Vijay Singh1, Quyen Epstein-Ngo2, Rebecca M Cunningham3, Sarah A Stoddard4, Stephen T Chermack5, Maureen A Walton2. 1. University of Michigan, Department of Emergency Medicine and Institute for Healthcare Policy and Innovation, Ann Arbor, MI 48105, United States; University of Michigan, Department of Family Medicine, Ann Arbor, MI 48105, United States; University of Michigan Injury Center, Ann Arbor, MI 48105, United States. Electronic address: vijaysin@umich.edu. 2. University of Michigan Injury Center, Ann Arbor, MI 48105, United States; University of Michigan, Department of Psychiatry and Addiction Research Center, Ann Arbor, MI 48109, United States. 3. University of Michigan, Department of Emergency Medicine and Institute for Healthcare Policy and Innovation, Ann Arbor, MI 48105, United States; University of Michigan Injury Center, Ann Arbor, MI 48105, United States. 4. University of Michigan Injury Center, Ann Arbor, MI 48105, United States; University of Michigan, Department of Health Behavior and Health Education, School of Public Health, Ann Arbor, MI 48105, United States; University of Michigan School of Nursing, Ann Arbor, MI 48105, United States. 5. University of Michigan, Department of Psychiatry and Addiction Research Center, Ann Arbor, MI 48109, United States.
Abstract
BACKGROUND: This study determined prevalence and correlates of physical dating violence (victimization or aggression) among male and female youth with alcohol misuse and seeking emergency department (ED) care. METHODS: Patients age 14-20 seeking care at a single large university-based ED completed a computerized, self-administered, cross-sectional survey. Measures included demographics, alcohol and substance use, mental health problems, health service use, peer influences, parent support, and community involvement. Bivariate and multivariate regression assessed physical dating violence correlates. RESULTS: Among 842 male and female youth seeking ED care who screened positive for alcohol misuse, 22.3% (n=188) reported dating violence in the past year. Multivariate analyses showed variables associated with dating violence were female gender (AOR 2.17, CI 1.46-3.22), Caucasian race (AOR 0.59, CI 0.37-0.93), receipt of public assistance (AOR 1.82, CI 1.16-2.87), AUDIT Score (AOR 1.06, CI 1.02-1.10), older age of drinking onset (AOR 0.86, CI 0.77-0.96), suicidal ideation or attempt (AOR 1.95, CI 1.13-3.37), frequency of ED visits (AOR 1.22, CI 1.05-1.46), negative peer influences (AOR 1.05, CI 1.01-1.10), and positive peer influences (AOR 0.86, CI 0.80-0.93). CONCLUSIONS: Nearly 1 in 4 youth with alcohol misuse seeking ED care report dating violence. Key correlates of dating violence included alcohol use severity, suicidal ideation, ED services, and peer influences. Evidence-based dating violence interventions addressing these correlates are needed for youth with alcohol misuse seeking ED care.
BACKGROUND: This study determined prevalence and correlates of physical dating violence (victimization or aggression) among male and female youth with alcohol misuse and seeking emergency department (ED) care. METHODS:Patients age 14-20 seeking care at a single large university-based ED completed a computerized, self-administered, cross-sectional survey. Measures included demographics, alcohol and substance use, mental health problems, health service use, peer influences, parent support, and community involvement. Bivariate and multivariate regression assessed physical dating violence correlates. RESULTS: Among 842 male and female youth seeking ED care who screened positive for alcohol misuse, 22.3% (n=188) reported dating violence in the past year. Multivariate analyses showed variables associated with dating violence were female gender (AOR 2.17, CI 1.46-3.22), Caucasian race (AOR 0.59, CI 0.37-0.93), receipt of public assistance (AOR 1.82, CI 1.16-2.87), AUDIT Score (AOR 1.06, CI 1.02-1.10), older age of drinking onset (AOR 0.86, CI 0.77-0.96), suicidal ideation or attempt (AOR 1.95, CI 1.13-3.37), frequency of ED visits (AOR 1.22, CI 1.05-1.46), negative peer influences (AOR 1.05, CI 1.01-1.10), and positive peer influences (AOR 0.86, CI 0.80-0.93). CONCLUSIONS: Nearly 1 in 4 youth with alcohol misuse seeking ED care report dating violence. Key correlates of dating violence included alcohol use severity, suicidal ideation, ED services, and peer influences. Evidence-based dating violence interventions addressing these correlates are needed for youth with alcohol misuse seeking ED care.
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