青少年约会暴力与脑震荡之间的关系。

IF 5.5 2区医学 Q1 PEDIATRICS

Journal of Adolescent Health Pub Date : 2024-09-25 DOI:10.1016/j.jadohealth.2024.07.019

Deinera Exner-Cortens Ph.D., M.P.H. , Jeniffer Nicole Camacho Soto M.Sc. , Keith Owen Yeates Ph.D. , Paul van Donkelaar Ph.D. , Wendy M. Craig Ph.D.

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引用次数: 0

摘要

目的：在成年人中，亲密伴侣暴力受害与脑外伤（包括脑震荡）密切相关。然而，此前还没有研究探讨过青少年中的这种关联。本研究探讨了青少年约会暴力（TDV）与脑震荡之间的关联，为这些高危人群的临床治疗提供参考：我们使用了2017/18学龄儿童健康行为全国代表性加拿大数据集中九年级和十年级青少年的数据（N = 2926）。过去 12 个月中的创伤后暴力使用三个受害项目和三个施暴项目进行测量。我们还询问了青少年在过去 12 个月中是否曾被医生或护士告知患有脑震荡，以及他们患有脑震荡时在哪里和在做什么。我们使用粗略精确匹配法创建了TDV受害者和非受害者等同组，然后使用双重稳健逻辑回归模型探讨了TDV与脑震荡之间的关联。我们还探讨了性别对影响的修正作用：结果：无论是在总体上还是在非运动环境中，TDV 都与较高的脑震荡几率有关。在非运动环境中，相互报告 TDV 的青少年在过去一年中发生脑震荡的几率最高（调整后的几率比 = 2.14，95% 置信区间：1.07, 4.28, p = .032）。我们还发现，在 TDV 的背景下，女孩和非二元青年的脑震荡风险较高：讨论：我们发现，TDV 与脑震荡风险增加有关。研究结果可为今后的研究提供参考，并可帮助青少年健康服务提供者治疗患有脑震荡的青少年。

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The Association Between Teen Dating Violence and Concussion

Purpose

In adults, intimate partner violence victimization and traumatic brain injuries, including concussion, are strongly connected. However, no prior research has explored this association among youth. This study explores the association between teen dating violence (TDV) and concussion to inform clinical care for these at-risk groups.

Methods

We used data from ninth and 10th grade youth in the 2017/18 Health Behavior in School-Aged Children nationally representative Canadian dataset (N = 2,926). TDV in the past 12 months was measured using three items for victimization and three for perpetration. Youth were asked if they had been told by a doctor or nurse that they had had a concussion in the past 12 months and where they were and what they were doing when they had the concussion. We used coarsened exact matching to create equivalent groups of TDV victims and nonvictims, and then explored the association between TDV and concussion using doubly robust logistic regression models. We also explored effect modification by gender.

Results

TDV was related to higher odds of concussion, both overall and when restricted to nonsport settings. In nonsport settings, youth who reported mutual TDV reported the highest odds of past-year concussion (adjusted odds ratio = 2.14, 95% confidence interval: 1.07, 4.28, p = .032). We also found that girls and nonbinary youth reported elevated risk of concussion in the context of TDV.

Discussion

We found that TDV was associated with increased risk for concussion. Findings can be used to inform future research and may assist adolescent health providers who treat youth with concussion.

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来源期刊

Journal of Adolescent Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

10.40

自引率

3.90%

发文量

526

审稿时长

46 days

期刊介绍： The Journal of Adolescent Health is a scientific publication dedicated to enhancing the health and well-being of adolescents and young adults. Our Journal covers a broad range of research topics, spanning from the basic biological and behavioral sciences to public health and policy. We welcome a variety of contributions, including original research papers, concise reports, literature reviews, clinical case reports, opinion pieces, and letters to the editor. We encourage professionals from diverse disciplines such as Anthropology, Education, Ethics, Global Health, Health Services Research, Law, Medicine, Mental and Behavioral Health, Nursing, Nutrition, Psychology, Public Health and Policy, Social Work, Sociology, and Youth Development to share their expertise and contribute to our mission of promoting adolescent health. Moreover, we value the voices of young individuals, family and community members, and healthcare professionals, and encourage them to submit poetry, personal narratives, images, and other creative works that provide unique insights into the experiences of adolescents and young adults. By combining scientific peer-reviewed research with creative expressions, our Journal aims to create a comprehensive understanding of the challenges and opportunities in adolescent and young adult health.