대인간 폭력 희생자-가해자 관계에 따른 대인간 폭력 손상의 역학과 사망률 분석
Interpersonal violence epidemiology and mortality by violence victim-perpetrator relationships
주신용, 송성욱, 김우정, 강영준, 박현수, 강경원, 박창배, 강정호, 부지환, 이성근, 고서영,
소속 상세정보
주신용 ( Chou Shin-Yung )
제주대학교병원 응급의학과
송성욱 ( Song Sung-Wook )
제주대학교 의학전문대학원 응급의학교실
김우정 ( Kim Woo-Jeong )
제주대학교 의학전문대학원 응급의학교실
강영준 ( Kang Young-Joon )
제주대학교 의학전문대학원 의학교육학교실
박현수 ( Park Hyun-Soo )
제주대학교 의학전문대학원 응급의학교실
강경원 ( Kang Kyeong-Won )
제주대학교 의학전문대학원 응급의학교실
박창배 ( Park Chang-Bae )
제주대학교병원 응급의학과
강정호 ( Kang Jeong-Ho )
제주대학교 의학전문대학원 응급의학교실
부지환 ( Boo Ji-Whan )
제주대학교병원 응급의학과
이성근 ( Lee Sung-Geun )
제주대학교병원 응급의학과
고서영 ( Ko Seo-Young )
제주대학교병원 응급의학과
KMID : 0385920190300020120
Abstract
Objective: The aim of this study was to investigate the interpersonal violence (IPV) epidemiology and mortality according to the violence victim-perpetrator relationships.
Method: A retrospective cross-sectional study was done using the comprehensive data of the emergency department (ED)-based Jeju Injury Surveillance System from all EDs in Jeju Island. The demographic characteristics of the victims, the types of perpetrators (spouse, family members, acquaintance, and stranger), injury characteristics and clinical outcomes from the injury were collected. The IPV epidemiology was reported by descriptive statistics. Multivariate Poisson regression was used to analyze the association between the mortality and violence victim-perpetrator relationships.
Results: Among the 23,508 violent injury patients enrolled from January 1, 2008, and December 31 of 2016, 19,879 (84.6%) were analyzed; 16 (0.08%) died at the ED. The types of perpetrators were the spouse (10.1%), family members (3.9%), acquaintances (43.4%), and strangers (42.7%). The mortality of the violence victims was increased significantly by the spouse (incidence rate ratio [IRR], 6.336; P=0.043) or family members (IRR, 11.089; P=0.016) compared to strangers. On the other hand, there was no difference between the acquaintances and strangers.
Conclusion: The epidemiology and mortality of IPV were associated with the violence victim-perpetrator relationships. Therefore, it is necessary to develop and apply prevention programs considering these differences, particularly for intimidate/family violence because of its high fatality.
키워드
Violence; Interpersonal relations; Epidemiology; Mortality
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