A5031095529- Intimate Partner and Family Violence
- Adolescent Sexual and Reproductive Health
- Child Abuse and Trauma
- Sex work and related issues
- HIV/AIDS Research and Interventions
- Poverty, Education, and Child Welfare
- Sexual Assault and Victimization Studies
- Homelessness and Social Issues
- Migration, Health and Trauma
- Global Maternal and Child Health
- Gender, Security, and Conflict
- Children's Rights and Participation
- Participatory Visual Research Methods
- HIV, Drug Use, Sexual Risk
- HIV/AIDS Impact and Responses
- Gender Roles and Identity Studies
- Posttraumatic Stress Disorder Research
- COVID-19 and Mental Health
- COVID-19 Impact on Reproduction
- Healthcare professionals’ stress and burnout
- Reproductive Health and Contraception
- Global Public Health Policies and Epidemiology
- Urban and Rural Development Challenges
- COVID-19 Pandemic Impacts
- Legal Issues in South Africa
South African Medical Research Council
2016-2025
University of the Witwatersrand
2016-2025
Institute of Gender and Health
2023
Medical Research Council
2012-2015
BackgroundAlthough childhood trauma and violence against women are global public health issues, few population-based data from low-income middle-income countries exist about the links between them. We present UN Multi-country Study on Men Violence in Asia Pacific, exploring pathways different forms of women.MethodsIn this multicountry study, we interviewed multistage representative samples men women, aged 18–49 years, using standardised household surveys. were six countries, four....
Background Psychological factors are often neglected in HIV research, although psychological distress is common low‐ to middle‐income countries, such as South Africa. There a need deepen our understanding of the role mental health epidemic. We set out investigate whether baseline depressive symptomatology was associated with risky sexual behaviour and relationship characteristics men women at baseline, well those found 12 months later. Methods used prospective cohort data from cluster...
Gender-based violence and HIV are highly prevalent in the harsh environment of informal settlements reducing here is very challenging. The group intervention Stepping Stones has been shown to reduce men's perpetration more rural areas, but experienced by women study was not affected. Economic empowerment interventions with gender training can protect older from violence, microloan have proved challenging young women. We investigated whether combining a broad economic could impact on among...
Background: Understanding the drivers of intimate partner violence (IPV), perpetrated by men and experienced women, is a critical task for developing effective prevention programmes.Objectives: To provide comprehensive assessment IPV.Methods: A review IPV, at end six-year programme research through What Works to Prevent Violence Against Women Girls Global Programme with reference other important in field.Results: Broadly, we argue that IPV driven poverty, patriarchal privilege, normative use...
Introduction Adolescents having unprotected heterosexual intercourse are at risk of HIV infection and unwanted pregnancy. However, there is little evidence to indicate whether pregnancy in early adolescence increases the subsequent infection. In this paper, we tested hypothesis that adolescent (aged 15 or younger) incident young South African women. Methods We assessed 1099 HIV‐negative women, aged 15–26 years, who were volunteer participants a cluster‐randomized, controlled prevention trial...
PurposeYoung people, not in formal employment or education, face exceedingly high levels of intimate partner violence (IPV). We evaluated whether Stepping Stones and Creating Futures, compared with a wait-list control, can reduce IPV strengthen livelihoods.MethodsA cluster randomized controlled trial 34 clusters urban informal settlements eThekwini Municipality, South Africa. Participant inclusion criteria were aged 18–30 years, resident the settlement, working education. A total 676 women...
Evidence on the impact of COVID-19 and lockdown remains at an early stage. There is limited research about hard restrictions families, specifically how these women children's experiences domestic violence, including intimate partner violence (IPV) child abuse in South Africa. We conducted among men Gauteng province, Africa to understand their national its link violence.
Notions of ideal manhood in South Africa are potentially prescriptive male sexuality thus accounting for the behaviors which may lead to men being at greater HIV risk. We tested hypothesis that gender and relationship constructs associated with condom use among young living rural Africa. 1219 aged 15–26 years completed a cross-sectional baseline survey from an IsiXhosa questionnaire asking about sexual behaviour relationships. Univariate bivariate analyses described patterns explanatory...
BackgroundAlthough teenage pregnancies in South Africa have declined, the short and longer term health social consequences are a potential public concern. This longitudinal study aimed to describe range of risk protective factors for incident unwanted unplanned occurring over 2 years follow-up among cohort adolescent women Eastern Cape, Africa. It also investigated relationship between gender inequality gender-based violence subsequent cohort.ObjectiveTeenage girls, aged 15–18 (n=19), who...
Preventing intimate partner violence (IPV) remains a global public health challenge. Studies suggest urban informal settlements have particularly high levels of IPV and HIV-prevalence these are rapidly growing. The current evidence base effective approaches to preventing recognizes the potential combining economic strengthening gender transformative interventions. However, few interventions been done in settlements, almost none included men as direct recipients Stepping Stones Creating...
Violence against women is often exacerbated by war, but most civilian research has investigated short term impact. We describe the conflict experiences of men and from general population Bougainville Papua New Guinea, perceptions enduring impact conflict, associations between these major health development problems on islands: mental ill-health violence women.Fourteen years after end decade long civil we conducted a household survey with random sample adult (n = 864) 879) living in...
Intimate partner violence (IPV) is a serious public health problem among adolescents. This study investigated the prevalence of and factors associated with Grade 8 girls' experience boys' perpetration IPV in South Africa. Participants were interviewed using interviewer-administered questionnaires about IPV, childhood violence, bullying, gender attitudes, alcohol use risky sexual behaviours. Multiple logistic regression analysis was conducted to assess IPV. Structural equation modelling (SEM)...
Background In most countries, reliable national statistics on femicide, intimate partner femicide (IPF), and non-intimate (NIPF) are not available. Surveys required to collect robust data this extreme consequence of violence (IPV). We analysed 3 surveys compare IPF, NIPF from 1999 2017 using age-standardised rates (ASRs) incidence rate ratios (IRRs). Methods findings conducted mortuary-based retrospective weighted cluster designs proportionate random samples medicolegal laboratories....
Abstract Despite high levels of awareness HIV, condom use, particularly consistent is suboptimal among young South African women. This paper aims to investigate the factors associated with both any use and by rural In this study 1204 sexually active female volunteers, aged 15–26 years, were selected using a two-stage procedure in which firstly 70 clusters thereafter up 20 women per cluster selected, participate randomised controlled trial an HIV behavioural intervention. analysing...
Background There has been very little prospective research on rape perpetration among men. This paper describes the incidence and risk factors for new attempted events young South African men in an HIV prevention trial. Methods We followed 1,147 aged 15–26 years who enrolled into a cluster randomised controlled trial to evaluate behavioural intervention Stepping Stones. Incidence rate ratios associated with incident were derived from Poisson models. Results The reported 217 rapes (completed...
Childhood traumas, in the form of physical, sexual, and emotional abuse neglect, are globally widespread highly prevalent, associated with a range subsequent poor health outcomes. This study sought to understand relationship between sexual childhood HIV-risk behaviours amongst young people (18–30) living urban informal settlements Durban, South Africa. Data came from self-completed questionnaires 680 women 677 men comprising baseline Stepping Stones Creating Futures intervention trial. Men...
Intimate partner violence (IPV) is a risk factor for HIV acquisition in many settings, but little known about its impact on cellular immunity especially infected women, and if any differs according to the form of IPV. We tested hypotheses that exposure IPV, non-partner rape, hunger, pregnancy, depression substance abuse predicted change CD4+ CD8+ T-cell count dataset 103 young women aged 15-26 enrolled cluster randomised controlled trial. Multiple regression models were fitted measure rate...
For women in South Africa, engaging exchange sex, including transactional sex (TS), or work (SW), is associated with several shared poor health outcomes; yet the practices themselves differ meaningful ways. SW a form of commodity exchange, while TS grounded gendered relationship expectations male provision and aspects emotional intimacy. Additionally, types could be imagined on "continuum instrumentality" from relationships that do not include material support; to those characterized, but...
Objective To explore the impact of South Africa’s COVID-19 hard lockdown on provision services to survivors violence against women (VAW). Design We conducted a qualitative study using semistructured interviews. Data was analysed thematically. 18 interviews (10 face-to-face and 8 online or by phone) with service providers key informants (KIs). Setting The across healthcare facilities, social services, national helplines shelters in Gauteng province, Africa. collected between September 2022...
<ns3:p>In South Africa, after two decades of national femicide surveillance, we know comparatively little about what places women who experience intimate partner violence (IPV) at risk femicide. Further have not mapped the multi-generational health, social and economic impact severe IPV on subjected to it, their children, nor consequences help-seeking, described helps, STET recovery trajectories. This study aims deepen understanding factors for impacts families, including resilience...