ED) admissions for sexual assault and domestic violence since the COVID-19 pandemic was declared. Observational ED admissions data from The Ottawa Hospital were analyzed from March 4 to May 5 (62 days) in 2020 (COVID-19 period) and compared to the same period in 2018 (pre-COVID-19). Total and mean weekly admissions were calculated for all-cause ED admissions and for sexual and domestic violence cases. A Poisson regression (without offset term) was used to calculate the weekly case count ratio and 95% confidence intervals (CI) between the two time periods. Case characteristics were compared using chi-square tests, and percent differences were calculated. Compared to pre-COVID-19, total ED admissions dropped by 1111.22 cases per week (32.9% reduction), and the Sexual Assault and Domestic Violence Program cases dropped 4.66 cases per week. The weekly case count ratio for sexual assault cases was 0.47 (95% CI 0.79–0.27), equivalent of 53.49% reduction in cases, and 0.52 (95% CI 0.93–0.29), equivalent to a 48.45% reduction in physical assault cases. The characteristics of presenting cases were similar by age (median 25 years), sex (88.57% female), assault type (57.14% sexual assault, 48.57% physical assault), and location (31.43% patient’s home, 40.00% assailant’s home). There was a significant increase in psychological abuse (11.69% vs 28.57%) and assaults occurring outdoors (5.19% vs 22.86%). This study found a decrease in ED admissions for sexual assault and domestic violence during COVID-19, despite societal conditions that elevate risk of violence. Trends in care-seeking and assault patterns will require ongoing monitoring to inform the provision of optimal support for individuals experiencing violence, particularly as countries begin to re-open or lock-down again. The online version contains supplementary material available at 10.1186/s12916-020-01897-z.
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12.7
作者：
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通讯作者：
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