Adolescent assault injury: risk and protective factors and locations of contact for intervention.

作者: T. L. Cheng , D. Schwarz , R. A. Brenner , J. L. Wright , C. B. Fields

DOI: 10.1542/PEDS.112.4.931

关键词:

摘要: BACKGROUND: Violence is a large contributor to morbidity and mortality among adolescents. Most studies assessing markers for violent injury are cross-sectional. To guide intervention, we conducted case-control study explore factors associated with assault locations reach at-risk OBJECTIVE: 1) assess risk protective adolescent compared 2 control groups of youth unintentional injuries noninjury complaints presenting the emergency department 2) contact assault-injured prevention programs. METHODS: Face-to-face phone interviews were systematic samples aged 12 19 years injury, complaints. Youth intentional matched in on age +/-1 year, gender, race, residency. RESULTS: One hundred forty-seven 147 completed interviews. thirty-three 133 unintentionally injured noninjured department. Compared groups, more likely have had fights past year (odds ratio [OR]: 3.91; 95% confidence interval [CI]: 2.02, 7.58; OR: 4.00; CI: 2.23, 7.18) requiring medical treatment (OR: 35.49; 8.71, 144.68; 80.00; 11.13, 574.80). Eighty percent been 1 or last months 55% 46% controls, respectively. Assault-injured previous weapon 9.50; 3.39, 26.6; 8.50; 3.02, 23.95) seen someone shot 2.00; CI 1.12, 3.58; 3.58). Eighty-six regular health care provider 82% reporting visit within year. There no differences between cases controls regard physician contact, extracurricular activity involvement, school church attendance, police access weapon-carrying, witnessing nonweapon-related violence. CONCLUSIONS: Fighting was common all groups. high-risk future injury. Past fights, fight injuries, seeing else Health providers do teens clinical assessment intervention. Language: en

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