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

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...

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Main Author: Trupe, Lydia
Other Authors: Matzopoulos, Richard
Format: Thesis
Language:English
Published: Institute of Infectious Disease and Molecular Medicine 2017
Subjects:
Epidemiology and Biostatistics
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access_status_str Open Access
author Trupe, Lydia
author2 Matzopoulos, Richard
author_browse Matzopoulos, Richard
Trupe, Lydia
author_facet Matzopoulos, Richard
Trupe, Lydia
author_sort Trupe, Lydia
collection Thesis
description 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.
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institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:50:33.659Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2017
publishDateRange 2017
publishDateSort 2017
publisher Institute of Infectious Disease and Molecular Medicine
publisherStr Institute of Infectious Disease and Molecular Medicine
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spelling oai:open.uct.ac.za:11427/23709 The effect of the Violence Prevention through Urban Upgrading (VPUU) intervention on violence-related injuries presenting to health facilities in Khayelitsha and Nyanga Trupe, Lydia Matzopoulos, Richard Bloch, Kimberly Epidemiology and Biostatistics 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. 2017-01-30T10:28:08Z 2017-01-30T10:28:08Z 2016 Master Thesis Masters MPH http://hdl.handle.net/11427/23709 eng application/pdf Institute of Infectious Disease and Molecular Medicine Faculty of Health Sciences University of Cape Town
spellingShingle Epidemiology and Biostatistics
Trupe, Lydia
The effect of the Violence Prevention through Urban Upgrading (VPUU) intervention on violence-related injuries presenting to health facilities in Khayelitsha and Nyanga
thesis_degree_str Master's
title The effect of the Violence Prevention through Urban Upgrading (VPUU) intervention on violence-related injuries presenting to health facilities in Khayelitsha and Nyanga
title_full The effect of the Violence Prevention through Urban Upgrading (VPUU) intervention on violence-related injuries presenting to health facilities in Khayelitsha and Nyanga
title_fullStr The effect of the Violence Prevention through Urban Upgrading (VPUU) intervention on violence-related injuries presenting to health facilities in Khayelitsha and Nyanga
title_full_unstemmed The effect of the Violence Prevention through Urban Upgrading (VPUU) intervention on violence-related injuries presenting to health facilities in Khayelitsha and Nyanga
title_short The effect of the Violence Prevention through Urban Upgrading (VPUU) intervention on violence-related injuries presenting to health facilities in Khayelitsha and Nyanga
title_sort effect of the violence prevention through urban upgrading vpuu intervention on violence related injuries presenting to health facilities in khayelitsha and nyanga
topic Epidemiology and Biostatistics
url http://hdl.handle.net/11427/23709
work_keys_str_mv AT trupelydia theeffectoftheviolencepreventionthroughurbanupgradingvpuuinterventiononviolencerelatedinjuriespresentingtohealthfacilitiesinkhayelitshaandnyanga
AT trupelydia effectoftheviolencepreventionthroughurbanupgradingvpuuinterventiononviolencerelatedinjuriespresentingtohealthfacilitiesinkhayelitshaandnyanga

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