Objective

To examine the degree to which neighborhood socioeconomic deprivation influences the risk of youth assault injury.

Study design

Population-based retrospective study of youth aged 10-24 years seeking emergency medical care between 2012 and 2019 at 14 hospitals in Vancouver, Canada. Neighborhood material and social deprivation were examined as independent predictors of assault injury, accounting for spatial autocorrelation and controlling for neighborhood drinking establishment density.

Results

Our data included 4166 assault injuries among 3817 youth. Male sex, substance use, and mental health disorders were common among victims of assault. Relative to the least deprived quintile of neighborhoods, assault injury risk was 2-fold higher in the most materially deprived quintile of neighborhoods (incidence rate ratio per quintile increase, 1.17; 95% CI 1.06-1.30; P < .05), and risk in the most socially deprived quintile was more than 3-fold greater than in the least deprived quintile (incidence rate ratio per quintile increase, 1.35; 95% CI 1.21-1.50; P < .001). Assault risk was 147-fold greater between 2 and 3 AM on Saturday relative to the safest hours of the week.

Conclusions

Neighborhood socioeconomic deprivation substantially increases the risk of youth assault injury. Youth violence prevention efforts should target socioeconomically deprived neighborhoods.

中文翻译：

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加拿大温哥华的社区社会经济剥夺和青少年袭击伤害

客观的

研究社区社会经济剥夺对青少年攻击伤害风险的影响程度。

学习规划

2012 年至 2019 年期间在加拿大温哥华的 14 家医院寻求紧急医疗护理的 10-24 岁青年的基于人群的回顾性研究。邻里物质和社会剥夺被检查为攻击伤害的独立预测因素，考虑了空间自相关并控制了邻里饮酒场所的密度。

结果

我们的数据包括 3817 名青年中的 4166 起袭击伤害。男性性行为、物质使用和精神健康障碍在攻击受害者中很常见。相对于最贫困的五分之一社区，在最物质匮乏的五分之一社区中，袭击伤害风险高出 2 倍（每增加五分之一的发病率比率，1.17；95% CI 1.06-1.30；P  < .05）和风险在社会最贫困的五分之一中，比在最贫困的五分之一中高出 3 倍以上（每增加五分之一的发病率比，1.35；95% CI 1.21-1.50；P  < .001）。相对于一周中最安全的时间，周六凌晨 2 点到 3 点之间的袭击风险高出 147 倍。

结论

邻里社会经济剥夺大大增加了青少年攻击伤害的风险。青少年暴力预防工作应针对社会经济贫困的社区。