| 摘要: | 背景：攻擊事件是一個全球性的健康問題，並對社會各層面皆造成相當大的影響。過去研究顯示每年約有一百萬件之攻擊事件，且造成9%的人死亡。
目的：本研究之目的在描述攻擊事件特性之流行病學研究及與酒精使用之關係。
研究方法與材料：本研究為回溯性研究，研究樣本蒐集過去一年史瓦濟蘭Raleigh Fitkin醫院病人資料，收案期間為2011－2012年。收集資料內容包含：年齡、性別、時間、傷害型態、酒精使用情形、原因、武器型態和傷害地點等。在傷害型態的部分，使用傷害分類工具及Kampala trauma scale II以評估傷害嚴重度。在統計方法部分包含描述性統計、時間序列圖、student t-test、卡方及費雪兒檢定。羅吉斯回歸檢定自變相與攻擊傷害之關係。資料分析採用SAS9.3版。
結果：符合本研究之個案共301位，其中以年輕男性(30%)及鈍傷(38.5%)為主要發生傷害之原因，且達統計上顯著差異。此外，在夜晚、周末、每月最後一周、二月及十二月為發生較高比率之攻擊事件。僅受到輕傷的佔75.6%，嚴重受傷佔6.1%。以羅吉斯回歸分析酒精與攻擊事件之關係，控制性別、武器使用及原因後發現酒精與攻擊事件相關，有達統計上顯著差異，其中穿刺傷之勝算比(Odds Ratio, OR)為2.9(1.17-7.42)、鈍傷為4.0(1.44-11.5)、骨折為 2.6(1.40-4.71)及槍傷為1.1(0.58-1.97)。
結論：本研究顯示了史瓦濟蘭Raleigh Fitkin醫院攻擊事件的流行病學結果。攻擊事件在週末、月底、夏季及酒精的使用有高度的相關。
Background: Assault injury is a global health issue which affects each and every set of the society. Studies have shown that an estimated 1 million assault related injuries occur each year, and with 9% of all deaths.
Objective: To describe the epidemiologic characteristics of assaults, and explore the relationship between alcohol use and assault injuries
Materials and Methods: A retrospective study was conducted by reviewing patient files for a year interval (2011/2012) using a Checklist. Variables age, gender, time, nature of injury, alcohol use status, intent/cause, nature of weapon, and injury scene were extracted. In selecting of the type of injuries, an injury classification tool was used and for the estimation injury severity a Kampala trauma scale II was utilized. Employed descriptive statistics, time-series plots, student ttest, χ2 or fisher’s exact statistic. A logistic regression analysis was used to determine independent associations with assault injury. Data was analyzed using SAS version 9.3.
Results: A total of 301 victims were studied and were predominantly young male(30%) and blunt injuries(38.5%) were the most frequent type of injury(p<0.02).High rates of assaults at night periods, on weekends, last week of the month, February, and December. Only 75.6% victims were mildly injured compared to 6.1% severely injured. Multivariate logistic regression analysis was conducted to assess whether alcohol consumption was associated with assault injury. After controlling for sex ,weapon use ,and cause, there was a significant association between alcohol and assault injury, penetrating OR 2.9(1.17-7.42),blunt OR 4.0(1.44-11.5),fracture OR 2.6(1.40-4.71gun OR 1.1(0.58-1.97).
Conclusion: This study highlights the epidemiological characteristics of assault injuries seen at RFM Hospital. Assaults were prevalent, during weekends, month end, and during summer season. Alcohol is positively associated with assaults. |
