Jurnal Internasional Afrika vol. 11 issue 1 2021
African Journal of Emergency Medicine
In-home interpersonal violence: Sex based prevalence and outcomes

Jurnal Internasional Afrika vol. 11 issue 1 2021
African Journal of Emergency Medicine
In-home interpersonal violence: Sex based prevalence and outcomes

Domestic violence
In-home violence
Violence against women
Interpersonal violence at home

Introduction: There is a shortage of data on intimate partner and interpersonal violence in sub-Saharan Africa.
We, therefore, sought to characterize patterns of sex-based risk of in-home interpersonal violence in Malawi.
Methods: We performed a retrospective analysis of the Kamuzu Central Hospital Trauma Registry data from 2009
to 2017 on adult patients presenting the emergency room following assault. Data variables collected include
basic demographics, injury characteristics, and outcomes. We performed a bivariate analysis for covariates based
on sex and Poisson regression analysis to estimate the risk of domestic violence and sex-based mortality.
Results: The in-home assault interpersonal violence was 37.1% (n = 10,854) of the total assault cohort and 37.4%
(n = 4056) were female. Women were more likely to be assaulted at home (n = 4065, 69.6%)compared to men.
The overall prevalence of in-home interpersonal violence over eight years was 9.09%, with the prevalence in men
and women being 7.85 and 12.38%, respectively. Women injured following in-home interpersonal violence
assaults were less severely injured. Women were more likely to be injured following slaps, punches, or kicks (n =
950, 41.2%) and men were more likely to be injured by an object, 41.0% with a blunt object (n = 1658) and
37.9% by a knife or another sharp object (n = 1532). For patients experiencing in-home interpersonal violence,
overall mortality is 1.8% and 0.5% for men and women, respectively (p < 0.001). After controlling for covariates,
the relative risk for In-home interpersonal violence was 2.25 (p < 0.001) times higher for women. Still, men had
a 3.3 times risk of mortality following in-home interpersonal violence (p < 0.001).
Conclusion: Interpersonal violence is a global problem. In Malawi, women are more likely to be victims of inhome
interpersonal violence. However, men are more likely to die following in-home interpersonal violence.
Prevalence of in-home interpersonal violence is likely an underestimation.

Laura N. Purcell , Danielle Ellis , Trista Reid , Charles Mabedi , Rebecca Maine, Anthony Charles

www.elsevier.com/locate/afjem

elsevier

24 August 2020

peri irawan

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