title: Correlates of violent assault among young male primary care patients.
abstract: Correlates of violent assault (defined here as having been shot, stabbed, shot at, or beaten) were identified among young male primary care patients. Data were analyzed from a cohort of young men ages 17 to 29 during their initial visits to an urban primary care facility. Each underwent a clinical assessment, including a self-report health inventory and provider history. In multivariable analysis, history of incarceration (odds ratio [OR] = 6.29, 95 percent confidence interval [CI], 2.34-16.89), having children (OR = 3.06, 95 percent CI, 1.30-7.17), and a high school education or less (OR = 0.69, 95 percent CI, 0.50-0.96) were significantly associated with increased likelihood of violent assault. Patients reporting more serious traumatic experiences, such as incarceration, witnessing violence, or carrying a weapon, had the highest risk (OR = 9.91, 95 percent CI, 4.0-24.57). These findings may help primary care physicians identify young men at risk for violence and foster better interventions.
authors.affiliation: Boston University Schools of Medicine and Public Health, 1010 Massachusetts Ave., 6th floor, Boston, MA 02118, USA.
authors.forename: J A
authors.initials: JA
authors.lastname: Rich
authors.forename: L M
authors.initials: LM
authors.lastname: Sullivan
mesh_terms: D000293:Adolescent; D000328:Adult; D001900:Boston / Q000453:epidemiology; D005389:Firearms / Q000706:statistics & numerical data; D015438:Health Behavior; D006773:Hospitals, Municipal / Q000706:statistics & numerical data*; D006801:Humans; D016015:Logistic Models; D008297:Male; D008487:Medical History Taking; D015999:Multivariate Analysis; D010044:Outpatient Clinics, Hospital / Q000706:statistics & numerical data*; D011320:Primary Health Care / Q000706:statistics & numerical data*; D012307:Risk Factors; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000453:epidemiology; D011795:Surveys and Questionnaires; D014505:Urban Population; D014754:Violence / Q000145:classification / Q000706:statistics & numerical data*; D014947:Wounds and Injuries / Q000453:epidemiology