Standardized rate of hospitalization for violent injuries among different generations in counties and cities in Taiwan from 2000 to 2015

Pi-Ching Yu; Ho-Tsung Hsin; Yao-Ching Huang; Ren-Jei Chung; Iau-Jin Lin; Bing-Long Wang; Chin-Fu Chen; Chien-An Sun; Shih-En Tang; Shi-Hao Huang; Wu-Chien Chien; Chun-Hsien Chiang

doi:10.1097/MD.0000000000033172

Standardized rate of hospitalization for violent injuries among different generations in counties and cities in Taiwan from 2000 to 2015

Medicine (Baltimore). 2023 Mar 10;102(10):e33172. doi: 10.1097/MD.0000000000033172.

Authors

Pi-Ching Yu^{1

2}, Ho-Tsung Hsin¹, Yao-Ching Huang^{3

4

5}, Ren-Jei Chung⁴, Iau-Jin Lin⁵, Bing-Long Wang⁵, Chin-Fu Chen^{6

7}, Chien-An Sun^{8

9}, Shih-En Tang^{10

11}, Shi-Hao Huang^{3

4

5}, Wu-Chien Chien^{3

5

12

13}, Chun-Hsien Chiang¹⁴

Affiliations

¹ Cardiovascular Intensive Care Unit, Department of Critical Care Medicine, Far-Eastern Memorial Hospital, New Taipei City, Taiwan.
² Graduate Institute of Medicine, National Defense Medical Center, Taipei, Taiwan.
³ Department of Medical Research, Tri-Service General Hospital, Taipei, Taiwan.
⁴ Department of Chemical Engineering and Biotechnology, National Taipei University of Technology (Taipei Tech), Taipei, Taiwan.
⁵ School of Public Health, National Defense Medical Center, Taipei, Taiwan.
⁶ Amed Advanced Medication Co., Ltd., New Taipei City, Taiwan.
⁷ Center for Technology Transfer and Resources Integration, Fu-Jen Catholic University, New Taipei City, Taiwan.
⁸ Department of Public Health, College of Medicine, Fu-Jen Catholic University, New Taipei City, Taiwan.
⁹ Big Data Center, College of Medicine, Fu-Jen Catholic University, New Taipei City, Taiwan.
¹⁰ Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
¹¹ Institute of Aerospace and Undersea Medicine, National Defense Medical Center, Taipei, Taiwan.
¹² Graduate Institute of Life Sciences, National Defense Medical Center, Taipei, Taiwan.
¹³ Taiwanese Injury Prevention and Safety Promotion Association (TIPSPA), Taipei, Taiwan.
¹⁴ Department of Cardiovascular Medicine, Far-Eastern Memorial Hospital, New Taipei City, Taiwan.

Abstract

This study aimed to understand the distribution of the standardized rate of hospitalization for violent injuries in counties and cities in Taiwan. The ICD-9 diagnosis code N-codes 995.5 (abused child) and 995.8 (abused adult) or E-code E960-E969 (homicide and intentional injury by others) were defined as research cases. The study analyzed the standardized medical treatment rate of children and adolescents aged 0 to 17, adults aged 18 to 64, and older adults over 65 years old suffering from violence for the first time. During the 15-year period, the counties and cities with the highest rate of medical treatment for violent injuries among children (unit: per 105 people) were Pingtung County (33.1 males, 22.9 females), Lienchiang County (8.8 males, 9.8 females), and New Taipei City (8.2 males, 8.8 females). For adults, Pingtung County (73.2 males, 36.8 females), New Taipei City (26.0 males, 14.3 females), and Yunlin County (19.7 males, 7.7 females) registered the highest rates. For older adults, Pingtung County (33.6 persons), New Taipei City (12.5 persons), Yun Lin County (11.2 persons), and Taichung City (9.2 persons) registered the highest rates. The highest rates of older female adults receiving treatment were recorded in Pingtung County (15.1 persons), Yunlin County (9.0 persons), Taichung City (5.5 persons), and New Taipei City (5.1 persons). With the Poisson regression model, the relative risk ratio of seeking medical care owing to violence in Pingtung County (reference: Taipei City) was 25.1 times for children, 20.1 times for adults, and 11.7 times for older adults. The counties and cities with higher rates of violent medical treatment for adults and older adults during the 15-year period were Pingtung County, New Taipei City, and Yunlin County. For children and adolescents, Pingtung County, Lienchiang County, and New Taipei City recorded the highest rates. Pingtung County had the highest risk of sexual violence. These results may be related to the local industrial structure, demographic composition, and other characteristics explained in the text.

MeSH terms

Adolescent
Aged
Child
Cities
Female
Homicide*
Hospitalization
Humans
Male
Taiwan
Violence*