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J Korean Soc Emerg Med > Volume 30(2); 2019 > Article
Journal of The Korean Society of Emergency Medicine 2019;30(2): 120-131.
대인간 폭력 희생자-가해자 관계에 따른 대인간 폭력 손상의 역학과 사망률 분석
주신용1, 송성욱2,3 , 김우정2,3 , 강영준3,4 , 박현수2,3 , 강경원2,3 , 박창배1 , 강정호2,3 , 부지환1 , 이성근1 , 고서영1
1제주대학교병원 응급의학과
2제주대학교 의학전문대학원 응급의학교실
3제주대학교 의학전문대학원 의학교육학교실
4제주대학교 의과학연구소
Interpersonal violence epidemiology and mortality by violence victim-perpetrator relationships
Shinyung Chou1, Sung Wook Song2,3 , Woo Jeong Kim2,3 , Youngjoon Kang3,4 , Hyun Soo Park2,3 , Kyeong Won Kang2,3 , Chang Bae Park1 , Jeong Ho Kang2,3 , Ji Hwan Bu1 , Sung Kgun Lee1 , Seo Young Ko1
1Department of Emergency Medicine, Jeju National University Hospital, Jeju, Korea
2Department of Emergency Medicine, Jeju National University School of Medicine, Jeju, Korea
3Department of Medical Education, Jeju National University School of Medicine, Jeju, Korea
4Institute for Medical Science, Jeju National University, Jeju, Korea
Correspondence  Sung Wook Song ,Tel: 064-717-1924, Fax: 064-717-1131, Email: sungwook78@gmail.com,
Received: August 9, 2018; Revised: September 22, 2018   Accepted: October 1, 2018.  Published online: April 30, 2019.
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.
Key words: Violence; Interpersonal relations; Epidemiology; Mortality
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