02173nas a2200193 4500000000100000008004100001100001500042700001200057700001300069700001600082700001700098700001300115245010600128250001500234300001000249490000700259520166700266020004601933 2010 d1 aWhitley E.1 aGale C.1 aDeary I.1 aTynelius P.1 aRasmussen F.1 aBatty G.00aIntelligence in early adulthood and subsequent risk of assault: cohort study of 1,120,998 Swedish men a2010/03/02 a390-60 v723 a

OBJECTIVE: To examine the association between low intelligence (IQ) and increased risk of assault. Previous studies have been relatively small, have not adjust for socioeconomic status, and have not examined method-specific assaults. METHODS: Cox proportional hazards regression was used to explore IQ associations with assault by any means and by four specific methods in a large prospective cohort of 1,120,988 Swedish men. Study members had IQ measured in early adulthood and were well characterized for socioeconomic status in childhood and adulthood. Men were followed-up for an average of 24 years, and hospital admissions for injury due to assault were recorded. RESULTS: A total of 16,512 (1.5%) men had at least one hospital admission for injury due to assault by any means during follow-up. The most common assault was during a fight (n = 13,144), followed by stabbing (n = 1,211), blunt instrument (b = 352), and firearms assaults (n = 51). After adjusting for confounding variables, lower IQ scores were associated with an elevated risk of hospitalization for assaults by any means (hazard ratio per standard deviation decrease in IQ, 1.51; 95% confidence interval, 1.49, 1.54) and for each of the cause-specific assaults: fight: 1.48 (1.45, 1.51); stabbing: 1.68 (1.58, 1.79); blunt instrument: 1.65 (1.47, 1.85); and firearms: 1.34 (1.00, 1.80). These gradients were stepwise across the full IQ range. CONCLUSIONS: Low IQ scores in early adulthood were associated with a subsequently increased risk of assault. A greater understanding of mechanisms underlying these associations may provide opportunities and strategies for prevention.

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