Demographic and socioeconomic inequalities in the risk of emergency hospital admission for violence: cross-sectional analysis of a national database in Wales

摘要: Objectives To investigate the risk of emergency hospital admissions for violence (EHAV) associated with demographic and socioeconomic factors in Wales between 2007/2008 2013/2014, to describe site injury causing admission. Design Database analysis 7 years’ using Patient Episode (PEDW). Setting participants Wales, UK, successive annual populations ∼2.8 million aged 0–74 years. Primary outcome The first admission each year study, defined by International Classification Diseases V.10 (ICD-10) codes assaults (X85-X99, Y00-Y09) any coding position. Results A total 11 033 assault. majority resulted from head injuries. overall crude rate declined over study period, 69.9 per 100 000 43.2 100 000, largest decrease most deprived quintile deprivation. generalised linear count model a negative binomial log link, adjusted year, age group, gender, deprivation settlement type, showed relative was highest group 18–19 years (RR=6.75, 95% CI 5.88 7.75) compared reference category 10–14 years. decreased after 25 years. Risk substantially higher males (RR=4.55, 4.31 4.81), residents areas (RR=3.60, 3.32 3.90) least deprived, cities (RR=1.37, 1.27 1.49) towns (RR=1.32, 1.21 1.45) villages. Conclusions Despite identifying narrowing gap prevalence richer poorer communities, remains strongly young men living There is potential greater reduction, given that mostly preventable. Recommendations reducing inequalities are discussed.