Cross-sectional comparisons of violence and injuries in an urban community, South Africa: Prospective Urban Rural Epidemiology (PURE) study

2018-05-14T07:16:18Z (GMT) by Petra Bester
<p></p><p><b>Cross-sectional comparisons of violence and injuries in an urban community, South Africa: Prospective Urban Rural Epidemiology (PURE) study</b></p> <p><b> </b></p> <p><b><u>P Marange</u></b>, IM Kruger, P Bester</p> <p> </p> <p>Presenting author’s e-mail: petra.bester@nwu.ac.za</p> <p> </p> <p>Africa Unit for Transdisciplinary Health Research (AUTHeR) Faculty of Health Sciences, North-West University (NWU), Potchefstroom, South Africa</p> <p> </p> <p><b>BACKGROUND</b></p> <p>Urbanisation brought different challenges in terms of violence and injuries in South Africa (SA). Injuries related to violence contribute to a high disease burden in SA. Apartheid made urbanisation difficult for black people because they were forced to live in townships. Socio-economic disparities in townships are risk factors for violence and injuries. There is paucity in literature of information on the occurrence of violence and injuries among this urban population. </p> <p> </p> <p><b>AIM </b></p> <p>To give a description of violence and injuries among a sample of adults aged 35 to 70 years at the time of enrolment into a study, living in an urban area within North-West Province, over a period of 10 years. </p> <p> </p> <p><b>METHODS </b></p> <p>The Prospective Urban and Rural Epidemiological (PURE) study, designed as a prospective, observational, cohort study was used. </p> <p> </p> <p><b>RESULTS</b></p> <p>A significant decrease in the occurrence of serious injuries over the 10-year period (z = 4.605 and p-value = 0.00), except in 2010 where a significant increase for injuries related to physical assault (z = -2.15 and p = 0.03) and domestic violence (z = -2.99 and p = 0.00) were observed. Urban characteristics like employment status and alcohol use were significantly associated with domestic violence (<i>X</i><sup>2 </sup>=16.86, df =4, p=0.02) and sustaining a serious injury (<i>X</i><sup>2</sup> = 236.539, df =6, p =0.00) respectively.</p> <p> </p> <p><b>DISCUSSION </b></p> <p>The results obtained are consistent with other literature on violence and injuries in SA townships. Alcohol use and socio-economic inequalities like high levels of unemployment being risk factors for violence and injuries.</p><br><p></p>