134 results
Search Results
2. A Holistic Measure of Contextual and Individual Linguistic Diversity
- Author
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Wigdorowitz, Mandy, Pérez, Ana I., and Tsimpli, Ianthi M.
- Abstract
The sociolinguistic context of language use contributes to individuals' linguistic knowledge. However, how it does so has yet to be fully conceptualised or quantitatively investigated within the language sciences. To meet this goal, a psychometrically sound evidence-based measure that captures important aspects of contextually influenced linguistic experience is necessary. In this paper we describe the development and validation of the Contextual and Individual Linguistic Diversity Questionnaire (CILD-Q). Exploratory factor analysis was conducted with data from 353 participants (62.9% South African, 37.1% UK, Mage = 29.3, SD = 10.09). A three-factor solution best describes the structure of the CILD-Q: Multilingualism in Context (contextual use and societal practice of multiple languages within a community), Multilingualism in Practice (direct and indirect linguistic exchanges and conversational interaction), Linguistic Diversity Promotion (societal and governmental endorsement of linguistic variation). Item scores corresponding to these three factors showed sufficient reliability ([alpha]'s > 0.80). The CILD-Q provides a novel and holistic manner to measure sociolinguistic diversity and can be used when measuring individuals' language experience within and across populations from differing sociolinguistic contexts.
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- 2023
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3. The Relationship between Harmful Alcohol Use and Antiretroviral Non-Adherence in People Accessing HIV Treatment in Cape Town, South Africa: An Event-Level Analysis
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Rose, Alexandra L., Belus, Jennifer M., Ma, Tianzhou, Lee, Jasper S., Wan, Christine, De Los Reyes, Andres, Joska, John A., Andersen, Lena S., Myers, Bronwyn, and Magidson, Jessica F.
- Abstract
Harmful alcohol consumption can significantly compromise adherence to antiretroviral therapy (ART). Prior research has identified aggregate relationships between alcohol use and ART non-adherence, largely relying on concurrent assessment of these domains. There is relatively limited evidence on more nuanced day-level associations between alcohol use and ART non-adherence, despite potentially important clinical implications. We recruited adults with HIV treatment adherence challenges and harmful alcohol use (n=53) and examined relationships between alcohol use and "same" and "next day" ART adherence, accounting for the role of weekends/holidays and participant demographics, including gender. Results demonstrated that weekends/holidays were significantly associated with worse same day ART adherence. Next day adherence was significantly worse in the context of weekend alcohol use and among men. These results suggest the importance of tailoring intervention strategies to support ART adherence during weekend drinking and for men engaged in heavy episodic drinking. [This paper was published in "AIDS and Behavior" v26 n6 p2055-2066 2022.]
- Published
- 2022
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4. Commission for International Adult Education (CIAE) of the American Association for Adult and Continuing Education (AAACE). Proceedings of the 2018 International Pre-Conference (67th, Myrtle Beach, South Carolina, September 30-October 2, 2018)
- Author
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American Association for Adult and Continuing Education (AAACE), Commission for International Adult Education (CIAE) and Avoseh, Mejai B. M.
- Abstract
These "Proceedings" derived from the Commission for International Adult Education's (CIAE) 2018 International Pre-Conference. They contain 23 papers from 32 authors. Eight of the lead authors are graduate students -- four are rounding up their Master's degrees while four are on their doctoral programs. The rest are a mix of seasoned and mid-career adult education scholars and practitioners. Each year delegates travel from all over the world to share ideas, engage in scholarship, and inspire one another to continue to make meaningful change in the world. One of the greatest strengths of the CIAE conferences is the broad level of involvement from so many different areas of practice and study within the Adult Education field, and having such a large group of scholars and practitioners from around the globe each year is a significant part of what makes them who they are.
- Published
- 2018
5. A Discourse of Disconnect: Young People from the Eastern Cape Talk about the Failure of Adult Communications to Provide Habitable Sexual Subject Positions
- Author
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Jearey-Graham, Nicola and Macleod, Catriona
- Abstract
Face-to-face adult communication with young people about sexuality is, for the most part, assigned to two main groups of people: educators tasked with teaching school-based sexuality education that is provided as part of the compulsory Life Orientation (LO) learning area, and parents. In this paper, we report on a study conducted with Further Education and Training College students in an Eastern Cape town. Using a discursive psychology lens, we analysed data from, first, a written question on what participants remember being taught about sexuality in LO classes and, second, focus group discussions held with mixed and same-sex groups. Discussions were structured around the sexualities of high school learners and the LO sexuality education that participants received at high school. We highlight participants' common deployment of a "discourse of disconnect" in their talk. In this discourse, the messages of "risk" and "responsibility" contained in adult face-to-face communications, by both parents and LO teachers, are depicted as being delivered through inadequate or non-relational styles of communication, and as largely irrelevant to participants' lives. Neither of these sources of communication was seen as understanding the realities of youth sexualities or as creating habitable or performable sexual subject positions. The dominance of this "discourse of disconnect" has implications for how sexuality education and parent communication interventions are conducted.
- Published
- 2015
6. Metanarratives of visual impairment rehabilitation: the discursive positioning of disabled service users in South Africa.
- Author
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Botha, Michelle and Watermeyer, Brian
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REHABILITATION of blind people , *BLINDNESS , *NONPROFIT organizations , *SELF-perception , *RESEARCH funding , *DISCOURSE analysis , *COMMUNICATION , *PEOPLE with disabilities , *WORLD Wide Web , *ADULTS ,MEDICAL care for people with disabilities - Abstract
This paper presents findings from a study on blindness discourses found in South African non-profit organisations that provide rehabilitation services to visually impaired adults. The paper investigates what the public relations materials of these organisations communicate about blindness. It also considers the ideological assumptions that blindness discourses reinforce and embed in rehabilitation practice. The primary focus is a discourse analytic review conducted on a sample of organisation public facing material. The findings comprise three clusters of assumptions, with concomitant enactments in practice. These are i) third-person alliances around the blind subject and a resulting objectification of service users ii) 'journey discourse' which prohibits the expression of complex disability experiences and iii) polarised blindness fantasies which promote othering and prescribe acceptable ways of being for blind subjects. This paper questions what might be imparted to blind persons at a symbolic level through rehabilitative practices. This article explores the ways that blindness and blind persons are represented on the websites of organisations that provide visual impairment rehabilitation services in South Africa. These representations affect the way that society views visually impaired people, and the way that visually impaired people feel about themselves. Organisation websites describe visually impaired people in ways that make it seem as though they play little active role in the rehabilitation process. The idea that rehabilitation is a journey from dependence and depression to independence and self-acceptance might make it difficult for rehabilitation service users to express ongoing feelings of grief and loss. There is a need for more focus on interdependence in rehabilitation services. Rehabilitation organisations must think carefully about what their public relations materials communicate to society about blindness and blind persons. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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7. Courting emissions: climate adjudication and South Africa's youth.
- Author
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Nkrumah, Bright
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ENERGY consumption ,POLITICAL participation ,SUSTAINABLE consumption ,ENVIRONMENTAL justice ,ADULTS ,SUSTAINABILITY - Abstract
Background: The urgency to pursue sustainable consumption or use energy in a manner that does not negatively impact the environment has become an important theme in recent times. As a major fluctuation in the atmosphere, climate change will be one of the major challenges faced by youth. As a result, there have been a growing number of young South Africans advocating for environmental justice. Surprisingly, their effort has not yielded the expected result as the country continues to emit a high amount of greenhouse gases. The notion of youth may be construed as those between the ages of 15 and 24. The age bracket suggests that the adult lives of this population will be shaped by environmental crises such as famines, vector-borne diseases, and hikes in commodity prices which may impinge on their basic rights to life, health, and property. This development triggers an ancient discourse, what role can youth play towards decarbonization? In other words, which effective avenue could be used by young people for capping emissions? Methods: An analysis of South Africa's energy policy documents relevant to sustainability was conducted through the application of desktop research. We use (inter)national instruments and jurisprudence to understand how a state structure, like the judiciary, could nudge the executive to cap rising green gas emissions. South Africa is used as a case study because of its over-reliance on coal for electricity, and how young people could use the existing legal framework to cap rising emissions. Drawing from existing literature, the paper interrogates the lack of activism around climate litigation and under what conditions this pattern could be reversed in South Africa. Results: The paper found that while litigation has an important role to play in mitigating climate change, it ought to be complemented with other forms of advocacy. Conclusions: The study concludes that given the government's perceived slow steps towards shifting from coal to renewables, youth (who will bear the brunt of high emissions) ought to use both courtrooms and advocacy to trigger political action. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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8. Examining the understandings of young adult South African men who stutter: The question of disability.
- Author
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Isaacs, Dane and Swartz, Leslie
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STUTTERING ,RESEARCH methodology ,INTERVIEWING ,RESEARCH funding ,PEOPLE with disabilities ,THEMATIC analysis ,ATTITUDES toward disabilities ,ADULTS - Abstract
Background: A disability studies approach seeks to understand and address political and social issues that affect disabled individuals. Disability studies scholars employ various models of disability to address and oppose the oppression and discrimination of disabled individuals. A disability studies approach, however, has largely been absent in studies that have investigated the lived experiences of people who stutter. Aim: To examine the understandings young adult South African men who stutter hold of whether, and in what way, stuttering may be considered to be a disability. Methods & Procedures: A total of 15 men who stutter, aged 20–39 years, participated in the study. Semi‐structured interviews and two focus groups discussions were conducted to collect data for the study. The data were analysed according to a phenomenological approach and the affective turn in social research. Outcomes & Results: The results indicated that some men in this study understood stuttering as a speech disorder that can be controlled, while other men constructed stuttering as a disability, subjectively positioning themselves either as disabled or non‐disabled men. Conclusions & Implications: This article emphasizes the importance of adopting a disability studies approach when examining the lived experiences of people who stutter and enhancing intervention strategies to adequately address the disabled needs of such individuals. WHAT THIS PAPER ADDS: What is already known on the subject?: The past few decades have seen researchers investigating the personal and social experiences of people who stutter. However, empirical studies exploring the disabling experiences of people who stutter have been absent from the existing body of knowledge. What this paper adds to existing knowledge?: This research aimed to provide comprehensive insight into the disabling experiences of people who stutter. The results gave an insight into the oppression and disablism experienced by people who stutter. More specifically, the findings demonstrated how individuals who stutter are disabled by oppressive communication practices that dominate spaces of education and employment. What are the potential or actual clinical implications of this work?: Several men in this study attended speech therapy to gain control over their stuttering. For a number of participants, speech therapy proved a valuable experience, while others saw speech therapy as being out of touch with their lived reality of stuttering. Speech and language therapists are encouraged to employ a disability studies approach in order to enhance intervention strategies to adequately address the disabling needs of people who stutter. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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9. 'Occupation', labour markets and qualification futures.
- Author
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Gamble, Jeanne
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VOCATIONAL education ,LABOR market ,JOB qualifications ,LEARNING ,PERFORMANCE ,ADULTS - Abstract
Whether there is or should be a relation between 'occupation' and 'qualification' is a contested issue in vocational education and training (VET). The privileged shelter of structured occupational labour markets stands pitted against the near impossibility of access by those at the margins of employment opportunities. This paper investigates the relation between occupation and qualification, conceptually and empirically. The key finding is that the relation manifests in labour-market specific ways in relation to two types of occupational qualification. One qualification type references 'whole' occupations and the other dilutes occupation into an ideology of occupationalism, while drawing on the discursive resources of 'occupation' to mask the segmentalist logic of 'unitised' or part-qualifications. For those desperately seeking to become employable, 'occupation' may well have greater appeal than 'competence' as labour market currency but it is the nature of the qualification to which 'occupation' is linked that ultimately determines its labour market efficacy. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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10. Domestic Violence, Childhood Experiences, and Socialisation among Adults in South Africa: A Collective Case Study Analysis.
- Author
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Alho, Chantelle
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DOMESTIC violence ,SOCIALIZATION ,SOCIAL services ,VICTIMS of domestic violence ,ADULTS ,STAY-at-home orders - Abstract
Over the past two years, we have seen the COVID-19 pandemic impact all spheres of our lives – i.e., social, political, economic, and educational. While governments worldwide have been grappling with the primary objective of slowing the infection rates by imposing lockdowns and curfews to reduce the spread of the virus, we have seen an alarming increase in reports of domestic violence. The social environment perpetuated by the lockdown and curfew restrictions has resulted in an ideal setting for the perpetrators of domestic violence to isolate their victims, restrict movement, and limit access to critical social services that could render the support needed. While many social programmes have been forthcoming to address this social ill, the lasting effects of domestic violence cannot be ignored. In this paper, I seek to explore the childhood experiences of adults who have lived in domestically violent homes to determine the effects of domestic violence on them as children and how these effects have affected their socialisation both in childhood and adulthood. To do this, I draw on a collective case study approach comprising interviews of eight participants (n=8). By constructing narratives of each participant and thematically analysing the data, I articulate seven core findings that must be considered for any meaningful intervention to domestic violence. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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11. Male Peer Talk About Menstruation: Discursively Bolstering Hegemonic Masculinities Among Young Men in South Africa.
- Author
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Macleod, Catriona Ida, Glover, Jonathan Malcolm, Makuse, Manase, Kelland, Lindsay, and Paphitis, Sharli Anne
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AFFINITY groups ,MASCULINITY ,PSYCHOLOGY of men ,MENSTRUATION ,ATTITUDES toward sex ,GENDER identity ,DISCOURSE analysis ,PROMPTS (Psychology) ,ADULTS - Abstract
In this paper, we show how male peer talk about menstruating women may be used to discursively bolster hegemonic masculinities and denigrate women. Focus group discussions among 37 young isiXhosa-speaking men from two South African schools were facilitated by two young men; statements garnered from a sexuality education class about menstruation conducted in the same schools were used as cues. Data were analyzed using discourse analysis. The interactive talk constructed a bifurcation: "disgusting" menstruating women versus "reasonable" non-menstruating women who abide by idealized feminine behavior and are available sexually. We argue that as the non-menstruating woman cyclically become the other (menstruating woman) in women of particular ages, the trace of disgust inhabits the signifier "woman" for these men. Menstruation also disrupted a core identity strategy of local hegemonic masculinities: virile (hetero)sexuality. Given this, discursive distancing of the self from the very topic of menstruation is necessary. Small moments of resistance to these constructions were quickly closed down, and caring masculinity emerged only in the context of negotiating sex during menstruation. Involving men in menstrual hygiene management programs may provide spaces for resistance to denigrating discourses about menstruation. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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12. ‘A difficult conversation’: community stakeholders’ and key informants’ perceptions of the barriers to talking about sex and HIV with adolescents and young people in KwaZulu-Natal, South Africa.
- Author
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Knight, Lucia, Humphries, Hilton, Van der Pol, Natasha, Ncgobo, Nkosinathi, Essack, Zaynab, Rochat, Tamsen, and van Rooyen, Heidi
- Subjects
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YOUNG adults , *INTERGENERATIONAL communication , *ADULTS , *REPRODUCTIVE health , *CONVERSATION - Abstract
Adolescence and young adulthood are important periods of transition and therefore for action and intervention to ensure future sexual and reproductive health (SRH). Caregiver-adolescent communication about sex and sexuality is a protective factor for SRH, but there are often barriers to this. Adults’ perspectives are limited within the literature but important as they should lead this process. This paper uses exploratory qualitative data from indepth interviews with 40 purposively sampled community stakeholders and key informants to explore their insights into the perceived, experienced or expected challenges adults’ experience when having these conversations within a high HIV prevalence, South African context. Findings suggest that respondents recognised the value of communication and were generally willing to try it. However, they identified barriers such as fear, discomfort and limited knowledge and perceived capacity to do so. They show that in high prevalence contexts adults grapple with their own personal risks, behaviours and fears that may affect their ability to have these conversations. This demonstrates the need to equip caregivers with the confidence and ability to communicate about sex and HIV, alongside managing their own complex risks and situations to overcome barriers. It is also necessary to shift the negative framing of adolescents and sex. [ABSTRACT FROM AUTHOR]
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- 2023
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13. Exploring childhood experiences and family contexts as risk factors for drug use in the lives of young drug users in the Western Cape, South Africa.
- Author
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Rich, Edna Grace, Londt, Marcel, and Holtman, Lorna
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SUBSTANCE abuse risk factors ,ADVERSE childhood experiences ,PSYCHOLOGY of drug abusers ,CHILD abuse ,FAMILIES ,INTERVIEWING ,FAMILY conflict ,RISK assessment ,QUALITATIVE research ,QUESTIONNAIRES ,JUDGMENT sampling ,THEMATIC analysis ,FAMILY relations ,PARENT-child relationships ,PSYCHOLOGICAL stress ,ADULTS ,ADOLESCENCE - Abstract
The use of drugs amongst adolescents and youth has become a global phenomenon and South Africa is no exception. This paper aims to explore the familial contexts and childhood experiences leading up to the drug-taking pathways of young drug users. A qualitative approach was utilized to gather demographic from a purposive sample of 41 young (14–19 years) drug users, at five drug treatment centres in the Western Cape of South Africa. Additionally, participants could agree to participate in an in-depth interview or to provide a written life history account. A thematic data analysis was applied, and the results uncovered a range of family-related risk factors such as family structure (single motherhood and absent fatherhood), and other negative family functioning and practices such as troubled parent-child relationships, poor family communication/interactions, parental/family substance abuse, and conflict-ridden, stressful and often violent and abusive family situations. The findings suggest that prevention initiatives should focus on strengthening family functioning by reducing high conflict, stress, violent and abusive family situations, as well as aim to enhance the caregiver-child relationship. Prevention strategies should encourage live-in and non-live-in fathers to be actively involved in the lives of their children and should aim to reduce parental/caregiver substance abuse. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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14. "We Should Be Taught Self-Respect, Self-Confidence and Self-Love": Youth Perspectives of Adult Influences on Their Sexuality and Relationships Among South African Adolescents Living With HIV.
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Bergam, Scarlett, Kuo, Caroline, Atujuna, Millicent, Pellowski, Jennifer A., Mtukushe, Bulelwa, Ndevu-Qwabe, Nontembeko, Matiwane, Mluleki, Rencken, Camerin A., Belsky, Mikaela, Hoare, Jacqueline, Bekker, Linda-Gail, and Harrison, Abigail D.
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HIV-positive teenagers ,NARCISSISM ,SOUTH Africans ,INTERGENERATIONAL communication ,ADULTS ,SELF-esteem - Abstract
Introduction: Of the 1.75 million adolescents aged 10-19 years living with HIV globally, 84% reside in sub-Saharan Africa. This problem is most acute in South Africa, where there are 720,000 adolescents living with HIV (ALHIV). ALHIV navigate the same challenges as other adolescents--such as puberty and first relationships--as well as challenges specific to their HIV-status--including stigma, disclosure, and concerns about HIV transmission. This dual burden calls for tailored sexual and reproductive health (SRH) programs. Here, we qualitatively explore the reflections of South African ALHIV on SRH education, communication, and discussion provided by adults in schools, clinics, and the home related to their unique SRH needs. Methods: This paper reports on qualitative data from a mixed-methods study to inform interventions that meet the SRH needs of ALHIV. In-depth interviews (N = 20) were conducted with ALHIV recruited from two clinics in Cape Town, South Africa. Nine males and 11 females aged 16-19 participated in semi-structured in-depth interviews to discuss their sexual health as ALHIV. The interview guide explored 1) perceived SRH needs; 2) healthy living with HIV; 3) future goals; 4) intimate relationships; 5) psychosocial challenges; and 6) preferred interventions. Data were thematically applied to an iteratively-developed codebook and analyzed by the cross-cultural research team using NVivo 12. Results: These qualitative data reveal the pressing needs among ALHIV for open communication and accurate information about sexuality and HIV, given the risk to themselves and their partners as they enter intimate relationships. Three themes emerged from the data: 1) Intergenerational pressures coming from caregivers, clinicians, and teachers often stigmatize the sexual heath behaviors of ALHIV; 2) When present, open intergenerational communication can provide ALHIV with crucial information, resources, and social support that supports healthy decisions, and 3) ALHIV offer specific ideas about how adults can support their decision-making in the transition to adulthood. Conclusions: Findings highlight adolescents' recommendations for programs involving open communication, stigma-reduction around sexuality, and support from both peer and adult mentors. This study lays the foundation for strategies to improve intergenerational communication about sexual health to promote positive approaches to sexuality for ALHIV. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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15. The Covid-19 conjuncture: rearticulating the school/home/work nexus.
- Author
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Kenway, Jane and Epstein, Debbie
- Subjects
COVID-19 pandemic ,SCHOOL closings ,SOCIAL problems ,HIGHER education ,ADULTS - Abstract
The Covid-19 pandemic is intensifying existing problems of economic asymmetry, and other injustices, between and within countries and regions around the world. It is thus imperative that sociological studies of education document its socio-cultural implications in different locations and on different scales. It is equally imperative that such studies have a historical perspective that asks what pre-existing social problems have been intensified and how such intensification is happening. This paper responds to these imperatives through the deployment of conjunctural analysis and related crisis and articulation theory. We discuss the global Covid-19 conjuncture as it emerged in the first seven months of 2020 and show how it articulated with the preceding conjuncture. Subsequently, we focus on the issues associated with closing and reopening schools and show how they were intertwined with reconfigurations of the school/home/work nexus. We consider these reconfigurations in two very different locations, Australia and South Africa. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
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16. The effect of tobacco expenditure on expenditure shares in South African households: A genetic matching approach.
- Author
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Chelwa, Grieve and Koch, Steven F.
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HOUSEHOLDS ,SOUTH Africans ,NUTS ,TOBACCO ,POPULATION biology ,PHYSICAL sciences ,TOBACCO industry laws - Abstract
This paper examines whether tobacco expenditure leads to the crowding out or crowding in of different expenditure items in South Africa. We apply genetic matching to expenditure quartiles of the 2010/2011 South African Income and Expenditure Survey. Genetic matching is a more appealing approach for dealing with the endogeneity of tobacco expenditure that often plagues studies using systems of demand equations. Further, genetic matching provides transparent measures of covariate balance giving the analyst objective means of assessing match success. We find that the poorest tobacco consuming households in South Africa consistently allocate smaller budget shares towards food items than non-smoking households. Specifically, we find that dairy, fruits, nuts and oils are displaced in favour of tobacco expenditure in the two poorest quartiles. Unsurprisingly, food items are never displaced for households in the top two quartiles, given these households’ greater access to resources. Like other studies in the literature, we find that tobacco expenditure consistently crowds-in alcohol across all quartiles confirming the strong complementarities between the two. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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17. Trends and correlates of HIV prevalence among adolescents in South Africa: evidence from the 2008, 2012 and 2017 South African National HIV Prevalence, Incidence and Behaviour surveys.
- Author
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Mabaso, Musawenkosi, Maseko, Goitseone, Sewpaul, Ronel, Naidoo, Inbarani, Jooste, Sean, Takatshana, Sinovuyo, Reddy, Tarylee, Zuma, Khangelani, and Zungu, Nompumelelo
- Subjects
HIV infection epidemiology ,HIV infection risk factors ,HIV infections ,STATISTICS ,CONFIDENCE intervals ,UNEMPLOYMENT ,CROSS-sectional method ,MULTIVARIATE analysis ,MULTIPLE regression analysis ,AGE distribution ,BLACK people ,POPULATION geography ,RACE ,RISK assessment ,SURVEYS ,SEX distribution ,COMPARATIVE studies ,DISEASE prevalence ,CHI-squared test ,CLUSTER analysis (Statistics) ,STATISTICAL sampling ,ODDS ratio ,WHITE people ,EDUCATIONAL attainment ,SECONDARY analysis ,CHILDREN ,ADULTS ,ADOLESCENCE - Abstract
Background: Adolescents are at increased risk of HIV infection compared to other age groups. There is an urgent need for strategic information that will inform programmes to reduce risk and vulnerability to HIV and reverse the pattern of increasing HIV infection as they transition to adulthood. This paper analysed trends and factors associated with HIV prevalence among adolescents in South Africa using the national HIV population-based household surveys conducted in 2008, 2012 and 2017. Methods: All three surveys used a multistage cross-sectional design. A trend analysis was conducted to assess the differences in HIV prevalence and covariates overtime using P-trend Chi-squared statistic. Univariate and multivariate logistic regression models were used to determine factors associated with HIV prevalence. Results: Overall there was a significant increase in HIV prevalence among adolescents aged 12–19 years from 3.0% (n = 2892) in 2008 to 3.2% (n = 4829) in 2012 and 4.1% (n = 3937) in 2017 (p = 0.031). The odds of being HIV positive among adolescents aged 12–19 years was significantly higher among females [AOR = 2.24; 95% CI (1.73–2.91); p < 0.001] than males, those residing in KwaZulu-Natal province [AOR = 2.01; 95% CI (1.-3.99); p = 0.027] than Northern Cape, and those who did not attend an educational institution and were unemployed [AOR = 2.66; 95% CI (1.91–3.67); p < 0.001] compared to those attending an educational institution. The odds were significantly lower among Whites [AOR = 0.29; 95% CI (0.09–0.93); p = 0.037], Coloureds [AOR = 0.21; 95% CI (0.11–0.37); p ≤ 0.001] and Indian/Asian [AOR = 0.08; 95% CI (0.02–0.34); p = 0.001] population groups than Black Africans. Conclusion: The observed increasing trend and gender disparities in HIV prevalence suggests an urgent need for age appropriate and gender specific HIV interventions tailored and targeted at identified drivers of HIV infection among adolescents. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
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18. A language for the analysis of disciplinary boundary crossing: insights from engineering problem-solving practice.
- Author
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Wolff, Karin
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THEORY-practice relationship ,EDUCATORS ,SOCIOCULTURAL factors ,SOCIOLOGY education ,CURRICULUM planning ,ADULTS ,PROFESSIONAL education - Abstract
Poor graduate throughput and industry feedback on graduate inability to cope with the complex knowledge practices in twenty-first century engineering ‘problem solving’ have placed pressure on educators to better conceptualise the theory-practice relationship, particularly in technology-dependent professions. The research draws on the social realist work of Basil Bernstein and uses the Legitimation Code Theory dimension of Specialization to interrogate different disciplinary organising principles and their impact on complex sociocultural practices. Data gathered from 18 engineering case studies situated in three different types of industrial practice sites form the empirical basis of the original study. This paper focuses on the application of a Language of Description to aspects of the problem-solving process which illuminate the nature of disciplinary knowledge in practice. The intention is to provide educators across professions with empirical insights into the theory-practice relationship in a complex problem-solving context, and which might inform their curriculum and pedagogic design thinking. [ABSTRACT FROM PUBLISHER]
- Published
- 2018
- Full Text
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19. The Impact of Lifelong Family Care on Family Caregivers' Perceptions of the Sexuality of Young Adults with Intellectual Disabilities in the Western Cape of South Africa.
- Author
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Kahonde, Callista K., McKenzie, Judith, and Wilson, Nathan J.
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FOCUS groups ,GROUNDED theory ,HUMANITY ,INTERVIEWING ,LONG-term health care ,RESEARCH methodology ,PEOPLE with intellectual disabilities ,PEOPLE with disabilities ,RESEARCH funding ,STATISTICAL sampling ,HUMAN sexuality ,VALUES (Ethics) ,QUALITATIVE research ,FAMILY relations ,HOME environment ,SOCIAL support ,CAREGIVER attitudes ,INDEPENDENT living ,ATTITUDES toward sex ,ADULTS - Abstract
This paper presents findings of a constructivist grounded theory study conducted within the Western Cape Province of South Africa. The study explored how family caregivers respond to sexuality issues of their young adults with intellectual disabilities (ID). Indepth interviews and focus group discussions were used as methods of data collection. Twenty-five family caregivers participated in the study. The family caregivers' perceptions highlight how the lifelong care relationship and the living arrangements attached to it may become a hindrance to people with ID exercising sexual autonomy. The family caregivers felt responsible for the young adults' behavior and determined what was appropriate or not with regards to the young adults' sexuality. Concerns about the young adults' future care were central in the family caregivers' responses. We conclude that without the appropriate forms of support for both the young adults and their caregivers, the young adults will continue to be policed by the family caregivers and not have choices and opportunities to enjoy and express their sexuality. The support interventions needed should alleviate the burden of care from the family caregivers and also ensure independent living and more choices for the young adults with ID. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
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20. Transitioning between the EQ-5D youth and adult descriptive systems in a group of adolescents.
- Author
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Verstraete, Janine, Kind, Paul, Janssen, Mathieu F., Yang, Zhihao, Stolk, Elly, and Gebregziabiher, Abraham
- Subjects
COMPETENCY assessment (Law) ,DIAGNOSIS of mental depression ,ANXIETY diagnosis ,CROSS-sectional method ,HEALTH status indicators ,RESEARCH funding ,SCIENTIFIC observation ,QUESTIONNAIRES ,CHI-squared test ,MANN Whitney U Test ,SURVEYS ,THEMATIC analysis ,QUALITY of life ,RESEARCH methodology ,PSYCHOMETRICS ,ANALYSIS of variance ,DATA analysis software ,ADOLESCENCE - Abstract
Purpose: To investigate whether the same health state results in the same distribution of responses on the EQ-5D youth and adult descriptive systems. Methods: Adolescents aged 13–18 years with a range of health conditions and from the general school going population were recruited in South Africa (ZA) and Ethiopia (ET). In ZA participants completed the English EQ-5D-3L, EQ-5D-Y-3L and EQ-5D-5L in parallel. Whereas in ET participants completed the Amharic EQ-5D-5L and EQ-5D-Y-5L in parallel. Analysis aimed to describe the transition between youth and adult instruments and not differences between countries. Results: Data from 592 adolescents completing the EQ-5D-3L, EQ-5D-Y-3L and EQ-5D-5L (ZA) and 693 completing the EQ-5D-5L and EQ-5D-Y-5L (ET) were analysed. Adolescents reported more problems on the youth versions compared to the adult version for the dimension of mental health. 13% and 4% of adolescents who reported no problems on the EQ-5D-3L and EQ-5D-5L reported some problems on the EQ-5D-Y-3L respectively. This was less notable with transition between the five level versions with 4% of adolescents reporting more problems on the EQ-5D-Y-5L than the EQ-5D-5L. Very few adolescents reported severe problems (level 3 on the EQ-5D-3L or EQ-5D-Y-3L and level 4 and level 5 on the EQ-5D-5L or EQ-5D-5L) thus there was little variation between responses between the versions. In ZA, discriminatory power, measured on the Shannon's Index, was higher for Y-3L compared to 3L for pain/discomfort (ΔH′=0.11) and anxiety/depression (ΔH′=0.04) and across all dimensions for Y-3L compared to 5L. Similarly, in ET discriminatory power was higher for Y-5L than 5L (ΔH′ range 0.05–0.09). Gwet's AC showed good to very good agreement across all paired (ZA) 3L and (ET) 5L dimensions. The summary score of all EQ-5D versions were able to differentiate between known disease groups. Conclusion: Despite the overall high levels of agreement between EQ-5D instruments for youth and for adults, they do not provide identical results in terms of health state, from the same respondent. The differences were most notable for anxiety/depression. These differences in the way individuals respond to the various descriptive systems need to be taken into consideration for descriptive analysis, when transitioning between instruments, and when comparing preference-weighted scores. [ABSTRACT FROM AUTHOR]
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- 2024
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21. How useful are skills acquired at adult non-formal education and training centres for finding employment in South Africa?
- Author
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Mayombe, Celestin and Lombard, Antoinette
- Subjects
NONFORMAL education ,EDUCATION ,EQUALITY ,SELF-employment ,UNEMPLOYMENT ,ADULTS ,ADULT education - Abstract
Copyright of International Review of Education / Internationale Zeitschrift für Erziehungswissenschaft is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2015
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- View/download PDF
22. Educating professionals - perceptions of the research-teaching nexus in accounting (a case study).
- Author
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Lubbe, Ilse
- Subjects
EDUCATION of professional employees ,ACCOUNTING education ,TEACHER researchers ,ACCOUNTING teachers ,UNIVERSITY & college research ,ADULTS ,HIGHER education - Abstract
The teaching-research 'nexus' has been an area of historic and ongoing controversy within universities and discussions into the nexus between teaching and research continues to expand. Within the accounting discipline, where new knowledge is perceived to be located 'outside' the university, academics struggle to describe and evaluate their roles as teachers and researchers. This paper investigates the perceptions of accounting academics and professional accountants in South Africa with regards to the meaning of research, their role as teachers, and the nexus between teaching and research. This study suggests that the external production and application of specialised knowledge in accounting, the strong control by the profession of the accounting curriculum offered by accredited universities, and their loyalty towards the profession, obstruct the perceived research role and value of accounting academics. Accounting academics and universities are encouraged to break away from the simple categories of 'research-teaching' and accept the multi-faceted understanding of academic work within a professional programme, as demonstrated in the paper. [ABSTRACT FROM AUTHOR]
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- 2015
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23. Educational leadership and leadership development in Africa: Building the knowledge base.
- Author
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Bush, Tony
- Subjects
EDUCATION ,WOMEN school administrators ,WOMEN school principals ,ADULTS - Abstract
An introduction is presented that discusses issue articles on topics including school leadership in South Africa, the leadership style of women school principals in Gauteng, South Africa, and conditions in disadvantaged schools in Eastern Cape, South Africa.
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- 2014
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24. Correction to: Modeling Cash Plus Other Psychosocial and Structural Interventions to Prevent HIV Among Adolescent Girls and Young Women in South Africa (HPTN 068).
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Stoner, Marie C. D., Edwards, Jessie K., Westreich, Daniel, Kilburn, Kelly, Ahern, Jennifer, Lippman, Sheri A., Gómez-Olivé, F. Xavier, Kahn, Kathleen, and Pettifor, Audrey
- Subjects
HIV prevention ,PREVENTIVE health services ,PSYCHOTHERAPY ,WOMEN'S health ,ADULTS ,ADOLESCENCE - Abstract
A correction to this paper has been published: https://doi.org/10.1007/s10461-021-03261-5 [ABSTRACT FROM AUTHOR]
- Published
- 2021
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25. Evaluation of an Integrated Fluency and Acceptance and Commitment Therapy Intervention for Adolescents and Adults Who Stutter.
- Author
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Hart, Alice K., Breen, Lauren J., Hennessey, Neville W., and Beilby, Janet M.
- Subjects
STATISTICAL models ,SELF-evaluation ,SELF-efficacy ,DATA analysis ,EVALUATION of human services programs ,CLINICAL trials ,PILOT projects ,QUESTIONNAIRES ,STUTTERING ,DESCRIPTIVE statistics ,PRE-tests & post-tests ,LONGITUDINAL method ,METROPOLITAN areas ,RESEARCH ,STATISTICS ,ACCEPTANCE & commitment therapy ,DATA analysis software ,INTEGRATED health care delivery ,PSYCHOSOCIAL functioning ,COGNITIVE flexibility ,ADOLESCENCE ,ADULTS ,MIDDLE age - Abstract
Purpose: Developmental stuttering is a complex and multifaceted neurodevelopmental disorder that may cause pervasive negative consequences for adults who stutter (AWS). Historically, intervention for AWS has primarily addressed speech fluency, with less focus on the covert psychosocial aspects of the disorder. The purpose of this article is to report on a feasibility trial evaluating a novel integrated intervention that combines traditional stuttering management techniques with Acceptance and Commitment Therapy (ACT) for AWS. Method: Twenty-nine AWS participated in the feasibility trial. All participants successfully completed a combined fluency and ACT intervention, titled the fluency and Acceptance and Commitment Therapy for Stuttering (fACTS) Program. As this was a feasibility study, no control group was included. Intervention was administered by two certified practicing speech-language pathologists, over eight 60- to 90-min sessions. Results: Generalized linear mixed modeling was used to determine change from pre- to post-intervention and follow-up. Significant pre- and post-intervention improvements in self-efficacy, psychosocial functioning, and psychological flexibility were observed, along with significant reductions in observable stuttering behaviors (i.e., stuttered speech frequency). Intervention gains for all variables of interest were maintained 3 and 6 months post-intervention. Conclusions: The fACTS Program was created to be a holistic and flexible intervention to promote self-efficacy beliefs and address stuttering-related psychosocial impacts and speech fluency goals of AWS. Preliminary results indicated positive improvement in all psychosocial outcomes (i.e., self-efficacy, psychosocial impact, and psychological flexibility) and observable speech fluency following completion of the program. Future clinical trials of the fACTS Program with an included control group will further investigate the mechanisms of change for the positive effects observed. [ABSTRACT FROM AUTHOR]
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- 2024
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26. 'We have to be Satisfied with the Scraps': South African Nurses' Experiences of Care on Adult Psychiatric Intellectual Disability Inpatient Wards.
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Capri, Charlotte and Buckle, Chanellé
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ADULTS ,NURSING psychology ,INTERVIEWING ,RESEARCH methodology ,PEOPLE with intellectual disabilities ,NURSES' attitudes ,PSYCHOTHERAPY patients ,RESEARCH ,RESEARCH funding ,THEMATIC analysis - Abstract
Background Migrating nursing labour inadvertently reinforces South Africa's care drain, contributes to a global care crisis and forces us to reconsider migration motivation. This paper highlights issues that complicate psychiatric intellectual disability nursing care and identifies loci for change in an attempt to redress this care challenge. Method An exploratory descriptive-interpretivist method investigated nurses' experiences of psychiatric intellectual disability work. Sixteen free association narrative interviews were collected in 2013. Thematic analysis allowed findings to emerge from the data. Results Findings reflect a number of themes: 'relational interaction', 'care burden', 'system fatigue', 'infantilising dynamic of care' and 'resources for coping'. Conclusion System fatigue contributes more to negative experiences of providing care than direct patient work, and nurses experience more relational reciprocity from patients than from institutional management. Organizations should meet nurses' needs for burnout prevention, afford them impact in implementing institutional controls, and engage in a non-exploitative and non-exclusionary way. [ABSTRACT FROM AUTHOR]
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- 2015
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27. Gender differences in South African men and women's access to and evaluation of informal sources of sexual and reproductive health (SRH) information.
- Author
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Stern, Erin, Cooper, Diane, and Gibbs, Andrew
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ADULTS ,HEALTH ,SEXUAL health ,INTERVIEWING ,MEDICAL cooperation ,RESEARCH ,RESEARCH funding ,SEX distribution ,INFORMATION resources ,REPRODUCTIVE health ,QUALITATIVE research ,JUDGMENT sampling ,ACCESS to information ,NARRATIVES ,THEMATIC analysis ,DATA analysis software - Abstract
While much research has documented unsatisfactory sexual and reproductive health (SRH) awareness among young people in South Africa, understanding of gender differences in access to and evaluation of SRH information is limited. This paper concerned itself with men and women's informal sources and content of SRH, and gendered divergences around accessibility, evaluation, and impact of such information. Fifty sexual history narrative interviews and twenty-five narrative interviews with women were conducted with participants purposively sampled from a range of ages, cultural and racial backgrounds, and in urban and rural sites across five provinces in South Africa. Data were analysed using thematic analysis. While young women were more likely to learn about SRH information from family members, they also reported greater regulation concerning their sexuality. This could enhance stigma surrounding women's sexuality and hinder open communication. Men predominantly learned about sex through pornography and peers, which was reported to encourage sexual prowess to the neglect of practising safer sex. Lack of adequate SRH instruction for young people as revealed through the narratives had significant and often negative implications for men and women's early safer sex behaviours. In response to these insights, recommendations are offered to strengthen informal sources of SRH awareness. [ABSTRACT FROM AUTHOR]
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- 2015
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28. Women in educational leadership: The case of Hope High School in the Eastern Cape Province, South Africa.
- Author
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Diko, Nolutho
- Subjects
WOMEN school administrators ,HIGH school administration ,SCHOOL environment ,RURAL school administration ,ADULTS ,SECONDARY education - Abstract
The Constitution of the Republic of South Africa, 1996 confers equality on all South African citizens regardless of race and gender. It has been reported that, under apartheid, gender inequality was a way of life and even social liberation movements observed it. Education is not exempt from gender inequality; the Department of Education in 2003 produced the Gender Equality In Education policy. The then Minister of Education committed to the policy and adopted the mainstreaming of gender and the training of education administrators in the implementation of gender equity programmes. Despite these efforts, male dominance continues in areas such as educational leadership. This paper employs a case study approach to investigate the role of institutional culture in undermining the constitutional aim of attaining gender equality. Using feminist critical policy analysis theory to study the mentoring and management style employed in a South African rural high school, the article concludes that despite the policy imperatives, the conservative and patriarchal tendencies within educational leadership undermine the attainment of gender equality. To attain success, implementation of gender policies needs to be strictly monitored. [ABSTRACT FROM PUBLISHER]
- Published
- 2014
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29. Teachers’ perceptions of the utilization of emotional competence by their school leaders in Gauteng South Africa.
- Author
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Grobler, Bennie
- Subjects
EMOTIONAL competence ,TEACHER-administrator relationships ,TEACHER-principal relationships ,EDUCATIONAL leadership -- Social aspects ,EDUCATION ,TEACHER attitudes ,ADULTS - Abstract
Attempts to improve poor academic performance in South African public schools resulted in the Schooling 2025 mandate, which stipulated the academic standards that learners needed to achieve by 2014. As school leaders must do this through their teachers the emotional tensions associated with such changes are likely to increase. This paper investigates the use of emotional competence by school leaders via the perceptions of their teachers. Exploratory and Confirmatory Factor Analyses of the data obtained from a random sample of 2386 teachers indicated that the postulated five sub-dimensions associated with emotional competence could be reduced to two, namely intrapersonal and interpersonal. The Structural Equation Model suggested a strong positive causal relationship between the two competences and hence a good understanding and regulation of one’s own emotions, influences, understanding and relationships with others. A school leader with a good understanding of their personal emotional competence will have a greater influence on social orientation towards others and possibly lead to improved interpersonal competence. In the South African context it was found that both competences are associated with gender, school type, socio-economic contexts of the learners and home language of the educators. [ABSTRACT FROM PUBLISHER]
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- 2014
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30. Diabetes Knowledge, Attitudes, and Practices in adults with type 2 diabetes at primary health care clinics in Kimberley South Africa.
- Author
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Alenbalu, Moses, Egenasi, Chika K., Steinberg, Wilhelm J., and Aluko, Omololu
- Subjects
DIABETES complications ,HEALTH literacy ,CROSS-sectional method ,HEALTH attitudes ,PRIMARY health care ,QUESTIONNAIRES ,STATISTICAL sampling ,QUANTITATIVE research ,DESCRIPTIVE statistics ,TYPE 2 diabetes ,RESEARCH ,COMPARATIVE studies ,PUBLIC health ,PATIENTS' attitudes ,DIABETES ,ADULTS - Abstract
Background: Diabetes mellitus (DM) is a common non-communicable disease associated with significant morbidity and mortality globally. It poses a huge public health and economic challenge. People with diabetes need to have adequate knowledge, attitudes and practice (KAP) to prevent complications from diabetes. This study aims to evaluate the KAP towards diabetes among type 2 diabetes mellitus (T2DM) patients attending primary healthcare clinics in Kimberley. Methods: A cross-sectional analytical, quantitative questionnaire-based study was done using a convenient sampling method in Sol Plaatje Municipality, Kimberley, Northern Cape. Results: A total of 363 type 2 diabetic patients took part in the study. Most of the participants (62.0%) were females. Most had good knowledge (67.5%), while 64.5% of the participants showed good attitudes towards diabetes. However, only 35.8% of the participants had good practices towards diabetes. There was a significant association between the participant's level of education and (1) knowledge and (2) practice, with p-values of 0.002 and 0.0075, respectively. No significant association was found between the participant's level of education and attitudes towards diabetes (p = 0.2416). Conclusion: This study demonstrated good diabetes-related knowledge and attitudes but inadequate practices among participants. Educational programmes to assist patients with diabetes to improve their practice towards diabetes should be encouraged and implemented. Contribution: This study will help to create awareness of the need for people with diabetes to improve their practices towards diabetes. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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31. Adult education as care work in a South African prison: the role of adult educators.
- Author
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Daniels, Doria
- Subjects
ADULT education ,ADULT learning ,TRANSFORMATIVE learning ,EDUCATORS ,EDUCATIONAL benefits ,PRISON release ,ADULTS - Abstract
The 2000s saw a change in South Africa's Department of Correctional Services' theorising about adult education's potential to shift incarcerated men's thinking about their future in a proactive way. The plan was to advance active citizenship in the incarcerated. As such, the Department of Correctional Services (DCS) introduced holistic, integrated adult educational programmes at twelve of its prisons. Although the policy and scaffolding aspects of AET (Adult Education and Training) received extensive attention, limited research was done to understand the situational and institutional challenges that adult learning centres are presented with, and how institutional culture impacts on the successful implementation of policy. The contributions that adult educators make in advancing transformative learning in adult learning centres, often go unacknowledged because they are seldom the focus of educational research. This article reports on a case study of a successful prison-based adult learning centre. It explores the adult learner-AET educator relationship, specifically the role that educators play in fostering transformational change in such students' lives, through education. The data were generated through semi-structured interviews with students, their educators and the ALC's (Adult Learning Centres) manager, as well as through observations in the prison setting. The findings show that there are strategic employees within the prison environment who resisted the educational opportunities available to incarcerated students. This hostility presented with unique institutional and situational challenges that work against the adult students' participation and success. However, through facilitation and reflective mediation, the educators established an educationally viable environment in which their students could accumulate cultural and social capital to benefit their educational journeys whilst incarcerated, and their chances of success once released from prison. The educators' actions resembled a caring pedagogy that was based on social justice principles. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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32. The primary moult of adult Red-headed Finches Amadina erythrocephala.
- Author
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Scott, T, Raijmakers, JMH, and Underhill, LG
- Subjects
FINCHES ,MOLTING ,SPRING ,AUTUMN ,PASSERIFORMES ,ADULTS - Abstract
Copyright of Ostrich: The Journal of African Ornithology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
- Full Text
- View/download PDF
33. The Importance of the Individual in PrEP Uptake: Multilevel Correlates of PrEP Uptake Among Adolescent Girls and Young Women in Tshwane, South Africa.
- Author
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Bonner, Courtney Peasant, Minnis, Alexandra M., Ndirangu, Jacqueline W., Browne, Felicia A., Speizer, Ilene, Nyblade, Laura, Ahmed, Khatija, and Wechsberg, Wendee M.
- Subjects
HIV prevention ,HIV infection risk factors ,RISK-taking behavior ,CONFIDENCE intervals ,MULTIVARIATE analysis ,ATTITUDE (Psychology) ,ASSAULT & battery ,INTERVIEWING ,ACQUISITION of data ,SOCIAL stigma ,PRE-exposure prophylaxis ,SAFE sex ,RISK perception ,INTIMATE partner violence ,QUESTIONNAIRES ,MEDICAL records ,SCALE analysis (Psychology) ,INTERPERSONAL relations ,SEX crimes ,DESCRIPTIVE statistics ,RESEARCH funding ,METROPOLITAN areas ,STATISTICAL models ,ODDS ratio ,SEXUAL partners ,SOCIODEMOGRAPHIC factors ,WOMEN'S health ,UNSAFE sex ,ADULTS ,ADOLESCENCE - Abstract
Adolescent girls and young women (AGYW) account for 25% of new HIV infections in South Africa. Pre-exposure prophylaxis (PrEP) is approved by the South African Government, but the factors that promote PrEP uptake among AGYW are not well understood. This study examines multilevel factors associated with PrEP uptake among AGYW in six clinic catchment areas in Tshwane (Pretoria), South Africa. After consent/assent, PrEP-eligible AGYW (n = 448) completed a questionnaire assessing factors at the individual, network/interpersonal, and community levels and were prescribed PrEP in study clinics, if interested. A multivariable model, adjusting for clustering, assessed factors associated with PrEP uptake over a 9-month period. At the individual level, multiple partners in the past 3 months (OR = 0.47), perceived risk of HIV (OR = 0.71), and PrEP-related shame (OR = 0.63) were correlated with lower odds of PrEP uptake (ps ≤ 0.05). The findings highlight modifiable factors that should be addressed to support PrEP uptake efforts. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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34. Treatment Outcomes of Interdisciplinary Care on Speech and Health-Related Quality of Life Outcomes in Adults With Cleft Palate.
- Author
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Van der Straeten, Charis, Verbeke, Jolien, Alighieri, Cassandra, Bettens, Kim, Van Beveren, Ellen, Bruneel, Laura, and Van Lierde, Kristiane
- Subjects
ACADEMIC medical centers ,HUMAN voice ,CLEFT palate ,HEALTH outcome assessment ,CLEFT lip ,TREATMENT effectiveness ,COMPARATIVE studies ,QUALITY of life ,HEALTH care teams ,SPEECH ,ADULTS - Abstract
Purpose: Individuals born with a cleft palate with or without a cleft lip (CP ± L) often experience functional, aesthetic, and psychosocial consequences well into adulthood. This study aimed to investigate outcomes of speech and health-related quality of life (HRQoL) in adults with a CP ± L who received interdisciplinary cleft care at the Ghent University Hospital using valid, reliable, and condition-specific instruments. Method: Thirteen Belgian Dutch-speaking participants with a CP ± L with a mean age of 25.4 years (SD = 5.1, range: 20-33 years) and an age- and gender-matched control group of 13 participants without a CP ± L with a mean age of 25.2 years (SD = 4.8, range: 20-32 years) were included in this study. Speech characteristics were evaluated perceptually and instrumentally. HRQoL was assessed through standardized patient-reported outcome measures. Outcomes were compared with those of the control group and to normative data where available. Results: Participants with a CP ± L in this sample demonstrated significantly lower speech acceptability (p < .001) and higher rates of hypernasality (p = .015) and nasal turbulence (p = .005) than the control group. They showed significantly higher satisfaction with appearance of the cleft scar compared with norms of adults with a CP ± L (p = .047). No other differences in speech characteristics, sociodemographics, or HRQoL were found between participants with and without a CP ± L. Conclusions: The reduced speech acceptability and the presence of resonance and nasal airflow disorders may indicate the need for standardized long-term outcome measurement and interdisciplinary follow-up for speech characteristics and velopharyngeal insufficiency in young and middle adulthood in future clinical practice. Additional research is necessary to further substantiate these findings and to determine predictors for these continuing complications in adults with a CP ± L. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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35. Ubuntu among the 'born frees': Exploring the transmission of social values through community engagement in South Africa.
- Author
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Willmore, Stephanie Blickfeldt, Day, Randal, Roby, Jini L, and Maistry, Savathrie
- Subjects
CULTURE ,RESEARCH ,COMPETITION (Psychology) ,APATHY ,PSYCHOLOGY of college students ,ECONOMIC impact ,SOCIAL values ,HEALTH occupations students ,RESEARCH methodology ,PRACTICAL politics ,HUMANISM ,COMMUNITIES ,SOCIAL factors ,INTERVIEWING ,PSYCHOLOGY ,CRIME ,QUALITATIVE research ,SERVICE learning ,PSYCHOSOCIAL factors ,RESEARCH funding ,UNIVERSITIES & colleges ,SOUND recordings ,DESCRIPTIVE statistics ,THEORY ,ETHNIC groups ,JUDGMENT sampling ,STUDENT attitudes ,EMOTIONS ,SOCIAL work education ,SOCIAL case work ,ADULTS - Abstract
Ubuntu was recently adopted as the first theme for the 2020–2030 global agenda for social work, and yet little research is available to explore how it is transmitted and implemented in communities. The authors present findings of a qualitative study conducted in an academic setting in South Africa, where the transmission of Ubuntu was discussed among 30 young adult 'born frees'. Students seemed to embrace principles of Ubuntu as a whole; however, economic, social and cultural strains are documented as obstacles to its pragmatic application. Implications of community engagement through service learning as a means of strengthening Ubuntu are discussed. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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36. Nutrition knowledge, attitudes, beliefs and practices: a comparison of urban and rural adults in the Free State province of South Africa.
- Author
-
Najam, Wasiuddin, Walsh, Corinna, and Oldewage-Theron, Wilna
- Subjects
STATISTICS ,HUMAN research subjects ,ATTITUDE (Psychology) ,NUTRITION ,RURAL conditions ,CROSS-sectional method ,COMMUNITIES ,INTERVIEWING ,FISHER exact test ,MANN Whitney U Test ,HEALTH literacy ,INFORMED consent (Medical law) ,HEALTH attitudes ,QUESTIONNAIRES ,DESCRIPTIVE statistics ,RESEARCH funding ,METROPOLITAN areas ,SOCIODEMOGRAPHIC factors ,STATISTICAL correlation ,DATA analysis software ,DATA analysis ,ADULTS - Abstract
Objective: A study was undertaken to explore the differences in nutrition knowledge, attitudes, beliefs and practices and their correlations among adults in both urban and rural communities in the Free State province of South Africa. Design: This study forms part of the cross-sectional Assuring Health for All in the Free-State (AHA-FS) study. Setting: The AHA-FS study is conducted in urban and rural parts of the Free State province of South Africa. The rural and urban stages of the study were conducted in 2007 and 2009, respectively. Subjects: The sample included 846 adult household members, aged between 25 and 65 years, from both rural and urban areas of the Free State province. Outcome measures: Nutrition knowledge, attitudes, beliefs and practices were measured. Results: The sample included predominantly females (78.2%). Rural adults had significantly better nutrition knowledge (p < 0.001), positive attitudes (p < 0.001) and positive beliefs (p < 0.001) and their nutrition knowledge and attitudes (r = 0.27, p < 0.001), nutrition knowledge and beliefs (r = 0.16, p < 0.001), and nutrition attitudes and beliefs (r = 0.38, p < 0.001) were significantly correlated with each other. However, nutrition knowledge, attitudes and beliefs were not correlated with nutrition practices among our sample in either the urban or rural setting. Conclusion and implication: The results of the current study confirm that relevant and culturally acceptable nutrition education interventions for translating nutrition-related knowledge, attitudes and beliefs into practices are required. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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37. Patterns of presentation of adults with hearing impairment in a peri-urban community in South Africa: a qualitative study.
- Author
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Mtimkulu, Thobekile Kutloano and Khoza-Shangase, Katijah
- Subjects
HEARING disorders ,HIGH-income countries ,HELP-seeking behavior ,MEDICAL personnel ,ADULTS - Abstract
Background: There is a wealth of research, globally, on the help-seeking behavior patterns of individuals with a variety of chronic medical conditions. Contextually relevant findings have been reported describing the influence of a disease and/or disorder together with the related personal, social, environmental, and region-specific factors. However, research related to help-seeking behavior patterns in hearing impairment is mostly found in high income countries (HICs) and tells a one-sided story indicating a knowledge gap in other contexts. As part of a bigger study titled "In pursuit of preventive audiology: Help-seeking behavior patterns of adults with hearing impairment in a peri-urban community in South Africa", the main aim of this study was to describe the patterns of presentation of symptoms in adults with hearing impairment from a peri-urban community in South Africa. Methods: Through a non-probability purposive sampling method, 23 adults with hearing impairment participated in semi-structured interviews using an interview guide from April – June 2021. Thematic analysis through a deductive analysis approach was adopted for data analysis. Results: Participants' patterns of presentation indicated a belief in a Western bio-medical causation to explain their hearing impairment. Help-seekers sought help mostly from healthcare workers at all levels of healthcare in the public (primary, secondary, and tertiary) and private healthcare sectors, followed by a few participants consulting their social networks. Only one participant used a traditional healthcare provider to resolve his hearing difficulties. Conclusions: In a diverse country like South Africa, with a majority African population, the influence of cultural practices and beliefs proved to have a minimal influence on participants' help-seeking behavior for their ear and hearing challenges. However, an interplay of factors related to one's context at the time played a significant role in the patterns of presentation to the ear and hearing clinic. There is therefore a need to understand the perspectives of adults with hearing impairment from their environments to facilitate more contextual relevancy in healthcare provision within the preventive audiology field. Hearing health policymakers should also endeavor to consider the realities of health-seeking in each context and environment. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
38. Diet quality of adults with poorly controlled type 2 diabetes mellitus at a tertiary hospital outpatient clinic in Tshwane District, South Africa.
- Author
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Duvenage, Hanel, Gericke, Gerda J, and Muchiri, Jane W
- Subjects
GLYCOSYLATED hemoglobin ,FOOD consumption ,RESEARCH methodology ,CROSS-sectional method ,GLYCEMIC control ,DIET ,TERTIARY care ,NUTRITIONAL requirements ,TYPE 2 diabetes ,COMPARATIVE studies ,VITAMIN D ,NUTRITION education ,DESCRIPTIVE statistics ,RESEARCH funding ,MICRONUTRIENTS ,DIETARY calcium ,FOLIC acid ,OUTPATIENT services in hospitals ,ADULTS - Abstract
Objective: To describe the dietary intake and its quality of patients with poorly controlled type 2 diabetes mellitus (T2DM) by assessing the dietary variety (DVS), dietary diversity (DDS), nutrient adequacy ratio (NAR) and mean nutrient adequacy ratio (MAR). Design: This was a descriptive, cross-sectional study. Setting: Diabetes outpatient clinic at a tertiary hospital in Tshwane district, Gauteng province, South Africa. Subjects: Adults, aged 40–70 years, with poorly controlled T2DM (HbA1c ≥ 8%). Outcome measures: Dietary intake data were obtained through two, multi-pass, 24-hour recalls. Individual food items were used to determine the DVS and DDS. The SAMRC FoodFinder III software was used to analyse the macro- and micronutrients, from which the NAR and MAR scores were determined. Descriptive statistics were used to analyse the data. Results: Seventy-seven patients (60 females) participated. Their mean age was 57.2 (±6.6) years. The DDS was adequate at 4.99 (out of a possible 7 food groups); however, the DVS was low (16%) as well as the consumption of vegetables, fruits and legumes. Mean NAR scores indicated insufficient energy intake. Intakes of vitamin D, calcium, folate and iron were below 50% of the recommended daily intake. MAR scores indicated unsatisfactory micronutrient intake at 0.63 (ideal ≥ 1). Conclusions: In this tertiary healthcare setting, T2DM patients with poor glycaemic control had sub-optimal dietary quality. Interventions such as nutrition education programmes that provide simple and factual information on the benefits of healthy eating and practical ways of achieving healthy diets among people with T2DM are needed. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
39. Neuropsychological Test Norms for the Assessment of HIV-Associated Neurocognitive Impairment Among South African Adults.
- Author
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Deist, Melanie, Suliman, Sharain, Kidd, Martin, Franklin, Donald, Cherner, Mariana, Heaton, Robert K., Spies, Georgina, and Seedat, Soraya
- Subjects
HIV infection epidemiology ,HIV infection complications ,COGNITION disorder risk factors ,RESEARCH evaluation ,RESEARCH methodology evaluation ,SOCIAL norms ,CROSS-sectional method ,RESEARCH methodology ,NEUROPSYCHOLOGICAL tests ,RISK assessment ,COMPARATIVE studies ,DESCRIPTIVE statistics ,COGNITIVE testing ,STATISTICAL sampling ,EARLY diagnosis ,ADULTS - Abstract
Reliable and valid neurocognitive (NC) test batteries that assess multiple domains of cognitive functioning are vital tools in the early detection of HIV-associated NC impairment. The HIV Neurobehavioral Research Center's International Neurobehavioral Battery (HNRC Battery) is one such diagnostic tool and has shown cultural validity in several international neuroHIV studies. However, no published norms are currently available for the full HNRC Battery in South Africa. To accurately interpret NC test results, appropriate reference norms are required. In light of this challenge, data were collected from 500 healthy, HIV-uninfected participants to develop demographically corrected South African norms. When demographically corrected United States of America (U.S.) norms were applied to the performance scores of our neurologically intact, HIV-negative sample, an impairment rate of 62.2% was observed compared to a 15.0% impairment rate when the newly generated South African norms were applied. These results reiterate the findings of other low- and middle-income countries, highlighting the need for localized, country-specific norms when interpreting NC performance. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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40. Who is Exposed to HIV Prevention Interventions? An Assessment of Associated Factors Among Adolescent Girls and Young Women in South Africa.
- Author
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Jonas, Kim, Beattie, Daniel, Crutzen, Rik, and Mathews, Catherine
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HIV prevention ,HIV infection risk factors ,RISK-taking behavior ,CROSS-sectional method ,MULTIPLE regression analysis ,RISK assessment ,QUESTIONNAIRES ,CHI-squared test ,RESEARCH funding ,CONDOMS ,WOMEN'S health ,ADULTS ,ADOLESCENCE - Abstract
This study examined the prevalence of HIV risk factors and their association with intervention exposure among adolescent girls and young women (AGYW) living in six South African districts in which a combination HIV-prevention intervention was being implemented. A cross-sectional household survey was conducted from 2017 to 2018 among a representative sample of AGYW aged 15–24 years living in the six districts. We used an electronic questionnaire for self-reported demographic and behavioural questions and blood samples were taken to confirm HIV status in the laboratory. Chi-Squared tests and multivariate binary logistic regression were used to examine associations between demographic characteristics, HIV acquisition and transmission risk factors and the likelihood of participating in any of the key components of the combination HIV-prevention intervention. Among the 4399 participants, 45.3% reported inconsistent condom use with casual partner and 46.6% with a main partner. Almost half of participants (47.8%) had participated in one or more components of the HIV-prevention intervention, and in a multivariate logistic regression, those reporting a higher number of HIV risk behaviours were no more (or less) likely to participate. Participants who were not in high school were significantly less likely to have participated in the intervention compared to those still in high school, when adjusting for age and HIV risk factors. The barriers to access and uptake of combination HIV prevention interventions among AGYW who are out of the education system need to be explored and combination HIV prevention interventions and implementation strategies need to be tailored to reach this population. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
41. Knowledge of and attitudes towards Sustainable Development Goals among adults in South Africa.
- Author
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Dlamini, Simangele, Block, E.K., and Mathibela, Nondumiso
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SUSTAINABLE development ,YOUNG adults ,SECONDARY education ,ATTITUDE (Psychology) ,ADULTS - Abstract
This study used survey results to describe selected adult South Africans' knowledge of and attitudes towards the attainment of Sustainable Development Goals (SDGs). Results revealed that more females than males claimed to have been taught about the SDGs and that more young people than the elderly claimed to have adequate knowledge of the SDGs. Results also revealed that those with a high school education claimed not to have been taught about SDGs, whilst those with a Masters education claimed to have been taught about SDGs. Interestingly, half of the PhD graduates indicated that they had not been taught about SDGs, which may indicate that increased levels of education do not translate into a better knowledge of the SDGs. In terms of the perceived impact of COVID-19 on the attainment of SDGs, results indicated that the majority of respondents aged between 31–40, believed that the pandemic has made the SDGs less attainable by 2030, with much fewer younger respondents expressing such a sentiment. Respondents with higher levels of education were of the view that COVID-19 will have a negative effect on the attainment of the SDGs by 2030. These results are important for policy and developmental planning in the face of COVID-19. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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- View/download PDF
42. Factors Associated with Preferences for Long-Acting Injectable Antiretroviral Therapy Among Adolescents and Young People Living with HIV in South Africa.
- Author
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Toska, Elona, Zhou, Siyanai, Chen-Charles, Jenny, Gittings, Lesley, Operario, Don, and Cluver, Lucie
- Subjects
HIV infections ,INJECTIONS ,CONFIDENCE intervals ,CROSS-sectional method ,RESEARCH methodology ,MULTIVARIATE analysis ,VIRAL load ,ANTIRETROVIRAL agents ,PATIENTS' attitudes ,SEX distribution ,QUESTIONNAIRES ,DESCRIPTIVE statistics ,ODDS ratio ,DEATH ,LONGITUDINAL method ,ADULTS ,ADOLESCENCE - Abstract
Copyright of AIDS & Behavior is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2023
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43. Behavioral and Biological Indicators of Risk and Well-Being in a Sample of South African Youth.
- Author
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Beranbaum, Sarah, Kouri, Nicole, Van der Merwe, Nicola, DePierro, Vivian Khedari, and D'Andrea, Wendy
- Subjects
RISK of violence ,ADVERSE childhood experiences ,RESEARCH methodology ,SELF-evaluation ,BEHAVIOR disorders in children ,RISK assessment ,COMPARATIVE studies ,HEART beat ,BIOLOGICAL psychiatry ,BIOINDICATORS ,EMOTIONS ,PSYCHOLOGICAL resilience ,PSYCHOSOCIAL factors ,EVALUATION ,ADULTS - Abstract
Self report measures have been widely used in research to illustrate high rates of exposure to violence among youth in trauma-saturated regions, such as Cape Town, South Africa. To better understand the risk and resilience factors of youth who have been exposed to, witnessed, or directly experienced violence, the current study used a multi-method assessment in a naturalistic setting that included heart rate variability (an index of regulatory flexibility and cardiovascular health), a computerized risk-taking task, and self report measures. Youth (N = 83) from Cape Town, South Africa, participated in a psychobiological assessment. Findings suggest elevated age-adjusted heart rate variability compared to age related norms, which is indicative of overregulation of behavior and emotion. Additionally, youth, all of whom had witnessed or experienced violence at least once, demonstrated a low risk taking and reward seeking propensity. Low risk taking in the context of elevated heart rate variability may reflect youth's affective and behavioral inhibition, suggestive of stress among children who have an overgeneralized threat response. These results both demonstrate the feasibility of psychophysiological research in community youth settings, and counter the traditional narrative that there is an overarching lack of capacity to regulate and a high propensity to risk in violence-exposed youth. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
44. Linkage to HIV Care and Early Retention in Care Rates in the Universal Test-and-Treat Era: A Population-based Prospective Study in KwaZulu-Natal, South Africa.
- Author
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Nicol, Edward, Basera, Wisdom, Mukumbang, Ferdinand C, Cheyip, Mireille, Mthethwa, Simangele, Lombard, Carl, Jama, Ngcwalisa, Pass, Desiree, Laubscher, Ria, and Bradshaw, Debbie
- Subjects
HIV infection epidemiology ,HIV infections ,CLUSTER sampling ,AIDS education ,SCIENTIFIC observation ,AGE distribution ,RURAL conditions ,ANTIRETROVIRAL agents ,SURVEYS ,MAPS ,SEX distribution ,DRUGS ,DESCRIPTIVE statistics ,CHI-squared test ,RESEARCH funding ,PATIENT compliance ,ENDOWMENTS ,EARLY medical intervention ,LONGITUDINAL method ,ADULTS - Abstract
HIV linkage, and retention are key weaknesses in South Africa's national antiretroviral therapy (ART) program, with the greatest loss of patients in the HIV treatment pathway occurring before ART initiation. This study investigated linkage-to and early-retention-in-care (LTRIC) rates among adults newly diagnosed with HIV in a high-HIV prevalent rural district. We conducted an observational prospective cohort study to investigate LTRIC rates for adults with a new HIV diagnosis in South Africa. Patient-level survey and clinical data were collected using a one-stage-cluster design from 18 healthcare facilities and triangulated between HIV and laboratory databases and registered deaths from Department of Home Affairs. We used Chi-square tests to assess associations between categorical variables, and results were stratified by HIV status, sex, and age. Of the 5,637 participants recruited, 21.2% had confirmed HIV, of which 70.9% were women, and 46.5% were aged 25–34 years. Although 82.7% of participants were linked-to-care within 3 months, only 46.1% remained-in-care 12 months after initiating ART and 5.2% were deceased. While a significantly higher proportion of men were linked-to-care at 3 months compared to women, a significant proportion of women (49.5%) remained-in-care at 12 months than men (38.0%). Post-secondary education and child support grants were significantly associated with retention. We found high linkage-to-care rates, but less than 50% of participants remained-in-care at 12 months. Significant effort is required to retain people living with HIV in care, especially during the first year after ART initiation. Our findings suggest that interventions could target men to encourage HIV testing. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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45. Assessing the role of depression in reducing intimate partner violence perpetration among young men living in urban informal settlements using a mediation analysis of the Stepping Stones and Creating Futures intervention.
- Author
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Oyekunle, Victoria, Gibbs, Andrew, and Tomita, Andrew
- Subjects
PREVENTION of mental depression ,CLUSTER sampling ,EXPERIMENTAL design ,MEN'S health ,MENTAL health ,INTIMATE partner violence ,FACTOR analysis ,METROPOLITAN areas ,STATISTICAL sampling ,LOGISTIC regression analysis ,ADULTS - Abstract
Stepping Stones and Creating Futures (SS/CF) is a gender transformative and economic empowerment intervention that has effectively reduced the perpetration of intimate partner violence (IPV) by young men living in informal settlements in South Africa. This study examines whether depression mediated the association between SS/CF intervention and decreased IPV. Data from a two-arm cluster randomised community-based controlled trial that evaluated the effectiveness of SS/CF in lowering IPV were obtained from 674 young men aged 18–30 within urban informal settlements in South Africa. After being randomly assigned to either the experimental arm (SS/CF) or the control arm, the participants were followed up for 24 months. Logistic regression using mediation analysis was conducted to see whether changes in depressive symptoms mediated the association between the intervention and reduced IPV perpetration. Findings from the mediation analysis indicated that those assigned to the SS/CF experimental group reported lower depression (β = -0.42, p < 0.05) at 12 months, and this was subsequently associated with reduced IPV (β = 0.43, p < 0.05) at 24 months. The direct path from SS/CF to IPV was originally (β = -0.46, p < 0.01), but reduced in the mediation model to (β = -0.13, p = 0.50). Depressive symptoms mediated the association between the SS/CF intervention and decreased IPV perpetration. These findings suggest that one pathway through which SS/CF decreased IPV was through improvement in mental health (i.e. depression). Future IPV prevention interventions may consider incorporating components that focus on improving mental health as a way of also reducing IPV perpetration in disadvantaged settings. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
46. Traditional and biomedical health practices of adolescent boys and young men living with perinatally-acquired HIV in the Eastern Cape Province of South Africa.
- Author
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Gittings, Lesley, Colvin, Christopher, and Hodes, Rebecca
- Subjects
CULTURE ,MEN'S health ,LIFE course approach ,RESEARCH methodology ,INTERVIEWING ,MEDICAL care use ,HEALTH behavior ,DESCRIPTIVE statistics ,RESEARCH funding ,PERINATAL period ,PSYCHOLOGY of HIV-positive persons ,LONGITUDINAL method ,ADULTS ,ADOLESCENCE - Abstract
Men are less vulnerable to HIV acquisition than women, but have poorer HIV-related health outcomes. They access HIV services less, and are more likely to die on antiretroviral therapy. The adolescent epidemic presents further challenges, and AIDS-related illness is the leading cause of death among adolescents in sub-Saharan Africa. We explored the health practices of adolescent boys and young men (aged 13–22) living with perinatally-acquired HIV and the processes through which these practices are formed and sustained. We engaged health-focused life history narratives (n = 35), semi-structured interviews (n = 32) and analysis of health facility files (n = 41), alongside semi-structured interviews with traditional and biomedical health practitioners (n = 14) in the Eastern Cape, South Africa. Participants did not access traditional products and services for HIV, a finding that deviates from much of the literature. Findings suggest that health practices are mediated not only by gender and culture, but also childhood experiences of growing up deeply embedded in the biomedical health system. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
47. "These Girls Have a Chance to be the Future Generation of HIV Negative": Experiences of Implementing a PrEP Programme for Adolescent Girls and Young Women in South Africa.
- Author
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Duby, Zoe, Bunce, Brittany, Fowler, Chantal, Jonas, Kim, Bergh, Kate, Govindasamy, Darshini, Wagner, Colleen, and Mathews, Catherine
- Subjects
HIV prevention ,AFFINITY groups ,HEALTH services accessibility ,ORAL drug administration ,SOCIAL workers ,SOCIAL stigma ,PRE-exposure prophylaxis ,QUALITATIVE research ,EXPERIENCE ,HUMAN services programs ,TREATMENT effectiveness ,NURSES ,WOMEN'S health ,HEALTH promotion ,ADULTS ,ADOLESCENCE - Abstract
Daily oral pre-exposure prophylaxis (PrEP) is highly efficacious for HIV prevention. Adolescent girls and young women (AGYW) have been prioritised for PrEP delivery in South Africa. A combination HIV prevention intervention providing integrated biomedical, behavioural and structural interventions for AGYW aged 15–24 in twelve districts in South Africa characterised by high HIV prevalence, was implemented 2019–2022. We conducted qualitative interviews to explore PrEP implementation experiences with 38 individuals involved in the implementation of the combination HIV prevention programme, including programme managers and project coordinators, health care providers / nurses, social workers, counsellors, peer group trainers and outreach workers. Narratives included various challenges associated with PrEP uptake, adherence and acceptability experienced by implementers. Barriers to PrEP acceptability included AGYW fears of side effects and preference for injectable versus daily oral PrEP; resistance towards PrEP from AGYW, communities and parents due to a lack of accurate information; PrEP stigma linked to associations with antiretrovirals and assumptions of promiscuity; and issues pertaining to parental consent. Additionally, implementers faced logistical challenges related to procurement, stockouts, and supply of PrEP. Findings highlighted the critical role of parental and community acceptability of PrEP for successful implementation. Overall, PrEP was perceived by implementers as a valuable HIV prevention tool. In order to ensure the accessibility of PrEP for AGYW in South Africa, efforts to reduce stigma and foster social support for PrEP use, campaigns to raise awareness, ensure positive framing of PrEP, and build community acceptability of PrEP, are needed. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
48. Feasibility of novel adult tuberculosis vaccination in South Africa: a cost-effectiveness and budget impact analysis.
- Author
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Jayawardana, Sahan, Weerasuriya, Chathika K., Pelzer, Puck T., Seeley, Janet, Harris, Rebecca C., Tameris, Michele, Tait, Dereck, White, Richard G., and Asaria, Miqdad
- Subjects
TUBERCULOSIS vaccines ,BUDGET ,COST effectiveness ,ADULTS ,VACCINE trials - Abstract
Early trials of novel vaccines against tuberculosis (TB) in adults have suggested substantial protection against TB. However, little is known about the feasibility and affordability of rolling out such vaccines in practice. We conducted expert interviews to identify plausible vaccination implementation strategies for the novel M72/AS01
E vaccine candidate. The strategies were defined in terms of target population, coverage, vaccination schedule and delivery mode. We modelled these strategies to estimate long-term resource requirements and health benefits arising from vaccination over 2025–2050. We presented these to experts who excluded strategies that were deemed infeasible, and estimated cost-effectiveness and budget impact for each remaining strategy. The four strategies modelled combined target populations: either everyone aged 18–50, or all adults living with HIV, with delivery strategies: either a mass campaign followed by routine vaccination of 18-year olds, or two mass campaigns 10 years apart. Delivering two mass campaigns to all 18–50-year olds was found to be the most cost-effective strategy conferring the greatest net health benefit of 1.2 million DALYs averted having a probability of being cost-effective of 65–70%. This strategy required 38 million vaccine courses to be delivered at a cost of USD 507 million, reducing TB-related costs by USD 184 million while increasing ART costs by USD 79 million. A suitably designed adult TB vaccination programme built around novel TB vaccines is likely to be cost-effective and affordable given the resource and budget constraints in South Africa. [ABSTRACT FROM AUTHOR]- Published
- 2022
- Full Text
- View/download PDF
49. Up close and personal: theorising care work in adult education.
- Author
-
John, Vaughn M.
- Subjects
ADULT educators ,INTERPERSONAL relations ,ADULT education students ,ADULT education ,ADULTS - Abstract
How do we account for the close personal bonds and deeply caring relationships forged by educators with learners in many adult educational encounters? The literature is relatively silent on the emotional and relational basis to adult educator work. This is a serious silence, given the stressful nature of adult education in developing contexts such as South Africa and the relative vulnerability of such educators. This article addresses this gap by exploring a range of theoretical and conceptual frameworks which may help navigate the relational and affective landscape of adult educator work as care work. Here the frameworks of African perspectives on learning, feminist perspectives on learning, expanded conceptions of transformative learning and Freire’s pedagogy of love are considered. The second part of the article shares some findings on adult educators’ emotional and relational bonds with learners from a study of the Human Rights Democracy and Development project and discusses these practices in light of the theories discussed. A summative table of the various frameworks together with a discussion of their implications for adult education practice, research and policy forms part of this latter section. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
50. COVID-19 and schooling in South Africa: Who should go back to school first?
- Author
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Spaull, Nic
- Subjects
COVID-19 pandemic ,MIDDLE-income countries ,HIGHER education ,ADULTS - Abstract
The COVID-19 pandemic is the largest social and economic shock of our lifetimes. As governments grapple with their responses to the virus, more than half the world's countries have closed their schools and severely limited almost all forms of public life. This will have a profound impact on children, both now and in the decade to come. As many countries start to send children back to school, a question arises: who should go back to school first? This Viewpoint addresses that question in the context of a middle-income country, South Africa. Based on a review of much of the evidence available at the time of publication, it concludes that the youngest children are least susceptible to harm from COVID-19, are less likely to spread the virus than adults, and also have the most to lose by being out of school. Hence, they should be the ones to return to school first. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
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