ORCID Profile
0000-0002-4542-4873
Current Organisations
University of the Witwatersrand
,
University of Johannesburg
,
Wits Health Consortium Pty Ltd
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Publisher: Springer Science and Business Media LLC
Date: 13-07-2023
Publisher: Springer Science and Business Media LLC
Date: 07-03-2023
DOI: 10.1007/S42448-023-00157-W
Abstract: This paper presents findings from a pilot study focused on examining intergenerational violence in a three-generation s le, which included young children, in a rural area of South Africa. The aims of the pilot study were to investigate the feasibility of participant recruitment, consent, and interviewing length and burden of the study questionnaires appropriateness and acceptability of the measures used and young children’s (age 4–7) ability to comprehend the measures and participate meaningfully in interviews asking about violence. Data were collected for 4 months with three groups of participants, often within families (young adults, their children, and the young adults’ former caregivers), using cognitive interviews, quantitative questionnaires, and qualitative in-depth interviews. All groups participated in arts-based methods and child interviews included visual and tactile aids. Pilot study findings demonstrated feasible recruitment within families for a three-generation study using comprehensive consent protocols and mandatory reporting information. Adults and young children were able to participate in the extensive interviews (2–3 h and 1 h, respectively) without significant burden. The employed measures were appropriate and acceptable to the setting, though minor revisions were made to improve comprehension of certain items. Young children were able to engage and participate meaningfully in the research, though they were not able to answer abstract reasoning items in cognitive interviews and children who were less developmentally advanced required more play- and arts-based accommodations to support their participation. Future research around sensitive topics, such as violence, appears feasible within families and including young children as participants even in resource-poor settings.
Publisher: Wiley
Date: 2014
Publisher: Springer Science and Business Media LLC
Date: 05-11-2016
Publisher: Elsevier BV
Date: 11-2016
DOI: 10.1016/J.SOCSCIMED.2016.09.013
Abstract: Prevention of mother-to-child transmission (PMTCT) can virtually eliminate HIV infection among infants, yet up to one-third of women miss PMTCT steps. Little is known about how partner dynamics such as intimate partner violence (IPV) influence pregnant and postpartum women's adherence to PMTCT. We conducted 32 qualitative interviews with HIV-positive pregnant and postpartum women in Johannesburg who experienced IPV. Trained researchers conducted in-depth interviews over the period of May 2014-Nov 2015 using narrative and social constructionist approaches. Interviews were transcribed verbatim and analyzed thematically and inductively using Dedoose qualitative software. Twenty-six women experienced recent IPV and one-third had poor adherence to PMTCT. Women's experience of partner violence influenced PMTCT behaviors through four pathways. First, fear of partner disclosure led some women to hide their HIV status to avoid a violent reaction. Despite strategic non-disclosure, several maintained good adherence by hiding medication or moving out from their partner's home. Second, IPV caused feelings of depression and anxiety that led to intentionally or accidentally missing medication. Five women stopped treatment altogether, in a type of passive suicidality, hoping to end the distress of IPV. Third, men's controlling behaviors reduced access to friends and family, limiting social support needed for good adherence. Fourth, in a protective pathway, women reported good adherence partly due to their mothering role. The identity around motherhood was used as a coping technique, reminding women that their infant's wellbeing depended on their own health. PMTCT is essential to prevent vertical HIV transmission, but women living with IPV face multiple pathways to non-adherence. Addressing IPV in antenatal care can support the health of women and infants and may enhance PMTCT coverage.
Publisher: Hindawi Limited
Date: 06-04-2021
DOI: 10.1111/HSC.13362
Publisher: Cold Spring Harbor Laboratory
Date: 29-11-2022
DOI: 10.1101/2022.11.29.22282893
Abstract: Violence is a global social and human rights issue with serious public health implications across the life-course. Interpersonal violence is transmitted across generations and there is an urgent need to understand the mechanisms of this transmission to identify and inform interventions and policies for prevention and response. We lack an evidence-base for understanding the underlying mechanisms of the intra- and intergenerational transmission of violence as well as potential for intervention, particularly in regions with high rates of interpersonal violence such as sub-Saharan Africa. The study has three aims: 1) to identify mechanisms of violence transmission across generations and by gender through quantitative and qualitative methods 2) to examine the effect of multiple violence experience on health outcomes, victimisation and perpetration 3) to investigate the effect of structural risk factors on violence transmission and 4) to examine protective interventions and policies. INTERRUPT_VIOLENCE is a mixed-methods three-generational longitudinal study. It builds on a two-wave existing cohort study of 1665 adolescents in South Africa interviewed in 2010/11 and 2011/12. For wave three and possible future waves, the original participants (now young adults), their oldest child (aged 6+), and their former primary caregiver will be recruited. Quantitative surveys will be carried out followed by qualitative in-depth interviews with a subset of 30 survey families. Adults will provide informed consent, while children will be invited to assent following adult consent for child participation. Stringent distress and referral protocols will be in place for the study. Triangulation will be used to deepen interpretation of findings. Qualitative data will be analysed thematically, quantitative data using advanced longitudinal modelling. Ethical approval was granted by the University of Edinburgh, University of the Witwatersrand, North-West University, and the Provincial Department of Health Mpumalanga. Results will be published in peer-reviewed journals, at scientific meetings, and policy briefs. This is the first study on intergenerational violence transmission in a three-generational longitudinal s le in Southern Africa It measures not only violence against children (physical abuse, emotional abuse, sexual abuse, neglect and exposure to domestic violence), but also intimate partner violence experience and perpetration, non-partner sexual violence experience and perpetration, bullying experience and perpetration, community violence experience, witnessing and perpetration, and structural violence experience in addition to risk and protective factors on all levels of the socio-ecological model The study will employ a mixed-methods approach to develop the first empirically generated theoretical framework to transform our understanding of causes, effects, and prevention of violence transmission in Southern Africa The proposed study represents a major scientific advance in understanding the transmission and prevention of violence and will impact a critically important societal and public health challenge of our time While the study involves a large eligible s le, challenges with tracing and attrition 10 years after the original data collection may reduce s le size substantially
No related grants have been discovered for Nataly Woollett.