Women In Urban Communities Research Articles

Dancing With Care: Promoting Social Inclusion Among Older Women in China Through a Novel Preventative Care Model

This article examines how a new form of preventative care provision—dancing with care (DWC)—promotes social inclusion among older women in China and explores whether DWC can be regarded as an effective way to address the challenges these older women face in improving their social inclusion and achieving a healthy lifestyle. Our study demonstrates that various dimensions of DWC play a vital role in addressing the difficulties these older women encounter in their struggle to end their own social exclusion: These dimensions include levels of happiness, social network involvement, access to social support in “preventative care terms”, and the role of own’s grandchildren as a means to social bonding. Various dimensions of DWC align with the concept of preventative care for older women in urban communities. Using semi-structured interviews in selected “DWC communities” located in southern China, this article demonstrates that DWC contributes to addressing older women’s social inclusion by providing preventative care. In addition, we also performed an empirical data analysis that included institutional regulations for DWC design and implementation, publications by DWC communities, and academic research focused on DWC communities. DWC proposes an appealing path for older women to actively engage with and within their community. Furthermore, it offers valuable insights into the potential of a new model of preventative care and our conclusions will serve as a reference for enhancing social involvement among older individuals globally.

The effect of home ownership on the independence and participation of Kurdish women in society. A quantitative study of Sanandaj in Iran

AbstractHousing is a great family asset, especially in developing countries. Since economic resources bring social and political power, home ownership can be very influential in enhancing people's socio‐political power. The benefits of home ownership become even more notable among groups of people who were deprived of such power. In Sanandaj, home ownership shows a much lower rate among women than among men, and it is therefore interesting to know whether an increase would empower women and in what ways.Methodologically, this study used the Sanandaj Document Registration Office as well as a survey (a questionnaire filled out by 300 female homeowners in Sanandaj) to collect the data. The analysis of the data is based on the Kendall correlation test and Path analysis test. The research results show that there is a very high correlation between home ownership (as an independent variable) and economic independence, decision‐making independence and participation of women in urban communities (as dependent variables). The article concludes that home ownership can significantly improve the independence and participation of Kurdish women in Sanandaj, and makes a number of policy recommendations to reach this goal.

Street Harassment of Women in Lahore: Experiences, Consequences and Reporting Mechanism

Purpose: Urbanization, Women’s participation in education and work, and the patriarchal structure of Pakistani society are challenging women in urban communities, especially for their mobility.
 The present study aims to revolve around the experiences, consequences, and reactions of street harassment among young females of Urban Lahore. This study also aims to explore the perceptions of young females about public safety and comfort by exploring the reactions and reporting mechanism of young females to Street Harassment.
 Design/Methodology/Approach: The research stance is interpretive consisting of 20 in-depth interviews of females between the ages of 18-35 years from Lahore. The sampling technique was snowball sampling and the data is transcribed and analyzed through thematic analysis.
 Findings: The major findings of the present research show that the bus stops and terminals are the major places of street harassment and the perpetrators of street harassment come from all walks of life. Young females have social, emotional, and physical consequences of such kind of harassment. There are many social and cultural barriers, including patriarchal society and its socialization patterns, blaming the victims and considering it a harmless act which stops women to report it legally but they started to talk about it, especially in informal settings.
 Implications/Originality/Value: Women need to have some support from their families and even from the passers in dealing with public or street harassment by not considering it a harmless act.

Developing a culturally tailored short message service (SMS) intervention for improving the uptake of cervical cancer screening among Ghanaian women in urban communities

BackgroundThere has been extensive research across the globe to understand the barriers and facilitators of cervical cancer (CC) screening. However, few studies have focused on how such information has been used to develop text messages for mHealth screening programs, especially in resource-poor countries. This study elicited information on barriers and facilitators, the preferences of women regarding the modalities for delivery of health SMS messages on screening for cervical cancer, and demonstrates how this information was used to create a health screening program among women in the Greater Accra Region of Ghana.MethodsFour main activities were carried out, including (1) a total of five focus group discussions, (2) a baseline survey involving 62 female bankers and 68 women from the communities, (3) a stakeholder meeting involving experts in cervical cancer research and clinical care, and (4) pilot testing of the text messages. Focus group discussions and the baseline survey data were collected concurrently between February and May 2017 and the results were used to develop 5 specific communication objectives during the stakeholder engagements held in June 2017.ResultsIn all, 32 text messages were developed and pretested in July 2017(13 addressed knowledge on CC; 6 highlighted the importance of early detection; 5 allayed fear as a barrier to CC screening; 5 encouraged women to have time for their health, and 3 messages contained information on where to go for screening and the cost involved). Although awareness about the disease was high, knowledge of CC screening was low. For two-thirds of respondents (22/33), perceived lack of time, high cost, and fear (of cc, screening procedure, and potential for negative outcome) accounted for the reasons why respondents will not go for screening, while education on CC, especially from health workers and the mass media enabled uptake of CC screening.ConclusionSeveral factors prevent women from accessing screening services for CC, however, barriers such as low levels of education on CC, lack of time, and fear can be targeted in SMS messaging programs.

Women Deprivation Index and Family Planning Utilisation in Urban Geography of West African Countries.

Inequalities in health care utilisation and outcomes vary significantly across geographies. Though available evidence suggests disparity in contraceptive uptake in favour of urban compared with rural geographies, there are unassessed nuances among women in urban communities. This study examines some of these disparities within the context of socioeconomic deprivations and family planning utilisation among urban women in West Africa. A secondary analysis of the most recent Demographic and Health Survey dataset of five selected West African countries was conducted, using pooled data of 21,641 women aged 15–49 years. Associations between family planning utilisation and women's deprivation status were investigated using a binary logistic regression model. The findings show that more than one-quarter of the women were severely deprived across the countries except Senegal (17.4%), and the severely deprived consistently have relatively low contraceptive prevalence rates (CPR) (16.0–24.3%) compared with women with no/low deprivation across the countries except Senegal (39.8%). The results for long-acting reversible contraceptives (LARC) were not consistent across the five countries: whereas, LARC utilisation was lower among severely deprived women in Nigeria (9.1%), Guinea (9.6%), and Mali (19.3%), utilisation was similar across the deprivation groups in Benin and Senegal. In the multivariable analyses, the log-odds of modern contraceptive utilisation decreases by 0.27 among the moderately deprived (ß = −0.27, SE = 0.05, p < 0.01) and by 0.75 among the severely deprived women (ß = −0.75, SE = 0.05, p < 0.01) compared with those with no/low deprivation, with variations across the countries. Similarly, the log-odds of LARC utilisation decreases by 0.44–0.72 among the severely deprived women compared with those with no/low deprivation across the countries except Senegal. This study concluded that family planning intervention programmes and policies need to underscore the deprivation context of urban geographies, particularly among women living in informal settlements.

Association between family functions and antenatal depression symptoms: a cross-sectional study among pregnant women in urban communities of Hengyang city, China

ObjectiveTo explore the prevalence of depressive symptoms among women in late pregnancy, and assess mediating effect of self-efficacy in the association between family functions and the antenatal depressive symptoms.DesignCommunity-based, cross-sectional...

Automated and Interviewer-Administered Mobile Phone Surveys in Burkina Faso: Sociodemographic Differences Among Female Mobile Phone Survey Respondents and Nonrespondents.

BackgroundThe remarkable growth of cell phone ownership in low- and middle-income countries has generated significant interest in using cell phones for conducting surveys through computer-assisted telephone interviews, live interviewer-administered surveys, or automated surveys (ie, interactive voice response).ObjectiveThis study aimed to compare, by mode, the sociodemographic characteristics of cell phone owners who completed a follow-up phone survey with those who did not complete the survey.MethodsThe study was based on a nationally representative sample of women aged 15 to 49 years who reported cell phone ownership during a household survey in Burkina Faso in 2016. Female cell phone owners were randomized to participate in a computer-assisted telephone interview or hybrid interactive voice response follow-up phone survey 11 months after baseline interviews. Completion of the phone survey was defined as participants responding to more than 50% of questions in the phone survey. We investigated sociodemographic characteristics associated with cell phone survey completion using multivariable logistic regression models, stratifying the analysis by survey mode and by directly comparing computer-assisted telephone interview and hybrid interactive voice response respondents.ResultsA total of 1766 women were called for the phone survey between November 5 and 17, 2017. In both the computer-assisted telephone interview and hybrid interactive voice response samples, women in urban communities and women with secondary education or higher were more likely to complete the survey than their rural and less-educated counterparts. Compared directly, women who completed the hybrid interactive voice response survey had higher odds of having a secondary education than those who completed computer-assisted telephone interviews (odds ratio 1.7, 95% CI 1.1-2.6).ConclusionsIn Burkina Faso, computer-assisted telephone interviews are the preferred method of conducting cell phone surveys owing to less sample distortion and a higher response rate compared with a hybrid interactive voice response survey.

The prevalence of domestic violence and its association with family factors: a cross-sectional study among pregnant women in urban communities of Hengyang City, China

BackgroundWith the increased vulnerability during pregnancy, domestic violence (DV) is a serious threat to the physical and mental health of pregnant women, making it a significant issue in public health initiatives. In China, family is of great significance to pregnant women, but few scholars have focused specifically on the relationship between the family factors of pregnant women and DV. This study aimed to explore the prevalence and association between family factors and DV among women in late pregnancy, to provide evidence for the prevention of domestic violence during pregnancy.MethodsA cross-sectional survey was conducted from July–October, 2019 among pregnant women in urban communities of Hengyang City, Hunan Province, China. A total of 813 participants were included by a multi-staged cluster random sampling method. DV was assessed by the Abuse Assessment Screen Questionnaire (AAS). A multivariate binary logistic regression model was used to evaluate the relationship between family factors and DV.ResultsUltimately, 127 (15.62%) participants were identified as victims of DV. After adjustment, the potential risk factors of DV were tensions between their mother-in-law and other family members (OR: 2.85; 95% CI: 1.29 to 6.30 and OR: 3.30; 95% CI: 1.57 to 6.93), medium household debt (OR: 2.17; 95% CI: 1.18 to 4.00), middle and low family APGARI (OR: 2.01; 95% CI: 1.30 to 3.13 and OR: 4.01; 95% CI: 2.09 to 7.69).ConclusionsIn summary, women in late pregnancy were at higher risk of DV in the family with tensions, medium household debt and family dysfunction, which may help medical personnel intervene in cases of domestic violence against pregnant women in a reasonable and timely manner.

Domestic Violence and the Impacts on African American Women: A Brief Overview on Race, Class, and Root Causes in the United State

Victims of domestic violence from ethnic minority groups in the United States have a higher impact rate and less effective intervention services available to them than victims from the majority group. African American women have experienced traumatic psychological impairment due to partner abuse and lack intervention services that fail to fully apply comprehensive methods that can meet the victim’s needs. To comprehend the individual’s experience, one has to consider the varied factors and elements. This paper provides an awareness of this issue experienced by African American women in urban communities. We will explore how racial inequalities, class stratification, and ethnocentrism have influences and structural root causes that impact effective services.

Abstract P1-11-13: An evaluation of mobile mammography outreach in urban and rural communities

Abstract Background: Mobile mammography has been used to reach underserved women in a diverse number of settings. In this work, we demonstrate similarities and differences between rural and urban communities served by a single mobile mammography unit (MMU) affiliated with a comprehensive cancer center in Missouri. Methods: An outreach registry of patients serviced by the MMU was created and includes data from medical records and responses to a brief questionnaire completed at each visit. Data was examined by point of care (urban/rural) to assess the efficacy of mobile mammography as an outreach strategy in each of these environments. Bivariate analyses were used to examine the relationships between demographic characteristics such as age, income, race/ethnicity, education, employment status, marital status, insurance status, and living environment proxy. Results: Between 2006 and 2013, 9480 women received their care on the mobile mammography van. The sample was stratified by point of care (urban vs. rural) served, with majority of the women (86%) residing in urban/suburban St. Louis City/County, and 14% in rural regions. Urban zip codes had a lower percentage of women with income greater than $20,000 (12% v. 21%) and higher percentage of women with income less than $10,000 (49% v. 37%) in comparison to rural communities(p=0.01). There were higher proportions of black women in urban communities (63%) compared to rural communities (10%; p&amp;lt;0.001). Almost half (47%) the women that received mobile mammography in rural zip code were married compared to less than a quarter of women from urban zip codes (24%; p&amp;lt;0.001). Rural communities (83%) had a higher percentage of uninsured women compared to urban communities (67%; p&amp;lt;0.001). Women in urban and rural communities were similar in respect to age, employment status, and education. Conclusions: Mobile mammography has the potential to reach a large population of women with limited educational, financial, and healthcare resources. Future studies will be needed to determine if increasing the range and extent of mobile units, such as this one, would be effective in increasing the screening rates of not only women in Missouri, but also in other portions of this country. Citation Format: Lauren Steward, Susan Kraenzle, Bettina Drake, Sarah Lyons, Melody Goodman. An evaluation of mobile mammography outreach in urban and rural communities [abstract]. In: Proceedings of the Thirty-Seventh Annual CTRC-AACR San Antonio Breast Cancer Symposium: 2014 Dec 9-13; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2015;75(9 Suppl):Abstract nr P1-11-13.

Relating self-perceived with objective risk for breast cancer among women in rural and urban communities in southwestern Nigeria

Background: In an effort to enhance the value of early detection of breast cancer, attempts are now being made to relate a woman’s perceived risk of developing breast cancer with her actual risk. Women at increased risk but who underestimate this risk may unnecessarily defer the benefits of screening. Objective: To compare the self-perceived risk for developing breast cancer with their objective risk, as determined by the objective breast cancer risk (OBCR) and the Gail’s risk score. Materials and Methods: Quantitative methods utilized a cross-sectional comparative study design. Six hundred and eighty women aged 20 years or older were interviewed using a semi-structured, interviewer-administered questionnaire and selected using a multistage sampling technique from two predominantly rural and urban local government areas. A study set criteria on the OBCR was determined and classified into average or high risk for developing breast cancer (AOBCR and HOBCR, respectively), based on whether or not the respondent showed any of the two of four strong risk factors for breast cancer. Objective risk was also determined using an Internet-based Gail’s breast cancer assessment tool. Quantitative data were analyzed using SPSS software, version 16.0. Qualitative methods comprised focus group discussion sessions for women in both rural and urban areas, which were analyzed using detailed content analysis, and the results were presented in Z–Y tables. Result: The result of this study suggested that majority of women did not accurately assess their risk of developing breast cancer as nine in 10 women at high risk underestimated their true risk of developing breast cancer. Using the study set criteria, about one in 20 respondents were assessed to have HOBCR. Among women in rural communities, about 95% and 4% revealed AOBCR and HOBCR, compared with 93% and 11% of women in urban communities showing AOBCR and HOBCR, respectively. The Gail’s risk assessment tool was able to classify just two (5.6%) respondents as being at a high risk of developing breast cancer. The sensitivity of the Gail’s model when applied to the respondents was 5.56%. Conclusion: The study showed that OBCR has a potential of being used as a high-risk screening tool for breast cancer in middle- or low-resource setting. Therefore, clients who screen positively as HOBCR can subsequently be offered targeted screening, intensive health education, and counseling on various risk-reducing options.

Long-term air pollution exposure and breast cancer

Background: Women in urban communities of Iran have the highest incidence rates of breast cancer (BC). The reasons behind this are not fully understood and many of the causes remain unexplained. Aims: The aim of this study was to examine the relationship between exposure of BC cases and exposure of the general population to long-term air pollutants in the Middle Eastern City of Tehran, Iran. Methods: Records of 1534 BC patients were obtained from Non Communicable Disease Center belong to Ministry of Health (with disease onset during 2008 to 2009). Thereafter, they were successfully geo-coded within Tehran megacity by Geographic Information System (GIS) Bureau of Iran’s Post Office based on their postal code. On the other hand, 3008 random cases were created within the city by a GIS. The individual long-term exposure to sulfur dioxide (SO2) and particulate matter ? 10 µm (PM10) air pollutants of all BC and random cases were estimated using land use regression models. Finally, bivariate correlations of the exposure of these groups were calculated. Results: The annual mean concentration of SO2 and PM10 in the BC cases were 62.9 parts per billion (ppb), and 97.6 µg/m3, respectively. While in our random points the mean exposures for mentioned pollutants were 54.1 ppb, and 93 µg/m3, respectively. The correlation of long-term exposure to SO2 between BC and random cases was positive and significant (r = 0.06, p = 0.019). Meanwhile, the correlation of long-term exposure to PM10 between BC and random cases was positive and significant (r = 0.05, p = 0.037).

P3-S7.03 The prevalence of Bacterial Vaginosis among young women in urban areas in Nigeria and its major risk factors

IssueVaginitis is polymicrobial Sexually Transmitted Diseases (STDs), associated with some STD agents, presenting signs/symptoms such as foul smelling vaginal discharge, irritation, and itching. Among the leading infectious agents causing vaginitis among young women in urban communities in Nigeria,Gardnerella vaginalis(cause of Bacterial Vaginosis) was found to top the list. Also, unprotected sex during first sexual intercourse and multiple sexual partners are found to be the major risk factors for the wide spread of Bacterial vaginosis among the study's young women.MethodBacteriological and differential laboratory tests (microscopic examination, normal physiological saline wet-preparation, Potassium Hydroxide (OH) solution, whiff test, the litmus paper/PH level test, and gram staining) were carried out on High vaginal swab (HVS) specimens collected aseptically within 6 months from non-pregnant, non-menstruating young women who are not on antibiotics for a week before specimens were collected, and whose consent is sought before the study. The Study population is made up of both STD center attending and non-attending young women (mean age=25.50). In addition, a standard questionnaire (r=0.77) was administered to answer the major research/study questions on the major risk factors for Bacterial vaginosis.ResultFrom the 200 HVS collected, 68 % of primary isolates were isolated:G vaginalis(51.72%),C albicans(41.92%), andT vaginalis(06.36%) respectively (p&lt;0.0001). According to the result from the study questionnaire, among 200 respondents, 37.71% had their first sexual intercourse without any protection, 39.16% were protected during their first sexual intercourse, and 23.13% did not recollect. Also, 31.65% had engaged in sexual intercourse with more than one sexual partner before with no protection in few occasions, 37.21% had had multiple sexual partners before with protection, 31.14% declined to provide answer to the multiple sexual partner questions.ConclusionsBacterial vaginosis was found to be the most prevalent among young women in urban cities in Nigeria, and the major risk of contracting the infectious disease is unprotected sexual intercourse with multiple partners, and during first sexual intercourse. However, there is need for effective and efficient sex education and awareness to encourage the partners to be faithful to one another and for the promotion of safe sexual intercourse by using preventive means such as condoms.

Angola 2006: A British Parliamentary Visit

In 2006 the author acted as interpreter for a small party of British politicians who visited Angola. His own account of the expedition highlighted the then prominent questions of agriculture and rural development, of the empowerment of women in urban communities, of perceptions of national identity and the role of electoral politics. The effect of rising and falling oil wealth on legitimate investment and on corrupt embezzlement had to be delicately addressed as did the balance between presidential power and opposition newspapers. To many Angolans the thriving Pentecostal churches seemed as important in their daily lives as the non-governmental development agencies or the cash-strapped government ministries of health and education. In 2006 the first signs of China’s new interest in Africa were beginning to match the entrepreneurial dominance of Brazil and Portugal and eclipse the regional aspirations of South Africa.

Perceptions about prenatal care: views of urban vulnerable groups.

BackgroundIn the United States, infant mortality rates remain more than twice as high for African Americans as compared to other racial groups. Lack of adherence to prenatal care schedules in vulnerable, hard to reach, urban, poor women is associated with high infant mortality, particularly for women who abuse substances, are homeless, or live in communities having high poverty and high infant mortality. This issue is of concern to the women, their partners, and members of their communities. Because they are not part of the system, these womens' views are often not included in other studies.MethodsThis qualitative study used focus groups with four distinct categories of people, to collect observations about prenatal care from various perspectives. The 169 subjects included homeless women; women with current or history of substance abuse; significant others of homeless women; and residents of a community with high infant mortality and poverty indices, and low incidence of adequate prenatal care. A process of coding and recoding using Ethnograph and counting ensured reliability and validity of the process of theme identification.ResultsBarriers and motivators to prenatal care were identified in focus groups. Pervasive issues identified were drug lifestyle, negative attitudes of health care providers and staff, and non-inclusion of male partners in the prenatal experience.ConclusionsDesigning prenatal care relevant to vulnerable women in urban communities takes creativity, thoughtfulness, and sensitivity. System changes recommended include increased attention to substance abuse treatment/prenatal care interaction, focus on provider/staff attitudes, and commitment to inclusion of male partners.

Those of Little Note: Gender, Race, and Class in Historical Archaeology

Because some classes of people may not have been considered worthy of notice by dominant social groups in the past, they may be less visible to us today in historical and archaeological records; consequently, they remain less studied. This volume attempts to redress this oversight by presenting case studies of historical and archaeological research on various ethnic, racial, gender, and socioeconomic groups in colonial and post-colonial North America. These contributions illustrate how historical archaeologists and ethnohistorians have used documentary and archaeological evidence to retrieve information on neglected aspects of American history. They explore ways of making more visible Native Americans, African Americans, and Euro-Americans of differing ethnic groups and economic classes, and also shed new light on such groups as celibate religious communities, women in predominantly male communities, and working-class and middle-class women in urban communities. Material evidence on those of little note provides not only fresh insight into our understanding of daily life in the past, but also a refreshing counterpoint to the male- and Euro-centered analysis that has characterized much of historical archaeology since its inception. Readers will find many chapters rewarding in their application of sophisticated feminist theory to archaeological data, or in their probing of complex relational issues concerning the construction of gender identity and gender relationships. As the first archeaeologically-focused collection to examine the interconnectedness of gender, class, race, and ethnicity in past societies, Those of Little sets new standards for future research. CONTENTS-I--Introduction-1. Through the Lens of Gender: Archaeology, Inequality, and Those Of Little Note / Elizabeth M. Scott-II--Native American and African American Communities-2. Cloth, Clothing, and Related Paraphernalia: A Key to Gender Visibility in the Archaeological Record of Russian America / Louise M. Jackson-3. We Took Care of Each Other Like Families Were Meant To: Gender, Social Organization, and Wage Labor Among the Apache at Roosevelt / Everett Bassett-4. The House of the Black Burghardts: An Investigation of Race, Gender, and Class at the W. E. B. DuBois Boyhood Homesite / Nancy Ladd Muller-III--All Male and Predominantly Male Communities-5. With Manly Courage: Reading the Construction of Gender in a 19th-Century Religious Community / Elizabeth Kryder-Reid-6. The Identification of Gender at Northern Military Sites of the Late 18th Century / David R. Starbuck-7. Class, Gender Strategies, and Material Culture in the Mining West / Donald L. Hardesty-IV--Working Women in Urban Communities-8. Mrs. Starr's Profession / Donna J. Seifert-9. Diversity and 19th-Century Domestic Reform: Relationships Among Classes and Ethnic Groups / Suzanne M. Spencer-Wood

Teaching and Practice

In this article, Kathy Boudin recounts her story as an inmate and literacy educator at Bedford Hills Correctional Facility for women. While the standard literacy education curriculum for the facility emphasized instrumental, workbook-based reading skills, Boudin sought to make the literacy program more relevant to the women's lives and experiences. By working with the women in the literacy program, Boudin incorporated critical literacy teaching practices into the skills-based curriculum, using the subject of AIDS in prison as a means of linking the women's experiences with their acquisition of literacy skills. Although the article focuses on prison education, the women in Bedford Hills are like other women in urban communities for whom literacy is only one of many problems. Thus, the pedagogical and social issues raised here have many implications that extend beyond the prison bars.

A Population-based Study of Injuries in Inner-City Women

Although injuries are the number one cause of death for women under age 45 years in the United States, very little is known about nonfatal injuries to women, particularly those from urban, black communities. The Philadelphia Injury Prevention Program is a surveillance system of fatal and nonfatal injuries in a poor, urban, black community in western Philadelphia, Pennsylvania. Nearly 10% of the estimated population of 31,032 women aged 15 years and older suffered an injury resulting in an emergency room visit or death during the 1-year study period from March 1, 1987 through February 29, 1988. The major causes of injury were falls (25.1 per 1,000 women), violence (20.8 per 1,000 women), and motor vehicle incidents (16.8 per 1,000 women). Violence was the leading cause of injury for women aged 15-44 years and the most common cause of injuries among women with two or more injuries during the 1-year period. Injury rates were highest for women aged 25-34 years (157.1 per 1,000 women); nearly 16% of the population in this age group suffered an injury resulting in an emergency room visit or death during the 1-year study period. Rates declined with advancing age for each injury type except for falls; which were most common in young women aged 25-34 years (28.4 per 1,000 women) and in the aged 65 years and older (29.0 per 1,000 women). We conclude that in his population, injuries to young women appear to be a major public health problem. More work is needed to understand the nature of injuries occurring to young women in urban communities.