Sex Differences in Interpersonal Violence in Malawi: Analysis of a Hospital-Based Trauma Registry

Background Although interpersonal violence (“assault”) exists in every society, the World Health Organization (WHO) estimated that 90 % of the exposure burden occurs in low- and middle-income countries. The objectives of this study were to define the incidence of assault-related injuries among subje...

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Bibliographic Details
Published in:World journal of surgery 2013-12, Vol.37 (12), p.2972-2978
Main Authors: Kiser, Michelle, Escamilla, Veronica, Samuel, Jonathan, Eichelberger, Kacey, Mkwaila, Judith, Cairns, Bruce, Charles, Anthony
Format: Article
Language:English
Subjects:
Abdominal Surgery
Adult
Cardiac Surgery
Cohort Studies
Developing Countries
Emergency Service, Hospital
Emotional Intimate Partner Violence
Female
General Surgery
Humans
Incidence
Injury Type
Interpersonal Violence
Intimate Partner Violence
Logistic Models
Malawi - epidemiology
Male
Medicine
Medicine & Public Health
Multivariate Analysis
Physical Intimate Partner Violence
Registries
Retrospective Studies
Risk Factors
Sex Factors
Surgery
Thoracic Surgery
Vascular Surgery
Violence - statistics & numerical data
Wounds and Injuries - epidemiology
Wounds and Injuries - etiology
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Summary:Background Although interpersonal violence (“assault”) exists in every society, the World Health Organization (WHO) estimated that 90 % of the exposure burden occurs in low- and middle-income countries. The objectives of this study were to define the incidence of assault-related injuries among subjects presenting for emergency room care secondary to sustained trauma in Lilongwe, Malawi; to measure the impact of sex on incidence, injury type, and care received; and to measure the effect of both sex and geographic location of the injury on time to presentation for medical care. Methods This is a retrospective cohort analysis of data prospectively collected in the Kamuzu Central Hospital Trauma Surveillance Registry from July 2008 to December 2010 ( n  = 23,625). We used univariate, bivariate, and logistic regression analyses to measure association of sex with variables of interest, and geospatial mapping to evaluate the association of location of assault on time to presentation for care. Results The mean age of our trauma cohort was 27.7 years. Assaults accounted for 26.8 % of all injuries. Of those assaulted, 21.0 % (1299) were female, who were younger (26.2 vs. 28.1 years, p  
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-013-2204-5