Who seeks care after intimate partner violence in Cameroon? sociodemographic differences between a hospital and population sample of women.
<h4>Introduction</h4>Little is known regarding health care seeking behaviors of women in sub-Saharan Africa, specifically Cameroon, who experience violence. The proportion of women who experienced violence enrolled in the Cameroon Trauma Registry (CTR) is lower than expected.<h4>Me...
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Public Library of Science (PLoS)
2024-01-01
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| Series: | PLOS Global Public Health |
| Online Access: | https://doi.org/10.1371/journal.pgph.0003408 |
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| author | Mark T Yost Kevin J Blair McKayla Poppens Michelle Mallahi Lauren Eyler Dang Rasheedat Oke Melissa Carvalho Georges Alain Etoundi-Mballa Alan Hubbard Marquise Kouo Ngamby Sithombo Maqungo Kudzai Chironga Sandra I McCoy Alain Chichom-Mefire Catherine Juillard Salome Maswime Fanny Nadia Dissak Delon |
| author_facet | Mark T Yost Kevin J Blair McKayla Poppens Michelle Mallahi Lauren Eyler Dang Rasheedat Oke Melissa Carvalho Georges Alain Etoundi-Mballa Alan Hubbard Marquise Kouo Ngamby Sithombo Maqungo Kudzai Chironga Sandra I McCoy Alain Chichom-Mefire Catherine Juillard Salome Maswime Fanny Nadia Dissak Delon |
| author_sort | Mark T Yost |
| collection | DOAJ |
| description | <h4>Introduction</h4>Little is known regarding health care seeking behaviors of women in sub-Saharan Africa, specifically Cameroon, who experience violence. The proportion of women who experienced violence enrolled in the Cameroon Trauma Registry (CTR) is lower than expected.<h4>Methods</h4>We concatenated the databases from the October 2017-December 2020 CTR and 2018 Cameroon Demographic and Health Survey (DHS) into a singular database for cross-sectional study. Continuous and categorical variables were compared with Wilcoxon rank-sum and Fisher's exact test. Multivariable logistic regression examined associations between demographic factors and women belonging to the DHS or CTR cohort. We performed additional classification tree and random forest variable importance analyses.<h4>Results</h4>276 women (13%) in the CTR and 197 (13.1%) of women in the DHS endorsed violence from any perpetrator. A larger percentage of women in the DHS reported violence from an intimate partner (71.6% vs. 42.7%, p<0.001). CTR women who experienced IPV demonstrated greater university-level education (13.6% vs. 5.0%, p<0.001) and use of liquid petroleum gas (LPG) cooking fuel (64.4% vs. 41.1%, p<0.001). DHS women who experienced IPV reported greater ownership of agricultural land (29.8% vs. 9.3%, p<0.001). On regression, women who experienced IPV using LPG cooking fuel (aOR 2.55, p = 0.002) had greater odds of belonging to the CTR cohort while women who owned agricultural land (aOR 0.34, p = 0.007) had lower odds of presenting to hospital care. Classification tree variable observation demonstrated that LPG cooking fuel predicted a CTR woman who experienced IPV while ownership of agricultural land predicted a DHS woman who experienced IPV.<h4>Conclusion</h4>Women who experienced violence presenting for hospital care have characteristics associated with higher SES and are less likely to demonstrate factors associated with residence in a rural setting compared to the general population of women experiencing violence. |
| format | Article |
| id | doaj-art-6a668765bd554f24a357e787356e5b2e |
| institution | OA Journals |
| issn | 2767-3375 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | Public Library of Science (PLoS) |
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| series | PLOS Global Public Health |
| spelling | doaj-art-6a668765bd554f24a357e787356e5b2e2025-08-20T02:08:44ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752024-01-0147e000340810.1371/journal.pgph.0003408Who seeks care after intimate partner violence in Cameroon? sociodemographic differences between a hospital and population sample of women.Mark T YostKevin J BlairMcKayla PoppensMichelle MallahiLauren Eyler DangRasheedat OkeMelissa CarvalhoGeorges Alain Etoundi-MballaAlan HubbardMarquise Kouo NgambySithombo MaqungoKudzai ChirongaSandra I McCoyAlain Chichom-MefireCatherine JuillardSalome MaswimeFanny Nadia Dissak Delon<h4>Introduction</h4>Little is known regarding health care seeking behaviors of women in sub-Saharan Africa, specifically Cameroon, who experience violence. The proportion of women who experienced violence enrolled in the Cameroon Trauma Registry (CTR) is lower than expected.<h4>Methods</h4>We concatenated the databases from the October 2017-December 2020 CTR and 2018 Cameroon Demographic and Health Survey (DHS) into a singular database for cross-sectional study. Continuous and categorical variables were compared with Wilcoxon rank-sum and Fisher's exact test. Multivariable logistic regression examined associations between demographic factors and women belonging to the DHS or CTR cohort. We performed additional classification tree and random forest variable importance analyses.<h4>Results</h4>276 women (13%) in the CTR and 197 (13.1%) of women in the DHS endorsed violence from any perpetrator. A larger percentage of women in the DHS reported violence from an intimate partner (71.6% vs. 42.7%, p<0.001). CTR women who experienced IPV demonstrated greater university-level education (13.6% vs. 5.0%, p<0.001) and use of liquid petroleum gas (LPG) cooking fuel (64.4% vs. 41.1%, p<0.001). DHS women who experienced IPV reported greater ownership of agricultural land (29.8% vs. 9.3%, p<0.001). On regression, women who experienced IPV using LPG cooking fuel (aOR 2.55, p = 0.002) had greater odds of belonging to the CTR cohort while women who owned agricultural land (aOR 0.34, p = 0.007) had lower odds of presenting to hospital care. Classification tree variable observation demonstrated that LPG cooking fuel predicted a CTR woman who experienced IPV while ownership of agricultural land predicted a DHS woman who experienced IPV.<h4>Conclusion</h4>Women who experienced violence presenting for hospital care have characteristics associated with higher SES and are less likely to demonstrate factors associated with residence in a rural setting compared to the general population of women experiencing violence.https://doi.org/10.1371/journal.pgph.0003408 |
| spellingShingle | Mark T Yost Kevin J Blair McKayla Poppens Michelle Mallahi Lauren Eyler Dang Rasheedat Oke Melissa Carvalho Georges Alain Etoundi-Mballa Alan Hubbard Marquise Kouo Ngamby Sithombo Maqungo Kudzai Chironga Sandra I McCoy Alain Chichom-Mefire Catherine Juillard Salome Maswime Fanny Nadia Dissak Delon Who seeks care after intimate partner violence in Cameroon? sociodemographic differences between a hospital and population sample of women. PLOS Global Public Health |
| title | Who seeks care after intimate partner violence in Cameroon? sociodemographic differences between a hospital and population sample of women. |
| title_full | Who seeks care after intimate partner violence in Cameroon? sociodemographic differences between a hospital and population sample of women. |
| title_fullStr | Who seeks care after intimate partner violence in Cameroon? sociodemographic differences between a hospital and population sample of women. |
| title_full_unstemmed | Who seeks care after intimate partner violence in Cameroon? sociodemographic differences between a hospital and population sample of women. |
| title_short | Who seeks care after intimate partner violence in Cameroon? sociodemographic differences between a hospital and population sample of women. |
| title_sort | who seeks care after intimate partner violence in cameroon sociodemographic differences between a hospital and population sample of women |
| url | https://doi.org/10.1371/journal.pgph.0003408 |
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