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Associations between social determinants of health and interpersonal violence-related injury in Cameroon: a cross-sectional study
- Source :
- BMJ Global Health, Vol 7, Iss 1 (2022), BMJ global health, vol 7, iss 1
- Publication Year :
- 2022
- Publisher :
- BMJ Publishing Group, 2022.
-
Abstract
- IntroductionRisk factors for interpersonal violence-related injury (IPVRI) in low-income and middle-income countries (LMICs) remain poorly defined. We describe associations between IPVRI and select social determinants of health (SDH) in Cameroon.MethodsWe conducted a cross-sectional analysis of prospective trauma registry data collected from injured patients >15 years old between October 2017 and January 2020 at four Cameroonian hospitals. Our primary outcome was IPVRI, compared with unintentional injury. Explanatory SDH variables included education level, employment status, household socioeconomic status (SES) and alcohol use. The EconomicClusters model grouped patients into household SES clusters: rural, urban poor, urban middle-class (MC) homeowners, urban MC tenants and urban wealthy. Results were stratified by sex. Categorical variables were compared via Pearson’s χ2 statistic. Associations with IPVRI were estimated using adjusted odds ratios (aOR) with 95% confidence intervals (95%CI).ResultsAmong 7605 patients, 5488 (72.2%) were men. Unemployment was associated with increased odds of IPVRI for men (aOR 2.44 (95% CI 1.95 to 3.06), pConclusionLower educational attainment, unemployment, lower household SES and alcohol use are risk factors for IPVRI in Cameroon. Future research should explore LMIC-appropriate interventions to address SDH risk factors for IPVRI.
- Subjects :
- Male
Rural Population
Medicine (General)
Adolescent
injury
Social Determinants of Health
Prevention
Health Policy
prevention strategies
public health
Public Health, Environmental and Occupational Health
Infectious and parasitic diseases
RC109-216
Violence
cross-sectional survey
Good Health and Well Being
Cross-Sectional Studies
R5-920
Clinical Research
Behavioral and Social Science
Humans
Female
Cameroon
hospital-based study
Subjects
Details
- Language :
- English
- ISSN :
- 20597908
- Volume :
- 7
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- BMJ Global Health
- Accession number :
- edsair.doi.dedup.....d1ffc0b0b394756c986d32490bdef734