Injuries and Socioeconomic Status in Iganga and Mayuge, Uganda: Inequities, Consequences and Impacts
Jafri, Aisha F.
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Injuries pose a major threat to international public health, as they have led to the deaths of over 4.8 million people in 2013, accounting for nearly ten percent of global mortality, and to the loss of 276 million disability-adjusted life years (DALYs), which was 11% of all DALYs lost around the world. Despite the magnitude of this disease burden, evidence on the relationship between injuries and socioeconomic status (SES) in sub-Saharan Africa has been limited to date. To explore the socioeconomic disparities and consequences of injuries in rural Uganda, this study utilized population-based data from the Iganga-Mayuge Demographic Surveillance Site (IM-DSS) in eastern Uganda and injury surveillance data from the Johns Hopkins University International Injury Research Unit (JH-IIRU), as well as conducted a follow-up of individuals who reported an injury and implemented a household-based survey. The first paper is entitled “Socioeconomic Status and Injuries in Uganda: Disparities in a Demographic Surveillance Site.” This paper presents the socioeconomic disparities in injury occurrence with a specific focus on sex of the injured, sex of the household head and household wealth. The second paper is entitled “Direct Socioeconomic Consequences of Injuries in a Demographic Surveillance Site.” This paper examines the direct socioeconomic outcomes occurring as a result of an injury, including the loss of time, money, and productivity. The third paper is entitled “Household Socioeconomic Consequences of Injuries in a Demographic Surveillance Site.” This paper delves further into the socioeconomic consequences to detect post-injury changes in household socioeconomic outcomes, including income, food production, and food consumption, and to identify and describe the employment of coping strategies.