COVID-19和性侵犯:美国紧急服务部门访问的趋势 - 一个横截面分析
Rose McKeon Olson1,2,3, Bharti Khurana2,3,4, Randall T Loder5
1Division of Global Health Equity, Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
BMJ public health
|September 19, 2025
概括
在COVID-19大流行期间,因性侵犯而访问急诊室的情况保持稳定,人口统计学变化和受伤严重程度增加. 这些发现强调了在公共卫生危机期间需要有针对性的干预措施.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 创伤护理 创伤护理
背景情况:
- 在公共卫生危机期间,性侵犯事件经常升级.
- 在COVID-19大流行期间,美国紧急服务部门 (ED) 对性侵犯的访问趋势在很大程度上仍未得到审查.
研究的目的:
- 调查美国向EDs提交的性侵犯案件中的人口,事件和伤害趋势.
- 将COVID-19早期和晚期的这些趋势与COVID-19前的数据进行比较.
主要方法:
- 全国电子伤害监测系统所有伤害计划 (2014-2021) 的回顾性分析.
- 在COVID-19前,COVID-19早期和COVID-19晚期期间,针对性侵犯的ED访问 (n=22,752) 的比较.
- 使用t测试,ANOVA和千平方测试分析人口和伤害趋势;使用Joinpoint回归评估国家趋势.
主要成果:
- 虽然与攻击有关的ED访问总体下降,但在2017-2021年期间,性侵犯访问保持稳定.
- 在COVID-19期间,性侵犯案件在年轻人群 (0-19岁) 中减少,但在成年人群 (20-64岁) 中增加.
- 黑人和西班牙裔人口中病例增加,父母/伴侣的攻击增加,以及中毒和无氧等严重伤害.
结论:
- 在大流行期间,ED对性侵犯的访问继续,呈现出显著的人口结构变化.
- 观察到伤害严重程度增加,包括药物促成的暴力和与窒息相关的无氧.
- 调查结果强调了在危机期间需要量身定制的公共卫生干预措施.
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