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Sex Differences in Characteristics of Adolescents Presenting to the Emergency Department with Acute Assault‐related Injury
dc.contributor.authorRanney, Megan L.en_US
dc.contributor.authorWhiteside, Lauren K.en_US
dc.contributor.authorWalton, Maureen A.en_US
dc.contributor.authorChermack, Stephen T.en_US
dc.contributor.authorZimmerman, Marc A.en_US
dc.contributor.authorCunningham, Rebecca M.en_US
dc.date.accessioned2011-11-10T15:30:50Z
dc.date.available2012-12-03T21:17:28Zen_US
dc.date.issued2011-10en_US
dc.identifier.citationRanney, Megan L.; Whiteside, Lauren; Walton, Maureen A.; Chermack, Stephen T.; Zimmerman, Marc A.; Cunningham, Rebecca M. (2011). "Sex Differences in Characteristics of Adolescents Presenting to the Emergency Department with Acute Assault‐related Injury." Academic Emergency Medicine 18(10). <http://hdl.handle.net/2027.42/86795>en_US
dc.identifier.issn1069-6563en_US
dc.identifier.issn1553-2712en_US
dc.identifier.urihttps://hdl.handle.net/2027.42/86795
dc.description.abstractObjectives:  Adolescents with a history of peer assault are known to report high rates of other risky behaviors. The characteristics of adolescents seeking care in the ED for acute assault‐related injury are less well established. This knowledge deficit is particularly noticeable for adolescent female victims of peer assault. This study’s objectives were: 1) to characterize the demographics and risk behaviors of youths presenting to the emergency department (ED) with acute assault‐related injury and 2) to compare assaulted youths’ demographic characteristics, past experiences with violence, and other risk behaviors by sex. Methods:  A systematic sample of adolescents (ages 14 to 18 years) presenting to an urban ED with acute assault‐related injury (excluding dating violence, sexual assault, and child abuse) was recruited. Consenting participants self‐administered a computerized survey about demographics, history of peer and dating aggression, and theoretical correlates of violence (e.g., alcohol and other drug use, depressive symptoms, weapon carriage). Multivariate logistic regression was performed to identify factors that were differentially associated with presentation to the ED for acute assault‐related injury for females versus males. Results:  Of 3,338 adolescents completing a screening survey during the 36‐month study period, 197 had presented to the ED with acute assault‐related injuries; seven of these were excluded from this study due to being victims of dating violence. Most ( n =  179, 94.2%) of these 190 acutely assaulted participants were discharged home. The majority reported a history of past‐year peer aggression ( n =  160, 84.2%) and past‐year violent injury ( n =  106, 55.8%). Similar rates of past‐year peer aggression, past‐year violent injury, alcohol use, and weapon carriage were observed for adolescent males and females presenting with acute assault‐related injury. Males and females also reported similar age, race, socioeconomic status, and education levels. Compared to males, females were less likely to report living with a parent (odds ratio [OR] = 0.25, 95% confidence interval [CI] = 0.08 to 0.84) and were more likely to report depressive symptoms (OR = 2.59, 95% CI = 1.23 to 5.48) and past‐year dating aggression (OR = 2.23, 95% CI = 1.04 to 4.82). Conclusions:  Male and female adolescents with acute assault‐related injuries were very similar. Both reported extremely high rates of past year peer violence, assault‐related injury, and substance use. The greater prevalence of some risk factors among adolescent females, such as depressive symptoms, dating aggression, and independent living status, should be further investigated.en_US
dc.publisherBlackwell Publishing Ltden_US
dc.publisherWiley Periodicals, Inc.en_US
dc.titleSex Differences in Characteristics of Adolescents Presenting to the Emergency Department with Acute Assault‐related Injuryen_US
dc.typeArticleen_US
dc.rights.robotsIndexNoFollowen_US
dc.subject.hlbsecondlevelMedicine (General)en_US
dc.subject.hlbtoplevelHealth Sciencesen_US
dc.description.peerreviewedPeer Revieweden_US
dc.contributor.affiliationumFrom the Injury Prevention Center, Department of Emergency Medicine, Alpert Medical School of Brown University (MLR), Providence, RI; the Injury Center (LW, MAW, RMC), the Department of Psychiatry (LW, MAW, STC), the School of Public Health (MAZ, RMC), and the Department of Emergency Medicine (LW, RMC), University of Michigan, Ann Arbor, MI; Hurley Medical Center, (RMC) Flint, MI; and the Department of Veterans Affairs, Health Services Research and Development (STC), Ann Arbor, MI.en_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/86795/1/j.1553-2712.2011.01165.x.pdf
dc.identifier.doi10.1111/j.1553-2712.2011.01165.xen_US
dc.identifier.sourceAcademic Emergency Medicineen_US
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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