{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T04:28:08Z","timestamp":1777868888870,"version":"3.51.4"},"reference-count":26,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Dental Traumatology"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background\/Aim<\/jats:title>\n                    <jats:p>Violence against women remains a global public health dilemma, with maxillofacial trauma serving as a frequent and critical consequence. This study aimed to determine the epidemiological profile, injury patterns, and key predictive factors associated with maxillofacial trauma resulting from aggression in women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>This retrospective analysis included 4657 facial trauma records of women from a Level I Trauma Center, Belo Horizonte, MG, Brazil (2011\u20132020). The sample included 825 cases identified as victims of aggression. Predictor variables were aggressor identity, day of the week, and mechanism of aggression. The main outcomes were the type of fracture, multiple fractures, or blunt and sharp injuries. Covariates were age, race\/ethnicity, marital status, length of hospital stay, concomitant injuries, and mandatory notification status. Descriptive statistics, Chi\u2010square tests for correlation, and multivariate logistic regression determined the relationship between variables and predictive odds.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The sample profile was predominantly composed of young adults (mean age 32.9\u2009\u00b1\u200912.3\u2009years) and individuals of mixed\u2010race ethnicity (65.6%). Intimate partners were the dominant aggressors (52.6%). The logistic regression analysis revealed two major predictive findings: (1) aggression by the victim's child was a potent predictor for both middle\u2010aged (OR\u2009=\u200924;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.005) and elderly (OR\u2009=\u200956;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.002) victims; and (2) intimate partner aggression showed a significant increase on Tuesdays (OR\u2009=\u20096;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.024), beyond the expected weekend peak. Furthermore, the mechanism of aggression was significantly correlated with the type of fracture.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study identified quantifiable maxillofacial trauma risk profiles in women: Child\u2010to\u2010parent aggression is highly predictive among older victims, and intimate partner aggression exhibits a significant pattern on Tuesdays. These findings underscore the crucial role of Oral and Maxillofacial Surgeons in recognizing injury and temporal patterns to improve diagnostic accuracy, documentation, and public health surveillance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/edt.70074","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T12:49:38Z","timestamp":1777553378000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictive Factors for Maxillofacial Trauma in Women Victims of Aggression: A 10\u2010Year Analysis at a Level I Trauma Center"],"prefix":"10.1111","author":[{"given":"Stella Cristina Soares","family":"Araujo","sequence":"first","affiliation":[{"name":"Oral and Maxillofacial Surgery Service Hospital Jo\u00e3o XXIII  Belo Horizonte Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clarina Louis Silva","family":"Meira","sequence":"additional","affiliation":[{"name":"Post\u2010Graduation Program of Dentistry University of S\u00e3o Paulo  Ribeir\u00e3o Preto Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0741-9165","authenticated-orcid":false,"given":"Laura Braga","family":"Figueiredo","sequence":"additional","affiliation":[{"name":"Oral and Maxillofacial Surgeon at the Military Police of Minas Gerais  Belo Horizonte Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guilherme Veloso","family":"Ramos","sequence":"additional","affiliation":[{"name":"Oral and Maxillofacial Surgeon at Hospital Jo\u00e3o XXIII  Belo Horizonte Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0350-5170","authenticated-orcid":false,"given":"Marcio Bruno Figueiredo","family":"Amaral","sequence":"additional","affiliation":[{"name":"Residency Program Director of Oral and Maxillofacial Surgery Service Hospital Jo\u00e3o XXIII  Belo Horizonte Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roger Lanes","family":"Silveira","sequence":"additional","affiliation":[{"name":"Oral and Maxillofacial Surgeon at Hospital Jo\u00e3o XXIII  Belo Horizonte Brazil"},{"name":"Department of Oral and Maxillofacial Surgery Pontifical Catholic University of Minas Gerais  Belo Horizonte MG Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"World Health Organization \u201cViolence Against Women 2026\u201davailable at https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/violence\u2010against\u2010women."},{"key":"e_1_2_11_3_1","unstructured":"Organiza\u00e7\u00e3o Pan\u2010Americana da Sa\u00fade Viol\u00eancia contra as mulheres \u00e9 generalizada nas Am\u00e9ricas segundo novas estimativas. Viol\u00eancia contra as mulheres \u00e9 generalizada nas Am\u00e9ricas segundo novas estimativas \u2010 OPAS\/OMS | Organiza\u00e7\u00e3o Pan\u2010Americana da Sa\u00fade 2026."},{"key":"e_1_2_11_4_1","volume-title":"Vis\u00edvel e Invis\u00edvel: a vitimiza\u00e7\u00e3o de mulheres no Brasil, 2025","author":"Forum Brasileiro de Seguran\u00e7a P\u00fablica","year":"2025"},{"key":"e_1_2_11_5_1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0208304","article-title":"Epidemiological and Spatial Characteristics of Interpersonal Physical Violence in a Brazilian City: A Comparative Study of Violent Injury Hotspots in Familial Versus Non\u2010Familial Settings, 2012\u20102014","volume":"14","author":"Barbosa K. G. N.","year":"2019","journal-title":"PLoS One"},{"key":"e_1_2_11_6_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.jormas.2022.10.020","article-title":"Oral and Maxillofacial Trauma in Women Assaulted by Men: Systematic Review and Meta\u2010Analysis","volume":"124","author":"Souza M. R. F.","year":"2023","journal-title":"Journal of Stomatology, Oral and Maxillofacial Surgery"},{"key":"e_1_2_11_7_1","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1111\/edt.12327","article-title":"Pattern of Oral Maxillofacial Trauma From Violence Against Women and Its Associated Factors","volume":"33","author":"N\u00f3brega L. M.","year":"2017","journal-title":"Dental Traumatology"},{"issue":"11","key":"e_1_2_11_8_1","doi-asserted-by":"crossref","first-page":"949","DOI":"10.1038\/s41415-022-5271-x","article-title":"Dentistry Responding to Domestic Violence and Abuse: A Dental, Practice\u2010Based Intervention and a Feasibility Study for a Cluster Randomised Trial","volume":"233","author":"Coulthard P.","year":"2022","journal-title":"British Dental Journal"},{"issue":"1","key":"e_1_2_11_9_1","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1111\/edt.13090","article-title":"Intimate Partner Violence Intervention Strategies in the Dental Setting: A Scoping Review","volume":"42","author":"Lewer K.","year":"2026","journal-title":"Dental Traumatology: Official Publication of International Association for Dental Traumatology"},{"key":"e_1_2_11_10_1","unstructured":"World Health Organization Ageing and life\u2010course: defining population groups 2025available at https:\/\/www.who.int\/health\u2010topics\/ageing."},{"key":"e_1_2_11_11_1","unstructured":"UN WOMEN The economic costs of violence against women 2022available at https:\/\/www.unwomen.org\/en\/news\/stories\/2016\/9\/speech\u2010by\u2010lakshmi\u2010puri\u2010on\u2010economic\u2010costs\u2010of\u2010violence\u2010against\u2010women."},{"key":"e_1_2_11_12_1","doi-asserted-by":"crossref","first-page":"1879","DOI":"10.1590\/1413-81232015206.13442014","article-title":"Desafios do prof\u0131ssional de sa\u00fade na notif\u0131ca\u00e7\u00e3o da viol\u00eancia: obrigatoriedade, efetiva\u00e7\u00e3o e encaminhamento","volume":"20","author":"Garbin C. 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R.","year":"2010","journal-title":"Oral and Maxillofacial Surgery Clinics of North America"},{"key":"e_1_2_11_16_1","doi-asserted-by":"crossref","first-page":"596","DOI":"10.14219\/jada.archive.2006.0254","article-title":"Changing Dentist's Knowledge, Attitudes and Behavior Regarding Domestic Violence Through an Interactive Multimedia Tutorial","volume":"137","author":"Hsieh N.","year":"2006","journal-title":"Journal of the American Dental Association"},{"issue":"10","key":"e_1_2_11_17_1","first-page":"740","article-title":"Clinicians' Confidence and Training Needs in Responding to Intimate Partner Violence: A Cross\u2010Sectional Study in a Dental Hospital Setting","volume":"234","author":"Correy C.","year":"2023","journal-title":"British Dental Journal"},{"issue":"5","key":"e_1_2_11_18_1","first-page":"451","article-title":"Cross\u2010Sectional Study of Dental Trauma and Associated Factors Among 9\u2010 To 14\u2010Year\u2010Old Schoolchildren in Isfahan, Iran","volume":"14","author":"Eslamipour F.","year":"2016","journal-title":"Oral Health & Preventive Dentistry"},{"issue":"5","key":"e_1_2_11_19_1","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1111\/j.1600-9657.2010.00920.x","article-title":"An Investigation Into the Association Between Facial Profile and Maxillary Incisor Trauma, a Clinical Non\u2010Radiographic Study","volume":"26","author":"Borzabadi\u2010Farahani A.","year":"2010","journal-title":"Dental Traumatology"},{"issue":"2","key":"e_1_2_11_20_1","first-page":"123","article-title":"Child\u2010To\u2010Parent Violence and Parent Mental Health: A Systematic Review","volume":"49","author":"Harries T.","year":"2025","journal-title":"International Journal of Behavioral Development"},{"key":"e_1_2_11_21_1","unstructured":"V.BakerandH.Bonnick Understanding CAPVA A Rapid Literature Review on Child and Adolescent to Parent Violence and Abuse for the Domestic Abuse Commissioner's Office 2021."},{"key":"e_1_2_11_22_1","doi-asserted-by":"crossref","first-page":"1426","DOI":"10.1186\/s12889-025-22600-y","article-title":"Prevalence of Child to Parent Violence and Its Determinants: A Systematic Review and Meta\u2010Analysis","volume":"25","author":"Dahouri A.","year":"2025","journal-title":"BMC Public Health"},{"key":"e_1_2_11_23_1","doi-asserted-by":"crossref","DOI":"10.1186\/1472-6874-14-6","article-title":"Patterns, Etiology and Risk Factors of Intimate Partner Violence\u2010Related Injuries to Head, Neck and Face in Chinese Women","volume":"14","author":"Wong J. Y.","year":"2014","journal-title":"BMC Women's Health"},{"key":"e_1_2_11_24_1","doi-asserted-by":"crossref","first-page":"276","DOI":"10.1080\/1359432X.2023.2266874","article-title":"The Effect of Time and Day of the Week on Burnout\u2010Related Experiences: An Experience Sampling Study","volume":"33","author":"Frick S.","year":"2024","journal-title":"European Journal of Work and Organizational Psychology"},{"key":"e_1_2_11_25_1","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/j.bjoms.2019.11.009","article-title":"Maxillofacial Injuries Associated With Domestic Violence: Experience at a Major Trauma Centre","volume":"58","author":"Boyes H.","year":"2020","journal-title":"British Journal of Oral & Maxillofacial Surgery"},{"key":"e_1_2_11_26_1","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1053\/joms.2001.27490","article-title":"Maxillofacial Injuries Associated With Domestic Violence","volume":"59","author":"Le B. T.","year":"2001","journal-title":"Journal of Oral and Maxillofacial Surgery"},{"key":"e_1_2_11_27_1","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1097\/SCS.0000000000006269","article-title":"Patients With Nasal Fracture","volume":"31","author":"Sindi A.","year":"2020","journal-title":"Journal of Craniofacial Surgery"}],"container-title":["Dental Traumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/edt.70074","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/edt.70074","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/edt.70074","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T12:49:46Z","timestamp":1777553386000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/edt.70074"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,30]]},"references-count":26,"alternative-id":["10.1111\/edt.70074"],"URL":"https:\/\/doi.org\/10.1111\/edt.70074","archive":["Portico"],"relation":{},"ISSN":["1600-4469","1600-9657"],"issn-type":[{"value":"1600-4469","type":"print"},{"value":"1600-9657","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,30]]},"assertion":[{"value":"2025-11-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"edt.70074"}}