改善性暴力综合征监测定义的表现
Amy Ising1, Lucas M Neuroth, Lubna S Hossain
1Author Affiliations: Department of Emergency Medicine, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina (Drs Ising and Waller); Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina (Mr Neuroth); Division of Hospital Medicine, Department of Internal Medicine, Michigan Medicine, Ann Arbor, Michigan (Ms Hossain); and University of Colorado Firearm Injury Prevention Initiative, Department of Emergency Medicine, University of Colorado Anschutz School of Medicine, Aurora, Colorado (Dr Kafka).
与CDC V3定义相比,新的性暴力监测定义 (V4) 提高了对性暴力的急诊室访问的识别率6%. 这种增强的方法提供了更准确和敏感的公共卫生监测数据.
科学领域:
- 公共卫生
- 流行病学
- 卫生监测
背景情况:
- 美国缺乏关于性暴力监测的及时和代表性数据.
- 综合症监测急诊室 (ED) 访问数据可以提供对公共卫生问题的关键见解.
- 现有的性暴力监测定义需要加强,以提高准确性和全面性.
研究的目的:
- 解决性暴力监测数据上的差距.
- 评估疾病控制和预防中心 (CDC) 的性暴力监测定义 (V3).
- 使用北卡罗来纳州 (NC) 综合征监测数据,制定和验证强化性暴力监测定义 (V4).
主要方法:
- 一个黄金标准数据集是通过手动审查ED性暴力的访问.
- 在黄金标准数据集的基础上,开发了一种增强的V4定义.
- 通过使用NC ED访问数据 (2016-2024) 的精度度 (灵敏度,特异性,PPV,NPV,F1) 来比较CDC V3和V4定义的性能.
主要成果:
- 与CDC V3定义相比,V4定义发现发生性暴力事件的急救人员数量增加了6%.
- V4定义包含了额外的主要投诉术语和分类说明,提高了敏感性.
- 对于V4定义,F1得分有所改善,这表明在识别性暴力案件和最小化虚假阳性事件之间有更好的平衡.
结论:
- 综合症监测ED访问数据提供及时,基于人口的性暴力见解.
- 基于CDC V3的增强V4定义,并结合了分类笔记,为监控性暴力事件提供了更敏感和更准确的方法.
- 这种改善的监测可以更好地为公共卫生干预和资源分配提供信息.
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