The effect of the Violence Prevention through Urban Upgrading (VPUU) intervention on violence-related injuries presenting to health facilities in Khayelitsha and Nyanga

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dc.contributor.advisorMatzopoulos, Richarden_ZA
dc.contributor.advisorBloch, Kimberlyen_ZA
dc.contributor.authorTrupe, Lydiaen_ZA
dc.date.accessioned2017-01-30T10:28:08Z
dc.date.available2017-01-30T10:28:08Z
dc.date.issued2016en_ZA
dc.description.abstractBackground: Violence is one of the leading causes of morbidity and mortality in South Africa's Western Cape province. Recent efforts, both globally and locally, have focused on using emergency room surveillance systems to collect data on violent injuries and to use these data to inform comprehensive, sustainable interventions such as urban upgrading. Drawing on insights from criminology, these urban upgrading interventions have sought to use environmental design to ameliorate socio-ecological factors related to violence. Objective: To use injury surveillance data in order to describe the pattern of violent injuries presenting to health facilities in the communities of Khayelitsha and Nyanga and to assess the effect of the Violence Prevention through Urban Upgrading programme (VPUU) on risk of violent non-fatal injury in these two areas. Methods: We conducted a case-control study using data from a series of semi-annual rapid assessments to compare violent and non-violent injuries in adults presenting to five heath facilities in Khayelitsha and Nyanga between September 2013 and October 2015. Multivariable logistic regression was used to assess the risk of violent injury with respect to demographic and behavioural characteristics and exposure to the VPUU intervention. Results: Multivariable analysis of 1,753 complete cases revealed that living in a VPUU intervention area was protective against presentation for violent injury when controlling for other risk factors (OR=0.75, p=0.022). Age, gender, race, and alcohol consumption were also found to be significantly associated with presentation for violent injury. There was a statistically significant interaction effect between alcohol and gender; the association between alcohol consumption and violent injury was stronger in women than in men. Conclusion: This study highlights the demographic and behavioural factors associated with violent injury and provides preliminary evidence of the reduction of violent injury risk in VPUU intervention areas.en_ZA
dc.identifier.apacitationTrupe, L. (2016). <i>The effect of the Violence Prevention through Urban Upgrading (VPUU) intervention on violence-related injuries presenting to health facilities in Khayelitsha and Nyanga</i>. (Thesis). University of Cape Town ,Faculty of Health Sciences ,Institute of Infectious Disease and Molecular Medicine. Retrieved from http://hdl.handle.net/11427/23709en_ZA
dc.identifier.chicagocitationTrupe, Lydia. <i>"The effect of the Violence Prevention through Urban Upgrading (VPUU) intervention on violence-related injuries presenting to health facilities in Khayelitsha and Nyanga."</i> Thesis., University of Cape Town ,Faculty of Health Sciences ,Institute of Infectious Disease and Molecular Medicine, 2016. http://hdl.handle.net/11427/23709en_ZA
dc.identifier.citationTrupe, L. 2016. The effect of the Violence Prevention through Urban Upgrading (VPUU) intervention on violence-related injuries presenting to health facilities in Khayelitsha and Nyanga. University of Cape Town.en_ZA
dc.identifier.ris TY - Thesis / Dissertation AU - Trupe, Lydia AB - Background: Violence is one of the leading causes of morbidity and mortality in South Africa's Western Cape province. Recent efforts, both globally and locally, have focused on using emergency room surveillance systems to collect data on violent injuries and to use these data to inform comprehensive, sustainable interventions such as urban upgrading. Drawing on insights from criminology, these urban upgrading interventions have sought to use environmental design to ameliorate socio-ecological factors related to violence. Objective: To use injury surveillance data in order to describe the pattern of violent injuries presenting to health facilities in the communities of Khayelitsha and Nyanga and to assess the effect of the Violence Prevention through Urban Upgrading programme (VPUU) on risk of violent non-fatal injury in these two areas. Methods: We conducted a case-control study using data from a series of semi-annual rapid assessments to compare violent and non-violent injuries in adults presenting to five heath facilities in Khayelitsha and Nyanga between September 2013 and October 2015. Multivariable logistic regression was used to assess the risk of violent injury with respect to demographic and behavioural characteristics and exposure to the VPUU intervention. Results: Multivariable analysis of 1,753 complete cases revealed that living in a VPUU intervention area was protective against presentation for violent injury when controlling for other risk factors (OR=0.75, p=0.022). Age, gender, race, and alcohol consumption were also found to be significantly associated with presentation for violent injury. There was a statistically significant interaction effect between alcohol and gender; the association between alcohol consumption and violent injury was stronger in women than in men. Conclusion: This study highlights the demographic and behavioural factors associated with violent injury and provides preliminary evidence of the reduction of violent injury risk in VPUU intervention areas. DA - 2016 DB - OpenUCT DP - University of Cape Town LK - https://open.uct.ac.za PB - University of Cape Town PY - 2016 T1 - The effect of the Violence Prevention through Urban Upgrading (VPUU) intervention on violence-related injuries presenting to health facilities in Khayelitsha and Nyanga TI - The effect of the Violence Prevention through Urban Upgrading (VPUU) intervention on violence-related injuries presenting to health facilities in Khayelitsha and Nyanga UR - http://hdl.handle.net/11427/23709 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/23709
dc.identifier.vancouvercitationTrupe L. The effect of the Violence Prevention through Urban Upgrading (VPUU) intervention on violence-related injuries presenting to health facilities in Khayelitsha and Nyanga. [Thesis]. University of Cape Town ,Faculty of Health Sciences ,Institute of Infectious Disease and Molecular Medicine, 2016 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/23709en_ZA
dc.language.isoengen_ZA
dc.publisher.departmentInstitute of Infectious Disease and Molecular Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.subject.otherEpidemiology and Biostatisticsen_ZA
dc.titleThe effect of the Violence Prevention through Urban Upgrading (VPUU) intervention on violence-related injuries presenting to health facilities in Khayelitsha and Nyangaen_ZA
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationnameMPHen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceThesisen_ZA
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