ABSTRACT

Police violence has been described as an ongoing public health issue with profound impacts on individuals and communities. We leveraged a state-wide trauma registry to identify patients injured through legal intervention between 1989 and 2019 to examine individual characteristics associated with injuries, contextual factors during legal intervention, and clinical outcomes of injury to capture the nature of legal intervention injury. A total of 1098 patients injured through legal intervention were identified and 1095 patients from the PTOS dataset were matched for comparison with respect to injury and demographic factors. Patients injured through legal intervention were more likely to be male, identify as Black, had pre-existing psychiatric and substance use disorders (PECs), be intoxicated at admission, and have lower socioeconomic status. For White patients, PECs, intoxication, and lower SES were risk factors for worse clinical outcomes. Time of day and location of event also played a role in understanding this type of injury. Police violence disproportionately impacts racial minority groups as well as other disadvantaged and marginalized communities. An intersectional approach may help to understand contextual risk factors that can in turn aid in efforts to reduce law enforcement-related deaths and injuries.

摘要

警察暴力被描述为一个持续存在的公共卫生问题，对个人和社区产生深远影响。我们利用全州范围的创伤登记册来识别 1989 年至 2019 年间因法律干预而受伤的患者，以检查与伤害相关的个人特征、法律干预期间的背景因素以及伤害的临床结果，以了解法律干预伤害的性质。总共确定了 1098 名因法律干预而受伤的患者，并对 PTOS 数据集中的 1095 名患者进行了匹配，以进行伤害和人口统计因素的比较。通过法律干预受伤的患者更有可能是男性、黑人、患有精神疾病和物质使用障碍 (PEC)、入院时醉酒且社会经济地位较低。对于白人患者来说，PEC、中毒和较低的 SES 是临床结果较差的危险因素。一天中的时间和事件发生的地点也在理解此类伤害中发挥了作用。警察暴力对少数族裔群体以及其他弱势和边缘化社区的影响尤为严重。交叉方法可能有助于了解背景风险因素，从而有助于减少与执法相关的死亡和伤害。