社会脆弱性与城市一级创伤中心儿童身体虐待的相关性
Shengqing Wang1, Marinda Scrushy1, Laura Purcell1
1Division of Pediatric Surgery, Department of Surgery, UT Southwestern Medical Center, Dallas, Texas.
The Journal of surgical research
|October 25, 2025
概括
在社会脆弱地区的儿童面临非意外创伤 (NAT) 的更高风险. 在COVID-19大流行期间,这种风险显著增加,特别是在住房和交通因素方面.
科学领域:
- 公共卫生 公共卫生
- 儿科创伤 儿童创伤
- 社会流行病学 社会流行病学
背景情况:
- 儿童身体虐待或非意外创伤 (NAT) 是美国儿童死亡的重要原因.
- 针对NAT的伤害预防工作至关重要.
- 了解社会脆弱性与NAT率之间的联系对于有针对性的干预措施至关重要.
研究的目的:
- 调查社会脆弱性与儿童身体虐待的发生率之间的关系.
- 分析社会脆弱性如何影响儿童创伤中心周围社区的NAT率.
主要方法:
- 使用创伤登记数据 (2015-2022) 的回顾性队列研究.
- 来自CDC数据的社会脆弱性指数 (SVI) 用于定义社会脆弱性.
- 统计分析 (基平方,克鲁斯卡尔-瓦利斯,逻辑回归) 将NAT评估和非NAT评估患者之间的SVI进行比较.
主要成果:
- 在最高SVI四分位数的患者中,NAT调查的可能性更高 (P < 0.001).
- 在大流行期间,高SVI与NAT几率相对增加28.6%有关.
- 所有SVI主题都与NAT相关,住房和交通是最具预测性的因素.
结论:
- 在社会脆弱社区的儿童有较高的NAT风险.
- 与流行病相关的措施加剧了社会脆弱性和NAT之间的联系.
- 调查结果强调了需要社区层面的支持和针对弱势群体的有针对性的预防策略.
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