Protest injuries : A situational analysis of injurious protests in Gauteng

In this article, we investigate contextual and situational circumstances of protest events that record injurious outcomes for civilians and examine how these differ from protests which do not record such outcomes. Using the IRIS database, we examine how contextual factors, including protest period, protest location, reason for protest, and situational factors, such as type of protest, damage to property, arrests and police response contribute to civilian injury. Using logistic regression analysis, it was found that: 1) protest-related injuries were more frequent during the late-2000s than the 2010–15 period; 2) protest location was not a significant predictor of protest injury; 3) protests which recorded arrests and damage to property were more likely to report injurious outcomes; and 4) the addition of an aggressive police response was significant in determining protestor injury outcomes. Our findings have implications for public policing strategies, highlighting the role of different modalities of police response in the mitigation or escalation of injuries at protest events

Protest injuries: A situational analysis of injurious protests in Gauteng

In this article, we investigate contextual and situational circumstances of protest events that record injurious outcomes for civilians and examine how these differ from protests which do not record such outcomes. Using the IRIS database, we examine how contextual factors, including protest period, protest location, type of protest, reason for protest, and situational factors, such as damage to property, arrests and police response contribute to civilian injury. Using multiple logistic regression analysis, it was found that: 1) protest-related injuries were more frequent during the late-2000s than the 2010-15 period; 2) protest location was not a significant predictor of protest injury; 3) protests which recorded arrests and damage to property were more likely to report injurious outcomes; and 4) the addition of an aggressive police response was significant in determining protestor injury outcomes. Our findings have implications for public policing strategies, highlighting the role of different modalities of police response in the mitigation or escalation of violence at protest events

Differentiation of paediatric burn injury by household energy source in South Africa

Burn injuries remain a significant cause of death and disability in the global south, with children amongst the most vulnerable. In South Africa, burns are a critical health and economic burden in densely populated and energy-impoverished communities. This study used secondary data on burn injuries from 19 health facilities to differentiate between risk for scalds and flame burns across three household energy sources (firewood, paraffin and electricity). The sample was 2 933 cases of child burn victims, with key analytical procedures being descriptive statistics and logistic regression analysis. Results showed that 52% of burn injury admissions reported electricity as the household energy source used at the time of injury. Most burn injuries were scalds (85.3%), with infants and toddlers at greatest risk. The differentiation between wood and paraffin was associated with a threefold increase in scalds relative to flame burns, while that between paraffin and electricity indicated a sevenfold increase in scalds and nineteen times such an increase between wood and electricity. This was an indication of continued challenges for the country in addressing paediatric burns despite, and in the context of, the continued electrification of poor households. The study recommends improved regulation of electrical appliances used by low-income households, and targeted household safety education initiatives

Validation of the Schieman and Young measurement scales for work contact, work-family conflict, working conditions, psychological distress and sleep problems in construction industry professionals

Background This study examined the construct validity and internal consistency of modified versions of the job autonomy and control, job pressure, work contact, work-family conflict, psychological distress, and sleep problems scales developed by Schieman and Young (2013) among construction professionals through confirmatory factor analysis and tests of internal consistency. Methods Using a cross-sectional design, survey data were collected from 942 South African construction professionals, of which 630 responses were considered for analysis. Confirmatory factor analysis was used to examine construct validity. Cronbach’s coefficient alpha was used to determine the internal consistency, and convergent validity was tested using correlation analysis. Results The final CFA indicated very good model fit to the data (χ2 /df ratio = 2.11, IFI = .95, CFI = .95, RMSEA = .06, and Hoelter (95%) = 176). The scales demonstrated satisfactory internal consistency: .82; .91; .83; .90; .90; and .73, respectively. Convergent validity was largely demonstrated with respect to direction of association, but not in relation to magnitude. A limitation of the validation study was the lack of available data for a more robust examination of reliability beyond internal consistency, such as test-retest. Conclusions The six scales developed by Schieman and Young (2013) hold promise as measures of work contact, work-family conflict, psychological distress, and sleep problems in relation to working conditions of construction professionals

Validating survey measurement scales for AIDS-related knowledge and stigma among construction workers in South Africa

Background: Construction workers in South Africa are regarded as a high-risk group in the context of HIV/AIDS. HIV testing is pivotal to controlling HIV transmission and providing palliative care and AIDS-related knowledge and stigma are key issues in addressing the likelihood of testing behaviour. In exploring these issues, various studies have employed an 11-item AIDS-related knowledge scale (Kalichman and Simbayi, AIDS Care 16:572-580, 2004) and a 9-item stigma scale (Kalichman et al., AIDS Behav 9:135-143, 2005), but little evidence exists confirming the psychometric properties of these scales. Methods: Using survey data from 512 construction workers in the Western Cape, South Africa, this research examines the validity and reliability of the two scales through exploratory and confirmatory factor analysis and internal consistency tests. Results: From confirmatory factor analysis, a revised 10-item knowledge scale was developed (χ2 /df ratio = 1.675, CFI = 0.982, RMSEA = 0.038, and Hoelter (95 %) =393). A revised 8-item stigma scale was also developed (χ2 /df ratio = 1.929, CFI = 0.974, RMSEA = 0.045, and Hoelter (95 %) = 380). Both revised scales demonstrated good model fit and all factor loadings were significant (p < 0.01). Reliability analysis demonstrated excellent to good internal consistency, with alpha values of 0.80 and 0.74, respectively. Both revised scales also demonstrated satisfactory convergent and divergent validity. Limitations of the original survey from which the data was obtained include the failure to properly account for respondent selection of language for completion of the survey, use of ethnicity as a proxy for identifying the native language of participants, the limited geographical area from which the survey data was collected, and the limitations associated with the convenience sample. A limitation of the validation study was the lack of available data for a more robust examination of reliability beyond internal consistency, such as test-retest reliability. Conclusions: The revised knowledge and stigma scales offered here hold considerable promise as measures of AIDS related knowledge and stigma among South African construction workers

Emotional consequences of hate incidents: experiences of a South African cohort

The consequences of hate incidents are far greater than transgressions without an underlying bias motive. The powerful emotional and psychological effect observed in victims of hate rests in the perpetrator attacking the identity or an unchangeable characteristic of a victim. Within South Africa, these effects are compounded by the country’s legacy of discrimination and oppression; thus, the potential consequences of hate victimisation within this context extend beyond the emotional. This justifies differential retributive and restorative measures following such incidents; however, legislative and policy frameworks to respond to hate victimisation are only in the beginning stages. The scarcity of empirical research on hate incidents and their consequences in South Africa renders this investigation the first of its kind. The researchers aimed to determine the demographic and situational variables that put individuals at a higher risk for experiencing emotional consequences as a result of hate victimisation. Descriptive statistics and logistic regression modelling were used to analyse data (n = 409, Mean Age = 31.5). Results indicate a higher vulnerability of emotional consequences if a victim is exposed to economic consequences, if the offender is known to the victim, and if the victim identifies as Black African. Sex and type of incident (hate crimes, hate speech, and intentional unfair discrimination) showed no significant relationship with emotional consequences. The results enable greater insight into victim experiences of emotional consequences and motivate prioritising psychosocial health care, targeted interventions, and relevant legislative and policy frameworks for victims and communities affected by hate incidents.College of Human Science

Participation in (non)violent protests and associated psychosocial factors: sociodemographic status, civic engagement, and perceptions of government’s performance

A national representative sample of adults is used to assess whether socioeconomic circum stances, civic engagement, and perceptions about government performance are associated with participation in (non)violent protests. Blacks and those who report high levels of poverty and civic engagement are likely to participate in non-violent protests. Individuals who have not completed schooling, are members of an organisation, view government as highly corrupt, and rate government’s service delivery very unfavourably are more likely to participate in violent protests than non-violent protests. The varying paths to protests including the psychosocial factors and motivational dynamics underlying individual’s participation in protests are discussed.Institute for Social and Health Studies (ISHS

Schoolbus driver performance can be improved with driver training, safety incentivisation, and vehicle roadworthy modifications

In South Africa (SA), the school transport industry provides millions of children with a means of travelling to and from school. The industry has, however, been reported to be plagued by widespread safety concerns. The consequent road traffic incidents have often been attributed to driver factors, including driving in excess of legal speeds or at inappropriate speeds; driving while under the influence of alcohol, while sleepy or fatigued; or driving without using protective equipment for vehicle occupants. There are currently very few SA interventions that specifically target this important industry role-player. The Safe Travel to School Programme was recently implemented by a national child safety agency, with a focus on driver road safety awareness, defensive driver training, eye-testing, vehicle roadworthy inspections with selected upgrades, incentives for safe performance, and implementation of a vehicle telematics tracking system with regular, individual driving behaviour information updates. This quasi-experimental study offers an evaluation of the initial impact on safety performance of this telematics-based driver and vehicle safety intervention in terms of speeding, acceleration, braking, cornering, and time-of-day driving, and compares the school transport driver performance with that of general motorists. Despite concerns that some school transport vehicles are used for multiple purposes outside of school transport duties, at night, and for longer distances, overall these vehicles recorded lower percentages of speeding, lower harsh braking, and lower average harsh cornering and acceleration than general driversInstitute for Social and Health Studies (ISHS

Understanding the impact of hazardous and harmful use of alcohol and/or other drugs on ARV adherence and disease progression

The objective of this study was to understand the impact of hazardous and harmful use of alcohol and/or other drugs on ARV adherence and disease progression among HIV patients. A cross-sectional study design was used. A total of 1503 patients attending HIV clinics in Cape Town, South Africa were screened for problematic substance use. A sub-sample of 607 patients (303 patients who screened positive for problematic substance use and 304 who did not) participated in this study. Hazardous or harmful alcohol use and problematic drug use predicted missing and stopping ARVs which, in turn, was associated with a decrease in CD4 counts and more rapid HIV-disease progression and poorer health outcomes in people living with HIV/AIDS (PLWHA). The findings of this study underscore the need for an integrated approach to managing substance-use disorders in PLWHA

Providers’ perceptions of the implementation of a performance measurement system for substance abuse treatment: A process evaluation of the Service Quality Measures initiative

Background. In South Africa, concerns exist about the quality of substance abuse treatment. We developed a performance measurement system, known as the Service Quality Measures (SQM) initiative, to monitor the quality of treatment and assess efforts to improve quality of care. In 2014, the SQM system was implemented at six treatment sites to evaluate how implementation protocols could be improved in preparation for wider roll-out. Objective. To describe providers’ perceptions of the feasibility and acceptability of implementing the SQM system, including barriers to and facilitators of implementation.Methods. We conducted 15 in-depth interviews (IDIs) with treatment providers from six treatment sites (two sites in KwaZulu-Natal and four in the Western Cape). Providers were asked about their experiences in implementing the system, the perceived feasibility of the system, and barriers to implementation. All IDIs were audio-recorded and transcribed verbatim. A framework approach was used to analyse the data. Results. Providers reported that the SQM system was feasible to implement and acceptable to patients and providers. Issues identified through the IDIs included a perceived lack of clarity about sequencing of key elements in the implementation of the SQM system, questions on integration of the system into clinical care pathways, difficulties in tracking patients through the system, and concerns about maximising patient participation in the process. Conclusion. Findings suggest that the SQM system is feasible to implement and acceptable to providers, but that some refinements to the implementation protocols are needed to maximise patient participation and the likelihood of sustained implementation.