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Community v. non-community assault among adults in Khayelitsha, Western Cape, South Africa : a case count and comparison of injury severity

dc.contributor.authorForgus, Sheronen_ZA
dc.contributor.authorDelva, Wimen_ZA
dc.contributor.authorHauptfleisch, Christineen_ZA
dc.contributor.authorGovender, Srinivasanen_ZA
dc.contributor.authorBlitz, Juliaen_ZA
dc.date.accessioned2015-11-04T13:53:12Z
dc.date.available2015-11-04T13:53:12Z
dc.date.issued2014-04
dc.identifier.citationForgus, S. et al. 2014. Community v. non-community assault among adults in Khayelitsha, Western Cape, South Africa: A case count and comparison of injury severity. S Afr Med J, 104(4):299-301, doi:10.7196/SAMJ.7615.en_ZA
dc.identifier.issn2078-5135 (online)en_ZA
dc.identifier.issn0256-9574 (print)en_ZA
dc.identifier.otherdoi:10.7196/SAMJ.7615en_ZA
dc.identifier.urihttp://hdl.handle.net/10019.1/97621
dc.descriptionCITATION: Forgus, S. et al. 2014. Community v. non-community assault among adults in Khayelitsha, Western Cape, South Africa: A case count and comparison of injury severity. S Afr Med J, 104(4):299-301, doi:10.7196/SAMJ.7615.en_ZA
dc.descriptionThe original publication is available at http://www.samj.org.zaen_ZA
dc.descriptionSee also the thesis in the repository at http://hdl.handle.net/10019.1/97240en_ZA
dc.description.abstractBackground. Community assault (CA) or vigilantism is widespread in the township of Khayelitsha, Cape Town, South Africa (SA). Anecdotal evidence suggests that victims of CA are worse off than other assault cases. However, scientific data on the rate and severity of CA cases are lacking for SA. Objectives. To contribute to CA prevention and management strategies by estimating the rate of CA among adults in Khayelitsha and comparing the injury severity and survival probability between cases of CA and other assault (non-CA) cases. Methods. We studied four healthcare centres in Khayelitsha during July - December 2012. A consecutive case series was conducted to capture all CA cases during this period. A retrospective folder review was performed on all cases of CA and on a control group of non-CA cases to compare injury severity and estimate survival probability. Results. A total of 148 adult cases of CA occurred (case rate 1.1/1 000 person-years) over the study period. The Injury Severity Scores (ISSs) in the CA group were significantly higher than in the non-CA group (p<0.001), with a median (interquartile range) ISS of 3 (2 - 6) in CA cases v. 1 (1 - 2) in non-CA cases. Comparison between the CA v. non-CA groups showed that a Glasgow Coma Scale <15 (20.1% v. 5.4%, respectively), referral to the tertiary hospital (33.8% v. 22.6%, respectively), and crush syndrome (25.7% v. 0.0%, respectively) were all more common in CA cases. Survival probabilities were similar in both groups (CA v. non-CA 99.2% v. 99.3%, respectively). Conclusion. The rate of CA among adults in Khayelitsha is high, and the severity of injuries sustained by CA victims is substantially higher than in other assault cases.en_ZA
dc.description.urihttp://www.samj.org.za/index.php/samj/article/view/7615en_ZA
dc.format.extentpages 299-301
dc.language.isoen_ZAen_ZA
dc.publisherHealth & Medical Publishing Groupen_ZA
dc.subjectVigilantes -- South Africa -- Cape Townen_ZA
dc.subjectAssault and battery -- South Africa -- Cape Townen_ZA
dc.subjectWounds and injuries -- South Africa -- Cape Townen_ZA
dc.titleCommunity v. non-community assault among adults in Khayelitsha, Western Cape, South Africa : a case count and comparison of injury severityen_ZA
dc.typeArticleen_ZA
dc.description.versionPublishers versionen_ZA
dc.rights.holderAuthors retain copyrighten_ZA


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