社区层面的社会脆弱性和青少年受伤的模式
Eustina G Kwon1, Juan P Herrera-Escobar2,3, Eileen M Bulger4
1From the Department of General and Thoracic Surgery, Seattle Children's Hospital, University of Washington, Seattle, WA.
概括
高社会脆弱性指数 (SVI) 地区的青少年面临着更大的故意伤害风险. 了解SVI可以指导减少青少年暴力的干预措施.
科学领域:
- 公共卫生 公共卫生
- 创伤外科 手术 创伤外科
- 社会学 社会学 社会学
背景情况:
- 社会脆弱性指数 (SVI) 量化了社区层面的脆弱性.
- SVI是由疾病控制和预防中心 (CDC) 开发的.
研究的目的:
- 检查社区层面的社会脆弱性与青少年受伤之间的关联.
- 专注于与青少年人际暴力有关的伤害.
主要方法:
- 青少年创伤患者 (13-17岁) 在10年内被分析.
- 伤害被分为故意或无意的.
- 患者按SVI四分位数 (低,平均,高脆弱性) 分层.
- 多变量后勤回归评估了与SVI相关的故意伤害的几率.
主要成果:
- 总共包括了1993年青少年受伤 (317个是故意的).
- 蓄意伤害组的复合SVI显着更高.
- 在高SVI区域的青少年有故意伤害的几率增加 (经调整的OR,1.8).
- 高SVI队列占有49%的故意伤害和51%的死亡.
结论:
- 居住在社会脆弱性较高的地区的青少年经历了明显增加的故意伤害的几率.
- SVI数据可以为社区层面的策略提供信息,以减轻青少年之间的暴力伤害.
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