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Effects of gender, indigenous status, and remoteness to health services on the occurrence of assault-related injuries in children and adolescents
  1. Irie Fumiko,
  2. Lang Jacelle,
  3. Kaltner Melissa,
  4. Le Brocque Robyne,
  5. Kenardy Justin
  1. United Nations and African Union Mission in Darfur (UNAMID), El-Fasher, Sudan

    Abstract

    Background Assault-related injury is a devastating consequence of violence and is a prominent cause of morbidity and mortality in young age. However, reliable data sources are scarce and there has been a paucity of studies examining possible predisposing factors on the incidence of assault-related injury.

    Aims To examine the effect of gender, indigenous status and remoteness to health services on sustaining assault-related injuries in patients aged 17 years and under in Queensland, Australia.

    Methods Logistic regression analyses were conducted using data from the state-wide trauma registry from 2005 to 2008.

    Results 282 assault-related injury cases were identified. Indigenous females were at the highest risk of sustaining assault-related injuries (OR: 15.3, 95% CI 8.17 to 28.6), followed by Indigenous males (OR: 6.55, 95% CI 3.60 to 11.9) and non-indigenous males (OR: 2.82, 95% CI 1.78 to 4.47). Adolescent males aged between 13–17 years were at a significantly higher risk than adolescent females of assault-related injury (OR: 2.11, 95% CI 1.34 to 3.31). For non-indigenous people, living in a regional area was associated with a lower risk of assault-related injury compared to major cities (OR: 0.59, 95% CI 0.44 to 0.78). Indigenous people were at higher risk of sustaining an assault-related injury than non-indigenous people in regional areas (OR: 4.8, 95% CI 3.14 to 7.42) and in remote areas (OR: 10.1, 95% CI 2.64 to 38.69).

    Contribution to the Field The current study provides evidence of interaction effects among the predisposing factors of interest and the likelihood of sustaining assault-related injury. Identifying these interactions is important for the development of effective preventive measures and trauma management plans focusing on high-risk groups who are most likely to sustain assault-related injuries in young age.

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