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Injury Patterns and Associated Demographics of Intimate Partner Violence in Older Adults Presenting to U.S. Emergency Departments
Journal of Interpersonal Violence ( IF 2.621 ) Pub Date : 2021-06-12 , DOI: 10.1177/08862605211022060
Bharti Khurana 1 , Randall T Loder 2
Affiliation  

Intimate partner violence (IPV) is a global public health issue and occurs in intimate relationships regardless of age or sexual orientation. Several studies, most of them relying on small-scale samples, have explored the prevalence and risk factors of IPV in older adults. Still, none have focused on the demographics and injury patterns in older adult victims. Using the National Electronic Injury Surveillance System (NEISS) All Injury Program (AIP) data, we performed a retrospective analysis from 2005 through 2015 of the demographics and injuries of older adult IPV patients (>60 years old) presenting to emergency departments (EDs) compared to younger adult IPV patients (<60 years old). IPV accounted for 2,059,441 ED visits (.61%) with 37,534 (1.8%) visits in the older adults. Older adults were more frequently male (36.1% vs 16.8%), White (65.3% vs 52.8%), sustained fewer neck/head injuries (47.6% vs 59.4%), fewer contusions/abrasions (34.6% vs 47.2%), had more trunk fractures (38.4% vs 11.9%), trunk strains/sprains (39.5% vs 15.4%) and more hospital admissions (15.7 vs 4.2%), compared to younger IPV patients. Within the older adult cohort, females were more commonly White (71.2% vs 56.0%) while males were more commonly Black (36.3% vs 19.0%). Injuries in older adult males were more commonly lacerations (40.6% vs 14.2%%) and less commonly contusions/abrasions (33.8% vs 43.5%) compared to elderly females. Older adult females had more internal organ injuries than older adult males (18.9% vs 12.9%) and nearly all involved the head. Knowledge of these injury patterns in older adults can equip the health care providers when to be more suspicious of unexplained or suspicious injuries as the victim’s symptoms at the presentation might not be directly related to violence.



中文翻译:

向美国急诊科就诊的老年人亲密伴侣暴力的伤害模式和相关人口统计数据

亲密伴侣暴力 (IPV) 是一个全球公共卫生问题,无论年龄或性取向如何,都会发生在亲密关系中。几项研究,其中大多数依赖于小规模样本,已经探索了 IPV 在老​​年人中的流行和危险因素。尽管如此,没有人关注老年人受害者的人口统计和伤害模式。使用国家电子伤害监测系统 (NEISS) 所有伤害计划 (AIP) 数据,我们对 2005 年至 2015 年在急诊科 (ED) 就诊的老年 IPV 患者(>60 岁)的人口统计和伤害进行了回顾性分析与年轻的成年 IPV 患者(<60 岁)相比。IPV 占 2,059,441 次 ED 就诊(0.61%),其中 37,534 次(1.8%)在老年人中就诊。老年人更常见的是男性(36.1% 对 16.8%),白人(65. 3% 对 52.8%),颈部/头部受伤更少(47.6% 对 59.4%),挫伤/擦伤更少(34.6% 对 47.2%),躯干骨折更多(38.4% 对 11.9%),躯干拉伤/扭伤(与年轻的 IPV 患者相比,39.5% 对 15.4%)和更多住院(15.7% 对 4.2%)。在老年人群中,女性更常见的是白人(71.2% 对 56.0%),而男性更常见的是黑人(36.3% 对 19.0%)。与老年女性相比,老年男性的损伤更常见于撕裂伤(40.6% 对 14.2%%),而挫伤/擦伤较少见(33.8% 对 43.5%)。老年女性的内脏损伤比老年男性多(18.9% 对 12.9%),而且几乎都涉及头部。

更新日期:2021-06-13
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