Is the ladette culture resulting in more women with broken noses?

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The word “ladette”, defined by the Oxford Dictionary as “a young woman who behaves in a boisterous, assertive or crude manner and engages in heavy drinking sessions”, and the related culture of alcohol-fuelled anti-social behaviour has been quoted as being on the rise in the UK.

A retrospective study in three district hospitals has shown an 825 per cent increase in females aged 13–20 years attending for nasal fractures from 2002 to 2009.

The study supports the notion that violence amongst young women is increasing with a significant proportion of injuries being caused by non-domestic violence.

A retrospective study was performed in three district UK hospitals (Luton and Dunstable Hospital, The Lister Hospital and the Royal United Bath Hospital), serving a catchment population of approximately 1.5 million.

Operating theatre data for all females who attended hospital for manipulation of a nasal fracture under anaesthesia between January 2002 and December 2009 were retrieved. Case notes of all female patients attending Luton and Dunstable Hospital for assessment of a nasal fracture over a five-year period, from January 2004 to December 2009, were also reviewed, regardless of whether the patients underwent manipulation of their fracture under anaesthesia or not.

From 2002 to 2009, the collected data demonstrated an increase in the number of women presenting with nasal fractures, in all age groups. The greatest increase in incidence was seen in the 13–20 year age group. There were only 4 girls who underwent manipulation under anaesthesia across the 3 sites in 2002, whereas the respective number in 2009 had risen to 33, representing an 825 per cent increase. By comparison, the incidence in males had only risen from 47 to 102 during the same time period, a 217 per cent increase.

Accidental injury was the most common cause of nasal fracture. Falls and occupational accidents seem to play an increasing role in the epidemiology of nasal injuries in women, as they become more exposed to the respective risk factors in a society that considers them stronger and more independent compared with previous decades. Domestic accidental injuries are also frequently reported; a comment on how many of these are truthfully accidental would be purely speculative. Indeed, domestic violence continues to be under-reported by many victims, and was only cited in 2 per cent of the case notes reviewed in the present study. Sport-related injury was also a common cause of nasal trauma in the present study; an overall increase in nasal fractures amongst young women could also be related to an increased participation in sport.

In almost a quarter of cases in the Luton and Dunstable Hospital, nasal injury was the result of non-domestic violence. This type of violence stems from interpersonal conflicts, and its rates have been associated with the consumption of alcohol. Moreover, at least two UK studies from the past decade showed that alcohol consumption was closely associated with a rise in anti-social behaviour, violence and criminality in young girls. In addition, a significant correlation between cheap, readily-available alcohol and violent injury was found in a study involving 58 accident and emergency departments in 10 distinct economic regions of the UK. Therefore, the increased incidence of nasal fractures amongst young women in the present study may, at least in part, be attributed to increasingly violent behaviour amongst young women.

View the full paper “Is there a change in the epidemiology of nasal fractures in females in the UK?” free for a limited time here.

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One Response to Is the ladette culture resulting in more women with broken noses?

  1. Rosemary Jones says:

    Cognitive dysfunction due to head and head>neck injuries, poor diet and stimulants including sugar and alcohol, cause people to be illogical, unsympathetic and aggressive. The many neurologists, who have recently been described by a Government Committee as being HEARTLESS FAILURES, need to retrain including taking lessons in how to examine and treat people as cranial osteopaths do.

    As it is, about 70% of GBH crimes in the UK are done by people with HORNERS SYNDROME, an indication of neck damage due to falling or impact head injuries, and showing up as a disparity between the right and left eyes – hence newspaper photographic identification.

    Though many people not predisposed to aggression have this disparity, cranial osteopaths are usually sufficiently competent to recognize what causes what, and are also able to heal many of these people, something recriminatory justice fails to do, hence the high reoffending rates.

    If the women are hitting each other more it is because they have been hit or otherwise damaged more, or they are suffering from what is called THE BANDURA EFFECT – watching as children parental violence (usually mostly hurting their mothers). It is also because they drink more alcohol which exacerbates this conditioned and un-restrainable aggression.

    Actions should include banning head hitting, and identifying the inherently aggressive before they leave school and sending them to cranial osteopaths, chelation therapists and deep hypnosis therapists if their early conditioning to grow up violent cannot be reversed any other way.

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