Percorrer por autor "Giustini, Marco"
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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.
- Understanding occupational injuries among non-residents in Europe: evidence from the EU-IDBPublication . Giustini, Marco; JORGE SILVA ALVES, TATIANA DANIELA; Carannante, Anna; Papadakaki, MariaBackground: Occupational injuries (OI) -resulting from exposure to various workplace hazards- among non-resident populations are a significant but underexplored public health issue and are poorly captured in national injury surveillance systems. Methods: We analyzed emergency department (ED) OI data from the European Injury Database (EU-IDB), during 2018-2022, identifying non-resident cases through the “Country of Permanent Residence” field. OI were defined as unintentional injuries sustained during paid work activities. Results: From the EU-IDB databank, 315,063 ED cases of OI (mean age 37.9 years; SD±13.2) were identified (77.5% involving males). Of all cases, 17,501 (5.6%) involved non-residents in the country where treatment was received. The proportion of OI among non-residents was higher in males than females (6.0% vs. 4.4%), with comparable mean age (37.4 vs. 37.5 years, p=0.64). Hospitalization occurred in 9.3% of non-resident cases, with a higher rate in males (10.1% vs 5.1%). The mean length of stay was 7.1 days, with no significant sex-based difference (M: 7.1; F: 7.4, p=0.76). Injury patterns varied by sex: the most frequent OI in males were open wounds (31.9%), contusions (24.2%), and fractures (14.9%), while females most sustained contusions (31.0%), open wounds (19.3%), and distortions (15.3%). Hands and fingers were the most affected body parts in both sexes (M: 30.7%; F: 25.7%). Males also frequently injured the eye area (7.6%), while females more often injured the ankle (9.7%). Occupational sector patterns showed that 47.5% of injuries among non-resident males occurred in construction, while for non-resident female 29.0% in health care, trade and education sectors. Conclusions: The IDB-FDS offers valuable insight into occupational risks faced by non-residents. Gender and sector-specific injury trends highlight the need for improved surveillance systems that include migration and employment data to better inform targeted prevention efforts.