Percorrer por autor "Fian, Tabea"
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- Gender-based violence against women and girls aged ≥15 years presenting to European emergency departments: a multinational, cross-sectional analysisPublication . Carannante, Anna; Pitidis, Alessio; Fondi, Gianni; Fian, Tabea; Alves, Tatiana; Valkenberg, Huib; Nijman, Susanne; Giustini, Marco; IDB groupBackground: Gender-based violence (GBV) is an important public health issue in Europe, yet standardised cross-national data remain scarce. Emergency departments (EDs) are often the first point of contact for an individual who has been assaulted. This study aimed to analyse GBV-related ED presentations using data from the European Injury Database (IDB). Methods: This cross-sectional study analysed IDB data from 16 European countries (Jan 1, 2008, to Dec 14, 2023), defining GBV as intentional injuries inflicted by male perpetrators, involving female individuals aged ≥15 years. Descriptive analyses compared GBV with other female injuries (female victims in whom the perpetrator was recorded as female or was not specified). Multivariable logistic regression assessed GBV-associated injury severity compared with other violence against girls and women, adjusting for age, period, and country. Findings: Of 5 643 295 injury-related ED attendances, 1 960 096 were other female injuries and 21 048 were violence cases, of which 10 315 were GBV. Mean age was 38·2 years (SD 15·7) for individuals subjected to GBV and 55·3 years (41·5) for those with other female injuries. There were higher rates of head and face injuries, contusions, and asphyxiation-related injuries in cases of GBV than other female injuries, but there were lower rates of fractures. Most GBV events occurred in domestic settings (5802 [56·3%] of 10 315 GBV cases) and during night-time hours (3931 [41·9%]), involving physical force (7340 [73·1%]); perpetrators were most commonly intimate partners (4906 [47·6%]) or strangers (1546 [15·0%]). Hospital admission was more frequent in GBV than in other female injuries (2210 [21·4%] of 10 315 vs 366 765 [18·7%] of 1 960 096; p<0·0001). GBV was associated with higher injury severity compared with other female injuries after adjustment (odds ratio 1·22, 95% CI 1·12-1·34; p<0·0001). Interpretation: GBV-related ED cases show distinct features that characterise the visible spectrum of violence against girls and women in emergency settings. These patterns highlight the need for improved documentation and greater awareness of less visible presentations. Cross-national variability underscores the need for harmonised surveillance protocols to capture the true burden of GBV in Europe.
- Injury Insights at a Glance: Exploring EU and WHO Healthcare Data Through an Interactive DashboardPublication . Giustini, M.; Alessio, P.; Carannante, Anna; Nijman, S.; Valkenberg, H.; JORGE SILVA ALVES, TATIANA DANIELA; Fian, Tabea; Kjærgaard, Kristian; IDB-FDS Reference GroupIssue. The dashboard satisfies the need to access the European Injury Database (EU-IDB) in an intuitive and easy way to provide standardized cross-national data on injury causes and circumstances from hospital emergency departments (ED) in Europe. This unique surveillance system supports evidence-based injury prevention through two complementary approaches: the comprehensive Full Data Set (IDB-FDS), which captures detailed external circumstances, and the streamlined Minimum Data Set (IDB-MDS), which provides population-based indicators. Description of the problem. An interactive dashboard has been developed by the Austrian Road Safety Board (KfV, Vienna) on behalf of EuroSafe to facilitate the analysis and visualization of data from the EU-IDB, specifically focusing on the aggregated MDS cases. The application is publicly accessible at https://wemospatrick-kfv-dashboard-main-bj1eya.streamlit.app/ site. The tool enables dynamic querying of the data, supporting the identification of patterns, temporal trends, and distributions by injury type, age group, sex, place of occurrence, and other relevant factors . Results. This dashboard provides injury and mortality rates per 100,000 inhabitants per year and the European Core Health Indicators (ECHI), both at the level of individual countries and for the EU27 as a whole. Additionally, it integrates injury-related mortality data from the WHO Mortality Database, enabling comparative analysis between fatal and non-fatal outcomes. Lessons. By combining these sources into a single interactive interface, the dashboard serves as a powerful resource for epidemiological surveillance, prevention planning, and evidence-based decision making. The system’s dual-tier methodology effectively balances detailed qualitative analysis with broader epidemiological monitoring, making it a valuable tool for policymakers, researchers, and safety promotion organizations involved in the development and evaluation of injury prevention strategies.