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Risk Factors for Recurrent Injuries from Physical Violence Among African Men in The Gambia

  • Paul Bass
  • Wen-Yu Yu
  • Edrisa Sanyang
  • Mau-Roung LinEmail author
Original Paper

Abstract

While men are known to be at high risk of recurrent injuries from physical violence, the risk factors in African men have not been investigated. We conducted a matched case-control study to identify factors associated with recurrent injuries from physical violence in The Gambia. Eligible participants were injured male patients aged ≥ 15 years. Over the 12-month study period, 257 cases with recurrent injuries from physical violence, and 257 control patients each from two control groups (violence controls and nonviolence controls) were recruited from eight emergency rooms located in six districts of the Greater Banjul Metropolitan Area, The Gambia. The two control groups matched cases at the same health facility, date of injury, and age, in which violence controls (VCs) experienced only one violence-related injury in the past 12 months and nonviolence controls (NCs) experienced no violence-related injuries. Results of the multivariable conditional logistic regression showed that for both the VC and NC groups, a polygamous family (ORVC, 3.62; ORNC, 2.79), > 8 family members (ORVC, 5.60; ORNC, 4.81), being brought up by a family relative (ORVC, 5.17; ORNC, 2.11), having smoked cigarettes in the past week (ORVC, 3.53; ORNC, 4.03), and perceiving no family support (ORVC, 1.12; ORNC, 1.19) were significantly associated with the occurrence of recurrent violent injuries. Furthermore, compared to the NCs, three additional factors of > 2 male siblings (ORNC, 1.84), low household income (ORNC, 3.11), and alcohol consumption in the past week (ORNC, 4.66) were significantly associated with the occurrence of recurrent violent injuries. These findings may fill in a knowledge gap that will be beneficial for developing effective intervention programs to reduce recurrent injuries from physical violence among African men.

Keywords

Emergency room Men Risk factors Recurrent injuries Physical violence 

Notes

Acknowledgements

This work was supported by Taipei Medical University and Taipei Medical University Hospital (106TMU-TMUH-08) and the Ministry of Science and Technology (MOST106-2314-B-038-046-MY3 and MOST105-2627-M-038-001), Taiwan.

Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflicts of interest.

References

  1. 1.
    Tingne, C. V., Shrigiriwar, M. B., Ghormade, P. S., & Kumar, N. B. (2014). Quantitative analysis of injury characteristics in victims of interpersonal violence: An emergency department perspective. Journal of Forensic and Legal Medicine, 26, 19–23.Google Scholar
  2. 2.
    Subba, S. H., Binu, V. S., Menezes, R. G., Kumar, V., & Rana, M. S. (2010). Physical assault related injuries in Western Nepal—A hospital based retrospective study. Journal of Forensic and Legal Medicine, 17(4), 203–208.Google Scholar
  3. 3.
    Ranney, M. L., Odero, W., Mello, M. J., Waxman, M., & Fife, R. S. (2009). Injuries from interpersonal violence presenting to a rural health center in Western Kenya: Characteristics and correlates. Injury Prevention, 15(1), 36–40.Google Scholar
  4. 4.
    Kiser, M., Escamilla, V., Samuel, J., Eichelberger, K., Mkwaila, J., Cairns, B., et al. (2013). Sex differences in interpersonal violence in Malawi: Analysis of a hospital-based Trauma Registry. World Journal of Surgery, 37(12), 2972–2978.PubMedCentralGoogle Scholar
  5. 5.
    Hankin, A., Wei, S., Foreman, J., & Houry, D. (2014). Screening for violence risk factors identifies young adults at risk for return emergency department visit for injury. Western Journal of Emergency Medicine, 15(5), 609.PubMedCentralGoogle Scholar
  6. 6.
    Chong, V. E., Lee, W. S., & Victorino, G. P. (2015). Neighborhood socioeconomic status is associated with violent reinjury. Journal of Surgical Research, 199(1), 177–182.Google Scholar
  7. 7.
    Kaufman, E., Rising, K., Wiebe, D. J., Ebler, D. J., Crandall, M. L., & Delgado, M. K. (2016). Recurrent violent injury: Magnitude, risk factors, and opportunities for intervention from a statewide analysis. The American Journal of Emergency Medicine, 34(9), 1823–1830.  https://doi.org/10.1016/j.ajem.2016.06.051.PubMedCentralGoogle Scholar
  8. 8.
    Richardson, J. B., Vil, C. S., Sharpe, T., Wagner, M., & Cooper, C. (2016). Risk factors for recurrent violent injury among black men. Journal of Surgical Research, 204(1), 261–266.Google Scholar
  9. 9.
    Boyle, A., Frith, C., Edgcumbe, D., & McDougall, C. (2010). What factors are associated with repeated domestic assault in patients attending an emergency department? A cohort study. Emergency Medicine Journal, 27(3), 203–206.Google Scholar
  10. 10.
    Cunningham, R. M., Carter, P. M., Ranney, M., Zimmerman, M. A., Blow, F. C., Booth, B. M., et al. (2015). Violent reinjury and mortality among youth seeking emergency department care for assault-related injury: A 2-year prospective cohort study. JAMA Pediatrics, 169(1), 63–70.PubMedCentralGoogle Scholar
  11. 11.
    Last, M. (2000). Children and the experience of violence: Contrasting cultures of punishment in northern Nigeria. Africa, 70(3), 359–393.Google Scholar
  12. 12.
    Barker, G., & Ricardo, C. (2005). Young men and the construction of masculinity in sub-Saharan Africa: Implications for HIV/AIDS, conflict, and violence. Washington, DC: World Bank.Google Scholar
  13. 13.
    GBoS and UNFPA. (2013). The Gambia 2013 Population and Housing Census Preliminary Results. Retrieved from http://www.gbos.gov.gm/uploads/census/The%20Gambia%20Population%20and%20Housing%20Census%202013%20Provisional%20Report.pdf.
  14. 14.
    WHO. (2014). Global status report on violence prevention 2014. Geneva: World Health Organization.Google Scholar
  15. 15.
    Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988). The multidimensional scale of perceived social support. Journal of Personality Assessment, 52(1), 30–41.Google Scholar
  16. 16.
    Nakigudde, J., Musisi, S., Ehnvall, A., Airaksinen, E., & Agren, H. (2009). Adaptation of the multidimensional scale of perceived social support in a Ugandan setting. African Health Sciences, 9(2), 35–41.Google Scholar
  17. 17.
    Stewart, R. C., Umar, E., Tomenson, B., & Creed, F. (2014). Validation of the multi-dimensional scale of perceived social support (MSPSS) and the relationship between social support, intimate partner violence and antenatal depression in Malawi. BMC Psychiatry, 14(1), 180.PubMedCentralGoogle Scholar
  18. 18.
    Blais, A. R., & Weber, E. U. (2006). A domain-specific risk-taking (DOSPERT) scale for adult populations. Judgment and Decision Making, 1(1), 15.Google Scholar
  19. 19.
    Szrek, H., Chao, L.-W., Ramlagan, S., & Peltzer, K. (2012). Predicting (un) healthy behavior: A comparison of risk-taking propensity measures. Judgment and Decision Making, 7(6), 716.PubMedCentralGoogle Scholar
  20. 20.
    Maldonado, G., & Greenland, S. (1993). Simulation study of confounder-selection strategies. American Journal of Epidemiology, 138(11), 923–936.Google Scholar
  21. 21.
    de Bernardino, Í, Barbosa, K. G., da Nóbrega, L. M., Cavalcante, G. M., de Castro Martins, R., & d’Avila, S. (2016). Profile of men who are victims of physical violence by an intimate partner. Journal of Family Violence, 31(5), 617–624.Google Scholar
  22. 22.
    Brennan, I. R., Moore, S. C., & Shepherd, J. P. (2010). Risk factors for violent victimisation and injury from Six years of the British crime survey. International Review of Victimology, 17(2), 209–229.Google Scholar
  23. 23.
    Hosmer, D. W., & Lemesbow, S. (1980). Goodness of fit tests for the multiple logistic regression model. Communications in Statistics-Theory and Methods, 9(10), 1043–1069.Google Scholar
  24. 24.
    Chang, J. J., Chen, J. J., & Brownson, R. C. (2003). The role of repeat victimization in adolescent delinquent behaviors and recidivism. Journal of Adolescent Health, 32(4), 272–280.Google Scholar
  25. 25.
    Hartinger-Saunders, R. M., Rine, C. M., Wieczorek, W., & Nochajski, T. (2012). Family level predictors of victimization and offending among young men: Rethinking the role of parents in prevention and interventions models. Children and Youth Services Review, 34(12), 2423–2432.PubMedCentralGoogle Scholar
  26. 26.
    Arthur, J. L. (2005). Family size and it‟ s socio-economic implications in the Sunyani municipality of the Brong Ahafo region of Ghana. West-Africa. Unpublished doctoral thesis), University of Cape Coast, Ghana. Retrieved from http://www.ciesin.columbia.edu/documents/arthurjl.pdf.
  27. 27.
    Hoffman, K. L., & Edwards, J. N. (2004). An integrated theoretical model of sibling violence and abuse. Journal of Family Violence, 19(3), 185–200.Google Scholar
  28. 28.
    Kiselica, M. S., & Morrill-Richards, M. (2007). Sibling maltreatment: The forgotten abuse. Journal of Counseling & Development, 85(2), 148–160.  https://doi.org/10.1002/j.1556-6678.2007.tb00457.x.Google Scholar
  29. 29.
    Harrell, E., Langton, L., Berzofsky, M., Couzens, L., & Smiley-McDonald, H. (2014). Household poverty and nonfatal violent victimization, 2008–2012. US Department of Justice, Office of Justice Programs, Bureau of Justice Statistics.Google Scholar
  30. 30.
    Faergemann, C., Lauritsen, J. M., Brink, O., Skov, O., & Mortensen, P. B. (2009). Demographic and socioeconomic risk factors of adult violent victimization from an accident and emergency department and forensic medicine perspective: A register-based case-control study. Journal of Forensic and Legal Medicine, 16(1), 11–17.Google Scholar
  31. 31.
    Turner, H. A., Finkelhor, D., & Ormrod, R. (2007). Family structure variations in patterns and predictors of child victimization. American Journal of Orthopsychiatry, 77(2), 282–295.  https://doi.org/10.1037/0002-9432.77.2.282.Google Scholar
  32. 32.
    Robertson, A. A., Baird-Thomas, C., & Stein, J. A. (2008). Child victimization and parental monitoring as mediators of youth problem behaviors. Criminal Justice and Behavior, 35(6), 755–771.  https://doi.org/10.1177/0093854808316096.PubMedCentralGoogle Scholar
  33. 33.
    Halpern, C. T., Spriggs, A. L., Martin, S. L., & Kupper, L. L. (2009). Patterns of intimate partner violence victimization from adolescence to young adulthood in a nationally representative sample. Journal of Adolescent Health, 45(5), 508–516.Google Scholar
  34. 34.
    Park, S., Lee, Y., Jang, H., & Jo, M. (2017). Violence victimization in Korean adolescents: Risk factors and psychological problems. International Journal of Environmental Research and Public Health.  https://doi.org/10.3390/ijerph14050541.Google Scholar
  35. 35.
    Keles, H., Ekici, A., Ekici, M., Bulcun, E., & Altinkaya, V. (2007). Effect of chronic diseases and associated psychological distress on health-related quality of life. Internal Medicine Journal, 37(1), 6–11.Google Scholar
  36. 36.
    Jackson, C. L., Hanson, R. F., Amstadter, A. B., Saunders, B. E., & Kilpatrick, D. G. (2013). The longitudinal relation between peer violent victimization and delinquency: Results from a national representative sample of US adolescents. Journal of Interpersonal Violence, 28(8), 1596–1616.Google Scholar
  37. 37.
    Laird, R. D., Criss, M. M., Pettit, G. S., Dodge, K. A., & Bates, J. E. (2008). Parents’ monitoring knowledge attenuates the link between antisocial friends and adolescent delinquent behavior. Journal of Abnormal Child Psychology, 36(3), 299–310.  https://doi.org/10.1007/s10802-007-9178-4.Google Scholar
  38. 38.
    Rich, J. A., & Grey, C. M. (2005). Pathways to recurrent trauma among young black men: Traumatic stress, substance use, and the “code of the street. American Journal of Public Health, 95(5), 816–824.  https://doi.org/10.2105/AJPH.2004.044560.PubMedCentralGoogle Scholar
  39. 39.
    Cherpitel, C. J., Bond, J., Ye, Y., Borges, G., Macdonald, S., & Giesbrecht, N. (2003). A cross-national meta-analysis of alcohol and injury: Data from the Emergency Room Collaborative Alcohol Analysis Project (ERCAAP). Addiction, 98(9), 1277–1286.Google Scholar
  40. 40.
    Sacco, P., Bright, C. L., Jun, H.-J., & Stapleton, L. M. (2015). Developmental relations between alcohol and aggressive behavior among adolescents: Neighborhood and sociodemographic correlates. International Journal of Mental Health and Addiction, 13(5), 603–617.  https://doi.org/10.1007/s11469-015-9546-1.PubMedCentralGoogle Scholar
  41. 41.
    Lewis, A. S., Oberleitner, L. M., Morgan, P. T., Picciotto, M. R., & McKee, S. A. (2015). Association of cigarette smoking with interpersonal and self-directed violence in a large community-based sample. Nicotine & Tobacco Research, 18(6), 1456–1462.Google Scholar
  42. 42.
    Holt, M. K., & Espelage, D. L. (2007). Perceived social support among bullies, victims, and bully-victims. Journal of Youth and Adolescence, 36(8), 984–994.Google Scholar
  43. 43.
    Jones, S., Cauffman, E., & Piquero, A. R. (2007). The influence of parental support among incarcerated adolescent offenders: The moderating effects of self-control. Criminal Justice and Behavior 34(2), 229–245.Google Scholar
  44. 44.
    Ordóñez, J. (2009). The influence of parental support on antisocial behavior among sixth through eleventh graders. Graduate Theses and Dissertations, University of South Florida. Retrieved from http://scholarcommons.usf.edu/etd/2126.

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Paul Bass
    • 1
    • 2
    • 4
  • Wen-Yu Yu
    • 1
    • 3
  • Edrisa Sanyang
    • 5
  • Mau-Roung Lin
    • 1
    • 2
    Email author
  1. 1.Graduate Institute of Injury Prevention and Control, College of Public HealthTaipei Medical UniversityTaipeiTaiwan
  2. 2.School of Public Health, College of Public HealthTaipei Medical UniversityTaipeiTaiwan
  3. 3.Department of Emergency MedicineTaipei Medical University HospitalTaipeiTaiwan
  4. 4.Department of Public & Environmental Health, School of Medicine & Allied Health SciencesUniversity of The GambiaBrikamaThe Gambia
  5. 5.Department of Public Health, College of Health and Human ServicesWestern Kentucky UniversityBowling GreenUSA

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