A 15-Year Population-Based Investigation of Sexual Assault Cases Across the Province of Ontario, Canada, 2002-2016
A 15-Year Population-Based Investigation of Sexual Assault Cases Across the Province of Ontario, Canada, 2002-2016
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DOI：
10.2105/ajph.2019.305179
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发表时间：
2019-09-01
影响因子：
12.7
通讯作者：
Manuel, Douglas
中科院分区：
文献类型：
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作者：
Muldoon, Katherine;Smith, Glenys;Manuel, Douglas
目标.估计加拿大安大略省性侵犯案件的人口水平频率和标准化率。我们通过链接5个省级行政卫生数据库，对性侵犯案件进行了15年（2002-2016年）的回顾性分析。我们通过23种国际疾病分类，第10次修订版和医生账单代码的算法来定义性侵犯。我们计算了每10万人口的年龄和性别分层标准化率，并使用年龄和性别分层泊松回归来确定年比率。2002年至2016年期间，安大略发生了52780起性侵犯事件，每10万人口中有27.38起。15至19岁（每10万人中有187人）和20至24岁（每10万人中有127人）的女性发病率最高。在男性中，0至4岁儿童（每10万人41人）和5至9岁儿童（每10万人29人）的发病率最高。在男性和女性中，15岁及以上人群的年比率增加，14岁及以上人群的年比率下降。从儿童到老年人，所有年龄组和性别都有性侵犯记录，青少年和儿童的标准化率很高。
Objectives. To estimate the population-level frequencies and standardized rates of sexual assault cases in the province of Ontario, Canada.Methods. We conducted a 15-year retrospective analysis (2002-2016) of sexual assault cases by linking 5 provincial administrative health databases. We defined sexual assault by an algorithm of 23 International Classification of Diseases, 10th Revision, and physician billing codes. We calculated age-and sex-stratified standardized rates per 100 000 census population, and we used age-and sex-stratified Poisson regressions to determine annual rate ratios.Results. Between 2002 and 2016, there were 52 780 incident cases of sexual assault in Ontario at a rate of 27.38 per 100 000 population. The highest rates were found among females aged 15 to 19 years (187 per 100 000) and 20 to 24 years (127 per 100 000). Among males, the highest rates were observed among children aged 0 to 4 years (41 per 100 000) and 5 to 9 years (29 per 10 000). Among males and females, the annual rate ratio increased among those aged 15 years and older and decreased among those aged 14 years and younger.Conclusions. Sexual assault was documented across all age groups and sexes, from children to elders, with high standardized rates among adolescents and children.