Research

Community v. non-community assault among adults in Khayelitsha: A case count and comparison of injury severity

Sheron Forgus, Wim Delva, Christine Hauptfleisch, Srinivasan Govender, Julia Blitz

Abstract


Background. 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. 


Authors' affiliations

Sheron Forgus, Division of Family Medicine and Primary Care, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, South Africa

Wim Delva, DST/NRF Centre of Excellence in Epidemiological Modelling and Analysis (SACEMA), Stellenbosch University, South Africa; International Centre for Reproductive Health, Ghent University, Ghent, Belgium; Center for Statistics, Hasselt University, Diepenbeek, Belgium

Christine Hauptfleisch, Division of Family Medicine and Primary Care, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, South Africa

Srinivasan Govender, Division of Family Medicine and Primary Care, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, South Africa

Julia Blitz, Division of Family Medicine and Primary Care, Faculty of Medicine and Health Sciences, Stellenbosch University, Tygerberg, South Africa

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Keywords

community assault; Injury Severity Score

Cite this article

South African Medical Journal 2014;104(4):299-301. DOI:10.7196/SAMJ.7615

Article History

Date submitted: 2013-10-12
Date published: 2014-03-17

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